MDS Coordinator

3 weeks ago


Portola Valley, United States Sequoia Living Full time

We are hiring an MDS Coordinator. This individual maintains the standards of nursing care and implements the policies and procedures of the facility and the nursing department. Manages the interdisciplinary team process including the development of the care plan based on the completed Minimum Data Set (MDS) to assure regulatory compliance and address special needs of each resident.


What You Will Do:


  • Maintains current knowledge and skills with respect to Title 22, OBRA, nursing procedures and computer technology.
  • Responsible for the Resident Assessment Instrument (RAI), admission process for new residents and for initiating the discharge planning process.
  • Institutes and helps to maintain the resident care plans by utilizing the MDS, Resident Assessment Protocols (RAP) and the computerized care planning program.
  • Schedules the initial, quarterly, and significant change Minimum Data Sets for each resident. Maintains calendar of interdisciplinary care team. Communicates with residents and families regarding care planning meetings and encourages families, responsible parties and residents to attend and participate in the care planning process.
  • Coordinates with the Nurse Manager to assess if a change of condition has occurred and initiates a new assessment.
  • Assesses each resident, at least quarterly and annually. Completes the manual and computerized nursing assessment sections of the MDS. Initiates the “Fall Assessment” protocol and verifies completion.
  • Assesses the triggered items on the MDS, makes a decision to maintain or delete triggered items. Using the information gathered, evaluates and develops Resident Care Plans.
  • Based on nursing diagnosis indicators and input from RN staff assesses if other resident needs are to be included in the Care Plan. Using the information gathered, evaluates and develops Resident Care Plans.
  • Manages the interdisciplinary team process and facilitates weekly meetings; coordinates interdisciplinary staff completion of MDS, Care Plan and progress notes; verifies that each member has care planned resident needs based on assessment and problems triggered on MDS.
  • Communicates with physicians regarding resident care plans and obtains signature on the plan.
  • Monitors nursing notes on a routine basis to verify that Resident Care Plan is correctly reflected in documentation.
  • Monitors special needs of residents on psychoactive drugs, on fall prevention program, turning and toileting schedules, to verify that all disciplines are care planned appropriately, all approaches considered and documentation complete.
  • Educates RN staff in the care planning process by reviewing MDS form, mentoring while going through the collection of nursing data and reviewing completed form.
  • Writes CAA notes for each patient after each patient care plan meeting.
  • MatrixCare knowledge.
  • Supports the team as Charge Nurse as needed.
  • Performs related work as assigned.



Why Work Here:

  • We have medical and dental coverage or pay a cash stipend if you are covered on another plan. Life Insurance, Commuter Benefits, Emergency Relief Fund, Flexible Spending Account, 18 PTO, 8 Holidays, 6 days per year available to provide pay when on an approved Leave of Absence and much more
  • Generous PTO and holidays
  • Employee Referral Award, Employee Recognition Programs, Sign On Bonus.
  • We offer on the job training and professional development opportunities. Scholarships too We offer tuition and/or fee assistance for qualified programs.
  • Covid protocols in place to keep everyone safe.
  • Competitive wages and growth opportunities.
  • $53.15. - $62.45/hr


Who You Are:


  • You enjoy working with people and have interpersonal skills.
  • You like your days to be varied, can handle a fast-paced environment, and don’t mind working under pressure.
  • Interpersonal skills to establish and maintain good working relationships among unit personnel, other department personnel and medical staff. Sensitivity and understanding of issues related to aging. Patience and tact in dealing with residents, personnel and visitors. Knowledge and skill to coordinate a diversity of components into one comprehensive project. Leadership skills to motivate staff. Thorough knowledge of current nursing theory and practice. Knowledge of Title 22 and OBRA Regulations. Computer skills of data input. Judgment in order to make assessments regarding nursing practices and medical conditions.
  • Graduation from an accredited school of nursing and licensure to practice as an RN in the State of California, B.S. preferred. Minimum of two (2) years nursing experience. Supervisory responsibility and experience in a geriatric setting preferred. Basic Life Support Certification required.



Who We Are: Founded in 1958, Sequoia Living is a Bay Area-based nonprofit organization dedicated to providing older adults with stimulating, joyful living environments and services that support and enrich their lives. Throughout our six decades as a nonprofit serving Bay Area seniors, we’ve learned the importance of connection and collaboration when it comes to providing resources for healthy aging. From our Life Plan Community to safe affordable housing, engaging senior centers, and a purpose-filled volunteer program, we provide friendly environments where people can explore and discover what it means to grow stronger, wiser, and more joyful.


Sequoia Living is an Equal Employment Opportunity and Affirmative Action Employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender perception or identity, national origin, age, marital status, protected veteran status, or disability status.


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