Resident Care Manager​/MDS Coordinator

Overview

MDS Coordinator/Resident Care Manager - RN

Schedule:
Monday thru Friday 9am-5pm (on call rotation for weekends and weekdays)

Salary: $105k - $115k / year DOE

Mirabella Portland, a part of Pacific Retirement Services, is a beautiful not-for-profit Continuing Care Retirement Community (CCRC) located in the SW Waterfront. We are hiring a full time MDS/Resident Care Manager for our 27 bed health center (Skilled nursing/Long term care).

As the MDS Coordinator & Care Manager, you will ensure the delivery of holistic, person-centered, individualized, and clinically competent care. You’ll coordinate and collaborate with the Interdisciplinary Team (IDT) to oversee the care of both short-term and long-term residents. This role ensures that services are appropriate, continuously evaluated, and designed to help residents achieve their highest practicable level of health, function, and quality of life.

• Champion Pacific Retirement Services (PRS) culture by embodying our Mission (“Empower people to lead meaningful lives as they age.”), Vision (“Shaping a future where aging is embraced as an opportunity to thrive.”), and Core Values (“We Speak Up, We Step Up, We Lift Up, We Team Up”) in all aspects of your role.
• Advocate for resident rights and decisions that prioritize resident well‑being and dignity.
• Lead, coach, and support nursing team members to ensure accountability, communication, and clinical excellence.

• Maintain compliance with all state and federal RAI/MDS regulations.
• Complete and coordinate accurate and timely documentation of the Minimum Data Set (MDS) per PDPM and OBRA schedules.
• Collaborate with therapy and the IDT to determine the Assessment Reference Date (ARD) and ensure supporting documentation is in place.
• Develop, review, and update individualized Care Plans based on Care Area Assessments (CAAs), resident interviews, and changing conditions.
• Facilitate and participate in admissions, weekly, and quarterly assessments and care conferences.
• Collaborate with IDT for discharge planning and transitions of care, including communication with managed care providers.

• Coordinate and direct nursing functions and ensure physician orders are carried out appropriately.
• Meet daily with charge nurses to review changes in resident conditions, delegate tasks, and ensure follow‑up.
• Review and investigate incident reports, document findings, and provide follow‑up to the Director of Nursing or Health Services Administrator.
• Review and audit ADL documentation to ensure accurate representation of resident function; identify and address staff training needs.
• Participate in Medicare/Insurance utilization reviews, Triple Check billing reviews, and QAPI/PIP initiatives.
• Collaborate with the Medical Records Coordinator on ICD‑10 coding and data accuracy.
• Follow up on Pharmacy Consultant Reports and ensure medication and treatment processes align with regulations and facility policies.

• Establish open, ongoing communication with residents, families, and healthcare representatives.
• Work closely with therapy, restorative nursing, and interdisciplinary partners to promote residents’ optimal levels of function and well‑being.
• Assist with staff onboarding, training, and competency development in partnership with the Director of Staff Development.

• Maintain and communicate the MDS calendar to the IDT.
• Transmit MDS data and ensure timely submission.
• Participate in High Risk Area (HRA) reviews, including psychotropics and SAR/NAR assessments.
• Take rotating on‑call responsibilities or provide nursing coverage as needed.
• Perform other duties as assigned.

• Current RN license in Oregon.
• Experience with MDS coordination, care planning, and clinical leadership in a skilled nursing or long‑term care setting.
• Strong communication, organizational, and problem‑solving skills.
• Working knowledge of PDPM, OBRA, RAI processes, and CMS regulations.

• Paid Time Off (PTO):
  Use it as you earn it—take time off when you want or choose PTO+ for extra pay.
• 401(k)…