Admission - MDS Nurse | RN

Carespring•Cincinnati, OH

About The Position

The Admission/MDS Nurse assesses new and existing patients to ensure their care needs are addressed and documented on the MDS. The nurse oversees the MDS process in accordance with the RAI manual, collaborates with other MDS nurses and the interdisciplinary team, and works under the supervision of the Director of Nursing. The role includes coordinating admission assessments and care planning, completing required submissions, monitoring resident needs and care-plan implementation, and maintaining accurate supporting documentation in line with MDS/RAI regulations. The position requires a current LPN or RN license for the state where the facility is located, flexibility in scheduling, and the ability to work independently. Candidates should understand the MDS process and be willing to stay current with CMS updates. Knowledge of PDPM and RUG is preferred. The listed RN pay rate is $36.00–$43.00 per hour, based on licensure and experience.

Requirements

Current LPN or RN license for the state in which the facility is located.
Flexibility with working schedule.
Ability to work independently.
Understanding of the MDS process.
Willingness to continue learning and remain current with MDS updates issued by CMS.

Nice To Haves

Knowledge of PDPM (skilled reimbursement).
Knowledge of RUG (long-term care reimbursement).

Responsibilities

Oversee the MDS process in accordance with the RAI manual.
Work with other MDS nurses to complete initial assessments for new admissions.
Under the Director of Nursing’s supervision, manage admission scheduling, comprehensive assessments, order entry, care-plan initiation, and ensuring patients have appropriate equipment at admission.
Complete required submissions weekly or as designated by the Director of Nursing, and review validation reports for errors during submissions.
Maintain the ability to obtain and review quality measures (QMs).
Work with the interdisciplinary team (IDT) to initiate improvement projects that improve resident outcomes.
Attend IDT Medicare and Medicaid meetings and collaborate with the IDT to complete the MDS process.
Develop and update comprehensive care plans and nurse aide care plans (Kardex) in conjunction with the MDS to address resident needs accurately.
Oversee the accuracy of non-nursing MDS sections and Care Area Assessments (CAAs) as representations of resident needs.
Coordinate, manage, and monitor care plans; identify resident problems, needs, and goals by reviewing order recap reports and nurses’ notes, and determine whether another OBRA MDS assessment may be needed.
Monitor residents for changes in status that may require a significant-change assessment under the RAI.
Ensure supporting documentation is accurate and compliant with MDS/RAI regulations.
Work with facility consultants as necessary and implement recommended changes as required.
Complete required paperwork and assessments, including AIMS, Fall Risk scale, Braden, progress notes, care plans, and nurse aide care plans (Kardex).