MDS Director RN

KEY RESPONSIBILITIES\:

1. Supervises Case Mix Coordinators, monitoring performance, to identify educational needs and providing education and/or coordinating education with Clinical Reimbursement Consultant.

2. Assumes key leadership role in mentorship and education for the Case Mix Coordinator to ensure competency and retention.

3. Facilitates communication between nursing center departments and patient/family members in

order to carry out an effective assessment to develop a comprehensive plan of care; establishing measurable goals, appropriate intervention, and assignment of responsibility in delivery of care, in

accordance with the patient’s wishes.

4. Establishes open lines of communication with consultants. Effectively interview for the purpose of collecting information from patients, families, and staff members.

5. Conducts/coordinates patient (or family) interviews for assessment purposes.

6. Evaluates each patient’s condition and medical data to determine special needs, preferences, or the need to amend the admission assessment.

7. Maintains schedule of assessment/care plan meetings. Coordinate schedule with nursing center

staff and others (family, therapists, etc.) to provide for appropriate participation.

8. Provides oversight and compliance in the patient assessment and development of care plans within required timeframes and in accordance to regulations.

9. Facilitates proactive communication with medical directors, primary care physicians (PCPs),

specialists, auxiliary providers, case managers, and nurses for development of comprehensive plans of care and coordination of effective and efficient delivery of patient care across the care

chain.

10. Facilitates education to inform caregivers of the patient’s care plan prior to administering care.

11. Coordinates the review of each assessment/care plan for accuracy (including timeliness appropriate signatures and dates etc.)

12. Monitors the RAI process for accuracy according to the RAI guidelines and other accepted standards.

13. Educates the interdisciplinary team and other staff members as needed in the RAI process.

14. Conducts physical assessment of patient to provide accurate RAI process.

15. Assesses patient needs and make recommendation for skilled rehabilitative services as well as maintenance therapy services.

16. Conducts patient care conferences. May be required to direct and implement nursing service

educational programs in reference to patient assessment and care.

17. Assists in maintaining compliance with federal, state, and local regulations.

18. Be highly involved in determining skilled level of care for Medicare residents and procuring required Medicare-specific documentation; be responsible for physician certification of a skilled level of care throughout the Medicare stay; be involved in making eligibility determinations

19. Coordinate care with case managers for residents utilizing managed care, health maintenance organizations (HMOs), commercial insurance, and other alternate payment models.

20. Serve as a member of the quality assessment and assurance (QAA) and/or the quality assurance and performance improvement (QAPI) committees.

21. Work closely with Admissions director/Senior Nurse Navigator, Hospital medical records, and

physicians to obtain accurate and complete documentation to support ICD-10-CM diagnosis coding and surgical procedures.

22. Audit and improve staff education/competency as needed to ensure accurate and timely completion of supporting documentation and MDS assessments.

23. Participate in care conferences, discharge planning, training, caregiver training, and the provision of resources as needed

24. Ensure that the residents’ rights to fair and equitable treatment, self-determination, individuality,

privacy, property, and civil rights, including the right to wage complaints, are always well-established and maintained.

KNOWLEDGE, SKILLS, ABILITIES\:

• Has a comprehensive understanding of RAI guidelines and CMS regulation related to completion of MDS and care plan.

• Has a comprehensive understanding of nursing resource material and understands how to incorporate such information into care plans [i.e., nursing journal articles that relate to specific

patient care topics (bowel& bladder retraining, restraint assessment & use, fall assessments, skin assessments, etc.)]

• Computer literacy necessary.

• Possess strong leadership and communication skills.

• Has ability to educate and provide oversight of other partners.

• Must have knowledge of Medicare and Medicaid programs and requirements.

• Knowledge and implementation of Human Resource policies.

• Participates in center/agency surveys (Licensure/JCAHO) and any subsequently required reports.

• Attends and participates in continuing educational programs to keep abreast of changes in your field as well as to maintain current license/certification as required.

• Attends and participate in mandatory in-services.

• Honors patients/residents’ rights to fair and equitable treatment, self-determination, individuality, privacy, property and civil rights, including the right to wage complaints.

• Complies with corporate compliance program.

• Reports job-related functions/tasks that involve occupational hazards including exposure to blood and body fluids and others as necessary.

• Follows established safety regulations, to include fire protection and prevention, smoking regulations, infection control, etc.

• Follow established safety procedures when performing tasks and/or working with equipment.