MDS Assistant

Cambridge Healthcare Services, LLC

Murrieta (CA)

On-site

USD 60,000 - 85,000

Full time

14 days+

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Job summary

Cambridge Healthcare Services, LLC is seeking an MDS Nurse/LVN to provide direct resident care and support the MDS Coordinator. You will identify health problems, help set goals within the care plan, and coordinate appropriate medical interventions to maintain residents' health and well-being.

You will participate in resident assessments, ensure care plans are followed by the IDT, document thoroughly, and contribute to quality improvement efforts.

Qualifications

LVN license in good standing and LVN training completed.
1 year of skilled nursing experience preferred.
English language proficiency (read/write/speak).
Ability to use computer/tablet to enter resident data.
PCC proficiency is a plus.

Responsibilities

Provide direct resident care per the patient care plan and document results.
Assess and monitor care planning processes; update care changes as needed.
Complete medical charting accurately and timely.
Implement quality improvement initiatives in resident care.
Conduct Resident Assessment by interviewing residents and families.
Supervise development of individual resident care plans.
Report changes to DON and Physician; ensure MDS process compliance.
Complete MDS forms per state/federal standards.
Understand PDPM, Managed Care, and Medicaid reimbursement.
Participate in care conferences and QAPI processes.
Maintain facility policies; protect IDs/passwords.
Report occupational exposures; participate in surveys.
Attend staff meetings and serve on committees.

Skills

Skilled nursing experience

English language

Computer literacy

PCC proficiency

Education

LVN training certificate

LVN license in good standing

CPR/BLS certification

Tools

PCC Software

Job description

LVN License Required

POSITION SUMMARY

The primary purpose of your job position as MDS Nurse is to provide direct care to residents. In your role as MDS Nurse, you will work to restore or maintain the resident’s health and well-being by assisting the MDS Coordinator with

health and wellness problem identification (actual/potential), goal setting within the patient care plan, and establishing appropriate medical interventions. The MDS Nurse will conduct and coordinate the development and completion of the

Resident Assessment in accordance with current federal, state, and local standards that govern the Facility, and as directed by management.

ESSENTIAL DUTIES AND RESPONSIBILITIES

Provide direct care to residents in accordance with their patient care plan including assisting with problem identification (actual/potential), goal setting with the patient care plan, and establishing appropriate medical interventions.
Assess the resident care planning process completion and accuracy and monitor the level of care changes and determinations.
Complete charting in medical records, to the extent required, in an accurate and timely manner.
Implement patient-centered quality improvement initiatives to further the quality of care resident’s receive.
Perform Resident Assessment including, including collecting and documenting medical history, current medications, and functional abilities, to develop an accurate resident patient care plan by interviewing residents and family members. Frequent visits to resident rooms, therapy rooms, and other areas throughout the facility to obtain resident records and other information.
Supervise and assist in the development of individual resident care plans.
Monitor patient’s condition and report any changes in a patient’s condition identified by the MDS Assessment to the DON and Physician
Ensure resident care plan is being followed by IDT and monitor IDT progress in tandem with patient’s progress to ensure compliance with the MDS process.
Ensure that residents’ present/potential health and wellness problems are identified and prioritized and that appropriate medical intervention is taken to address any present or potential health and wellness problems or risks.
Ensure that direct care is provided to residents including, preventive measures, treatments, medications, diet and other health services prescribed by the attending physician are promptly carried out and documented, and recommend and implements changes in the administration of direct care, treatment methods, and care plans.
Report any changes in a patient’s condition identified by the MDS Assessment to the DON and Physician Ensure resident care plan is being followed by IDT and monitor their progress to ensure compliance with the MDS process.
Complete medical forms, charts, and reports in an accurate and timely manner.
Ensure that the Minimum Data Set (MDS) form is completed in accordance with State and Federal regulations and medical standards.
Understand long-term care reimbursement process including PDPM, Managed Care and Medicaid, triple check, etc.
Participate in resident care conferences.
Participate in the QAPI process as they relate to direct patient care.
Monitor Quality Care Indicators as they relate to direct patient care.
Abide with all facility policies and procedures including not disclosing user ID codes and passwords.
Report any occupational exposures to blood, body fluids, or other hazardous materials to a supervisor immediately.
Participate in facility surveys (inspections) when required and assisting with plan of corrections as well as follow up.
Attend Facility staff meetings and serve on Facility committees as requested.

Every effort has been made to identify the essential functions of this position. However, it in no way states or implies these are the only duties you will be required to perform as directed by management. The omission of specific

statements of duties does not exclude them from the position if the work is similar, related, or is an essential function of the position.

EXPECTATIONS AND VALUES

The MDS Nurse will treat each resident with kindness, dignity, and respect. Such behaviors include:

Knocking before entering each resident’s room
Referring to each resident by their name
Communicating clearly, empathetically, and effectively when speaking to residents, family members, visitors, all staff and governmental agencies
Working cooperatively with all departments and multidisciplinary teams
Maintaining a positive and calm disposition
Demonstrating patience, initiative and willingness to assist residents that may be difficult
Relaying all pertinent information concerning a resident’s condition to a charge nurse when required
Having a commitment to always doing the right thing

REQUIREMENTS

Education / Licensure

LVN training from an accredited school or college
Valid LVN license in good standing
Valid CPR and BLS card

Qualifications / Experience

Minimum of 1 year of skilled nursing experience preferred
Must be able to speak, read, write and comprehend the English language
Ability to use computer/tablet to enter resident data
Proficiency with PCC a plus

Working Conditions

May encounter frequent interruptions
May be involved with residents, family and government agencies
May be requested to work beyond scheduled working hours at times
May be exposed to infectious waste, diseases, conditions, etc., including TB and the AIDS and Hepatitis B viruses

Physical Requirements