MDS Coordinator - LPN/RN (Healthcare)

Participates in the ongoing care in collaboration with the physician, Director of Nursing Services (DNS), clinical team members, social services, physical therapy, the resident, and the resident's family by tailoring care to meet individual needs of the resident. Performs care assessments and facilitates the care planning process through the completion of the MDS, as scheduled for each resident. Ensures the MDS is completed accurately, timely and in accordance with federal and state regulations and nursing practices. Ensures that the resident record accurately captures the clinical services provides and optimizes reimbursement. Assists with new admissions, transfers, discharges and oversees ongoing resident care ensuring documentation is current, signed, and the recordkeeping meets federal and state regulations, and company policies and procedure. Reviews and completes resident records and related documentation in a timely manner, including the completion of nursing assessment for each resident within 14 days of admission. Conducts resident care conferences and develops interdisciplinary plan of care for each resident. Reviews each resident's condition, status, and care requirements and takes appropriate action to assure care needs are met. Follows up on complaints and incidents that are reported by residents as required. Develops nursing care plans for each resident that meets the needs of the resident and the physician recommendations and reports changes in condition of residents that requires nursing intervention notifying the physician, director of nursing services, and family. Transcribes and carries out or delegates physician orders in accordance with the nurse practice act. May assist in the management of the Infection Control Program and Antibiotic Stewardship including acting as an Infection Preventionists (as required) by completing specialized training in infection control, providing training to staff on infection control practices, investigating, and reporting incidents of infection and tracks infection data. Follows all clinical policies and procedures, ensures infection control and safety practices are followed, maintains HIPAA compliance, and works within the scope of their license and practice. Promotes a positive physical and psychosocial environment for the resident that upholds residents' rights and protects residents from all forms of abuse. Reports all incidents of resident abuse or suspected abuse immediately and completes required incident reports and investigations. If suspicion of a crime is suspected, reports to survey agency and at least one local law enforcement entity within a designated time frame by e-mail, fax, or telephone. Participates in leadership team by actively contributing in decision making, grievance follow up, building and company-wide initiatives and attending leadership team meetings such as stand up, Managing Acute Care Conditions (MACC), Triple Check, Nutrition at Risk (NAR), Utilization Review (UR), Quality Assurance Performance Improvement (QAPI) and other meetings as required. May participate in the manager on duty and clinical on-call rotation as assigned; including weekend on-call duties and covering clinical shifts as necessary to ensure resident care needs are met. Attends and participates in continuing education programs, training, in-services, and staff meetings and keeps CEUs up to date. Maintains up-to-date knowledge of all rules, regulations, and policies pertaining to resident care. Responsible to stay informed of nursing practices and standards and apply new knowledge to meet the changing needs of residents. Performs other duties as assigned.