MDS Coordinator/Quality and Infection Preventionist, RN

Eventide•Grand Island, NE

26d

About The Position

Eventide at Prairie Commons in Grand Island, Nebraska, is seeking a full-time MDS Coordinator/Quality and Infection Preventionist, RN. The position oversees facility-wide quality and infection prevention programs to promote consistent practices in accordance with established policies and regulatory requirements and to improve resident care in alignment with Eventide’s mission and vision. It is responsible for infection prevention, employee health, and risk management activities, as well as coordinating and completing nursing department MDS documentation in accordance with applicable federal, state, and facility standards and regulations. The role routinely communicates with staff, families, department directors and coordinators, and physicians. The position leads quality improvement activities, evaluates outcomes, analyzes data, and develops reports and process-improvement recommendations. It manages infection surveillance, prevention education, immunization and TB testing programs, infection-control audits, outbreak trend identification and reporting, and monitoring of employee illness. It also plans and coordinates employee education and training. As campus MDS Coordinator, the position coordinates the complete MDS process, assesses residents, maintains accurate records, supports Medicare and case-mix documentation, and ensures comprehensive care plans are completed and updated. The role schedules mandatory in-services, assists Human Resources with new employee orientation, maintains positive working relationships, recommends improvements to department practices, and supports compliance with company policies and employment regulations. Weekend rotation and weekly on-call responsibilities are required, along with providing leadership to direct care staff.

Requirements

Successful completion of an approved Registered Nurse education program.
Current Nebraska RN license.
Must be in good standing in all states in which the applicant has ever held a U.S. nursing license.
Current CPR/BLS certification, or an approved equivalent.
Ability to rotate weekend and weekly on-call responsibilities.

Nice To Haves

Experience in long-term care.
Minimum Data Set experience.
CPR Instructor certification; it may be obtained after hire.

Responsibilities

Implement quality activities and programs to enhance resident services, evaluate their effectiveness, and use results to support continuous improvement.
Collect and analyze data and prepare reports and process-improvement recommendations using appropriate methods, including Root Cause Analysis, Rapid Cycle, and Lean.
Review and revise the facility QAPI Improvement and Management Plan to meet applicable standards and the Board-approved quality plan, and submit it to the corporate office for final approval.
Manage infection control for the facility and provide formal and informal infection prevention education to staff.
Conduct infection surveillance, collect resident infection data, and monitor organisms, transmission, and antibiotic appropriateness.
Identify outbreak trends and report them to the state after discussion with the Medical Director and campus Executive Director.
Coordinate and administer employee immunizations, including influenza and Hepatitis B, in accordance with state and federal regulations.
Conduct and enforce required TB testing and annual employee TB screening.
Perform regular infection-prevention compliance audits, including audits of handwashing, isolation, cultures, and antibiotic usage.
Prepare requested state reports and maintain an active infection prevention program using appropriate software.
Monitor employee illness trends in relation to resident illness and implement actions to protect employees and residents.
Plan, implement, and evaluate employee education needs; prepare, conduct, and coordinate training for employees and management.
Coordinate and complete the campus MDS process in collaboration with other departments.
Assess residents through physical assessments, observation, and interviews, and document findings.
Ensure accurate resident-record documentation in accordance with nursing policies, procedures, and standards.
Serve as a resource for accurate and complete documentation, including Medicare and case-mix classifications.
Complete, monitor, and evaluate resident care plans, making changes as necessary and ensuring plans are comprehensive.
Schedule mandatory in-services and assist Human Resources with new employee orientation and its implementation.
Maintain positive working relationships and a friendly, helpful attitude toward employees.
Recommend policies, procedures, and other approaches to improve departmental efficiency and services.
Maintain compliance with company policies and federal and state employment regulations.
Rotate weekend and weekly on-call responsibilities and provide leadership to direct care staff.