MDS Coordinator

Under the general direction of the director of nursing, the purpose of this position is to assist with the management and direction of resident care standards, resident care and supervision, and direction of all direct care providers and provide assistance with supervision and management for the nursing department.
As an MDS (Minimum Data Set) Coordinator, you will play a crucial role in ensuring accurate and comprehensive documentation and assessment of patient needs in a healthcare facility.
Your primary responsibility will be to complete and submit MDS assessments according to regulatory guidelines.
*EDUCATION:* * Graduate of an accredited school of Registered Nursing or Licensed Vocational Nursing and currently licensed in the State of Texas * 2 years’ experience as a nurse (preferred).
* Must be able to read, write, speak, and understand the English language.
*Quality Assurance/Performance Improvement Responsibilities:* * Receive direction from the owner/board of directors on QAPI goals and clearly communicate these to staff.
* Communicate regularly on the progress of QAPI work to the owner/board of directors, employees, and other stakeholders.
* Establish overall QAPI objectives for the organization and assign responsibility for their fulfillment.
* Accept responsibility and oversee development of QAPI plan, including policies for ensuring that QAPI activities are given high priority in the overall management of facility operations.
* Foster an organization-wide commitment to quality assurance and performance improvement both verbally and non-verbally (i.
e.
, via actions and attitude).
* Allocate sufficient financial, material and human resources, including training, to carry out QAPI activities.
* Ensure QAPI in the organization includes a mechanism for obtaining resident and family input to consider as potential areas for improvement.
* Create and maintain a consistent process (e.
g.
, scheduled rounding, active participation on quality committee) to stay informed of all QAPI efforts underway including their progress and achievements.
* Provide oversight and enthusiastic support of QAPI activities.
*Key Responsibilities:* - MDS Assessment: Conduct thorough assessments of patients, including gathering information related to physical, psychological, and social needs.
Utilize MDS software to complete comprehensive assessments accurately and in a timely manner.
- Documentation: Maintain detailed and organized records of patient assessments, ensuring accuracy, completeness, and compliance with regulatory requirements.
Verify and document patient care goals, preferences, and medical history information in a clear and concise manner.
- Communication: Collaborate with interdisciplinary healthcare teams, including nursing staff, physicians, therapists, and other relevant professionals, to ensure accurate assessment and proper care planning for each patient.
Communicate effectively with patients and their families, explaining the purpose and benefits of the assessment process.
- Compliance: Stay updated with federal, state, and local regulations related to MDS assessments.
Ensure compliance with all applicable regulations, guidelines, and protocols to maintain accuracy and integrity in the assessment process.
- Quality Improvement: Participate in quality improvement initiatives, ensuring continual evaluation and enhancement of MDS assessment processes.
Collaborate with the quality improvement team to implement evidence-based practices and improve patient outcomes.
- Training and Education: Stay current with changes in MDS regulations, software, and processes.
Provide training and education to staff members on MDS assessment protocols, best practices, and documentation requirements.
*Compliance Responsibilities:* * Observe, oversee and implement all facility policies and procedures to assure resident safety.
* Observe, oversee, implement and observe infection control procedures to assure resident and employee safety.
* Observe, oversee and implement facility Residents’ Rights policies and procedures.
* Observe, oversee and implement facility safety policies and procedures to assure resident and employee safety.
* Immediately report all suspected or alleged abuse, neglect exploitation and/or misappropriation to the appropriate agencies and the governing board.
*Job duties include but are not limited to:* 1.
Operate the facility in accordance with the established policies and procedures of the governing body in compliance with federal, state and local regulations.
2.
Embrace and enforce a person-centered, culture change environment.
3.
Plan, develop, organize, implement, evaluate, and direct the facility’s programs and activities in accordance with guidelines issued by the governing board.
4.
Establish written policies regarding responsibilities and activities of individuals employed or acquired under arrangement.
5.
Establish systems to enforce the facility policies and procedures.
6.
Establish operating procedures for physician responsibilities.
7.
Act as liaison to the governing body for the medical, nursing and other professional staffs and all facility departments.
8.
Assist department directors in the development, use, and implementation of departmental policies and procedures and professional standards of practice.
9.
Review the facility’s policies and procedures at least annually and make changes as necessary to assure continued compliance with current regulations.
10.
Supervise all department supervisors and administrative staff.
11.
Supervise the recruitment, employment, performance, evaluation, promotion and discharge of all staff.
Make routine inspections of the facility to assure that established policies and procedures are being implemented and followed.
12.
Participate in state/federal surveys of the facility.
13.
Development of plans of correction for cited deficiencies.
Ensure such plans incorporate timetables and methods of monitoring to ensure that such deficiencies do not recur.
