2.4 Ensures timely and accurate compliance of the MDS process and that it reflects the patient's plan of care; 2.5 Participates with the interdisciplinary team in developing, implementing and evaluating ways to achieve patient goals and minimize rehospitalizations; 2.6 Ensures Point Click Care (PCC) is utilized according to the Business Processes; 2.7 Contacts attending physician to obtain orders as indicated (i.e., admission, change in condition, etc.); 2.8 Ensures that Physician Orders are followed as prescribed; 2.9 Oversees medication management to ensure adequate supplies and that all medications are handled in accordance Genesis policy; 2.10 Ensures that patient's attending physician and family or responsible party are promptly notified of any significant change in the patient's health condition; 2.11 Creates an environment that is respectful, team oriented and responsive to the concerns of staff, patients and families; 2.12 Ensures communication between licensed nursing staff and CNAs during and between shifts; 2.13 Participates in shift-to-shift communication between incoming and outgoing nursing staff; 2.14 Serves as a role model in the delivery of direct patient care using the nursing process; 2.15 Provides patient care when required; 2.16 Ensures discharge planning process is in place and provides consultation as needed; 2.17 Ensures complete and prompt reporting of incidents, accidents, and adverse events to Administrator and Director of Nursing. 4.1 Participates in the development, implementation and evaluation of quality improvement activities for the Center and/or unit as requested; 4.2 Prepares written reports, reviews records and participates in needed data collection as indicated; 4.3 Reviews clinical records of patients with unplanned rehospitalizations to identify areas in need of improvement; 4.4 Ensures that patient's accident/incident, adverse event and grievances/concerns are fully documented, investigated, reported and addressed in accordance with Genesis policies and procedures and the Federal/State rules and regulations; 5.