As part of a high-functioning leadership and care team, conduct and coordinate the development and completion of the resident assessment in accordance with the rules and regulations of State and federal government and the policies and goals of the facility. Reports to the Director of Nursing.
Essential Job Functions:
Our employees are expected to promote an atmosphere of teamwork with other employees and hospitality and comfort for its residents. Therefore, the following list of duties is not all-inclusive:
Assess/Oversee assessment of all residents through the RAI process and ensure coding accuracy, capturing needs and level of assistance, in accordance with current rules, regulations, and guidelines
Review all care plans on a regular basis for accuracy, appropriateness, and case mix validity
Oversee and/or complete care plans for all residents process according to standard of nursing practice, including nursing restorative plans
Establish documentation approaches and instruct nursing and ancillary staff to document properly
Communicate MDS due date so that interdisciplinary team members complete their portions appropriately and on time.
Instruct all disciplines in proper procedures, completion of MDS items, and CAAs, Care Mix payment and Quality Indicators.
Must have MDS and ICD-10 coding experience, RAC-CT certification preferred
Current, active, Maine RN licensure
Strong nursing clinical assessment, care planning, and delivery of care skills, with a long term care population
Skills and Abilities:
Geriatric health care needs
Federal and State regulations pertaining to long term care and the resident assessment process
Medicare and MaineCare regulations, as well as the application of the State Operations Manual, and Principles of Reimbursement
MDS manual and updates; Quality Indicator System
Strong computer literacy. Experience with and ability to document within electronic medical records.
Work and communicate tactfully with residents, staff; administration, families, physicians, ancillary services, allied health care professionals, surveyors, regulators, other business contacts, the public and the community
First Atlantic Health Care