MDS Coordinator - Skilled Nursing/Long-Term Care | RN | Full-Time | Starr County Nursing and Transitional Care | Rio Grande City, TX Are you an experienced MDS Coordinator, or skilled nursing nurse with strong attention to detail and a passion for resident-centered care? If so, we would love to speak with you. Wellsential Health is currently seeking an MDS Nurse (MDS Coordinator) - RN to support Starr County Nursing and Transitional Care. This role is an important part of the clinical leadership team and helps ensure accurate assessments, timely documentation, individualized care planning, and appropriate reimbursement for the care and services residents receive. As a purpose-driven nonprofit healthcare organization, Wellsential Health is committed to making wellness accessible for all Texans. Through skilled nursing, therapy and rehabilitation, and specialized memory care, we help residents live with dignity, comfort, and purpose. As a nonprofit, we reinvest in our people, residents, and communities - not shareholders. That means better support, opportunities for growth, and a workplace where team members can build a meaningful career in healthcare. What You'll Do The MDS Coordinator plays a key role in supporting quality resident care through accurate assessments, documentation, and individualized care planning. This position helps ensure regulatory compliance, appropriate services, and strong collaboration with the interdisciplinary team while promoting resident choice, dignity, and involvement in their care. Key Responsibilities Ensure accurate, timely, and complete MDS assessments, including Admission, PPS, Quarterly, Annual, and Significant Change assessments, in compliance with RAI guidelines. Complete Medicare and Medicaid case-mix documentation to support appropriate reimbursement and help avoid default days or unassigned days. Work closely with the Director of Rehab and interdisciplinary team to select optimal ARDs and support effective care planning. Track and monitor Skilled and Managed Care residents to ensure continued eligibility, appropriate benefit utilization, and timely documentation. Gather and communicate information for Managed Care reviews, physician certifications, and re-certifications per Medicare requirements. Conduct regular audits of MDS coding, outcomes, validation reports, and supporting documentation to maintain accuracy and compliance with CMS policy. Submit MDS assessments electronically, review error and validation reports, and address late, missed, or rejected assessments as needed. Provide training and guidance to staff on the RAI process, MDS expectations, documentation requirements, and regulatory updates. Serve as a clinical reimbursement resource for nursing, therapy, business office, administration, and interdisciplinary team members. Actively participate in Case Management, Triple Check, Level of Care meetings, and support ADRs, audits, or additional documentation requests as needed. Maintain communication with administration, regional support, and the business office regarding case mix, reimbursement impact, and clinical documentation quality. Support resident-centered care planning by helping ensure resident preferences, care needs, and clinical changes are accurately reflected. Complete other duties as assigned or needed What We're Looking For Active Registered Nurse (RN) license in the state of Texas in good standing. Must have successfully completed an RN program at an accredited vocational school, college, or university. Minimum of two years of skilled nursing experience required. MDS, RAI, Medicare, Medicaid, case-mix, care planning, or clinical reimbursement experience preferred. Knowledge of

MDS 3.0, RAI

guidelines, PPS assessments, ARDs, care plans, and skilled nursing documentation preferred. Ability to review clinical documentation, identify gaps, communicate findings, and follow up with appropriate team members. Strong organization, attention to detail, time management, communication, and follow-up skills. Ability to work cooperatively with residents, families, nursing, therapy, business office, administration, physicians, and regional support teams. Must complete and pass all RIHS-specific MDS/RUGs training modules (AIS) within the first 90 days of employment and ongoing per company policy. Must be eligible to work in the United States. Why Work for Wellsential Health? Competitive pay Major medical, dental, and vision insurance Supplemental insurance options including critical illness, hospital, accident, short-term disability, and life insurance Employee Assistance Program Tuition Assistance Program PayActiv Paycard - access your paycheck up to 2 days faster, plus pay advance options Empower 401(k) Holiday, Paid Time Off, and Bereavement benefits Telehealth services with $0 copay Shoes for Crews reimbursement Apply today and join a team where your clinical knowledge, attention to detail, and commitment to resident care can make a real difference. Active Registered Nurse (RN) license in the state of Texas in good standing. Must have successfully completed an RN program at an accredited vocational school, college, or university. Minimum of two years of skilled nursing experience required. Complete and pass all RIHS specific MDS/RUGs training modules (AIS) within the first 90 days of employment and ongoing per company policy. MDS, RAI, Medicare, Medicaid, case-mix, care planning, or clinical reimbursement experience preferred. Knowledge of

MDS 3.0, RAI

guidelines, PPS assessments, ARDs, care plans, and skilled nursing documentation preferred. Ability to review clinical documentation, identify gaps, communicate findings, and follow up with appropriate team members. Strong organization, attention to detail, time management, communication, and follow-up skills. Ability to work cooperatively with residents, families, nursing, therapy, business office, administration, physicians, and regional support teams. Must complete and pass all RIHS-specific MDS/RUGs training modules (AIS) within the first 90 days of employment and ongoing per company policy. Must be eligible to work in the United States.