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Completes all MDS, admission, significant change, change of therapy, end of therapy, discharge and re-entry tracking forms as well as quarterly and annual assessment using directions provided in the RAI manual. These directions can vary from year to year. Enters appropriate MDS data into a patient information system and transmits to CMS via the state agency according to the timelines set forth by CMS. Have all MDS/CAA records available for a fifteen (15) month period. Determines that all individuals involved in the RAI process complete their specific MDS sections, CAAs and Care Plans according to the timeframe regulated by CMS. Communicates with physicians, team members and all involved individuals to maintain accurate assessments through interaction and routine meetings. Provides input into the care plan process initially and throughout the resident's stay. Collaborates with the interdisciplinary team for problem solving and any resident-related issues that will enhance the care provided to each resident. Develops and implements specific goals on an annual basis that will coordinate with those of all team members. May be assigned other duties as appropriate.
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