MDS Coordinator RN
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POST DATE 8/31/2016
END DATE 11/17/2016
Lutheran Senior Services
JOB DESCRIPTIONJOB DESCRIPTION:
Direct, coordinate and facilitate the Resident Assessment Instrument (RAI) process including completion of an accurate Minimum Data Set (MDS) and development of the interdisciplinary Plan of Care for residents.
Maintains the Core Values that support the Christian Mission of Lutheran Senior Services, Older Adults Living Life to the Fullest .
1. MDS/PLAN OF CARE ASSESSMENT FUNCTIONS
* Perform resident clinical and mental assessment. Collect data regarding problems and strengths, goals and approaches for nursing care of each resident that is consistent with Centers for Medicare and Medicaid (CMS) guidelines and company standards utilizing the RAI process to formulate a pertinent Plan of Care.
* Maintain current MDS status of each resident, according to state and federal guidelines as required under the Omnibus Budget Reconciliation Act (OBRA), Medicare PPS and or Medicaid required assessment and implements a system to monitor for changes in resident condition.
* Maintain concurrent interface with Managed Care Companies to facilitate reimbursement from third party payor sources as required.
* Identify and address needs required for assistance with activities of daily living and nursing diagnoses with goals and objectives.
* Attend morning meeting Monday Friday to be aware of any changes in condition of residents and collaborate concurrently with designated charge nurse on each neighborhood to facilitate alteration in approaches to assure favorable outcomes.
* Be aware of condition changes of residents and perform required MDS assessments within required time frames as defined by regulatory requirements and associated MDS Assessment Reference Dates (ARD)
* Submit MDS within designated time frames established by regulatory bodies.
* Identify possible goals of staff, resident and family.
* Using nursing interventions correlate all data regarding each resident individually.
* Coordinate and lead Plan of Care meetings with the multidiscipline team for a comprehensive plan of care. Team members may include the following disciplines: Charge nurse, Certified Nurse Assistant, PT, OT, ST, Social Services, Chaplaincy, Dietary, Activities, resident and resident family.
* Assist Charge Nurse on following through as necessary.
* Keep all care plans up to date so they can be used as guidelines for staff on the neighborhoods.
* Review care plans quarterly and facilitate the quarterly meetings with interdisciplinary team, families and residents to ensure that appropriate care is coordinated, delivered and documented accordingly.
* Keep track and ensure accurate dates for annual and quarterly MDS and care plan updates; notify care plan team of the same.
* Ensure that nurses notes reflect that the care plan is being followed.
* Ensure that assigned nursing assistants are aware of the resident care plans and that they are used in administering daily care to the resident.
* Maintain confidentiality of all resident care information.
2. ADMINISTRATIVE FUNCTIONS
* Participate in developing, maintaining and updating of our written policies and procedures that govern the day-to-day functions of the Nursing Services Department.
* Ensure that the Nursing Service Procedures Manual is followed by nursing service personnel, and that it reflects the day-to-day nursing care procedures used by the Community.
* Assist in developing methods for coordinating nursing services with other resident services to ensure the continuity of the residents total plan of care.
* Participate in the development, maintenance and implementation of the community s quality assurance program for the Nursing Services Department.
* Periodically review the resident s written move out plan. Participate in the updating of the resident s discharge plan as required.
* Participate in survey (inspection) made by authorized government agencies.
* Make written and oral reports/recommendations to the Associate Director of Nursing, Director of Nursing and Administrator as necessary/ required, concerning the operation of the MDS/Care Plan process.. .
3. REQUIREMENTS/CHARTING/ DOCUMENTATION
* Maintain current thorough knowledge of MDS 3.0 and subsequent regulatory updates, RAI and care assessment processes.
* Fill out and complete accident/incident reports, if involved. Submit to Director of Nursing as required.
* Chart all accident/ incidents involving the resident, if involved. Follow all established procedures.
4. PERSONNEL FUNCTIONS
* Develop and maintain a good working rapport with inter department personnel, as well as other departments within the facility to assure that nursing services and activities can be adequately maintained to meet the needs of the residents.
5. STAFF DEVELOPMENT
* Participate in an effective orientation program that orients the new employee to your shift, its policies and procedures, and to his/her job duties.
* Attend and participate in continuing educational programs designed to keep you abreast of changes in your profession, as well as to maintain your license.
6. SAFETY AND SANITATION
* Ensure that your assigned work areas are maintained in a clean and sanitary manner.
7. RESIDENT RIGHTS
* Follow all Resident Rights policies and procedures in the employee handbook.
* Maintain the confidentiality of all resident care information.
* Ensure that all nursing service personnel are knowledgeable of the resident rights and responsibilities.
* Maintain CONFIDENTIALITY of all pertinent resident and employee information to assure their privacy is protected.
* Support and uphold all federal, state and local regulatory laws and standards.
* Support and uphold all Lutheran Senior Services Policies and Procedures.
QUALIFICATIONS, KNOWLEDGE, SKILLS & ABILITIES
To perform this position successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this job.
* Graduate from an accredited school of nursing.
* Current RN license in state of practice.
* Fourth year college or university program certificate; or two to four years related experience and/or training; or equivalent combination of education and experience.
* Must be CPR certified.
* Must posses the ability to make independent decisions when circumstances warrant such action.
* Must be knowledgeable of nursing and medical practices and procedures, as well as laws, regulations, and guidelines that pertain to long-term care.
* Must posses the ability to plan, organize, develop, implement, and interpret the programs, goals, objectives, policies and procedures, etc., that are necessary for providing quality care.
* Must have patience, tact, flexibility, a cheerful disposition and enthusiasm, as well as the willingness to handle difficult residents.
PHYSICAL REQUIREMENTS AND WORKING CONDITIONS
The physical activities, demands and working conditions described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job duties and responsibilities.
The employee frequently is required to sit; reach with hands and arms; and stoop, kneel, crouch, or crawl.
The employee must frequently lift and/or move up to 30 pounds.
A well lit and ventilated working area that has its own temperature control system (air conditioning and heat).
Is subject to emotionally upset residents, and family members.
Is willing to work beyond normal working hours, weekends and holidays when necessary.
Is subject to exposure to infectious waste, diseases, conditions, including exposure to AIDS and Hepatitis B virus.
Appropriate ergonomic and personal safety equipment is provided as