Cobble Hill Health Center is seeking an experienced RN Director of MDS to lead and oversee all aspects of the MDS process in our well-established, not-for-profit long-term care facility. This is a key leadership role responsible for ensuring accurate assessments, regulatory compliance, and optimal reimbursement outcomes. Responsibilities • Oversee all MDS assessments and submissions • Monitor and improve Case Mix Index (CMI) • Perform PDPM reviews on admission and prior to submission • Ensure accurate MDS coding and documentation • Collaborate with rehab and interdisciplinary teams • Review UB04s and coordinate with billing • Manage ADR responses, audits, and appeals • Track and present Quality Measures • Run Medicare Part B reports • Participate in QAPI, Utilization Review, Therapy, and Medical Board meetings Requirements • Active RN License – New York • 3+ years experience as MDS Coordinator or MDS Director • Strong knowledge of PDPM, Medicare, and Medicaid • Experience with CMI optimization and compliance • Excellent communication and leadership skills Preferred: • RAC-CT Certification • Prior leadership experience Benefits • Referral bonuses • Free meals during shifts • Medical, dental, vision, life insurance • Retirement plan + employer contribution + 403(b) • Employer-paid deductible contribution • 16 paid holidays + 31 PTO days (including your birthday)