The Registered Nurse (RN) will work with residents, their family, and facility staff to coordinate care received by all disciplines throughout their stay. The Coordinator will complete the MDS utilizing current RAI manual guidelines and oversee accurate and timely completion of all Medicare residents’ MDS assessments. The coordinator will act as a resource for the Medicare MDS Case Manager RN’s, LTC nurses, and all others requiring MDS support. The MDS coordinator will work in collaboration with the rehab director and nurse manager to provide excellence in the quality of care and customer service delivered by Marwood Nursing & Rehab. The MDS Case Managers will coordinate care for their assigned resident using a holistic approach. They will collaborate with the entire interdisciplinary team and act as a liaison to families, physicians, and home care agencies as needed. They will evaluate all aspects of care and be the primary team member with an all-inclusive head-to-toe knowledge of the resident’s medical condition and educational need. They will act as a resource to the floor staff (nurses, nurse aides, therapists, social workers, and dieticians) to provide education, role model, and assist in care delivery as needed. They will play an active role in the discharge process and will coordinate the discharge intent notice with the variety of disciplines. They will assess the medical needs of the resident prior to discharge to make sure all educational opportunities have been addressed. They will attend resident care plan meetings representative of nursing. They will meet with the nurse manager, rehab director, social workers, and dieticians daily for a brief update to ensure a steady flow of communication amongst all team members. Performs other duties as assigned. Adheres to McLaren Health System Standards of Conduct, facility’s policies and procedures, as well as federal, state, and local regulations.
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Job Type
Full-time
Career Level
Mid Level