MDS/PCC Coordinator LVN/RN

6 days ago


Cedar Hill, Texas, United States Cantex Continuing Care Network Full time
Job Summary:

The MDS/PCC Coordinator LVN/RN is responsible for ensuring accurate and timely completion of the Minimum Data Set (MDS) assessments for Medicare and Medicaid patients. This role requires strong clinical knowledge and attention to detail to ensure compliance with federal and state regulations.

Key Responsibilities:
  • Maintain compliance with all State and Federal Medicaid and/or Medicare rules, regulations, and published interpretations.
  • Participate in the assessment of pre-admission paperwork to ensure patients meet qualifying medical necessity determination.
  • Coordinate the Weekly Reimbursement Meeting with the Interdisciplinary Team Members to ensure proper Medicare and/or Medicaid reimbursement to match care delivery.
  • Audit the Clinical Record to ensure appropriate documentation for actual care delivery.
  • Obtain Medicare qualifying diagnosis(es) on Medicare Part A patients and update diagnosis for each change in diagnosis.
  • Initiate and update the physician certifications for each Medicare Part A patient.
  • Complete all Minimum Data Set (MDS) assessments within the allotted time frame for each Medicare and/or Medicaid patient.
  • Review the 24-hour Nursing report to capture possible change in condition of a patient.
  • Prepare for all Medicaid audits.
  • Track patient benefit days, validate daily census, and coordinate information with the Financial Manager to ensure accurate billing.
Requirements:
  • A current, valid Texas nursing license is required (RN, LVN).
  • At least 2 years of LTC experience preferred.
  • Must have an Acknowledgement of Completion Certificate through the HHSC RUG Online Training for Nursing Facilities.
  • Must complete the American Association of Nurse Assessment Coordinators (AANAC) RAI Certification within 1 year of employment.
  • Ability to effectively communicate, direct, and at times, delegate tasks.
  • Ability to read, write, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations.
About Cantex Continuing Care Network:

Cantex Continuing Care Network is committed to a culture that respects our differences and values the contributions of all people. We are an equal opportunity employer and offer an excellent benefit plan to include 401K with match, CEU reimbursement, vacation, sick, holidays, medical, dental, and supplemental insurance plans as well as a highly competitive compensation package.



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