The MDS Coordinator's primary purpose is to conduct and coordinate the development and completion of the resident assessment in accordance with the requirements of the state and the policies and procedures of the facility. The MDS Coordinator completes the Minimum Data Set, CAA, Triggers, participates in resident Care Plans and submits MDS data to governmental agencies on a timely basis. This position participates in the weekly Medicare Meeting, Residents at Risk Meeting and the monthly facility-wide Quality Assurance meetings. This position will be required to participate in Administrative on-call.
The MDS Coordinator reports to the facility Director of Nursing.
Care Plan and Assessment Functions:
- Provides information for the Quality Assurance Committee's weekly and monthly meetings by documenting and reporting potential and actual issues that affect quality care and services.
- Conducts and coordinates the development and completion of the resident assessment (MDS) in accordance with current rules, regulations and guidelines that govern the resident assessment, including the implementation of CAA and triggers.
- Conducts or coordinates the interviewing of each resident for the resident's assessment.
- Evaluates each resident's condition and pertinent medical data to determine the need for special assessment activities or a need to amend the admission assessment.
- Transmits via computer, the MDS activity on a regular basis as required by regulations and make corrections as necessary.
- Assists in completing the care plan portion of the resident's discharge plan.
- May be required to work as a Charge Nurse on occasion to fill gaps in staffing.
- Participates in the interdisciplinary team Care Plan meeting and functions as spokesperson during Team meetings.
- Works with the Care Plan Team in developing a comprehensive resident assessment and care plan for each resident.
- Monitors personal and staff compliance to all state and federal requirements including bloodborne pathogens, hazardous materials, infection control and fire safety.
Monitors Personal and Staff Compliance to Resident's Rights:
- Ensures that an initial resident assessment is completed within regulatory guidelines.
- Assists in the development of preliminary and comprehensive assessments of the nursing needs of each resident.
- Ensures that members of the assessment team are aware of the importance of completeness and accuracy in their assessment functions and are aware of the penalties, including civil money penalties, for the false certification.
- Coordinates the development of a written plan of care (preliminary and comprehensive) for each resident that identifies the problems/needs of the resident, indicates the care to be given, goals to be accomplished and which professional service is responsible for each element of care.
- Ensures that the care plan includes measurable objectives and timetables to meet the resident's medical, nursing, mental and psychological needs as identified in the resident's assessment.
- Reviews resident's medical and nursing treatments to ensure that they are provided in accordance with the resident's care plan wishes.
- Ensures that care plans indicate physical therapy when such therapy is ordered.
- Assists in developing a written dietary plan of care (preliminary and comprehensive) that identifies the dietary problem/need.
- Develops the schedule of activities required for the resident assessment and plan of care.
- Assists Director of Nursing and other departments in ensuring that staff involved in providing care to the residents are aware of the resident's care plan and that nursing staff refer to the resident's care plan to provide care.
- Completes a resident assessment within fourteen days of a significant change in the resident's condition.
- Ensures that each portion of the assessment is signed and dated within the required time frames.
- Ensures that the medical and nursing care is administered in accordance with the resident's wishes including the implementation of advance directives.
- Encourages the resident and his/her family to participate in development and review of the resident's plan of care.
- Reviews and revises care plans and assessments as necessary.
- Maintains the confidentiality of resident care information.
- Ensures that residents are treated with kindness, dignity and respect.
- Ensures that resident interviews are conducted in private.
- Ensures that members of the assessment team and the interdisciplinary care planning/medical and nursing team are knowledgeable of the residents' responsibilities and rights including the right to refuse treatment.
- Ensures that nursing staff honor the resident's refusal of treatment request. Ensure that such requests are in accordance with the facility's policies governing advance directives.
- Ensures that the facility's policies and procedures governing advance directive are reviewed with the resident and/or representative.
- Reports and investigates allegations of resident abuse or neglect and misappropriation of resident property.
- Reports complaints made by residents regarding the resident assessment or care plan to your supervisor.
- Ensures that a written record is made of resident's complaints with a full accounting of actions taken.
Candidates must possess a Current State RN license. Candidates should have experience working with a high Medicare census. Preferred American Association Nurse Assessment Coordination (AANAC) Certification.
Candidates must be able to perform in such a way to build good working habits and relationships among the staff that they work with as well as other departmental staff. Candidates must demonstrate on an ongoing basis the ability to develop and maintain good working relationships with co-workers and other department heads.
Axiom Healthcare Services
- 2 years ago - save job