Purpose of Your Job Position

The primary purpose of your position is to conduct and coordinate the development and completion of the resident assessment in accordance with the requirements of this state and policies and goals of the Facility.

Delegation of Authority

As MDS Coordinator you are delegated the administrative authority, responsibility, and accountability necessary for carrying out your assigned duties.

Job Function

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.

Duties and 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 RAPs 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.

· Perform administrative duties such as completing medical forms, reports, evaluations, studies, etc., as necessary.

· Develop, implement, and maintain an ongoing quality assurance program for the resident assessment and care plans.

· Assist the resident and Discharge Planning Coordinator in completing the care plan portion of the resident’s discharge plan.

· Participate in Facility surveys (inspections) made by authorized government agencies.

· Monitor the Facility’s QI and QM reports to ensure that appropriate corrective action can be implemented when potential problems areas occur.

· Ensure that all assessments are completed and transmitted in a timely manner. Report problem areas to the Administrator.

· Ensure that a current copy of the MDS Instructor’s Manual is available to persons completing portions of the MDS.

· 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 (e.g., Policy Advisory, Quality Assessment and Assurance) as required, and as appointed by the Administrator.

· Provide written and/or oral reports of the resident assessment and care plan functions, as requested or directed by committees.

· Participate in functions involving discharge plans, as may be necessary.

· Evaluate and implement recommendations from established committees as they may pertain to the assessment and/or care plan functions of the Facility.

· Maintain an effective, friendly working relationship with health professionals, physicians, consultants, and governmental agencies that may be involved in the resident assessment and care plan functions of the Facility.

· Meet with and solicit advice from department supervisors concerning the resident assessment and care plan functions of the Facility.

· Develop and implement procedures with the Director of Nursing Services to inform all assessment team members of the arrival of newly admitted residents.

· Assist Facility directors and supervisors in scheduling the resident assessment and care plan meetings.

· Contact and assist in scheduling participation by outside members of the care plan team, including the resident’s representative and/or other interested family members.

· Assist in interviewing residents to evaluate daily living skills and capacities and determine extent of abilities and limitations.

· Assist in determining appropriate treatment, selecting activities and exercises based on medical and social history of residents.

· Participate in the development and implementation of resident assessments (MDS) and care plans, including quarterly and annual reviews.

· Assist in scheduling therapy services.

· Assist occupational therapist in therapy activities.

· Brief resident on procedures involved in occupational therapy and prepare necessary equipment.

· Assist in transporting resident to and from occupational therapy room or area.

· Demonstrate to residents and staff personnel the procedures involved in the treatment process, as necessary.

· Perform occupational therapy in the resident’s room, if necessary.

· Reassure resident before and during therapy session.

· Prepare resident for treatment and administer occupational therapy in accordance with established policies and procedures.

· Instruct and supervise resident during therapy.

· Assist in designing and adapting equipment and living environment.

· Teach basic living skills to residents, as necessary.

· Promote participation in individual and group recreational activities.

· Recommend modifications and changes in the resident’s therapy treatment, as indicated.

· Ensure that all therapists’ notes are informative, follow guidelines, and are descriptive of the care provided and of the resident’s response to the care.

· Provide individualized occupational therapy services to residents according to the resident’s Plan of Care.

Care Plan and Assessment Function

· Develop preliminary and comprehensive assessments of the nursing needs of each resident, utilizing the forms required by current rules or regulations and Facility policies.

· Ensure that appropriate health professionals are involved in the assessment.

· Ensure that all members of the assessment team are aware of the importance of completeness and accuracy in their assessment functions and that they are aware of the penalties, including civil money penalties, for false certification.

· Coordinate the development of a written plan of care (preliminary and comprehensive) for each resident that identifies the problems and needs of the resident, indicates the care to be given, goals to be accomplished, and which professional service is responsible for each element of care.

· Ensure that the care plan includes measurable objectives and timetables to meet the resident’s medical, nursing, and mental and psychosocial needs as identified in the resident’s assessment.

· Ensure that an initial resident assessment is completed within fourteen (14) days of the resident’s admission.

