MDS Coordinator - RN
Pikes Peak Post Acute · Post, OR · 1 mo ago
Healthcare$100k/yrFull-time
Administrative Functions
- Administer patient assessments, oversee the assessment process, setting the assessment schedules and assuring that assessments are done in an accurate and timely manner.
- Carefully coordinate the care plan as per regulatory requirements.
- Create the schedule for all Medicare and Medicaid.
- Start Medicare coverage for newly qualified patients or send out denial letters.
- Stay updated on changes in Medicare coverage and help determine documents needed for Medicaid reimbursement.
- Direct the day-to-day functions of the nursing assistants in accordance with current rules, regulations, and guidelines that govern the long-term care facility.
- Ensure that all nursing personnel assigned to you comply with the written policies and procedures established by this facility.
- Periodically review the department’s policies, procedure manuals, job descriptions, etc. Make recommendations for revisions.
- Meet with your assigned nursing staff, as well as support personnel, in planning the shifts' services, programs, and activities.
- Ensure that the Nursing Service Procedures Manual is current and reflects the day-to-day nursing procedures performed in this facility.
- Ensure that all nursing service personnel comply with the procedures set forth in the Nursing Service Procedures Manual.
- Made written and oral reports/recommendations concerning the activities of your shift as required.
- Cooperate with other resident services when coordinating nursing services to ensure that the resident's total regimen of care is maintained.
- Ensure that all nursing service personnel are in compliance with their respective job descriptions.
- Participate in the development, maintenance, and implementation of the facility’s quality assurance program for the nursing service department.
- Participate in facility surveys (inspections) made by authorized government agencies as may be requested.
- Periodically review the resident’s written discharge plan.
- Participate in the updating of the resident’s written discharge plan as required.
- Aid in planning the nursing services portion of the resident’s discharge plan as necessary.
- Interpret the department’s policies and procedures to personnel, residents, visitors, and government agencies as required.
- Admit, transfer, and discharge residents as required.
- Complete accident/incident reports as necessary.
- Write resident charge slips and forward to the Business Office.
- Maintain the Daily Census Report and submit to the Business Office as required.
- Perform administrative duties such as completing medical forms, reports, evaluations, studies, charting, etc., as necessary.
- Agree not to disclose assigned user ID code and password for accessing resident/facility information and promptly report suspected or known violations of such disclosure to the Administrator.
- Agree not to disclose resident’s protected health information and promptly report suspected or known violations of such disclosure to the Administrator.
- Report any known or suspected unauthorized attempt to access facility’s information system.
Drug Administration Functions
- Prepare and administer medications as ordered by the physician.
- Verify the identity of the resident before administering the medication/treatment.
- Ensure that prescribed medication for one resident is not administered to another.
- Ensure that an adequate supply of floor stock medications, supplies, and equipment is on hand to meet the nursing needs of the residents.
- Report needs to the Nurse Supervisor.
- Order prescribed medications, supplies, and equipment as necessary, and in accordance with established policies.
- Ensure that narcotic records are accurate for your shift.
- Notify the Nurse Supervisor of all drug and narcotic discrepancies noted on your shift.
- Review medication cards for completeness of information, accuracy in the transcription of the physician’s order, and adherence to stop order policies.
- Notify the attending physician of automatic stop orders prior to the last dosage being administered.
- Dispose of drugs and narcotics as required, and in accordance with established procedures.
Nursing Care Functions
- Inform nursing personnel of new admissions, their expected time of arrival, room assignment, etc.
- Ensure that rooms are ready for new admissions.
- Greet newly admitted residents upon admission.
- Escort them to their rooms as necessary.
- Participate in the orientation of new residents/family members to the facility.
- Make rounds with physicians as necessary.
- Requisition and arrange for diagnostic and therapeutic services, as ordered by the physician, and in accordance with our established procedures.
- Consult with the resident’s physician in providing the resident’s care, treatment, rehabilitation, etc., as necessary.
- Review the resident’s chart for specific treatments, medication orders, diets, etc., as necessary.
- Implement and maintain established nursing objectives and standards.
- Make periodic checks to ensure that prescribed treatments are being properly administered by certified nursing assistants and to evaluate the resident’s physical and emotional status.
- Ensure that direct nursing care be provided by a licensed nurse, a certified nursing assistant, and/or a nurse aide trainee qualified to perform the procedure.
- Cooperate with and coordinate social and activity programs with nursing service schedules.
- Notify the resident’s attending physician when the resident is involved in an accident or incident.
- Notify the resident’s attending physician and next of kin when there is a change in the resident’s condition.
- Carry out restorative and rehabilitative programs, to include self help and care.
- Inspect the nursing service treatment areas daily to ensure that they are maintained in a clean and safe manner.
- Administer professional services such as; catheterization, tube feedings, suction, applying and changing dressings/bandages, packs, colostomy, and drainage bags, taking blood, giving massages and range of motion exercises, care for the dead/dying, etc., as required.
- Use restraints when necessary and in accordance with established policies and procedures.
- Obtain sputum, urine and other specimens for lab tests as ordered.
- Monitor seriously ill residents as necessary.
- Check foods brought into the facility by the resident’s family/visitors to ensure that it is within the resident’s dietary allowances.
- Report problem areas to the Nurse Supervisor and Dietary Supervisor.
- Ensure that personnel providing direct care to residents are providing such care in accordance with the resident’s care plan and wishes.
- Ensure that residents who are unable to call for help are checked frequently.
- Meet with residents, and/or family members, as necessary.
- Report problem areas to the Nurse Supervisor.
- Aid in arranging transportation for discharged residents as necessary.
- Ensure that discharged residents are escorted to the pick up area.
- Inform family members of the death of the resident.
- Call funeral homes when requested by the family.
- Ensure that established post mortem procedures are followed.
Staff Development
- Participate in developing, planning, conducting, and scheduling in-service training classes that provide instructions on “how to do the job,” and ensure a well-educated nursing service department.
- Implement and maintain an effective orientation program that orients the new employee to your shift, its policies and procedures, and to his/her job position and duties.
- Assist in conducting in-service training classes.
- Assist in 2nd year orientation program.