JOB DESCRIPTION

Job Title: MDS Coordinator

Department: Nursing

General Purpose:

Responsible for conducting and coordinating the development of the required Resident Assessment Instrument (RAI/MDS) in accordance with state and federal requirements and facility policy. The MDS Coordinator is responsible for the development, review, and revision the individualized resident care plans.

Qualifications:

• Must have and maintain throughout employment an unencumbered Registered Nurse(RN) or Licensed Practical Nurse (LPN)/Licensed Vocational Nurse (LVN) licensure issued by the State Board of Nursing.
• Must have valid CPR certification and maintain active CPR certification throughout employment.
• Must be knowledgeable of nursing and medical practices and procedures, as well as state and federal regulations specific to nursing home operation and licensure.
• Must be able to make independent decisions when circumstances warrant such actions.
• Must possess leadership and supervisory ability and the willingness to work harmoniously with residents, families, vendors, visitors, government agencies, facility staff, hospital personnel, hospice representatives, and the general public.
• Must have excellent follow-through.
• Must possess the ability to plan, organize, develop, implement and interpret programs, goals, objectives, policies and procedures, etc., that are necessary for providing quality individualized care.
• Ability to prepare and present educational material and or reports to various audiences.
• Ability to formulate reports, disseminate information, interpret data, and coordinate with multiple departments.
• Must be able to lift 60-70lbs frequently.
• Must be able to stand and/or walk throughout the scheduled shift.
• Must comply with attendance policy and established nursing staff schedules, be flexible, and make necessary accommodations for the needs of residents and families.
• Must have knowledge of computer systems, systems applications, and other office equipment.
• Must have excellent analytical, written and verbal communication skills.
• Must be able to meet all local health regulations, and pass pre/post-employment physical exam if required. This requirement also includes drug screening, criminal background investigation, and reference inquiry.
• Must have the ability to promote positive interpersonal relationships through the use of tactful, direct and sensitive interaction. Must be able to communicate verbally in appositive and professional manner.
• Must be able to relate positively and favorably to residents, families, co-workers, and to work cooperatively with others.
• Must attend in-service/education programs as required to learn new procedures and develop skills to meet regulatory compliance.
• Must agree not to disclose resident protected health information and report suspected or known violations of such to the Administrator.

Job Functions:

1) Operate and supervise within the prescribed scope of practice for a Registered Nurse (RN) or Licensed Practical Nurse (LPN)/Licensed Vocational Nurse (LVN) in the state.

2) Conduct and coordinate the development and completion of the resident MDS, CAA’s, and individualized care plans per regulation and facility policy.

3) Submit/transmit MDS’ to CMS as required.

4) Ensure MDS’ are complete and accurate before submission to CMS. Submit an MDS correction as needed to ensure we transmit accurate data.

5) Maintain and periodically update written policies and procedures that govern the development, use, and implementation of the MDS and the care plan as indicated.

6) Monitor the facility CASPER reports monthly. Provide detailed analysis of the facility Quality Indicators and Quality Measures for review and discussion during monthly Risk Management and Quality Assurance Committee Meetings and as assigned.

7) Ensure the individualized resident care plan in constructed in collaboration with the interdisciplinary team. Ensure the care plans include: the problems, appropriate goals/objectives, timeframes, applicable interventions, and which professional service is responsible for each element.

8) Coordinate resident care plan meetings with the interdisciplinary team, the resident, the resident representative, physician or extender, hospice representative, or other consultants as needed. The care plan meetings will be routinely scheduled per regulation and facility policy and as needed.

9) Act as the chairperson for the care plan interdisciplinary meetings.

10) Assist and remind physicians and their extenders to complete required documentation, review treatment plans, care plans, sign documents, etc. Accompany on rounds as needed.

11) Contact physicians, nurse practitioners, and physician assistants as needed to report resident change of condition, convey lab/x-ray reports, emergencies, resident/family concerns, incidents/accidents, etc. and document new/changed orders and communication outcomes per facility policy.

