Travel Nurse RN - Med Surg
Castro Valley, CA
Magnet Medical
5x8 hrs, Days

MDS Assessment and Coordination:

• Conduct comprehensive and accurate MDS assessments for residents, ensuring all data collected meets the facility’s standards and regulatory requirements.
• Ensure that assessments are completed timely (typically every 3, 6, or 12 months), and accurately reflect the resident’s current health status, including medical conditions, functional abilities, and psychosocial factors.
• Work with interdisciplinary team members (e.g., physicians, social workers, therapists) to gather relevant information for the MDS assessment.
• Update MDS assessments as needed based on changes in a resident’s condition, care plan, or regulatory requirements.

Care Planning and Collaboration:

• Collaborate with the care planning team to develop individualized care plans based on the MDS assessments, ensuring that residents' needs are met and addressed appropriately.
• Ensure care plans are reviewed and updated as needed, based on ongoing MDS assessments, changes in the resident’s condition, or feedback from the care team.
• Provide support in implementing and monitoring care plan goals, ensuring consistency across various disciplines.

Regulatory Compliance:

• Maintain an in-depth knowledge of federal and state regulations related to MDS assessments and long-term care documentation.
• Ensure the facility remains in compliance with Centers for Medicare and Medicaid Services (CMS) guidelines, state regulations, and The Joint Commission (TJC) standards regarding the MDS process and care documentation.
• Ensure timely submission of MDS assessments to the appropriate regulatory bodies for reimbursement and quality measures.

Documentation and Reporting:

• Accurately document all MDS assessments, care plans, and updates in the electronic health record (EHR) or MDS software systems.
• Generate and submit required reports for Medicare, Medicaid, or other payer programs, ensuring proper billing and reimbursement.
• Maintain up-to-date documentation regarding each resident’s progress, care plan changes, and any modifications in their health status.

Quality Assurance and Monitoring:

• Perform regular audits and reviews of MDS assessments to ensure that they are completed correctly, fully, and in compliance with all applicable regulations.
• Monitor resident care outcomes to ensure that services provided are effective and that the facility meets required quality measures for health care services.
• Participate in facility quality improvement initiatives, particularly those involving care plans, documentation, and MDS compliance.

Training and Education:

• Provide training and support to nursing staff, care providers, and other team members on the MDS process and requirements.
• Educate staff on how to accurately document resident care, complete MDS assessments, and use MDS-related software or systems.
• Stay updated on regulatory changes, MDS guidelines, and best practices through ongoing education, professional development, and participation in relevant training.

Communication and Liaison:

• Serve as the primary point of contact for MDS-related questions, concerns, or clarifications within the facility.
• Communicate effectively with residents, families, and the interdisciplinary team regarding assessment outcomes, care planning, and any necessary changes to resident care.
• Work closely with facility leadership and external stakeholders to ensure that all MDS assessments are conducted and processed according to regulations.

Resident and Family Advocacy:

• Advocate for residents’ needs and rights, ensuring that the care plans and MDS assessments fully reflect the individual’s preferences, goals, and healthcare needs.
• Participate in family meetings or conferences as necessary to explain the MDS process and how it impacts resident care and outcomes.