Current, unencumbered license to practice as a RN in this state.
Must possess current CPR certificate or become certified within 90 days of employment.
Working knowledge of OBRA, IDPH and IDPA (for homes in Illinois) and Wisconsin DQA (for homes in Wisconsin) standards and methods of documenting according to those standards.
Must be able to read, write and speak the English language in an understandable manner.
Must possess the ability to deal tactfully with residents, family members, visitors, personnel, government agencies/personnel, and the general public.
Must possess leadership ability and willingness to work harmoniously with personnel.
Follow established departmental policies and procedures.
Oversees the scheduling, completion, and accuracy of all MDS item sets.
Coordinate the development of a written plan of care for each resident that identifies the problems/needs/concerns for the resident. Check for adequate description of problems, resident centered goals, which are realistic and measurable and multi-disciplinary approaches to goals.
Chairs resident care plan conference and relays all concerns from resident and/or family/responsible party to the Administrator.
Oversee that residents/ families/responsible parties are contacted in relation to participation in care plan conferences per RAI guidelines.
Plan, conduct, and participate in In-service Education Program as it pertains to the RAI process.
Assist in implementing and maintaining an effective orientation program that orients the new employee to the RAI process and data entry.
Attend and participate in continuing education programs.
Monitor resident’s medical record, including MDS, Cardex, Care Plans, progress notes, Physician Order Sheets, Flow records, monthly nursing summaries, IDT notes/assessments, etc. for consistency and content. Address discrepancies in documentation which are not consistent and/or do not meet program standards to appropriate department manager and Administrator.
Maintain ICD-10 codes for current diagnosis.
Facilitate restorative programs for all residents and complete required assessments and documentation in a timely manner.
Report IT concerns to help desk timely.
Participate in the development, maintenance, and implementation of the facility’s QAPI program.
Attend relevant meetings as directed by the Administrator.
Perform other related duties as assigned.
