POSITION SUMMARY: To conduct and coordinate the development and completion of the Resident Assessment Instrument (RAI), that is, the Minimum Data Set (MDS), Care Are Assessments (CAAs) and Care Plan in accordance with State and Federal requirements. As the MDS Nurse you participate as part of the facility Interdisciplinary Team (IDT) in the systems and processes to manage patients receiving skilled services as assigned.

ESSENTIAL DUTIES AND RESPONSIBILITIES: Every effort has been made to identify the essential functions of this position. However, it in no way states or implies that these are the only duties you will be required to perform. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or is an essential function of the position.

• Provides direct nursing care as necessary.
• Prepares for and participates in facility surveys (inspections) made by authorized government agencies.
• Supports in QAPI to develop and implement appropriate plans of action to correct identified deficiencies.
• Coordinates the interdisciplinary team in timely completion of the assessments.
• Utilizes MDS Scheduler to plan and set MDS Assessment Reference Dates (ARDs).
• Communicates ARD selection for specific MDSs to IDT.
• Accomplishes the MDS sections as assigned.
• Fulfills CAAs as required.
• Completes Care Plan items and attends Care Plan meetings as assigned.
• Implements monthly infection tracking log.
• Concludes UDA’s during observation period.
• Finalizes diagnosis coding and creates diagnosis sheets.
• Confirms skilled physician’s certification.
• Monitors overall the documentation in the medical record to validate that it supports MDS coding.
• Participates in skilled utilization and State Case Mix management as assigned.
• Delivers teaching and training for MDS item completion to interdisciplinary team members that have responsibility for MDS item completion.
• Provides teaching and mentoring of CNA staff along with Director of Nurses and Staff Development related to completion of the Nursing ADL documentation.
• If Registered Nurse, signs off on Minimum Data Set (MDS) for each resident within the facility.

QUALIFICATIONS:

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements below are representative of the knowledge, skill, and/or ability required. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.

Education and/or Experience:

· High School Diploma or equivalent

· Must have, as a minimum, one year of experience as a nurse in a hospital, long-term care facility, or other related health care facility.

Certificates and Licenses:

· Must possess an active license to practice as a RN/ LVN/ LPN license valid in this state.

· Experience with RAI process and MDS certification preferred.

Other Specific Requirements

· Must provide evidence of being free of tuberculosis infection upon hire and annually.

· Must be able to read, write, speak and understand the English language.

· Must possess the ability to make independent decision when circumstances warrant such action.

· Must possess the ability to deal tactfully with personnel, residents, family members, visitors, government agencies/personnel, and the general public.

· Must be knowledgeable of nursing and medical practices and procedures, as well as laws, regulations, and guidelines that pertain to long-term care.

· Must possess leadership and supervisory ability and the willingness to work harmoniously with and supervise other personnel.

· Must have patience, tact, a cheerful disposition and enthusiasm, as well as the willingness to handle difficult residents.

WORK ENVIRONMENT:

• Works in office area(s) as well as throughout the nursing service area (i.e. nurse’s stations, resident rooms, etc.).
• Is subject to frequent interruptions.
• Interacts with residents, personnel, visitors, government agencies/personnel, etc., under all conditions and circumstances.
• Is subject to hostile and emotionally upset residents, family members, personnel, and visitors.
• Communicates with the medical staff, nursing personnel, and other department supervisors.
• Is subject to call-back during emergency conditions (e.g., severe weather, evacuation, post-disaster, etc.).
• Is subject to injury from falls, burns from equipment, odors, etc., as well as to reactions from dust, disinfectants, tobacco smoke, and other air contaminants.
• Is subject to exposure to infectious waste, diseases, conditions, etc., including TB and the AIDS and Hepatitis B viruses.
• May be subject to the handling of and exposure to hazardous chemicals.

PHYSICAL AND SENSORY REQUIREMENTS (with or without the aid of mechanical devices):

· Must be able to move intermittently throughout the work day.

· Must be able to cope with the mental emotional and stress of the position.

• Must possess sight/hearing senses or use prosthetics that will enable these senses to function adequately so that the requirements of this position can be fully met.
• Must function independently, have flexibility, personal integrity, and the ability to work effectively.
• Must meet the general health requirements set forth by the policies of this facility which may include a medical and physical examination.
• Must be able to relate to and work with ill, disabled, elderly, emotionally upset, and, at times, hostile people within the facility.

Job Type: Full-time

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Paid time off
• Vision insurance

Medical specialties:

• Geriatrics

Physical setting:

• Long term care
• Nursing home

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday
• Weekend availability

Ability to commute/relocate:

• Keller, TX 76244: Reliably commute or planning to relocate before starting work (Required)

Experience:

• Utilization review: 1 year (Required)

Work Location: One location

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