Salary

$81,510 / yr - $108,030 / yr

Overview

RN – MDS Coordinator

Turn Clinical Expertise Into Better Outcomes. Shape Individualized Care. Make an Impact at West Roxbury.

Are you a Registered Nurse (RN) with experience in skilled nursing, Medicare, and the MDS process? Do you have a strong understanding of resident assessment, care planning, and reimbursement methodology — and enjoy bringing clinical knowledge, organization, and collaboration together? We want to talk with you!

 

At West Roxbury Health & Rehabilitation Center, our MDS Coordinator plays an essential role in connecting clinical assessment with quality resident care. As a 76-bed skilled nursing and rehabilitation community in West Roxbury, Massachusetts, we provide Short-Term Rehabilitation and Long-Term Care, along with specialized support including hospice care and respite care. Our interdisciplinary team delivers personalized nursing care, rehabilitation services, and clinical support while creating a welcoming environment focused on resident dignity, comfort, and quality of life.

 

If you're looking for an opportunity to use your nursing expertise beyond the traditional bedside setting while remaining closely connected to resident care, this could be the role for you.

Your Expertise Has a Direct Impact on Resident Care

The MDS process is about much more than completing assessments. It provides a comprehensive picture of each resident's clinical and functional needs and helps our interdisciplinary team develop a care plan that is individualized, accurate, and responsive to the resident's changing needs. As the RN – MDS Coordinator, you will serve as a key clinical resource for the facility, bringing together information from nursing, rehabilitation, social services, dietary, medical records, residents, families, and other members of the care team. You'll help ensure that assessments are completed accurately and on time, care plans reflect current resident needs, and the facility remains aligned with Medicare, Medicaid, Managed Care, and regulatory requirements.

Why This Role Matters

Every MDS assessment tells a story. It captures important information about a resident's functional abilities, cognition, mood and behaviors, nutrition, clinical conditions, and overall well-being. That information becomes the foundation for decisions about care.

At West Roxbury, your work will help ensure that each resident's unique needs are accurately understood and reflected in their individualized plan of care. Whether supporting a resident working toward greater independence through short-term rehabilitation, someone receiving ongoing long-term care, or a resident and family navigating hospice or respite services, your clinical insight helps guide the care our team provides. This is an opportunity for an experienced RN who enjoys combining clinical judgment with organization, communication, critical thinking, and attention to detail. You'll work closely with leadership and an interdisciplinary team while becoming a key resource in the facility's assessment, care planning, and reimbursement processes. The role may also provide opportunities to support other Elderwood communities and participate in professional development through the Elderwood Learning Center.

 

Your work helps our team:

• Identify and respond to changing resident needs.
• Develop meaningful, individualized care plans.
• Coordinate services across disciplines.
• Support positive clinical outcomes.
• Maintain compliance with regulatory requirements.
• Ensure accurate Medicare, Medicaid, and Managed Care processes.
• Advocate for residents by making sure their needs are accurately represented.

The Support You Need to Succeed

At West Roxbury Health & Rehabilitation Center, you won't be working in isolation. You'll have the support of facility nursing leadership as well as Elderwood Administrative Services, including clinical and operational resources designed to help our teams succeed. You'll have the opportunity to collaborate with experienced nursing professionals and access resources in areas including:

• Clinical operations
• Quality and regulatory compliance
• Reimbursement
• Professional development
• Nursing leadership
• Education and training

Comprehensive Benefits & More

At Elderwood, we believe in supporting the people who support our residents.

 

Our benefits and rewards include:

• Increased Tuition Reimbursement Program for Clinical Tracks
• Shift Differentials
• Full Benefits Package
• 401(k) with Employer Matching
• Employee Referral Program
• Professional Development & Training Opportunities
• Paid Time Off & Holiday Benefits
• Additional Compensation Programs

Make Your Next Move Count

If you're an RN who enjoys looking at the bigger picture, solving problems, coordinating across disciplines, and using clinical expertise to influence the quality of resident care, West Roxbury Health & Rehabilitation Center wants to hear from you.

Bring your nursing knowledge. Bring your attention to detail. Bring your commitment to residents.

 

We'll provide the team, resources, and support to help you make an impact.

Apply Today for the RN – MDS Coordinator Position at West Roxbury Health & Rehabilitation Center.

