Job Description

Job Description

Job Description

Description:

Position Summary

Are you ready to make a meaningful difference in the lives of our residents every day? As the MDS Coordinator at Santa Marta, will you take the lead in guiding the assessment and care planning process, working closely with an interdisciplinary team to ensure every resident receives personalized, high-quality care? Can you help create care plans that promote independence, comfort, and well-being, while ensuring accurate documentation and compliance with standards? If so, your skills and compassion will directly support Santa Marta’s mission of enriching the lives of those we serve.

Essential Duties and Responsibilities

This list reflects the main responsibilities for this position. Other duties may be assigned as needed.

• Interview residents to assess medical conditions and document findings for the physician.
• Conduct pre-admission assessments for prospective residents.
• Evaluate residents for Medicare eligibility, including clinical criteria and available days.
• Lead the interdisciplinary team in completing the Resident Assessment Instrument (RAI), including MDS and Care Area Assessments (CAA).
• Ensure timely completion of RAI processes for all residents.
• Monitor resident health status and initiate reassessments as needed.
• Review nurse charting to maintain Medicare compliance.
• Submit RAI data to CMS weekly and communicate with billing for accuracy.
• Collaborate with the interdisciplinary team to develop resident care plans.
• Attend and coordinate Resident Care plan Meetings with Social Services.
• Educate staff on documenting services according to care plans.
• Audit internal and external provider services for accurate, timely documentation.
• Explain procedures and treatments to residents to encourage cooperation and understanding.
• Rotate among clinical services as needed and participate in quality improvement, staff education, and infection control activities.
• Maintain compliance with personnel policies, community procedures, and federal/state regulations, including HIPAA.
• Participate in an on-call rotation with nursing administration.
• Respond to calls from Independent Living residents as needed, providing first aid or contacting emergency personnel/family.
• Perform additional duties as assigned.

Supervisory Responsibilities

• Oversee the interdisciplinary care team to ensure high-quality care and accurate documentation.
• Monitor charge nurses and CNAs for adherence to state and federal guidelines

Qualifications

Education & Experience:

• Required: Current, unencumbered Registered Nurse (RN) license.
• Bachelor’s degree (B.A.) from a four-year college/university, and/or 1–3 years of related experience or equivalent combination of education and experience.

Clinical Expertise:

• Knowledge of geriatric care standards, complex medical conditions, multiple diagnoses, preventive care, rehabilitation, and promoting independence.

Skills & Abilities:

• Language: Effective written and verbal communication; ability to read and interpret safety rules, procedure manuals, and reports.
• Mathematical: Ability to calculate dosages, fluid intake/output, measurements, proportions, percentages, and apply basic algebra/geometry.
• Cognitive: Apply common sense to follow instructions and solve problems in standardized situations.
• Computer: Proficient with Microsoft Windows, MDS submission software, and internet use.
• Other Competencies: Ability to operate a vehicle and general office equipment.

Work Environment & Physical Requirements

• Primarily indoors in a climate-controlled setting.
• Possible exposure to odors, chemicals, and residents who are ill or confused.
• Physical demands include standing, walking, sitting, reaching, and occasionally lifting up to 100+ pounds.
• Vision requirements: close, distance, color, peripheral, depth perception, and focus adjustment.

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