MDS Nurse

YAD Healthcare; Ramseur (NC); On-site; USD 34,000 - 44,000; Full time

Benefits offered by this job

Extensive Benefits Package

Bonuses

Job summary

YAD Healthcare in Ramseur, NC is seeking a dedicated nurse to join our care team. This full-time role emphasizes comprehensive care planning, regulatory compliance, and close coordination with the MDS and nursing staff.

You will manage resident plans, monitor status changes, ensure documentation accuracy, and participate in meetings. A valid NC nursing license and CPR certification are required, with LTC experience preferred.

Qualifications

• Knowledge of MDS process and regulatory requirements.
• Active nursing license in North Carolina (RN/LPN).
• CPR certification mandatory.
• One year LTC experience preferred.

Responsibilities

• Stay current with federal/state regulations and professional standards.
• Assist development of comprehensive care plans with MDS coordination.
• Coordinate and monitor the written plan of care for each resident.
• Assist nursing leadership with nurse notes and care plan adherence.
• Monitor resident status changes and involve clinical team as needed.
• Ensure MDS and supporting documentation meet regulatory/audit requirements.
• Perform regular documentation audits for accuracy.
• Assist with discharge processes.
• Complete administrative forms and reports.
• Maintain infection control and safety practices.
• Maintain confidentiality of residents' health information.
• Report hazardous conditions and equipment issues.
• Maintain resident comfort, privacy, and respectful care.
• Respond promptly to call lights and communicate effectively with residents and families.
• Attend departmental meetings and training sessions.

Skills

MDS process knowledge

Education

Current State License as a Nurse

CPR Certified

Job description

• New competitive wages- excellent pay for the right candidate!
• New added bonuses and perks
• Extensive Benefits Package

Essential Functions:

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

1. Keep abreast of current federal and state regulations, as well as professional standards.

2. Assist with the development of comprehensive care plans for Residents in coordination with the MDS that accurately addresses the needs of the Resident.

3. Coordinate, manage and monitor the written plan of care for each Resident of the facility that identifies the needs of the Resident and goals to be accomplished for each need.

4. Assist nursing management with the coordination, management, and review of nurse’s notes to determine if the care plan is being followed.

5. Monitor Resident status changes to ensure appropriate and timely nursing or clinical team involvement.

6. Assure MDS and support documentation are accurate representation of the Resident and meet regulatory and auditor requirements.

7. Perform regular audits of documentation to assure accuracy.

8. Assist nursing management with the discharge process.

9. Perform administrative requirements, such as completing necessary forms and reports.

10. Assure that established infection control and standard precaution practices are maintained when providing care. Follow established safety precautions when preforming tasks and using equipment and supplies.

11. Maintains strict confidentiality regarding sensitive health information of Residents.

12. Reports all hazardous conditions, damaged equipment and supply issues to appropriate persons.

13. Maintains the comfort, privacy and dignity of Residents and interacts with them in a manner that displays warmth, respect and promotes a caring environment.

14. Answer and respond to call lights promptly and courteously when working in Resident care areas.

15. Communicates and interacts effectively and tactfully with Residents, visitors, families, peers and supervisors.

16. Attend and participate in departmental meetings and in-services as directed.

Required Education and Experience:

• Current State License as a Nurse
• C.P.R. Certified

Preferred Education and Experience:

• One year experience as a Nurse in a long-term care setting.

Additional Eligibility Qualifications:

• Knowledge and training in all aspects of MDS process.