Resident Assessment Specialist

7 days ago


Goshen, Indiana, United States Greencroft Communities Full time
Job Summary

We are seeking a highly skilled and experienced Clinical Nurse Coordinator to join our team at Greencroft Communities. As a key member of our healthcare team, you will be responsible for managing the Resident Assessment Instrument (RAI) process, creating individualized care plans, and ensuring compliance with federal, state, and local regulations.

Key Responsibilities
  • RAI Process Management: Manage the RAI process to assess residents' individual needs and create a unique care plan based on your findings.
  • Regulatory Compliance: Ensure timely completion of each section of the MDS, proper department signing, and resident appropriateness.
  • Diagnosis Coding and Sequencing: Review diagnosis coding and sequencing with physicians quarterly, update/clarify ICD-9 coding as appropriate.
  • MDS Pre-planning and Medicare Meetings: Conduct weekly MDS pre-planning and Medicare meetings to ensure timely and accurate completion.
  • Staff Support and Education: Monitor and assist staff in all departments regarding EMR charting, documentation, and achieving Care Plan goals in accordance with the resident's MDS.
  • Audit and Quality Assurance: Audit sample EMR charting monthly to ascertain proper nursing charting and documentation of care given, directly confer with employees who are not properly documenting.
  • Discrepancy Resolution: Record, report, and follow up discrepancies in documentation that are not consistent and/or do not meet program standards.
  • Care Plan Coordination: Work closely with the Director of Nursing and other department heads to ensure consistency in care, coordinate resident Care Plan with physical, occupational, respiratory, and speech therapy departments.
  • Nutritional Assessments: Follow up on nutritional assessments by the dietary consultants, reporting to the nursing staff and appropriate documentation.
Requirements and Qualifications
  • Licensure: Licensed as a Registered Nurse in the state of Indiana required.
  • Experience: Previous nursing experience, including Long Term Care experience, 2+ years of MDS (resident assessment) experience preferred.
  • Personal Qualities: Personal integrity and professionalism to work effectively with the Interdisciplinary Team, residents, and families.


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