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Utilization Review MDS Coordinator
Hurlbut Care Communities • Rochester, NY, US • published 2026-09-30 01:58:36.355369
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The **Utilization Review** **MDS Coordinator** coordinates, conducts, and manages the **Minimum Data Set (MDS)** assessment process and the **Resident Assessment Instrument (RAI)** cycle. This role ensures clinical documentation accurately reflects resident care needs, maintains strict compliance with state and federal regulations, and optimizes accurate reimbursement. The ideal candidate will possess sharp clinical judgment, an analytical mindset, and exceptional technical precision to oversee **comprehensive MDS data reviews and successful CMS electronic submissions** across several nursing facilities **Key Responsibilities** **MDS Review \& Quality Assurance** * **MDS Data Review:** Perform thorough reviews of patient charts, nursing logs, therapy logs, and electronic medical records (EMR) to ensure all clinical assessments and MDS items are coded accurately and ethically before locking data. * **Interdisciplinary Audits:** Audit care plans and RAI processes continuously, correcting discrepancies across the care team to maintain strict adherence to state and federal **42 CFR 483\.20 guidelines**. * **Clinical Reconciliation:** Collaborate with physicians, nursing staff, and ther...
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