MDS Coordinator/Case Manager (RN)

We offer a comprehensive Benefit package to Full Time Employees: PTO 401-k with Company match Health Insurances Company Paid Life Insurance Tuition Reimbursement Employee Assistant Program Same day pay through PayActiv Uniform Allowance MDS 3.0 and the RAI Process Responsibilities:Develop preliminary and comprehensive assessments of the nursing needs of each resident, utilizing the forms required by current rules or regulations and facility policiesEnsure that appropriate health professionals are involved in the assessmentEnsure all MDS 3.0 Resident Interviews are completed/documented timely. If resident was unable to complete interview, ensure staff interviews are completed/documented timelyEnsure 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 certificationCoordinate the development of a written plan of care (preliminary and comprehensive) for each resident that identifies the problems/needs of the resident, indicates the care to be given, goals to be accomplished, and which professional service is responsible for each element of careEnsure 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 assessmentEnsure that an initial resident MDS 3.0 assessment is completed within fourteen days of the resident's admissionEnsure all applicable scheduled/unscheduled PPS assessments are completely timelyEnsure that a comprehensive care plan is completed within twenty-one days of the resident's admissionAssist the nursing staff in encouraging the resident and his/her family to participate in the development and review of the resident's plan of careDevelop the schedule of activities required for the resident assessment and plan of careAssist the Director of Nursing Services and relevant directors/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 residentEnsure that quarterly and annual resident assessments and care plan reviews are made on a timely basisEnsure that a complete resident assessment is conducted within fourteen days of a significant change in the resident's conditionCoordinate 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 statusInform all assessment team members of the requirements for accuracy and completion of the resident assessment (MDS)Ensure that each portion of the MDS 3.0 assessment is signed and dated by the person completing that portion of the MDSSign and date the MDS 3.0 assessments to certify completionEnsure timely electronic submission of all required MDS 3.0 assessments and tracking are transmitted timely with timely review of validation reports with all warning/rejection messages addressedCare Area Assessments (CAAs):Review the Care Areas Assessments with related Care Area Triggers (CATs) correlated with nursing issues and answer the questions as identified in the computer documentation system. Once all the questions have been answered, complete narrative summaries of the information, indicating the decision whether or not to include the identified problem on the Plan of CareConsult the CAA summary sheet and verify that all triggered CAAs and corresponding narrative summaries have been completed, dated, and signed by the appropriate disciplinesFor triggered CAAs included in the Care Plan, verify that any additional supportive documentation related to CAA issues is completedIf a triggered CAA is not included in the Care Plan, verify that documentation in the CAA summary clearly indicates reasons for not proceedingOther Responsibilities:Disseminate any new or updated materials involving MDS 3.0 ad the RAI processCreate an opportunity for family participation in the care planning processCommunicate with the Business Office Manager and Administrator on a regular basis regarding case mix scores and how they impact reimbursementLead the daily PPS and Utilization Review Meeting, ensure all applicable IDT members are present/participateLead the weekly Triple Check IDT Meeting, ensure all applicable team members are present/participateLead the weekly Case Mix Review MeetingParticipate in resident admission referral processCase Management - Provide resident clinical update and re-certification information to Managed Care Providers Case Managers in a timely mannerParticipate in the weekly Standards of Care MeetingLead all scheduled Resident Care Conferences/Care Plan Review meetingsCoordinate the interdisciplinary assessment process for all residents of the facility. Verify that the Resident Assessment Instrument is individualized, complete, accurate, and timely for each residentEducate peers on MDS 3.0, CAAs, and Care PlansAttend in-service education programs in order to meet facility educational requirementsBe familiar with Standard Precautions, Exposure Control Plan, Fire Drill and Evacuation Procedures and know how to use the informationMaintain confidentiality of resident and facility records/informationProtect residents from neglect, mistreatment, and abuseProtect the personal property of the residents of the facilityOthers as directed by the supervisor or administratorAt Capital Health Care Network, our company culture is built on the following seven essential skills of teamwork: Active Listening: Team members listen to each other's ideas.They are observed validating ideas through active listening and "piggy-backing" (or building) off each other's ideas Communication: Team members communicate.They are observed interacting, discussing, and posing questions in an effort to fortify understanding and dispel miscommunication Persuading: Team members use persuasion. They are observed exchanging, defending, and rethinking ideas with the greater good in mind Respecting: Team members respect the opinions of others.They are observed encouraging and supporting others' ideas and efforts Helping: Team members help.They are observed offering assistance to each other Sharing: Team members share.They are observed sharing ideas, information and influenceParticipating: Team members participate.They are observed participating in social media, campaigns, and projects