MDS Coordinator/Quality and Infection Preventionist, RN

Eventide Senior Living Communities•Grand Island, NE
•Onsite

About The Position

Eventide at Prairie Commons in Grand Island, Nebraska, is seeking a full-time Registered Nurse to serve as MDS Coordinator/Quality and Infection Preventionist. The position oversees facility quality and infection prevention programs to ensure consistency with established policies and regulatory requirements and to improve resident care in accordance 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 federal, state, and facility standards. The role routinely communicates with staff, families, department directors and coordinators, and physicians as needed. The position coordinates facility quality improvement and infection prevention work, including collecting and analyzing data, evaluating outcomes, developing process-improvement recommendations, managing infection surveillance and audits, and preparing reports. It also provides employee education and training and administers employee immunization and TB-screening programs. As campus MDS Coordinator, the role coordinates the full MDS process, assesses residents, supports accurate records and care plans, and serves as a resource on documentation, Medicare, and case-mix classifications. The position rotates weekend and weekly on-call responsibilities and provides 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 U.S. states in which the candidate has ever held a nursing license.
  • Current CPR/BLS certification or approved equivalent.
  • CPR Instructor certification is required and may be obtained after hire.

Nice To Haves

  • Long-term care experience is preferred.
  • Minimum Data Set experience is preferred.

Responsibilities

  • Implement quality activities and programs to enhance resident services, evaluate their success, and support quality improvement.
  • Collect and analyze data and develop reports and process-improvement recommendations using appropriate methodologies such as 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 send it to the corporate office for final approval.
  • Manage the infection control function for the entire facility.
  • Provide formal and informal infection prevention education to support care for residents and staff.
  • Conduct infection surveillance and collect resident infection data, monitoring 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, and perform and enforce TB testing and annual employee TB screening in accordance with regulations.
  • Conduct regular audits for compliance with infection prevention requirements, including handwashing, isolation, cultures, and antibiotic usage.
  • Prepare state reports as requested and maintain an active infection prevention program using appropriate software.
  • Monitor employee illness trends in relation to resident illness and implement actions to reduce impact and safeguard both groups.
  • Plan, implement, and evaluate employee educational needs; prepare, conduct, and coordinate training for employees and management.
  • Schedule mandatory in-services and assist Human Resources with new employee orientation and implementation.
  • Coordinate and complete the campus MDS process, working with other departments as needed.
  • Assess residents’ health status 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 complete documentation, including Medicare and case-mix classifications.
  • Complete, monitor, and evaluate residents’ plans of care, making necessary changes and ensuring plans are complete and comprehensive.
  • Maintain positive working relationships and a friendly, helpful attitude toward staff.
  • Recommend approaches, policies, and procedures to continually 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.
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