MDS / Care Plan Nurse

Castle Healthcare•Fort Wayne, IN

6d•Onsite

About The Position

The MDS / Care Plan Nurse is responsible for accurate and timely completion of Medicare and Medicaid case-mix documentation to support appropriate reimbursement for care and services provided at the facility. The role conducts ongoing Minimum Data Set (MDS) reviews to support the appropriate Resource Utilization Group (RUG) category and oversees tracking, documentation, and submission of MDS/Prospective Payment System (PPS) records. The nurse integrates nursing, dietary, social recreation, restorative, rehabilitation, and physician services to ensure appropriate resident assessment and reimbursement. The position assesses the health status and level of care of new admissions; coordinates interdisciplinary completion of MDS assessments within regulatory time frames; and maintains assessment schedules, documentation, data entry, electronic submissions, and related records. The nurse also coordinates resident care conferences, assists disciplines with care plans, evaluates resident outcomes and care plans, and manages level-of-care changes and required notifications and submissions.

Requirements

Registered Nurse with current, unencumbered state licensure.
Ability to read, write, speak, and understand English.
Ability to perform the essential duties satisfactorily.
Ability to sit, stand, bend, and walk regularly.
Ability to lift and/or move up to 25 pounds.
Visual and auditory ability sufficient for written and verbal communication.

Nice To Haves

Long-term care experience preferred.

Responsibilities

Assess and determine the health status and level of care of new admissions.
Ensure accurate and timely completion of MDS assessments, including Medicare PPS, quarterly, annual, and significant-change assessments.
Communicate new residents’ levels of care to all disciplines.
Coordinate interdisciplinary participation in completing MDS assessments within regulatory time frames.
Ensure documentation is complete and thorough in accordance with federal, state, and medical standards.
Maintain an accurate schedule of MDS assessments and reference dates throughout each resident’s stay.
Enter MDS data accurately and submit assessments electronically.
Verify electronic MDS submissions, make corrections when needed, and maintain appropriate records.
Schedule and conduct resident care conferences in compliance with state and federal regulations.
Ensure MDS reviews are completed before resident care conferences.
Assist disciplines in formulating and revising care plans.
Ensure resident problems are identified and prioritized, goals are realistic, and nursing interventions are appropriate.
Evaluate care plans for comprehensiveness and individualization and assess achievement of desired outcomes.
Ensure resident care plans are reassessed and revised appropriately.
Manage level-of-care changes within the facility and notify all departments when changes are made.
Generate forms for level-of-acuity assessments and changes and submit them to the appropriate agency as required by state law.
Perform other duties as assigned.