Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.
Job Summary
SummaryResponsible for overseeing the completion, accuracy, and timely submission of Minimum Data Set (MDS) assessments. This role ensures compliance with federal and state regulations, supports accurate reimbursement, and contributes to high-quality resident care. In addition, this position focuses on monitoring, tracking, and reporting on MassHealth-covered patients to support program compliance and financial accuracy.
Does this position require Patient Care? No
Essential Functions
-Oversee and coordinate the full MDS assessment process for all residents, ensuring timely and accurate completion in accordance with CMS regulations.
-Review MDS assessments for accuracy, completeness, and regulatory compliance.
-Maintain strong working knowledge of current MDS and PDPM requirements and CMS updates.
-Maintain internal tracking systems to ensure MassHealth residents are flagged appropriately for assessment and reimbursement-related workflows.
-Collaborate with Finance, Admissions, and Case Management to ensure MassHealth eligibility, changes in status, and documentation needs are up-to-date.
-Conduct internal audits of MDS documentation to ensure accuracy, identify errors, and facilitate corrective action.
-Provide routine reports on MassHealth resident census, trends, and any identified risks related to documentation or reimbursement.
-Stay informed on all relevant MassHealth long-term care requirements, policy updates, and payer-specific documentation standards.
Qualifications
Education
Associate's Degree Nursing required and Bachelor's Degree Nursing preferred
Can this role accept experience in lieu of a degree?
No
Licenses and Credentials
Registered Nurse [RN - State License] - Generic - HR Only required
Experience
Experience in MDS coordination or a related role, preferably in a hospital or long-term care setting 1-2 years preferred
Knowledge, Skills and Abilities
- Strong knowledge of MDS, PDPM, and related regulatory requirements.
- Excellent attention to detail and accuracy in data entry and documentation.
- Strong analytical and problem-solving skills.
- Effective communication skills, both written and verbal.
- Ability to work independently and as part of a team.
Additional Job Details (if applicable)
Remote Type
Work Location
Scheduled Weekly Hours
Employee Type
Work Shift
Pay Range
$38.25 - $55.64/HourlyGrade
7At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package. In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply, and our Talent Acquisition team will provide an overview of your potential compensation and benefits package.
EEO Statement:
At Mass General Brigham, our competency framework defines what effective leadership “looks like” by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.
Skills Required
- Registered Nurse (RN) State License
- Experience in MDS coordination or related role
- Associate's Degree in Nursing
What We Do
Mass General Brigham is an integrated academic health care system, uniting great minds to solve the hardest problems in medicine for our communities and the world. Mass General Brigham connects a full continuum of care across a system of academic medical centers, community and specialty hospitals, a health insurance plan, physician networks, community health centers, home care, and long-term care services. Mass General Brigham is a nonprofit organization that is committed to patient care, research, teaching, and service to the community. In addition, Mass General Brigham is one of the nation’s leading biomedical research organizations and a principal teaching affiliate of Harvard Medical School.
