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 in response to incidents, accidents, changes in status or diet, psychosocial changes, new or resolved diagnoses, and other relevant changes. The role helps ensure residents receive quality care and that their essential needs are met. The nurse coordinates assessment schedules with the interdisciplinary team, follows up with department managers on assessment sections and deadlines, maintains supporting documentation, and helps train staff on MDS-related documentation. The position also supports claim resolution and communicates with the Administrator or Corporate Designee about claims, denials, record requests, and audits. The nurse must attend MDS audits and state or federal agency surveys, maintain compliance with Medicare and Medicaid requirements, and participate in facility meetings and training programs. The position may include placement on the nursing on-call schedule and filling floor shifts as needed. The nurse is expected to communicate professionally, protect confidential information and comply with HIPAA, and follow the facility’s compliance program, Code of Conduct, and Dress Code.

Requirements

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

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 and update them when relevant changes occur.
Notify department managers of upcoming assessment deadlines or changes in ARD dates, and follow up on completion of their MDS sections; escalate persistent issues to the Director of Nursing and/or Administrator.
Read and maintain supporting documentation for assessments.
Assist Nursing Supervisors in training new hires on MDS-related documentation and complete competencies upon hire and annually.
Monitor staff documentation practices to identify training needs and provide group or individual training as appropriate.
Communicate with the Administrator or Corporate Designee regarding claims, denials, record requests, and audits; attend MDS audits.
Be present for state or federal agency surveys.
Investigate and assist with claim resolution.
Maintain compliance with Medicare and Medicaid rules and regulations.
Coordinate assessment schedules with the interdisciplinary team to ensure timely assessments 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.
Participate 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, co-workers, and vendors.
Maintain confidentiality of department, resident, and employee information 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.