p, 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:
Maintain MDS calendars of all residents, Medicare, MaineCare, Managed care and private pay. Ensure that all components are completed based on requirements.
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.
Completion of the MDS by the RAI Coordinator or licensed designee
Oversee and/or input MDS into computer system
Oversee and/or complete CAAs other disciplines as designated sections as appropriate, ensure correct dates and signatures upon completion
Oversee and/or complete care plans for all residents process according to standard of nursing practice, including nursing restorative plans
Review all care plans on a regular basis for accuracy, appropriateness, and case mix validity
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
Establish documentation approaches and instruct nursing and ancillary staff to document properly
Analyze case mix reports regularly to determine scheduling, assessment, care planning, and documentation practices that manages case mix process systematically in the facility
Provide weekly case mix report to Administrator, DON, and others per facility practice
Oversee and/or submit/transmit electronically all RAI records in a timely manner
Verify all submitted/transmitted records for acceptance and validity of RUG groups
Correct any outstanding errors as necessary
Verify facility roster as necessary, make corrections to ensure proper payment via rate lette
Verify on a monthly basis, the Home Office Billing Departments PPS Report
Maintain accurate/current MCR calendars/boards
Download QI reports upon request and/or instruct others on procedure to download reports
Provide analysis of QI trends, outstanding and new problems individual and facility wide.
Provide report to Administrator DON, and other staff members upon request.
Download QM reports upon request and/or instruct others on procedure to download report
Provide analysis to Administrator, DON and other staff members upon request
Educate staff on meaning/use of QMs
Provide yearly calendar to their supervisor stating education plans, regarding all required documentation
Keep all staff updated on latest changes to rules and regulations of State and Federal government related to the RAI process
Educate on case mix report indicators, i.e., staffing allocation based on level of care
Educate staff on utilizing Qls to improve quality of care
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