MDS Assistant / Restorative Nurse

MDS Assistant

Job Description:

• Responsible for the accurate and timely completion of all Medicare/Medicaid case-mix documents to assure appropriate reimbursement for care and services provided within the facility.
• Integrates nursing, dietary, social recreation, restorative, rehabilitation, and physician services to ensure appropriate assessment and reimbursement.
• Develops, implements, monitors, and supervises the restorative nursing program for the facility.
• Acts as the liaison between formalized therapy and nursing and promotes a restorative nursing philosophy among facility departments.

Essential Duties and Responsibilities:

• Assesses and determines the health status and level of care of all new admissions.
• Ensures the accurate and timely completion of all MDS Assessments, including PPS Medicare, quarterly, annual, significant change.
• Communicates level of care for new residents to all disciplines.
• Coordinates interdisciplinary participation in completing the Minimum Data Set (MDS) for each new admission to the facility according to regulatory time frames.
• Maintains an accurate schedule of all MDS assessments, including proper reference dates throughout the resident's stay.
• Responsible for accurate data entry and electronic submission of MDS assessments.
• Assists in developing and implementing nursing care philosophy, objectives, policies, procedures, and standards.
• Consults with the Director of Nursing/Assistant Director of Nursing to assess the quality of nursing care and identify improvements.
• Makes daily rounds to evaluate patient care and monitor nursing practices.
• Performs rehabilitation assessments for new admissions and existing patients on a quarterly basis or as needed.
• Oversees functional evaluations and develops restorative plans of care.
• Collaborates with the therapy department to implement specific recommendations post-therapy discharge.
• Reviews weekly documentation for residents receiving restorative services and ensures proper ADL documentation.
• Oversees incontinent management programs and participates in care planning conferences.
• Coordinates new staff orientation relative to restorative nursing roles and responsibilities.
• Provides ongoing education and evaluation of direct care staff.
• Actively participates in physical restraint reduction and fall management programs.
• Sets up documentation flow sheets for restorative nursing measures.
• Serves as a liaison with physical, occupational, and speech therapists.
• Participates in patient care planning and CMI meetings.
• May serve as Medicare Services Coordinator (MDS Coordinator) as needed.
• Ensures patients and families receive high-quality service in a compassionate atmosphere.

Qualifications:

• Registered Nurse with current unencumbered state licensure.
• Long Term Care Experience preferred.
• Ability to read, write, speak, and understand the English language.

Physical Demands:

• Required to sit, stand, bend, and walk regularly; lift and/or move up to 25 pounds.
• Visual and auditory ability sufficient for written and verbal communication.
• The noise level in the work environment is usually moderate.