14.
Provide governing board with information relative to survey findings, plans of correction, monitoring guidelines, and follow-up survey results.
15.
Delegate a responsible staff member to act in your behalf when you are absent from the facility.
Ensure that all facility personnel, residents, visitors, etc.
, follow established safety regulations, to include fire protection/prevention, smoking regulations, infection control, etc.
16.
Review accident/incident reports (e.
g.
, falls, injuries of an unknown source, abuse, etc.
).
Monitor to determine the effectiveness of the facility’s risk management program.
17.
Ensure that the facility is maintained in a clean and safe manner for resident comfort and convenience by assuring that necessary equipment and supplies are maintained to perform such duties/services.
18.
Assume responsibility for reviewing and evaluating all recommendations of the facility’s committees and consultants.
19.
Establish systems to ensure compliance with all federal, state and local regulations.
20.
Act as liaison between the facility and regulatory agencies, fiscal intermediaries and resident advocacy agencies.
21.
Assume accountability for all data contained in the employees’ handbook.
22.
Assume responsibility for identification, investigation and follow up on concerns identified in the facility Quality Indicator report.
23.
Assume responsibility for implementation of an effective Quality Assurance Performance Improvement (QAPI) program.
24.
Perform other related duties as directed by 24 Karat Corporate Staff.
*Working Conditions* * Works in office areas as well as throughout the facility and its premises.
* Moves intermittently during working hours.
* Is subject to frequent interruptions.
* Is involved with residents, family members, personnel, visitors, government agencies/personnel, etc.
, under all conditions/circumstances.
* Is subject to hostile and emotionally upset residents, family members, personnel, and visitors.
* Works beyond normal working hours and on weekends and holidays when necessary.
* Is subject to call-back during emergency conditions (e.
g.
, severe weather, evacuation, post-disaster, etc.
).
* May be involved in community/civic health matters/projects.
* Attends and participates in continuing educational programs.
* Is subject to injury from falls, burns from equipment, odors, etc.
, throughout the work day, as well as reactions from dust, disinfectants, tobacco smoke, and other air contaminants.
* May be subject to the handling of and exposure to hazardous chemicals.
* Communicates with the medical staff, nursing personnel, and other department personnel.
* Maintains a liaison with the residents, their families, support personnel, etc.
, to assure that the residents’ needs are continually met.
*Specific Requirements* 1.
Under the general direction of the director of nurses assume responsibility for the development of nursing service objectives and performance standards of nursing practice for each category of nursing personnel.
2.
Conduct and coordinate the develop and completion of the resident assessment (MDS) in accordance with current rules, regulations, and guidelines that govern the resident assessment, including implementation of CAAs and Triggers.
3.
Assume accountability for the development, organization and implementation of approved policies and procedures.
4.
Direct, evaluate and supervise all resident care and initiate corrective action as necessary.
5.
Assess resident care needs and assist in the development of individualized plans of resident care.
6.
Assume responsibility for implementation of Clinical and Prospective Payment System Minimum Data Set completion schedule.
7.
Oversee the assessment of resident pre-admission and/or admission information and determine appropriate level of care.
8.
Assume responsibility for development and implementation of nursing rehabilitation and restorative programs.
9.
Analyze Quality Indicator reports, identify concerns and implement corrective action to improve resident care.
10.
Assume responsibility for analysis of incident and accident investigation reports to determine cause(s) and implement corrective action(s), when appropriate.
11.
Assess resident needs and make recommendations for special rehabilitation programs.
12.
Evaluate resident care as related to individualized resident needs, family involvement and the physician’s plan of care for the resident.
13.
Conduct or participate in resident care conferences as indicated.
14.
Assess resident responses to medication and treatments and make appropriate recommendations for nursing action to be implemented.
15.
Report problems to Administrator, conduct daily resident rounds and initiate corrective action as necessary.
16.
of changes in your profession, as well as to maintain your license on a current status.
17.
Conduct training programs for appropriate staff on the completion and use of the MDS.
18.
Develop preliminary and comprehensive assessments of the nursing needs of each resident, utilizing the forms required by current rules or regulations and facility policies.
19.
Ensure that appropriate health professionals are involved in the assessment.
20.
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.
21.
Coordinate 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 care.
22.
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.
23.
Ensure that an initial resident assessment is completed within fourteen days of the resident’s admission.
24.
Ensure that a comprehensive care plan is completed within twenty-one days of the resident’s admission.
25.
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.
26.
Develop the schedule of activities required for the resident assessment and plan of care.
27.
Identify safety hazards and initiate corrective action.
28.
Enforce Resident Rights policies.
