Lead RN MDS Nurse

General Purpose

The primary purpose of your job position is to oversee the facility to ensure assessments are completed per guidelines. A primary focus is the resident assessment process, which includes individual assessment, MDS assessment, and resident plan of care.

Essential Duties

• Provides oversight on facilities’ weekly PDPM meetings for skilled patients.
• Tracks and monitors 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).
• Tracks and monitors QM and QASP performance monthly and quarterly and provides data analysis and clinical recommendations for facility for optimum outcomes.
• Provides PDPM and MDS training to new MDS Coordinators.
• Assesses and determines the health status and level of care of all new admissions.
• Ensures the accurate and timely completion of all MDS Assessments including PPS Medicare, quarterly, annual, significant change.
• Communicates level of care for new resident to all disciplines.
• Coordinates interdisciplinary participation in completing the Minimum Data Set (MDS) for each new admission to facility according to regulatory time frames. Ensures completeness and thoroughness of documentation as mandated by federal, state and medical standards.
• Maintains 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.
• Verifies electronic submissions of MDS, performs corrections when necessary and maintains appropriate records.
• Coordinates interdisciplinary participation in completing the MDS for each resident according to regulatory time frames. Ensures completeness and thoroughness of documentation as mandated by federal and state standards.
• Schedules and conducts resident care conferences in compliance with state and federal regulations and ensures completion of all MDS reviews prior to resident care conference.
• Assists disciplines in formulating and revising care plans. Ensures that resident’s present/potential problems are identified and prioritized; realistic goals are established, and nursing intervention is appropriate.
• Evaluates resident care plans for comprehensiveness and individuality.
• Assesses the achievement or lack of achievement of desired outcomes. Ensures that resident’s care plan is reassessed and revised appropriately.
• Responsible for all level of care changes within the facility. Notifies all departments when a level of care change has been made.
• Generates appropriate forms to complete level of acuity and changes. Transmits 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 has supervision duties.

Qualification

Education and/or Experience

Minimum requirements to perform this position include graduation from an Accredited School of Nursing with a 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.

Certificates, Licenses, Registrations

To perform this job successfully, an individual must be proficient in the Microsoft Suite products. Knowledge and experience with PCC preferred. Must maintain all required continuing education/licensing. Must remain in good standing with the State Board of Nursing at all times.

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The employee must occasionally lift and/or move up to 25 pounds. Prolonged use of a desktop or laptop computer. While performing the duties of this job, the employee is regularly required to sit, stand, walk, and talk, read or hear. Frequent use of all office-related equipment to include; copier/scanner/fax, telephone, and calculator. Travel by auto or airline may be required.

Work Environment

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