MDS​/Careplan Nurse

An MDS nurse, also known as a Minimum Data Set nurse or Nurse Assessment Coordinator, is a healthcare professional primarily responsible for conducting comprehensive assessments of residents in long-term care facilities, collecting data on their health needs using a standardized "Minimum Data Set" form, and utilizing that information to develop personalized care plans, ensuring compliance with federal regulations and optimizing Medicare/Medicaid reimbursement for the facility;

they often collaborate with other healthcare team members to coordinate resident care and advocate for their well-being.

Key responsibilities of an MDS nurse:

• Conducting resident assessments:

  Performing thorough evaluations of residents' physical, cognitive, and functional abilities upon admission and at scheduled intervals using the MDS assessment tool.

• Data collection and documentation:

  Accurately recording resident information on the MDS form, including medical history, functional status, cognitive abilities, and care needs.

• Care plan development:

  Utilizing MDS data to create individualized care plans for each resident, outlining specific goals and interventions to address their needs.

• Interdisciplinary team collaboration:

  Working with other healthcare professionals like physical therapists, occupational therapists, and dietitians to coordinate care and ensure care plans are implemented effectively.

• Compliance monitoring:

  Ensuring all MDS assessments are completed accurately and submitted on time to meet federal and state regulations.

• Communication and resident advocacy:

  Communicating resident needs to family members, healthcare team members, and facility management, advocating for resident well-being.

  Quality improvement initiatives:

  Participating in quality improvement projects to enhance resident care and maintain compliance standards.

Required skills for an MDS nurse:

• Current and unrestrictive active R.N/ L.P.N Illinois State License
• Strong clinical assessment skills
• Excellent communication and interpersonal skills
• Detail-oriented and organized approach to data collection and documentation
• Ability to collaborate effectively with a multidisciplinary team
• Knowledge of federal regulations related to long-term care and Medicare/Medicaid reimbursement
• Understanding of the MDS assessment process and its application