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MDS Consultant
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Kalesta Healthcare Group
San Jose, CA (In Person)
Full-Time
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Job Description
MDS Consultant at Kalesta Healthcare Group MDS Consultant at Kalesta Healthcare Group in San Jose, California Posted in about 1 hour ago.
Type:
full-timeJob Description:
The Role We're looking for an MDS Consultant to own assessment accuracy, PDPM integrity, and MDS Coordinator development across our Northern California SNFs. This isn't a compliance-checker role. You'll be the regional subject matter expert - partnering with facility teams to close documentation gaps, optimize case mix, and build coordinator competency that holds between your visits. You report to the Chief Nursing Officer and work alongside our Regional Clinical Consultants. What You'll Own Assessment & Compliance- Oversight of MDS submissions, CAA accuracy, and timeliness across assigned facilities
- Compliance with CMS, state, and corporate standards for assessment and care planning
- Audit and trend analysis of MDS-related deficiencies with actionable corrective plans PDPM & Reimbursement
- Accurate PDPM coding, case mix grouping, and clinical documentation review
- Identification of coding and clinical capture gaps - and the follow-through to close them
- Cross-functional alignment with therapy, nursing, and billing on resource utilization MDS Coordinator Development
- Direct coaching, onboarding, and competency development for facility-based MDS Coordinators
- Monthly or quarterly education sessions on RAI updates, PDPM changes, and state Medicaid case mix
- Building consistency in documentation practices that doesn't depend on your presence What We're Looking For Active California RN license Prior regional or multi-site consulting experience 3+ years as MDS Coordinator in an SNF PCC proficiency Deep working knowledge of RAI, PDPM, QMs, and Five-Star data Experience with state Medicaid case mix systems