Responsibilities

What You'll Do

Lead the MDS & Resident Assessment Process

• Complete and/or oversee completion of MDS/PPS and OBRA assessments for residents receiving short-term rehabilitation and long-term care.
• Establish and maintain schedules for required assessments in accordance with federal and state regulations.
• Ensure MDS assessments, supporting documentation, and related components are accurate, complete, and submitted within required timeframes.
• Monitor completion of MDS components by other disciplines and address incomplete or untimely information.
• Review resident records, incidents, accidents, 24-hour reports, and changes in condition to ensure assessments and care plans accurately reflect current needs.
• Utilize clinical judgment and attention to detail to identify relevant changes in resident status.

Develop & Coordinate Individualized Care Plans

• Initiate, maintain, and update individualized care plans based on resident assessments and changing clinical needs.
• Ensure care plans identify appropriate interventions and supporting activities designed to achieve the best possible resident outcomes.
• Conduct care plan conferences with residents, families, and members of the interdisciplinary team.
• Generate and distribute the monthly care plan calendar.
• Collaborate closely with nursing, rehabilitation, social services, dietary, medical records, and medical providers.
• Serve as a clinical resource to members of the care team regarding assessment and care planning requirements.

Support Medicare, Medicaid & Reimbursement

• Complete and/or oversee Medicare PPS assessments for both short-term and long-term care residents.
• Support accurate documentation related to Medicare, Medicaid, Managed Care, and other reimbursement requirements.
• Partner with the Business Office to support Medicare eligibility determination and tracking of covered days.
• Serve as a facility contact and liaison with Managed Care providers regarding authorization and reimbursement.
• Apply knowledge of PDPM, Case Mix, Medicare/PPS, and reimbursement methodology to support accurate and compliant processes.
• Collaborate with Medical Records and Therapy staff in preparing documentation for CMS and other entities for pre- and post-payment reviews, ADR requests, and appeals.

Promote Compliance, Quality & Accountability

• Maintain working knowledge of applicable federal and state regulations related to MDS, care planning, Medicare, Medicaid, and resident care.
• Help ensure documentation and assessment practices remain compliant with regulatory requirements.
• Identify gaps or delays in the assessment process and communicate concerns to nursing leadership.
• Support survey readiness and respond appropriately to documentation and assessment-related requests.
• Maintain knowledge of facility policies, procedures, corporate compliance standards, and professional nursing expectations.
• Participate in ongoing quality improvement initiatives and other projects as assigned.

From

Up to

Qualifications

RN - MDS Coordinator - Qualifications:

• Current Registered Nurse (RN) license in the state of Massachusetts.
• Nursing degree from an accredited college or university.
• Previous experience in a skilled nursing or long-term care environment preferred.
• Knowledge of the MDS and care planning process.
• Prior experience with MDS 3.0 scheduling, coding, and submission requirements preferred.
• Experience with PointClickCare preferred.
• Knowledge of Patient Driven Payment Model (PDPM) and Case Mix Index (CMI) preferred.
• Experience with Medicare/PPS, Medicaid, Managed Care, Part A coverage, and reimbursement processes preferred.
• Strong understanding of resident assessment, care planning, and regulatory requirements.
• Excellent verbal and written communication skills.
• Strong organizational and time-management skills with the ability to manage multiple deadlines.
• Self-motivated, detail-oriented, and committed to accuracy.
• Ability to collaborate effectively with residents, families, nursing staff, interdisciplinary team members, leadership, and external partners.
• A willingness to learn and develop — we're open to training the right candidate with strong clinical experience and the ability to grow into the MDS role.
• This position requires regular interaction with residents, coworkers, visitors, and/or supervisors. In order to ensure a safe work environment for residents, coworkers, visitors, and/or supervisors of the Company, and to permit unfettered communication between the employee and those residents, coworkers, visitors, and supervisors, this position requires that the employee be able to read, write, speak, and understand the English language at an intermediate or more advanced level.

EOE Statement

WE ARE AN EQUAL OPPORTUNITY EMPLOYER. Applicants and employees are considered for positions and are evaluated without regard to mental or physical disability, race, color, religion, gender, national origin, age, genetic information, military or veteran status, sexual orientation, marital status or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.