Conduct and coordinate comprehensive resident assessments to comply with regulations, maximize reimbursement, and reflect quality measure/indicator outcomes.
Responsibilities:
• Conduct and coordinate the development and completion of the resident assessment (MDS) in accordance with current rules, regulations and guidelines that govern the resident assessment, including the implementation of CAAs and Triggers.
• Maintain and periodically update written policies and procedures that govern the development, use and implementation of the resident assessment (MDS) and care plan.
• Oversee the weekly Utilization Review/ Case Management Review meeting which includes the interdisciplinary team and is intended to foster daily communication of client needs and changes in status which may impact the plan of care.
• Participate in facility surveys (inspections) made by authorized government agencies.
• Work with the Interdisciplinary Care Plan Team in developing a comprehensive resident assessment and care plan for each resident.
• Serve on, participate in and attend various other committees of the facility (i.e. Quality Assessment and Assurance) as required and as appointed by the Administrator.
• Evaluate and implement recommendations from the interdisciplinary team as it may pertain to the assessment and/or care plan functions of the facility.
• Work collaboratively with nursing team to review quality measures on a routine basis.
• Maintain an effective, friendly working relationship with health care professionals, physicians, consultants and governmental agencies that may be involved in the resident assessment/care plan functions of the facility.
• Evaluate each resident’s condition and pertinent medical data to determine any need for a significant change in status assessment or the need to revise the resident’s care plan to appropriately reflect current status. 
• Assist social services with implementation of care conference schedule and inclusion of the resident and the resident’s representative and/or other interested family members.
• Develop and participate in the planning and conducting of timely in service training for direct care staff including, but not limited to, ADL training, resident centered care planning, and appropriate documentation reflecting resident status. 
• Attend and participate in continuing education programs designed to help you keep abreast of changed in your profession, as well as to maintain your license on an active status.
• Coordinate the development of a resident centered comprehensive plan of care for each resident that identifies the problems/needs of the resident, goals to be accomplished, and interventions to be implemented to attain goals that have been set.
• Ensure that the care plan includes measureable objectives and timetables to meet the resident’s medical, nursing and mental and psychosocial needs as identified in the resident’s assessment.
• Ensure appropriate completion of section GG, including daily interdisciplinary discussion, progress note regarding goals set by day 4, and completion of goals met review during 3 days prior to planned discharge. 
• Ensure that quarterly and annual resident assessments and care plan reviews are made on a timely basis..
• Inform all assessment team members of the requirements for accuracy and completion of the resident assessment (MDS).
• Ensure that each portion of the assessment is signed and dated by the person completing that portion of the MDS.