DIRECTOR OF NURSING JOB DESCRIPTION Department: Nursing Services Reports to: Administrator Reporting to this position: Unit Manager, Charge Nurse, Certified Nursing Assistant Job Classification: Administrative/Management Position Purpose Planning, organizing, developing and directing the overall operations of the Nursing Service Department in accordance with local, state and federal standards and regulations, established facility policies and procedures and as may be directed by the Administrator and the Medical Director, to provide appropriate care and services to the residents. Required Qualifications Current unrestricted license as a Registered Nurse (RN) in California Must have, as a minimum, three (3) years of experience as a supervisor in a hospital, nursing home, or other related health care facility. Knowledgeable of nursing and medical practices and procedures, as well as laws, regulations and guidelines pertaining to long-term care. Current CPR certification. Major Duties and Responsibilities Plans, develops, organizes, implements, evaluates and directs the overall operations of the Nursing Services department, as well as its programs and activities, in accordance with current state and federal laws and regulations. Interprets and communicates policies and procedures to nursing staff, and monitors staff practices and implementation. Participates in all admission decisions. Participates in daily or weekly management team meetings to discuss census changes, resident changes in status, complaints or concerns. Evaluates work performance of all nursing personnel and implements discipline according to operational policies. Participate in QAPI or facility assessment activities as needed, such as carrying out duties assigned as part of a performance improvement committee Facilitates, serves, attends or participates in various committees of the facility as appointed. Ensures delivery of compassionate quality care and nursing supervision as evidenced by adequate staff coverage on the units, general cleanliness, and maintaining optimal resident functions. Collaborates with members of the interdisciplinary team, physicians, consultants, and community agencies to identify and resolve issues and improve the quality of services. Oversees nursing schedules to ensure resident needs, regulatory and budget standards are met. Participates in the recruitment, hiring and termination of nursing personnel. Performs rounds to observe residents and ensure nursing needs are being met. Conducts observations of nursing care and supervises development of in-service education to ensure nursing staff is competent in current knowledge and skills. Promotes teamwork, mutual respect, and effective communication. Monitors, assists and implements the infection control program in accordance to current infection control guidelines to prevent the development and transmission of disease and infection. Participates in budget development for the nursing department, medical, nursing and central supplies. Assists in the preparation of inspection surveys, including staff in-services on survey processes, and participation in mock surveys as indicated. Participates in the facility’s plan of correction response to an inspection survey and implements any follow-up required for nursing allegations. Communicates directly with residents, medical and nursing staff, family members, department heads and members of the interdisciplinary team to coordinate care and services and respond to and resolve complaints and concerns. Oversees resident incidents and concerns daily to identify any unusual occurrences and reports them promptly to the Administrator and/or state agency for appropriate action. Monitors for allegations of potential abuse or neglect, or misappropriation of resident property and participates in the investigative process. Promotes safe work practices, safety rules, and accident prevention procedures to prevent employee injury and illness. May provide direct nursing care as necessary. Acts in an administrative capacity in the absence of the Administrator. Reasonable Accommodation Statement Consistent with the Americans with Disabilities Act (ADA), Fair Employment and Housing Act (FEHA), Unruh Civil Rights Act and Disabled Persons Act, it is the policy of the facility to provide reasonable accommodation when requested by a qualified applicant or employee with a disability, unless such accommodation would cause an undue hardship. The policy regarding requests for reasonable accommodation applies to all aspects of employment, including the application process. If reasonable accommodation is needed, please contact the Administrator.
MDS Coordinator (Skilled Nursing Facility) About the Role We are seeking a detail‑oriented and knowledgeable MDS Coordinator to manage and oversee the Minimum Data Set (MDS) and Resident Assessment Instrument (RAI) process in our skilled nursing facility. This role ensures accurate assessments, compliance with regulatory guidelines, and supports optimal reimbursement under PDPM. If you're an RN (or LVN, where permitted) with strong assessment and documentation skills, we’d love to speak with you. Responsibilities Assessment & Documentation Complete and coordinate MDS assessments in accordance with CMS RAI guidelines. Ensure accuracy of all assessments, care plans, and supporting documentation. Conduct resident interviews (BIMS, PHQ‑9, preference assessments). Validate clinical information with nursing, therapy, social services, and other departments. PDPM & Reimbursement Ensure accurate diagnosis coding and PDPM classification. Review clinical documentation to support skilled services and reimbursement needs. Collaborate with therapy and nursing to verify ADLs, functional scores, and care needs. Monitor reimbursement accuracy and identify improvement opportunities. Care Planning Develop, update, and maintain individualized resident care plans. Lead interdisciplinary care plan meetings and involve residents/families. Ensure care plans reflect accurate goals, preferences, and medical needs. Regulatory Compliance Maintain full compliance with state and federal SNF regulations. Ensure timely completion and submission of MDS assessments. Assist with surveys, audits, and quality reviews. Participate actively in QAPI initiatives. Team Collaboration Serve as the primary contact for the MDS/RAI process. Communicate assessment schedules and deadlines to all departments. Educate staff on documentation standards and regulatory requirements. Qualifications Required Active RN license (LVN also accepted). Experience in skilled nursing or long‑term care. Strong understanding of MDS 3.0, RAI guidelines, and PDPM. Preferred RAC‑CT or RAC‑CTA certification. Experience with ICD‑10 coding and care plan development. Familiarity with long‑term care EMRs (e.g., PointClickCare). Strong communication, organizational, and analytical skills.
POSITION DESCRIPTION Responsible for timely and accurate completion of both the RAI process and care management process from admission to discharge in accordance with company policy and procedures, and Federal, State and Certification guidelines, and all other entities as appropriate- Minimum Data Set, discharge and admission tracking, etc. With direction from the Director of Nursing and VP of Clinical Reimbursement, may coordinate information systems operations and education for the clinical department. QUALIFICATIONS • Graduate of an approved RN / LVN program and licensed in the state of practice, required. • Minimum of 2 years of nursing experience in a Skilled Nursing Facility preferred. • Excellent knowledge of Case-Mix, the Federal Medicare PPS process, and Medicaid reimbursement, as required. • Thorough understanding of the Quality Indicator process. Knowledge of the OBRA regulations and Minimum Data Set. • Knowledge of the care planning process. • Experience with MDS 3.0, preferred.. • Maintains current MDS status of assigned residents according to state and federal guidelines. • Maintains the frequent and accurate data entry of resident information into appropriate computerized MDS programs. • Completes accurate coding of the MDS with information obtained via medical record review as well as observation and interview with facility staff, resident and family members. • Other duties, responsibilities and activities may change or assigned at any time with or without notice RESPONSIBILITIES • Works in collaboration with the Interdisciplinary Team to assess the needs of the resident; Provides interdisciplinary schedule for MDS assessments and care plan reviews as required by governing agencies. • Ensures that the Interdisciplinary team makes decisions for either completing or not completing additional MDS, assessments based on clinical criteria as identified in the most recent version of the RAI User’s Manual. • Assist with coordination and management of the daily stand up meeting, to include review of resident care and the setting of the assessment reference date(s). • Complies with federal and state regulations regarding completion and coordination of the RAI process. • Monitors MDS and care plan documentation for all residents; ensures documentation is present in the medical record to support MDS coding. • Maintains current MDS status of assigned residents according to state and federal guidelines. • Maintains the frequent and accurate data entry of resident information into appropriate computerized MDS programs. • Completes accurate coding of the MDS with information obtained via medical record review as well as observation and interview with facility staff, resident and family members. • Other duties, responsibilities and activities may change or assigned at any time with or without notice.