· Ensure that a comprehensive care plan is completed within twenty-one days (21) of the resident’s admission.

· Assist the nursing staff in encouraging the resident and his/her family to participate in the development and review of the resident’s plan of care.

· Develop the schedule of activities required for the resident assessment and plan of care.

· Assist the Director of Nursing Services and relevant directors and supervisors of other departments in ensuring that all personnel involved in providing care to the resident are aware of the resident’s care plan and that nursing personnel refer to the resident’s care plan prior to administering daily care to the resident.

· Ensure that quarterly and annual resident assessments and care plan reviews are made on a timely basis.

· Ensure that a complete resident assessment is conducted within fourteen (14) days of a significant change in the resident’s condition.

· Coordinate the review and revision of the resident’s care plan by the interdisciplinary team after each quarterly review or other assessment, assuring that the care plan is evaluated and revised each time an assessment is done or when there is a change in the resident’s status.

· Assist the Director of Nursing Services and other relevant directors and supervisors in maintaining good rapport and morale between and within departments to ensure that a team effort is achieved in developing and implementing a comprehensive assessment and plan of care.

· 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.

· Sign and date the assessment instrument to certify its completion.

· Ensure that medical and nursing care is administered in accordance with the resident’s wishes, including the implementation of advance directives.

Resident Rights

· Review complaints and grievances made by the resident and make a written and oral report to the Nurse Supervisor, LPN, and RN. Follow Facility’s established procedures.

· Maintain a written record of the resident’s complaints and/or grievances that indicates the action taken to resolve the complaint and the current status of the complaint.

· Must adhere to all HIPAA requirements.

Other Duties: Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.

ESSENTIAL BEHAVIORAL REQUIREMENTS:

· Must be a strong team player: Work well and cooperatively with others, maintain a positive outlook, assist fellow team members when necessary

· Must be empathetic towards the needs of residents and families.

· Must maintain professionalism and respect when communicating with residents, families, co-workers, family members and vendors.

· Show strong personal integrity: Take ownership of tasks, accept responsibility for mistakes, is reliable and conscientious regarding the quality of work performed and fulfilling all shift requirements

· Show strong initiative, proactively solving customer problems and demonstrating the ability to make good decisions

· Maintain a positive, courteous, pleasant voice and demeanor—under all circumstances—when dealing with customers, associates, and other business contacts

Working Conditions

· Works in office area(s) as well as throughout the nursing service area (i.e., drug rooms, nurses’ stations, resident rooms, etc.).

· Must participate in all required facility group chats, i.e. WhatsApp

· Is involved with residents, personnel, visitors, government agencies or personnel, etc., under all conditions and circumstances.

· Is involved in community or civic health matters or projects, as appropriate.

Education

· Must possess, as a minimum, a Bachelor’s Degree in Nursing from an accredited college or university.

Experience

· Must have, as a minimum, two (2) years of experience as a supervisor in a hospital, nursing care facility, or other related health care facility.

· Must have, as a minimum, six (6) months training experience in rehabilitative and restorative nursing practices.

Specific Requirements

· Must possess a current, unencumbered, active license to practice as a Registered Nurse in this state.

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

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

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

· Must be willing to seek out new methods and principles and be willing to incorporate them into existing nursing practices.

· Must be empathetic towards the needs of residents and families.

· Must maintain professionalism and respect when communicating with residents, families, co-workers, family members and vendors.

Physical and Sensory Requirements

(With or Without a Reasonable Accommodation)

· Must be able to move intermittently throughout the workday.

· Must be able to see and hear or use prosthetics that will enable these senses to function adequately to ensure that the requirements of this position can be fully met.

· Must meet the general health requirements set forth by the policies of the Facility, which may include a medical and physical examination.

· Based on the Occupational Safety and Health Administration's Guidelines for Nursing Homes Ergonomics for the Prevention of Musculoskeletal Disorders and the American Conference Governmental Industrial Hygienists' Threshold Limit Values for Lifting the Facility has identified that this job may require the lifting of residents, equipment, or other objects. Accordingly, this job may require a minimum of 5 pounds and a maximum of 45 pounds lifting, periodically and or as needed.

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MDS Coordinator