MDS Coordinator (RN)-S

Responsibilities

• Administer patient assessments, oversee the assessment process, set assessment schedules, and ensure assessments are completed accurately and timely.
• Coordinate care plans according to regulatory requirements.
• Create schedules for Medicare and Medicaid, initiate Medicare coverage for newly qualified patients, send denial letters, and stay updated on Medicare coverage changes.
• Determine documents needed for Medicaid reimbursement.
• Direct day-to-day functions of nursing assistants in compliance with facility rules, regulations, and guidelines.
• Ensure nursing personnel comply with facility policies and procedures.
• Periodically review and recommend revisions to department policies, procedure manuals, and job descriptions.
• Plan shifts’ services, programs, and activities with assigned nursing staff and support personnel.
• Maintain and ensure compliance with the Nursing Service Procedures Manual.
• Make written and oral reports concerning shift activities as required.
• Coordinate with other resident services to maintain the resident’s total regimen of care.
• Ensure nursing service personnel comply with their 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 and inspections by authorized government agencies.
• Review and update residents’ written discharge plans as required.
• Interpret department policies and procedures to personnel, residents, visitors, and government agencies.
• Admit, transfer, and discharge residents as required.
• Complete accident/incident reports and maintain the Daily Census Report.
• Perform administrative duties such as completing medical forms, reports, evaluations, studies, and charting.
• Protect resident and facility information by not disclosing assigned user ID codes, passwords, or protected health information.
• Report unauthorized attempts to access facility information systems or violations of confidentiality policies.
• Complete and file required recordkeeping forms/charts upon resident admission, transfer, and/or discharge.
• Encourage and ensure attending physicians review treatment plans, record, and sign orders and progress notes.
• Receive and record telephone orders from physicians on the Physicians’ Order Form.
• Transcribe physician’s orders to resident charts, cardex, medication cards, and treatment/care plans.
• Chart nurses’ notes descriptively reflecting care provided and resident responses.
• Fill out and submit accident/incident reports involving residents.
• Record new or changed diet orders and forward information to the Food Services Department.
• Report discrepancies in physician’s orders, diet changes, or charting errors to the Nurse Supervisor.
• Prepare and administer medications as ordered by the physician, verifying resident identity before administration.
• Ensure prescribed medication for one resident is not administered to another.
• Maintain an adequate supply of floor stock medications, supplies, and equipment.
• Report drug and narcotic discrepancies to the Nurse Supervisor and maintain accurate narcotic records.
• Review medication cards for completeness, accuracy, and adherence to stop order policies.
• Notify attending physicians of automatic stop orders prior to the last dosage.
• Dispose of drugs and narcotics according to established procedures.
• Participate in employee performance evaluations and determine staffing requirements.
• Make recommendations concerning employee dismissals and transfers.
• Inform the Nurse Supervisor of staffing needs and absentee call-ins.
• Review and evaluate the department’s workforce and make recommendations.
• Develop work assignments and assist in completing them.
• Provide leadership to nursing personnel and ensure they perform work assignments according to acceptable nursing standards.
• Make daily rounds to monitor nursing service personnel performance.
• Ensure nursing assistants are enrolled in or have graduated from an approved training program.
• Supervise nurse aide trainees under the direct supervision of a licensed nurse.
• Meet regularly with shift nursing personnel to identify and correct problem areas.
• Ensure compliance with department policies and procedures by personnel, residents, and visitors.
• Maintain a good working rapport with interdepartmental personnel to ensure adequate nursing services.
• Create and maintain a warm, calm, and positive environment for residents and staff.
• Review and address complaints and grievances from assigned personnel.
• Administer disciplinary action fairly and without bias.
• Receive and give nursing reports at the start and end of shifts.
• Report occupational exposures to blood, body fluids, infectious materials, and hazardous chemicals.
• Report known or suspected incidents of fraud to the Administrator.
• Ensure unattended computer workstations are properly logged off or password-protected.
• Inform nursing personnel of new admissions, room assignments, and prepare rooms for arrivals.
• Greet and escort newly admitted residents to their rooms.
• Participate in the orientation of new residents and family members.
• Make rounds with physicians as necessary.
• Requisition and arrange for diagnostic and therapeutic services as ordered by the physician.
• Consult with residents’ physicians regarding care, treatment, and rehabilitation.
• Review resident charts for specific treatments, medication orders, and diets.
• Implement and maintain established nursing objectives and standards.
• Evaluate residents’ physical and emotional status through periodic checks.
• Ensure direct nursing care is provided by qualified personnel.
• Coordinate social and activity programs with nursing service schedules.
• Notify attending physicians and next of kin of changes in residents’ conditions or accidents/incidents.
• Carry out restorative and rehabilitative programs, including self-help and care.
• Inspect nursing service treatment areas daily to ensure cleanliness and safety.
• Administer professional services such as catheterization, tube feedings, suction, wound care, colostomy care, and more.
• Use restraints when necessary and in accordance with established policies.
• Obtain specimens for lab tests as ordered and take vital signs as necessary.
• Monitor seriously ill residents and check on residents unable to call for help.
• Inspect foods brought in by family/visitors to ensure dietary compliance.
• Ensure care is provided in accordance with residents’ care plans and wishes.
• Meet with residents and family members as necessary and report issues to the Nurse Supervisor.
• Assist in arranging transportation for discharged residents and escort them to pick-up areas.
• Inform family members of resident deaths and coordinate with funeral homes as requested.
• Follow established post-mortem procedures.

Staff Development

• Participate in developing, planning, conducting, and scheduling in-service training classes.
• Implement and maintain an effective orientation program for new employees.
• Assist in ongoing education to ensure a well-educated nursing service department.