Responsible for thedevelopment and the timely completion of the Minimum Data Set (MDS), Care AreaAssessments (CAA), and care plans. Ensure that the data is appropriate to the needs of the resident basedupon the assessment and is in compliance with State and Federal regulations.
1. Assistin developing, maintaining and updating policies and procedures related to thegathering of data for the completion of the MDS, CAA, and care plans.
2. Developa written plan of care for each resident that identifies the problems/needs ofthe resident, the care to be given, the goals to be accomplished, and thediscipline required for each goal.
3. Develop,coordinate, and maintain a tracking system of Quality Assurance in regard tothe MDS, CAA, and care plans. Conductand coordinate the revision of the MDS, and CAA. Maintain an up-to-date and accurateMDS/assessment calendar. Ensure MDScompliance of timelines, accuracy and signature of the information of data.
4. Provide orientationand in-service to staff, family and resident, and physicians, as necessary, toensure understanding of the MDS/care planning process.
5. Maintainand implement an organized, efficient system to ensure submission of allMDS/care plan information timely and accurately.
6. Participatein care plan meetings and ensure notification of all team members, family, andresident.
7. Perform otherduties, and assume additional responsibilities as assigned.
8. Codediagnoses using International Classification of Diseases10 – ClinicalModification (ICD10 CM) or the then current version.
9. Completecertifications and re-certifications accurately and timely.
Must possess anapplicable clinical degree and licensure.
Must have a minimumof one year clinical experience, preferably in a Long Term Care setting. Must have a working knowledgeable of the MDSprocess.
| Location | Birmingham, AL |
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