Registered Nurse (RN) - Med Surg
Windsor Hills Nursing Center
Oklahoma City, OK

MDS Nurse - Care Plan Coordinator (RN)

Come work for a company that cares and appreciates its staff and help us strive to be the difference makers and a guiding light in our profession. We are searching for attentive, kindhearted health professionals regardless of the position to help us care for our phenomenal residents. Remarkable benefits our staff can expect: Competitive Wages Comprehensive benefits- Medical, Vision, Dental Insure Oklahoma- Subsidies to eligible employees. Maternity Leave- Long-Term & Short-Term Disability 401 K Plan PTO Holiday Pay Life Insurance Referral Bonus Program Flexible Spending & Daycare Account Employee Monthly Appreciation Activities ON DEMAND PAY- (PayActiv - access to weekly pay!) Education Assistance- That's right, we will support you as you go back to school. We believe in you! Exclusive discounts: AT&T & Verizon Insight & Dell Staples United Moving Services OKRIN & Sherwin Williams AMC Movies Premium Seats USA (concert & sports events) LMT Club & Member Auto Buying by TrueCar Abenity Travel Center Six Flags Harry & David Gifts & Godiva Purpose of Your Job Position The primary purpose of your job position is to conduct and coordinate the development and completion of the resident assessment in accordance with the requirements of this state and the policies and goals of this facility. Job Functions 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. Duties and Responsibilities * Conduct and coordinate the development and completion of the resident assessment (MDS) in accordance with current rules, regulations, and guidelines that govern the resident assessment, including the implementation of RAPs and Triggers. * Maintain and periodically update written policies and procedures that govern the development, use, and implementation of the resident assessment (MDS) and care plan. * Perform administrative duties such as completing medical forms, reports, evaluations, studies, etc., as necessary. * Develop, implement, and maintain an ongoing quality assurance program for the resident assessment/care plans. * Assist the resident and Discharge Planning Coordinator in completing the care plan portion of the resident's discharge plan. * Participate in facility surveys (inspections) made by authorized government agencies. * Monitor the facility's QI and QM reports to ensure that appropriate corrective action can be implemented when potential problems areas occur. * Ensure that all assessments are completed and transmitted in a timely manner. Report problem areas to the administrator. * Ensure that a current copy of the MDS Instructor's Manual is available to persons completing portions of the MDS. * Agree not to disclose assigned user ID code and password for accessing resident/facility information and promptly report suspected or known violations of such disclosure to the Administrator. * Agree not to disclose resident's protected health information and promptly report suspected or known violations of such disclosure to the Administrator. * Report any known or suspected unauthorized attempt to access facility's information system. Committee Functions * Act as Chairperson of the Interdisciplinary Care Plan Team. * Work with the Interdisciplinary Care Plan Team in developing a comprehensive resident assessment and care plan for each resident. * Serve on, participate in, and attend various other committees of the facility (e.g., Policy Advisory, Quality Assessment and Assurance) as required, and as appointed by the Administrator. * Provide written and/or oral reports of the resident assessment/care plan functions as requested or directed by committees. * Participate in functions involving discharge plans as may be necessary. * Evaluate and implement recommendations from established committees as they may pertain to the assessment and/or care plan functions of the facility. Nursing Care Functions * Conduct or coordinate the interviewing of each resident for the resident's assessment. * Evaluate each resident's condition and pertinent medical data to determine any need for special assessment activities or a need to amend the admission assessment. * Develop and implement procedures with the Director of Nursing Services to inform all assessment team members of the arrival of newly admitted residents. * Assist facility directors and supervisors in scheduling the resident assessment/care plan meetings. * Contact and assist in scheduling participation by outside members of the care plan team, including the resident's representative and/or other interested family members. * Ensure that care provided is in accordance with the resident's wishes. Staff Development * Develop and participate in the planning, conducting, and scheduling of timely in-service training classes that include assessment skills or techniques needed to complete the assessment functions of the facility. * Assist the In-service Director/Educator in developing any training activities needed concerning resident assessment/care plan skills (including, but not limited to initial or refresher courses relative to techniques for interviewing residents, rehabilitation principles, commonly used psychotropic drugs, care plan functions, etc.). * Attend and participate in annual facility in-service training programs as scheduled (e.g., OSHA, TB, HIPAA, Abuse Prevention, Safety, Infection Control, etc.) * Attend and participate in advance directive in-service training programs for the staff and community. * Attend and participate in continuing education programs designed to help you keep abreast of changes in your profession, as well as to maintain your license on a current status. * Conduct training programs for appropriate staff on the completion and use of the MDS. Care Plan and Assessment Function * Develop preliminary and comprehensive assessments of the nursing needs of each resident, utilizing the forms required by current rules or regulations and facility policies. * Ensure that appropriate health professionals are involved in the assessment. * 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. * 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. * 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. Education Must possess, as a minimum, a Nursing Degree from an accredited college or university. Experience * Must have, as a minimum, two (2) years of experience as a supervisor in a hospital, nursing care facility, or other related health care facility. * Must have, as a minimum, six (6) months training experience in rehabilitative and restorative nursing practices. Specific Requirements * Must possess a current, unencumbered, active license to practice as a Registered Nurse in this state. * Must be able to read, write, speak, and understand the English language. * Must demonstrate the knowledge and skills necessary to prove care appropriate to the age-related needs of the residents served. * Must be a supportive team member, contribute to and be an example of team work and team concept. * Must possess the ability to make independent decisions when circumstances warrant such action. * Must possess the ability to deal tactfully with personnel, residents, family members, visitors, government agencies/personnel, and the general public. * Must be knowledgeable of nursing and medical practices and procedures, as well as laws, regulations, and guidelines that pertain to nursing care facilities. * Must possess leadership and supervisory ability and the willingness to work harmoniously with and supervise other personnel. * Must possess the ability to plan, organize, develop, implement, and interpret the programs, goals, objectives, policies and procedures, etc., that are necessary for providing quality care. * Must have patience, tact, a cheerful disposition and enthusiasm, as well as the willingness to handle difficult residents. * Must be willing to seek out new methods and principles and be willing to incorporate them into existing nursing practices. * Must be able to relate information concerning a resident's condition. * Must not pose a direct threat to the health or safety of other individuals in the workplace.