29.
Enforce all facility policies and procedures.
30.
Direct and implement nursing service educational programs including, but not limited to, orientation and in-service for licensed and unlicensed nursing personnel.
31.
Conduct staff meetings with all shifts for purposes of planning, coordinating and implementing nursing service policies and procedures.
32.
Demonstrate consistent management of nursing service problems, emergency situations, and initiate “life-saving” measures in the absence of a physician.
33.
Assume responsibility for nursing service compliance with federal, state and local regulations.
34.
Participate in the planning and implementation of the nursing service budget.
35.
Consistently operate nursing service within the established budget guidelines.
36.
Direct allocation of nursing service equipment and supplies within the facility and establish guidelines for efficient, economical utilization of supplies and equipment.
37.
Ensure availability of equipment for nursing personnel.
38.
Assess equipment and supply needs and make recommendations to Administrator.
39.
Direct and supervise scheduling of employees within established guidelines for allocation of nursing service personnel on duty.
40.
Recommend to the Administrator the number and level of personnel to be employed.
41.
Conduct interviews, hire nursing service employees, conduct counseling interviews and initiate disciplinary action as necessary.
42.
Prepare written employee performance evaluations and initiate recommendations for salary increases, promotions and terminations.
43.
Control angry feelings and take disciplinary action(s) privately.
44.
Participate in facility committee meetings and function on committees as assigned.
45.
Direct, organize and schedule required resident assessments and related documentation for Medicare, Medicaid, managed care, private insurance and Health Maintenance Organization (HMO) reimbursement.
46.
Consistently make accurate level of care determinations, based on the physician’s recommendations and the resident’s plan of care.
47.
Make management reports and special assignments and adhere to established time schedules.
48.
Establish open lines of communication with consultants and consistently take follow-up action on recommendations.
49.
Take inquiries for resident placement as assigned by the Administrator and initiate procedures for proper placement of residents and level of care determinations.
50.
Coordinate resident admissions, transfers and discharge with community agencies and other facilities.
51.
Establish good public relations with hospital discharge coordinators and social service consultants.
52.
Communicate daily with nursing personnel providing clear, concise information as well as specific assignments.
53.
Consistently demonstrate responsibility, accountability and dependability.
54.
Maintain confidentiality of resident and facility information.
55.
Consistently work cooperatively with administration, all facility staff, ancillary personnel and consultants.
56.
Come to work clean, neat, and consistently present a professional appearance.
57.
Be responsible for safety of residents under his/her supervision.
58.
Assume accountability for all data contained in the employees’ handbook.
59.
Accept assigned duties in a cooperative manner.
60.
Perform other related duties as directed by the Administrator and/or governing body.
61.
Perform all duties assigned in an effective, timely and professional manner.
62.
Perform other related duties as directed by Administrator.
63.
Come to work as scheduled and consistently demonstrate dependability and punctuality.
64.
Consistently work cooperatively with residents, residents’ representatives, facility staff, physicians, consultants and ancillary service providers.
65.
Maintain a reference library of written nursing material (e.
g.
, Regulations, Standards of Practice, PDR, etc.
) that will assist the nursing service department in meeting the day-to-day needs of residents.
66.
Participate in facility surveys (and/or delegate key staff) made by authorized government agencies as necessary.
67.
Ensure that all nursing assistants are enrolled in or have graduated from a state approved training program.
68.
Assure that there are sufficient nursing staff for each tour of duty to ensure that quality care is maintained.
69.
Assure that competency evaluations are completed as required for all nursing service personnel to assure resident safety.
58.
Follow emergency preparedness procedures during all drills and actual occurrences.
*Physical and Sensory Requirements* *(With or Without the Aid of Mechanical Devices)* * Must be able to move intermittently throughout the workday.
* Must be able to cope with the mental and emotional stress of the position.
* Must possess sight/hearing senses or use prosthetics that will enable these senses to function adequately so that the requirements of the position can be fully met.
* Must function independently, have flexibility, personal integrity, and the ability to work effectively with residents, personnel, and support agencies.
* Must meet the general physical and health requirements needed to perform job duties.
* Must be able to relate to and work with ill, disabled, elderly, emotionally upset, and at times hostile people within the facility.
* Must be able to push, pull, move, and/or lift a minimum of 25 pounds to a minimum height of 5 feet and be able to push, pull, move, and/or carry such weight a minimum distance of 50 feet.
* May be necessary to assist in the evacuation of residents during emergency situations.
Job Type: Full-time Benefits: * 401(k) * Dental insurance * Health insurance * Paid time off Healthcare setting: * Long term care * Nursing home Medical specialties: * Geriatrics Work Location: In person