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MDS / Clinical Manager in Mason, OH at Deaconess Long Term Care, Inc.

Date Posted: 1/2/2019

Job Snapshot

Job Description

         Fulltime MDS/Clinical Manager available for our 43 bed SNF unit and 10 bed ALU. Health and Dental Benefits available after 90 days. 

The primary purpose of this position is to provide management assistance to the Director of Nursing. Provide resident care as related to the MDS and Care Plan and in accordance with HFCA regulations and guidelines, state regulations, and the Deaconess mission philosophy and as directed by the Director of Nursing and Administrator. As the Clinical Manager, you are delegated the administrative management authority, responsibility, and accountability necessary for carrying out your assigned duties over the clinical staff, MDS, Care Planning, and Functional Maintenance Program.

Every effort has been made to identify the essential functions of this position. However, it in no way states or implies that these are the only duties you will be required to perform. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or is an essential function of the position.

Job Requirements

  • Conduct a comprehensive, accurate, standardized assessment of each Resident upon admission, at specified periods, and upon significant change in condition. Assessment includes:

  • Admission Assessment within 14 days of admission to the facility including RAPS and RAP Summary.

  • Annual Assessments including RAPS and RAP Summary.

  • Significant Change in Condition full Assessment, including RAPS and RAP Summary.

  • Quarterly assessments per federal regulations, including a review and update of Care Plan.

PPS Schedule:

  • 5 day full Assessment without RAPS, include section T, unless used as an admission assessment.

  • 14 day full Assessment with RAPS & RAP Summary, include section T.

  • Full Assessment by day 30, 60, & 90 without RAPS, does include section T.

  • Significant Change in Condition – Full Assessment with RAPS & RAP Summary, section T, due 14 days after significant change is noted. A new Care Plan is written 7 days after completion of MDS/RAPS.

  • Develop a Care Plan using the MDS/RAPS, schedule completion within 7 days of the completion of the MDS/RAPS & RAP Summary, but not later than day 21 of stay.

Care Plan includes:

  • Measurable goals and time tables.

  • Strengths and weaknesses of the Resident.

  • Services to be provided to maintain highest level of function.

  • Coordinate the completion of the MDS/RAPS/Care Plan with the appropriate health professionals including the facility’s appropriate Nursing Staff, Social Worker, Activities Director, Dietary Manager, Restorative Aide, Physical, Occupational, Speech, and Respiratory Therapists (as applies), Psychologist and/or Psychiatrist, and the Resident’s Physician.

  • Complete initial admission audit and also ensure all of the health care individuals involved with the Resident have completed their portion of the MDS, RAPS, RAP Summary, and Care Plan. Review the existing Care Plan with the Care Plan Team.

  • Skin Risk Assessment

  • AIMS Test

  • Nutritional Alert Assessment

  • Restraint / Enabler Assessment

  • Fall Risk Assessment

  • Bowel & Bladder Assessment

  • Balance Assessment per RAI manual

  • Vision/Hearing Assessments per RAI manual

  • Cognition Assessment per RAI manual

  • Self Med Assessment

  • Smoking Assessment

  • Pain Assessment

  • Behavior Assessment

  • Ensure admission baseline care plans are completed and signed within 48 hours of admission.

  • McGreers criteria is completed for each antibiotic.

  • Ensure the completion of all assessments needed for MDS/RAPS, including:

  • Perform routine charting duties as required and in accordance with established charting and documentation policies and procedures.

Manage and moderate the Care Plan Medicare meetings. Care Plan Medicare Management meetings should be held at least once a week, scheduled the same day and time-of-day.

  • Print Care Plan Meeting letters for Residents who have Care Plan Meeting scheduled for next month. These should be given to the Social Worker to send out no later than the 10th of the month prior to scheduled meeting. Responsible for notifying and appropriate persons on the Care Plan Meeting:

  • Resident if able & willing

  • Family/Guardian if able & willing

  • Nursing Staff caring for Resident (if appropriate)

  • Social Worker

  • Activities Director

  • Dietary Manager (Dietitian when available)

  • All Therapies

  • Restorative Aide

  • Generate and provide a schedule of all MDS assessments due by the 28th of the preceding month. Update new admits as needed.

  • Chart MDS/RAPS/Care Plan immediately upon completion. Transmit MDS information to the appropriate state agency at minimum every 30 days. Transmitting once a week is recommended.

  • Participate in all meetings as applicable or accurately by DON and/or NHA.

  • Monitor significant weight changes, falls, psychotropic meds, infections and other changes in a Resident’s condition. Notify DON & Administrator of increases or declines.

  • Participate in discharge planning, including communication of effective nursing activities to those responsible for care after discharge.

  • Follow all safety protection programs as clearly outlined as it relates to fire prevention, safety ergonomics, hazardous chemical usage, disposal and storage, staff education in the use of the MSDS manual, and all general maintenance safety procedures and devices. Report any contrary conditions to the Department Head and the Administrator so corrective steps can be implemented.

  • Participate as a member of the nursing administrative team by assuming management duties as assigned such as on call rotation, performance reviews, disciplinary action, staffing, etc.

  • Performs other duties as assigned.

  • Manage the functional maintenance program that maximizes the resident’s existing abilities, emphasize independence instead of dependence and minimize the negative effects of disability in accordance with Deaconess Nursing Policies and Procedures and the Deaconess Mission Philosophy.

  • Direct, daily supervision is provided by the Clinical Manager with speech, occupational and physical therapist providing consultation relating to rehabilitation to functional maintenance

  • Manage the implementation of resident assessments (MDS) and care plans as it relates to functional maintenance.

  • Manage and recommend modifications and changes in the resident’s functional maintenance plan as indicated.

  • Meet established standard for resident care with management of STNA training and preparedness specific to the residents situation.

  • Ensure resident has the necessary equipment for the functional maintenance program.

  • Answer any questions the resident or family may have concerning functional maintenance.

  • Review request for functional maintenance and physician’s order with IDT for appropriateness.

  • Manage the documentation of program with oversight of the plan of care, the resident’s reactions and progress, or lack thereof, in an informative descriptive manner that reflects and supports MDS assessment.

  • Takes on call rotation every third week and supervises nursing staff with appropriate direction and delegation as needed. Provides clinical coverage if unable to secure staffing from staff or mandate list.