MDS Nurse (Sign On Bonus)

Assist facility directors and supervisors in scheduling the resident assessment/care plan meetings. √ Assist the nursing staff in encouraging the resident and his/her family to participate in the development of a person-centered plan of care; review and revise the plan of care as required. Contact and assist in scheduling participation by outside members of the care plan team including the resident’s representative and/or other interested family members. Coordinate the development of a written plan of care (preliminary and comprehensive) for each resident that identifies the problems/needs of the resident, indicates the care to be given, goals to be accomplished, and which professional service is responsible for each element of care. √ Coordinate the review and revision of the resident’s care plan by the IDT after each quarterly review or other assessment and assure that the care plan is evaluated and revised each time an assessment is done or when there is a change in the resident’s status. √ Ensure that a baseline care plan is developed within 48 hours of a new resident admission. √ Ensure that a comprehensive person-centered care plan is developed within 7 days after completion of the comprehensive assessment. √ Ensure the resident and the representative are presented with a summary of the baseline care plan. √ Evaluate each resident’s condition and pertinent medical data to determine any need for special assessment activities or need to revise or amend the plan of care. √ Ensure that all members of the assessment team are aware of the importance of completeness and accuracy in their assessment functions and that they are aware of the penalties including civil money penalties for false certification. √ Ensure that each portion of the resident assessment is signed and dated by the person completing that portion of the MDS.