12) Inform residents, resident representatives, and/or family members of resident change of condition, emergencies, incidents/accidents, new/changed etc. and document new/changed orders and communication outcomes per facility policy.

13) Frequently review individualized plans of care (problems, goals, and interventions/approaches) for the residents to include: overall health, diagnoses, fall risk/positioning devices, restorative nursing programs, elopement risk, behaviors, skin conditions, discharge plans, therapy services, restraints, psychotropic medication usage, etc.

14) Administer medications and treatments (when assigned) as prescribed by the physician, nurse practitioner, or physician’s assistant. Document administration timely.

15) Order/Re-order prescribed medications, supplies, and equipment per facility policy.

16)Dispose of medications and narcotics in accordance with facility policy and state and/or federal regulations.

17)Administer (when assigned) specialized skilled services per physician or extender orders to include (but not limited to):•Urinary catheterization, catheter removal, intermittent catheterization, catheter irrigation, urine specimen collection, etc. Tracheostomy care, suctioning, sputum specimen collection, monitoring, ostomy care, etc.•G-tube/J-tube/PEG tube care, feedings, flushes, medication administration, ostomy care, etc. Wound/Skin care, preventative measures, advanced dressings, wound irrigation, wound packing, wound vacs, suture/staple removal, etc.•Colostomy/Urostomy care, bag/wafer changes, skin care, irrigation, etc.•IV therapy-peripheral catheter insertion and site change, central line care/maintenance/flushing/dressing changes, administration of medications and/or fluids, etc.

18)Coordinate with other departments as needed to ensure resident care is delivered per the individualized plan of care.

19)Practice standard precautions with all resident care.

20)Meet with resident and/or families often-If a resident or family member expresses any concerns, direct the information to the appropriate person for prompt resolution of the issue. If able to address the concern, do so promptly and follow-up with the resident and/or family to ensure satisfaction.

21)Assist residents (when assigned) with standard ADL’s (Activities of Daily Living) to include: bathing, toileting/bed pan, transfers, bed mobility, turning and repositioning, peri-care, grooming, dressing, changing bed linens, applying/utilizing specialized equipment, etc. per the individualized plan of care.

22)Ensure residents remain clean, have clean dentures in place, hearing aids in or stored appropriately, clean eyeglasses on, prosthetic limbs/devices in place, dressed appropriately, clothes are in good repair, and dressed appropriate to temperature/season.

23)Ensure use of positioning devices, restraints, splints, braces, immobilizers, cushions, etc. are utilized per the individualized plan of care.

24)Participate in on-call rotation for the nursing department as assigned.

25)Understand and adhere to established facility policies. Interpret the departments policies and procedures to personnel, residents, visitors, and government agencies as required

26)Attend meetings as assigned.

27)Use proper body mechanics when lifting.

28)Adhere to safety policies pertaining to infection control and isolation, personal protective equipment (PPE), gait belts, mechanical lifts, and fire/emergency procedures.

29)Customer Service-Promote and maintain positive relationships with co-workers, residents, visitors, volunteers, vendors, and regulatory representatives.

30)Resident Rights-Understand and promote resident rights. Have positive interactions with residents, families and caregivers. Maintain a professional appearance. Ensure confidentiality of all resident information, compliance with HIPAA regulations and policies, Encourage resident autonomy in decision-making.

31) Documentation-Complete documentation in the individual clinical record per policy. Complete any other documentation as assigned.

32) Other-Complete all other duties as assigned.

Physical and Sensory Requirements: Walking, sitting, standing, reaching, stooping, bending, lifting, grasping, pushing and pulling, and fine-hand coordination. Ability to hear and respond to overhead pages. Ability to communicate with residents, families, personnel, vendors, and consultants. Ability to apply training and in-service education provided. Must present a neat, clean, professional