Mds rn or lpn

About the Role

Minimum Qualifications

• Current and valid Registered Nurse (RN) or LPN license in the state of employment within the United States.
• Demonstrated experience with Minimum Data Set (MDS) assessments and knowledge of CMS regulations related to long-term care.
• Strong clinical background in geriatrics, long-term care, or skilled nursing facility settings.
• Proficiency in electronic health records (EHR) and clinical documentation systems.
• Excellent communication and organizational skills.

Preferred Qualifications

• Certification in MDS Coordination or related specialty (e.g., Certified MDS Coordinator).
• Experience with quality improvement programs and regulatory survey processes.
• Advanced training or education in gerontology or long-term care nursing.
• Familiarity with care planning software and data analytics tools.
• Ability to mentor and train nursing staff on MDS and documentation best practices.

Responsibilities

• Perform thorough and accurate Minimum Data Set (MDS) assessments for residents in accordance with CMS guidelines and facility policies.
• Collaborate with interdisciplinary team members including physicians, therapists, social workers, and nursing staff to develop and update individualized care plans.
• Review and analyze clinical data to identify changes in resident conditions and recommend appropriate interventions.
• Ensure timely and precise documentation of assessments, care plans, and resident progress to maintain compliance with regulatory standards.
• Provide education and support to nursing staff regarding MDS processes, documentation requirements, and quality improvement initiatives.
• Participate in quality assurance activities and audits to monitor compliance and improve care delivery.
• Communicate effectively with residents, families, and healthcare team members to advocate for resident needs and preferences.

Skills

• The MDS/RN utilizes clinical assessment skills daily to evaluate resident health status accurately and comprehensively, ensuring that care plans are tailored to individual needs.
• Strong communication skills are essential for collaborating with interdisciplinary teams and effectively conveying complex clinical information to staff and families.
• Proficiency with electronic health records and documentation systems enables the MDS/RN to maintain precise and timely records that comply with regulatory standards.
• Analytical skills are applied to interpret clinical data and identify trends or changes in resident conditions, facilitating proactive care adjustments.
• Additionally, leadership and educational skills support the MDS/RN in mentoring nursing staff and promoting best practices in assessment and documentation.