MDS Nurse Assistant RN​/LPN

The MDS Nurse is responsible for completion of Minimum Data Sets (MDS) and associated processes in the development of the individualized plan of care and the appropriate financial reimbursement for each patient.

As a MDS Nurse, you are delegated the authority, responsibility, and accountability necessary for carrying out your assigned duties.

Every effort has been made to identify the essential functions of this position. However, it in no way states or implies that these are the only duties you will be required to perform. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or is an essential function of the position.

• Ensures the completion of the Minimum Data Sets (MDS) and Plan of Care in an accurate and timely manner, in accordance with Nursing Department policies and procedures, State and Federal requirements, and following the established interdisciplinary process.
• Adheres to the schedule for completion of the MDS.
• Ensures the timely completion of the MDS process in accordance with OBRA and PPS regulations.
• Completes designated nursing sections of MDS, reviews the MDS for completion, and transmits MDS to the state.
• Completes the CAA summary, CAA notes, Medicare Assessment tracking form, discharge, and re-entry tracking forms, as applicable.
• Gathers pertinent information regarding patients/residents from personal observations, discussions with nursing staff, patient/resident family members, other members of the interdisciplinary team, etc., and ensures all information is included in the MDS.
• Coordinates managed care updates and seeks highest reimbursement, as directed.
• Provides assistance to the UR team during MDS reviews, as directed.
• Facilitates weekly Medicare meetings, PPS, participates in committees/action plans to further develop the care planning process, and attends all other meetings as directed to assess the need for patient/resident significant changes.
• Serves as an educator regarding MDS information, ADL coding, skilled documentation, and all discipline documentation needed for MDS.
• Serves as an active and visible member on each unit, and as a resource, observer, and listener to obtain an accurate picture of each patient/resident’s care status.
• Participates in regularly scheduled reviews of the discharge plans and makes such plans available to the Care Plan Committee as required or as may be necessary.
• Assists in ensuring compliance with State and Federal standards and regulations.
• Interacts regularly with Director of Nursing, Nursing Department staff, etc., to develop and monitor indicators to assess the effectiveness of the care planning process.
• Effectively collaborates with all staff members, clinical care, and interdisciplinary team members to work towards the provision of maximum quality care for patients/residents.
• Follows all established departmental policies and procedures at all times.
• Performs other duties as assigned or as necessary.
• Remains flexible and adaptable in work schedules and work assignments as defined by departmental and organizational needs.

• Attend various committees of the facility (i.e., Infection Control, Policy Advisory, Pharmaceutical, Budget, Quality Assurance & Assessment, etc.) as required.
• Serve on the Quality Assurance and Assessment (QA) and Quality Assurance and Performance Improvement (QAPI) Committees as directed.
• Serves on the Compliance and Ethics Committee.
• Provide information to the QA and QAPI Committees as requested.
• Assist in preparing written and/or oral reports of MDS programs and activities to submit to such committee(s) as directed.
• Participate in developing the agenda for the Care Plan Committee meetings as necessary.
• Participate in regularly scheduled reviews of the discharge plans and makes such plans available to the Care Plan Committee as required or as may be necessary.
• Implements recommendations from established committees as instructed by the Director of Nursing.
• Attends all other meetings as necessary or as directed.

• Maintain the confidentiality of all resident care information.
• Monitor…