MDS Registered Nurse

Position Summary and Job Duties

This position is responsible for coordinating and facilitating the Minimum Data Set (MDS) process for all residents of Rock Haven Nursing Home. The position at times may be responsible for managing one or more defined areas of nursing services and for providing clinical leadership for the day to day operation of the area.

70% - Complete and assure accuracy of the MDS process for all residents

• Completes Minimum Data Set (MDS), Care Area Assessments ( CAA'S) and Utilization Guidelines.
• In charge of the assessment schedules and nursing documentation to ensure accuracy and timely submission of the MDS.
• Collects and records data which will be incorporated into nursing assessments and coordinates the overall planning and implementation of the resident's plan of care.
• Maintain all required Medical documentation(i.e certification and denial letters).
• Establish, implement, and monitor the Restorative Nursing Program.
• Participate in the Quality Assurance and Assessment process to evaluate the quality of care provided.
• Coordinates plan with rehabilitation and other services to maximize

15% - Participate in the Admission Process

• Determine potential PDPM rates and expense associated with a potential admission and share this information with the DON or Nursing Home Administrator.
• Facilitate problem solving for complicated admissions.
• Calculate PDPMs and acuity of patients.
• Participates in the admission process of prospective residents in terms of their nursing needs and appropriate placement.
• Maintains awareness of federal, state, and county laws ad regulations , local requirements, and policy impacting funding and service delivery.
• Uses standards of practice guidelines that address assessment, treatment intervention, rehabilitation, program matching, psychopharmacology and outcomes.
• Provides a welcoming approach to services, eliminate arbitrary barriers to initial evaluation and engagement , and specify mechanisms for helping each client to get connected to a suitable program as quickly as possible.

10% - Function as a MDS expert for the facility

• Maintain current working knowledge of Medicare criteria, serving as a resource for nursing staff and communicate changes in regulations. Participates in the implementation of system changes and technology as they relate to updates in the MDS.
• Consult with Assistant DONs and DON regarding resident assessments and care concerns during rounds.
• Provide counseling and/or education for residents and family members in coordination with ADON or DON as needed.
• Represent the Nursing Department on committees, meetings, and organizations as needed.
• Participate in the state and federal nursing home survey and implementation of any plan of corrections for nursing deficiencies as well as to help monitor for compliance.
• Monitors the implementation and effectiveness of the nursing care plan generated from the MDS continuously looking for ways of improving client care program effectiveness and initiates needed changes and improvements.

5% - Perform other duties as assigned

• Perform nursing tasks during staff shortages

Success Factors (KSA's)

• Knowledge of current theory base in medical, geriatric and psychiatric nursing.
• Knowledge of current theory in medication administration including psychoactive medications.
• Knowledge of current theory related to the Minimum Data Set (MDS), Care Area Assessments ( Caa's) and Utilization Guidelines. Background in the State and Federal nursing home survey processes.
• Knowledge of needs of client populations and treatment sources.
• Ability to communicate effectively orally and in writing.
• Ability to effectively present information and respond to questions from managers, employees, residents, families, professionals and the general public
• Ability to work well as a team member. Ability to establish and maintain effective working relationships with physicians, staff and management.
• Ability to recognize and respond appropriately to urgent/emergent situations.
• Ability to multi-task efficiently and effectively.
• Ability to review and assure that the clinical work of others is in accordance with professional standards and practice guidelines.
• Demonstrates responsibility and accountability for professional practice and for continued professional growth and self-evaluation.
• Ability to maintain professional appearance and conduct at all times.
• Effectively copes with typical job stress.
• Performs related work as assigned.

Job Requirements, Education, Training & Experience

• Registered Nurse with current Wisconsin Licensure in good standing.
• CPR Certification or evidence of continued attendance at CPR updates
• Long-term care experience preferred.
• MDS Experience Required
• ANNAC Certification Preferred or ability to obtain certification.
• May need to stay past the normal shift until relieved in order to meet minimal staffing requirements.

Essential Job Functions (physical elements, equipment and working conditions)

• Ability to sit, stand, bend, and stoop for periods of time.
• Ability to lift up to 50 pounds occasionally.
• Ability to work in a stressful environment.
• Ability to respond to emergency/crisis situations.
• Ability to push/pull a medication cart.
• Exposure to noise.
• Exposure to blood and/or body fluids.
• Uses personal protective equipment as needed but not limited to: gloves, gowns, goggles and protective shield.
• Ability to enter accurate information into charts and reports.
• May be subject to potentially hostile and emotionally upset residents, family members, personnel, visitors,etc.
• May be subject to falls, burns, odors, etc., throughout the work day.
• May be exposed to infectious waste, diseases, blood, body fluids, conditions, etc.
• Work is inside in a skilled nursing home facility.
• CPR/AED certification required
• Please note: The entire Rock Haven Campus is smoke free.