Identify and document nursing problems, goals, and approaches, and coordinate the development of an individual Plan of Care for each resident in cooperation with the physician, Medical Director, nursing staff, interdisciplinary team, and outside consultants (nursing, dietary, pharmacy, therapists, etc.) in accordance with corporate, state, and federal guidelines. Verify that MDS documentation is placed in resident's medical record and that documentation is complete, including dates, signatures, and sections completed by all members of the interdisciplinary team.