MDS​/Restorative Nurse

SUMMARY:

The MDS Coordinator / Restorative Nurse is responsible for the accurate and timely completion of all Medicare/Medicaid case-mix documents in order to assure appropriate reimbursement for care and services provided within the Facility. Conducts continual Minimum Data Set (MDS) reviews to assure achievement of optimal allowable Resource Utilization Group (RUG) category. Oversees the overall process and tracking of MDS/Prospective Payment System (PPS) documentation and submission.

He/she will integrate nursing, dietary, social recreation, restorative, rehabilitation and physician services to ensure appropriate assessment and reimbursement. In addition, the incumbent is responsible for the development, implementation, monitoring and supervision of the restorative nursing program for the facility, acting as the liaison between formalized therapy and nursing. They promote a restorative nursing philosophy among facility departments.

• Assesses and determines the health status and level of care of all new admissions.

• Ensures the accurate and timely completion of all MDS Assessments including PPS Medicare, quarterly, annual, significant change.

• Communicates level of care for new resident to all disciplines.

• Coordinates interdisciplinary participation in completing the Minimum Data Set (MDS) for each new admission to facility according to regulatory time frames. Ensures completeness and thoroughness of documentation as mandated by federal, state and medical standards.

• Maintains an accurate schedule of all MDS assessments to include the proper reference dates throughout the resident’s stay.

• Responsible for the data entry function to assure accurate data entry and electronic submission of MDS assessments.

• Verifies electronic submissions of MDS, performs corrections when necessary and maintains appropriate records.

• Coordinates interdisciplinary participation in completing the MDS for each resident according to regulatory time frames. Ensures completeness and thoroughness of documentation as mandated by federal and state standards.

• Schedules and conducts resident care conferences in compliance with state and federal regulations and ensures completion of all MDS reviews prior to resident care conference.

• Assists disciplines in formulating and revising care plans. Ensures that resident’s present/potential problems are identified and prioritized; realistic goals are established and nursing intervention is appropriate.

• Evaluates resident care plans for comprehensiveness and individuality.

• Assesses the achievement or lack of achievement of desired outcomes. Ensures that resident’s care plan is reassessed and revised appropriately.

• Responsible for all level of care changes within the facility. Notifies all departments when a level of care change has been made.

• Generates appropriate forms to complete level of acuity and changes. Transmits forms to the appropriate agency for processing as required by state law.

• Assists and participates in the development, organization and implementation of the philosophy, objectives, policies, procedures and standards of nursing care in accordance with the goals of the Care Center Facility care and the individual center.

• Confers with the Director of Nursing/Assistant Director of Nursing in assessing the quality of nursing care being delivered and recognizes the need of improving or changing nursing practices.

• Makes daily rounds to evaluate patient care, the progress of individual employees, monitor nursing practices, and assist Human Resources with nursing and educational needs.

• Remains cognizant of legal aspects of nursing practice, as well as government regulations; demonstrates this in teaching, supervision, and evaluation of patient care.

• Performs rehabilitation assessments upon all new admission and for existing patients throughout the center on quarterly basis and as needed.

• Performs or oversees functional evaluations on admission, quarterly and/or as clinically indicated. Consults with nurses in making recommendations for restorative plan of care. Works with nurses in developing restorative plan of care.

• Oversees that all restorative nursing…