MDS Nurse RN

About the role

Oversee the facility to ensure assessments are completed per guidelines, with a primary focus on the resident assessment process, including individual assessment, MDS assessment, and resident plan of care.

Responsibilities

• Provide oversight on facilities' weekly PDPM meetings for skilled patients.
• Track and monitor facility effective utilization of PDPM tools (including but not limited to Physician Diagnosis Verification, Admission/Discharge CSR(GG), Weekly CSR, PDPM Weekly Tracking Tool, Point Right).
• Track and monitor QM and QASP performance monthly and quarterly; provide data analysis and clinical recommendations for facility for optimum outcomes.
• Provide PDPM and MDS training to new MDS Coordinators.
• Assess and determine the health status and level of care of all new admissions.
• Ensure the accurate and timely completion of all MDS Assessments including PPS Medicare, quarterly, annual, and significant change.
• Communicate level of care for new residents to all disciplines.
• Coordinate interdisciplinary participation in completing the Minimum Data Set (MDS) for each new admission to facility according to regulatory time frames.
• Ensure completeness and thoroughness of documentation as mandated by federal, state, and medical standards.
• Maintain an accurate schedule of all MDS assessments to include the proper reference dates throughout the resident's stay.
• Responsible for the data entry function to assure accurate data entry and electronic submission of MDS assessments.
• Verify electronic submissions of MDS, perform corrections when necessary, and maintain appropriate records.
• Schedule and conduct resident care conferences in compliance with state and federal regulations and ensure completion of all MDS reviews prior to resident care conference.
• Assist disciplines in formulating and revising care plans.
• Ensure that resident's present/potential problems are identified and prioritized; realistic goals are established, and nursing intervention is appropriate.
• Evaluate resident care plans for comprehensiveness and individuality.
• Assess the achievement or lack of achievement of desired outcomes.
• Ensure that resident's care plan is reassessed and revised appropriately.
• Responsible for all level of care changes within the facility; notify all departments when a level of care change has been made.
• Generate appropriate forms to complete level of acuity and changes; transmit forms to the appropriate agency for processing as required by state law.
• Maintain the confidentiality of all resident care information including protected health information.

Supervisory Requirements

This position includes supervision duties.

Qualifications

• Graduation from an Accredited School of Nursing; Bachelor of Science Degree in Nursing preferred.
• Must be in good standing with the State Board of Nursing and maintain all required continuing education/licensing requirements.
• 3 years of supervisory experience preferred.
• Long-term care experience preferred.

Skills

• Proficiency in Microsoft Suite products.
• Knowledge and experience with PCC preferred.
• Must maintain all required continuing education/licensing and remain in good standing with the State Board of Nursing.

Physical Demands

• Must occasionally lift and/or move up to 25 pounds.
• Prolonged use of a desktop or laptop computer.
• Regularly required to sit, stand, walk, talk, read, or hear.
• Frequent use of office-related equipment including copier, scanner, fax, telephone, and calculator.
• Travel by auto or airline may be required.

Work Environment

• The noise level in the work environment is typically low to moderate.