RN, Minimum Data Set (MDS)
On-siteWoonsocket, South Dakota, United States
Job Summary
Coordinate and complete accurate, timely Minimum Data Set (MDS) assessments for residents, ensuring regulatory compliance while promoting meaningful health and wellness outcomes. Lead the Resident Assessment Instrument (RAI) process by gathering clinical information from the interdisciplinary team, reviewing medical records, and collaborating with physicians, therapy, social work, and nursing staff to translate findings into precise documentation. Educate staff on MDS requirements, changes in regulations, and best practices in documentation. Participate in care conferences, contribute to the development and review of care plans, and monitor resident outcomes to ensure care is person-centered. Review charts, validate clinical documentation, and analyze data related to quality indicators and case mix to support audit readiness and continuous quality improvement initiatives.
Required Qualifications
- RN
- Minimum Data Set (MDS) nurse
- Resident Assessment Instrument (RAI) process
- clinical information gathering
- medical records review
- collaboration with physicians, therapy, social work, and other nursing staff
- MDS documentation
- individualized care plans
- physical, emotional, social, and spiritual needs assessment
- quality measures
- reimbursement accuracy
- resident experience
- clinical resource
- advocacy
- education on MDS requirements
- education on changes in regulations
- best practices in documentation
- care conferences
- care plan development and review
- resident outcome monitoring
- person-centered care
- CMS regulations
- state survey standards
- chart review
- clinical documentation validation
- data analysis related to quality indicators and case mix
- audit readiness
- continuous quality improvement initiatives
- electronic health records (EHR)
- multiple deadline management
- effective communication with diverse teams and families
- commitment to serving vulnerable and underserved populations
Desired Qualifications
- compassionate
- detail-oriented
- holistic healthcare services experience
- underserved communities experience
- meaningful health and wellness outcomes
- interdisciplinary team leadership
- clinical findings translation
- quality improvement
- community health initiatives
- advanced MDS practices
- limited flexibility for remote work
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