Job Description

Job Title

Requirements: License and certifications: RAI manual expertise required with certification

Registered Nurse with current Nebraska nursing license or from a compact state recognized by the Nebraska Board of Nursing upon hire and maintained in good standing throughout employment required.

Three (3) years of clinical experience or clinical operations expertise in a LTC/Skilled Rehabilitation health care environment required. *

Two (2) years of experience completing MDS assessments and care planning required including an extensive Knowledge of the RAI manual, RUG scores, Prospective Payment System (PPS) assessment, PDPM, care planning, CAA's, OBRA's and regulatory requirements related to LTC required.

Completion of Resident Assessment Coordinator-Certified (RAC-CT) within six (6) months of hire required.

Basic life support/cardiopulmonary resuscitation (CPR) certification within three (3) months of hire and maintained throughout employment required

Responsibilities:

Complete Nursing areas of responsibility on the MDS assessments, remaining alert and current on completion/submission requirements/timelines for MDS assessments (e.g. VA contracts, managed care plans) and submitting completed MDS assessments to the State.

Develop, document, and implement individualized interdisciplinary care plans ensuring the patients'/residents' care/medical needs.

Establish and maintain effective work relationships with clients, supervisors, County employees, elected officials, attorneys, law enforcement, judges, other agencies, and the public.

Comply with Civil Service policies and regulations, collective bargaining agreements, County policies, department policies and laws to create a cooperative, safe, respectful and quality work environment.

Gather information, review chart documentation, and interview patients/residents, ensuring completion and documentation of follow-up and assessment data is recorded.

Assist in developing and revising MDS and care planning policies and procedures, ensuring regulatory compliance and providing ongoing support and training. Work with departments ensuring proper coding of the MDS.

Ensure disciplines are informed of changes in the Resident Assessment Instrument (RAI) manual. Provide information exchange relating to assessments amongst disciplines and the MDS Coordinator.

Adhere to facility interpretation of the MDS regulations and standards ensuring compliance with local, state, federal, and other regulatory agencies.

Participate in developing, implementing and evaluating the plan of care, attending Care Plan meetings and ensuring care plans are updated and reflect individual care needs.

Assist in informing the interdisciplinary team of assessment due dates ensuring achievement of required timelines.

Maintain knowledge and job skills (e.g. journals, workshops, seminars, webinars, continuing education, meetings) informing management of changes.

Establish and maintain contacts with MDS professionals from other health care organizations (e.g. American Association of Nursing Assessment Coordinators (AANAC)), exchanging information and remaining current with regulatory requirements.

Assist in providing annual in-service education and orientation programs. Attend and/or lead facility meetings, consult and assist with MDS completion, scheduling, various payment type classifications, Omnibus Budget Reconciliation Act (OBRA), and appropriate therapy dates.

Review and verify payment sources ensuring information is accurately entered. Serve as a resource person, promote a positive work environment, and assist in resolving conflict.

Maintain confidentiality of department, patient/resident, employee information, communication, and documentation and compliance with Health Insurance Portability and Accountability Act (HIPPA) regulations.

Inform Nursing and Therapy of changes in patients'/residents' condition, continue communication, and immediately report any suspicion/allegation of abuse/neglect to supervisor.

Promote and maintain a clean and safe work environment ensuring malfunctioning equipment is removed and tagged for repairs.

Respond to and assist with medical and psychiatric emergencies and codes. Observe, adhere to, and promote emergency/safety protocols and measures related to hazards (e.g. bio, chemical, fire, weather, internal disasters, wandering patients/residents, community disasters).

Provide technical assistance to staff (e.g. MDS assessments, new employee orientation, clinical nursing preadmission assessment).

Participate in Quality Assurance and Performance Improvement (QAPI) activities. Perform appropriate direct hands-on nursing care and provide patient/resident education.

Plan, coordinate, and supervise nursing care ensuring compliance with standards of care, policy/procedures.

Assess patients/residents, initiate physician orders, administer medication, complete procedures, and provide treatments.

Document assessments, care, education, and observations in medical record

Report on work with regular, consistent attendance.

Perform other duties as assigned and directed

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.

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