MDS/ Care Plan Nurse

Legacy Nursing and Rehabilitation•Franklin, LA

About The Position

The MDS/Care Plan Nurse completes and submits accurate, timely MDS assessments and creates and maintains current, individualized care plans for assigned residents. The nurse adjusts care plans when residents experience incidents or accidents, changes in status, diet or psychosocial circumstances, new or resolved diagnoses, or other relevant changes. The role supports quality resident care and ensures essential needs are met. The nurse coordinates assessment schedules with the interdisciplinary team to meet deadlines and maximize reimbursement, maintains supporting documentation, and follows Medicare and Medicaid rules and regulations. The role also supports staff training and documentation competency, assists with claims and claim resolution, and communicates about claims, denials, record requests and audits. The nurse participates in facility meetings and may be placed on the nursing on-call schedule or asked to fill floor shifts as needed. The position requires professional, courteous communication; confidentiality and HIPAA compliance; and adherence to facility policies, including the compliance program, Code of Conduct, dress code, and timekeeping requirements. Duties may be adjusted based on facility needs.

Requirements

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

Nice To Haves

Experience in a long-term care setting is preferred but not required.

Responsibilities

Complete and submit MDS assessments accurately and on time.
Create and maintain current, individualized care plans for assigned residents; update them in response to relevant changes in resident circumstances or condition.
Notify department managers of upcoming assessment due dates or changes in ARD dates, and follow up on assessment sections assigned to those managers.
Escalate persistent issues with completion of assessment sections to the Director of Nursing and/or Administrator.
Read and maintain supporting documentation for assessments.
Assist Nursing Supervisors with training new hires on documentation related to MDS assessments; complete competencies upon hire and annually.
Assess staff documentation practices to identify training needs and provide training individually or in groups as appropriate.
Communicate with the Administrator or Corporate Designee regarding claims, denials, record requests, and audits.
Attend all MDS audits and state or federal agency surveys.
Investigate and assist with claim resolution.
Maintain compliance with Medicare and Medicaid rules and regulations.
Coordinate the assessment schedule with the interdisciplinary team to ensure assessments are timely and maximize reimbursement.
Participate in Daily QA meetings, Monthly/Quarterly QA meetings, High Risk Meetings, Safety Committee Meetings, Resident Council Meetings when requested, Care Plan Meetings, in-service trainings, continuing education programs, and other meetings called by Legacy or licensing entities.
Serve as a member of the Interdisciplinary Team.
Make timely introductory visits with new residents and employees.
Attend new-hire orientation when requested to explain the MDS/Care Plan Nurse's role.
May participate in the nursing on-call schedule and fill floor shifts as needed.
Represent the facility professionally and positively in the community.
Communicate professionally and courteously with residents, families, coworkers, and vendors.
Maintain confidentiality of department, resident, and employee information, communications, and documentation, and comply with HIPAA.
Clock in and out for all working and training hours; do not work off the clock.
Comply with Legacy's Compliance program and plan, Code of Conduct, and Dress Code.