MDS RN

PACS
•Onsite

About The Position

The MDS RN administers and oversees resident assessments, establishes assessment schedules, and ensures assessments are completed accurately and on time. The role coordinates care plans to meet regulatory requirements and manages Medicare and Medicaid assessment schedules, coverage documentation, and related notices. It also provides administrative and clinical leadership for nursing personnel and helps ensure residents receive care consistent with their plans, wishes, and applicable standards. The position includes extensive documentation, medication administration, resident care, staff supervision and development, safety and infection-control duties, and coordination with physicians, families, facility departments, and government agencies. The employee participates in quality assurance, facility inspections, discharge planning, staff training, and the development and maintenance of nursing policies and procedures. The job requires an active, unencumbered LPN/LVN license, current CPR certification, and the ability to perform the listed physical and workplace duties. Despite the title, the qualifications specify an LPN/LVN license and nursing degree or graduation from an approved LPN/LVN program.

Requirements

  • Nursing degree from an accredited college or university, or graduation from an approved LPN/LVN program.
  • Current, unencumbered, active license to practice as an LPN/LVN in the state.
  • Current CPR certification.
  • Maintain required continuing education and licensing and remain in good standing with the State Board of Nursing.
  • Ability to read, write, speak, and understand English; read technical procedures and policy and procedure manuals; and communicate resident-condition information.
  • Ability to apply fractions, percentages, ratios, and proportions to practical situations.
  • Knowledge and skills to provide care appropriate to residents’ age-related needs.
  • Knowledge of nursing and medical practices and procedures, and laws, regulations, and guidelines applicable to nursing care facilities.
  • Leadership and supervisory ability, sound independent judgment, and ability to plan, organize, develop, implement, and interpret programs, goals, policies, and procedures.
  • Ability to work tactfully and harmoniously with residents, families, personnel, visitors, government agencies, and the public, including people who may be difficult or upset.
  • Ability to work as a supportive team member and incorporate new methods and principles into nursing practices.
  • Ability to move intermittently during the workday, cope with mental and emotional stress, and meet the facility’s general health requirements, including medical and physical examinations.
  • Ability to push, pull, move, or lift at least 25 pounds to a minimum height of 5 feet and carry or move that weight at least 50 feet; may need to help evacuate residents during emergencies.
  • Must not pose a direct threat to the health or safety of others in the workplace.

Nice To Haves

  • Knowledge and experience with PCC preferred.

Responsibilities

  • Administer resident assessments, oversee the assessment process, establish assessment schedules, and ensure assessments are accurate and timely.
  • Coordinate care plans in accordance with regulatory requirements and review them to ensure appropriate goals, approaches, and revisions.
  • Schedule Medicare and Medicaid assessments, initiate Medicare coverage for newly qualified residents, issue denial letters when applicable, and assist with documentation for Medicaid reimbursement.
  • Direct and supervise nursing assistants and other assigned nursing personnel; develop work assignments, make rounds, evaluate performance, and report staffing or performance concerns.
  • Maintain and interpret nursing policies, procedures, manuals, job descriptions, and standards; recommend revisions and ensure personnel follow them.
  • Prepare and submit shift reports, resident charge slips, census reports, administrative forms, evaluations, studies, and other required records.
  • Participate in nursing-service quality assurance, facility surveys, discharge planning, and the development and implementation of nursing objectives and standards.
  • Complete resident admission, transfer, and discharge documentation; coordinate admissions, services, transportation, and post-mortem procedures as required.
  • Maintain resident medical records, transcribe and document physician orders, complete nurses’ notes, report discrepancies, and document accidents and incidents.
  • Prepare and administer medications and treatments as ordered; verify resident identity, maintain medication and narcotic records, manage supplies, and report discrepancies.
  • Provide and oversee nursing care, including monitoring residents, administering treatments, collecting specimens, taking and recording vital signs, and notifying physicians and families of changes in condition or incidents.
  • Coordinate care with physicians, residents, families, social and activity programs, dietary services, and other facility departments.
  • Participate in staff orientation, in-service training, continuing education, and clinical supervision of nurse aide trainees.
  • Monitor safety, sanitation, hand hygiene, infection control, hazardous conditions, personal protective equipment use, and emergency preparedness.
  • Recommend and monitor the stock and safe use of medications, supplies, and nursing equipment; ensure equipment is operated by trained and authorized personnel.
  • Report suspected or known fraud, privacy or information-system violations, occupational exposures, and other required incidents.
  • Provide requested information to the Quality Assurance & Assessment Committee.
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