MDS/ Care Plan Nurse

Legacy Nursing and Rehabilitation•Bryan, TX

About The Position

The MDS/ Care Plan Nurse is responsible for the completion and submission of MDS assessments accurately and timely. MDS/ Care Plan Nurse also creates and maintains current, individualized plans of care for each resident they are assigned to. The MDS/ Care Plan Nurse ensures that all residents receive quality care and that all essential needs are met.

Requirements

Freedom from illegal use of drugs.
Freedom from use and effects of drugs and alcohol in the workplace.
Anyone found guilty by a court of law of abusing, neglecting or mistreating individuals in a health care related setting are ineligible for employment in the position.
Completion of an accredited nursing program
Active LPN/ LVN or RN License (appropriate state)

Nice To Haves

Experience in Long-Term care setting preferred but not required.

Responsibilities

Complete and submit MDS assessments accurately and timely.
Create and maintain current, individualized plans of care for each resident they are assigned to.
Adjust care plans when there is an incident/accident, status change, diet change, psychosocial changes, new or resolved diagnosis, or other relevant changes.
Inform department managers of upcoming due dates or changes in ARD dates.
Follow up with department managers who are responsible for completing MDS assessment sections.
Notify the Director or Nursing and/ or Administrator should there be consistent issues with completion.
Read and maintain supporting documentation for assessments.
Assist Nursing Supervisors in training new hires on documentation related to MDS assessments.
Complete competencies upon hire and annually.
Continually assess how staff completes documentation needed for MDS assessments to determine training needs.
Communicate to the Administrator or Corporate Designee regarding claims, denials, record requests, and audits.
Be present during all MDS audits and any state or federal agency surveys.
Investigate and assist in claim resolution.
Maintain compliance with Medicare/ Medicaid rules and regulations.
Coordinate the assessment schedule with the interdisciplinary team to ensure timeliness of assessments and maximize reimbursement.
Participate in Daily QA (morning) Meetings, Monthly/ Quarterly QA, High Risk Meetings, Safety Committee Meetings, Resident Council Meetings when requested, Care Plan Meetings, in-service trainings, continuing education programs, and all other meetings called by Legacy or licensing entities.
Be a member of the Interdisciplinary Team (IDT Team).
Make introductory visits with new residents and employees timely.
Attend new hire orientation program when requested to greet and brief new employees on MDS/ Care Plan Nurse's role in the building.
May be on the nursing on-call schedule and be required to fill floor shifts as needed.
Act in ways that promote professional and positive representation of the facility to the community.
Communicate in a professional and courteous manner using effective verbal and non-verbal communication skills with residents, their families, co-workers, and vendors.
Maintain confidentiality of department, resident, employee information, communication, and documentation as well as compliance with the Health Insurance Portability and Accountability Act (HIPAA) regulations.
Clock in and out for all working/training hours.
Maintain compliance with Legacy's Compliance program and plan.
Adhere to Legacy's Code of Conduct and Dress Code.