MDS / Careplan Nurse

An MDS nurse, also known as a Minimum Data Set nurse or Nurse Assessment Coordinator, is

a healthcare professional primarily responsible for conducting comprehensive assessments of residents in long-term care facilities, collecting data on their health needs using a standardized "Minimum Data Set" form, and utilizing that information to develop personalized care plans, ensuring compliance with federal regulations and optimizing Medicare / Medicaid reimbursement for the facility

;  they often collaborate with other healthcare team members to coordinate resident care and advocate for their well-being.

Key responsibilities of an MDS nurse :

Conducting resident assessments :

Performing thorough evaluations of residents' physical, cognitive, and functional abilities upon admission and at scheduled intervals using the MDS assessment tool.

Data collection and documentation :

Accurately recording resident information on the MDS form, including medical history, functional status, cognitive abilities, and care needs.

Care plan development :

Utilizing MDS data to create individualized care plans for each resident, outlining specific goals and interventions to address their needs.

Interdisciplinary team collaboration :

Working with other healthcare professionals like physical therapists, occupational therapists, and dietitians to coordinate care and ensure care plans are implemented effectively.

Compliance monitoring :

Ensuring all MDS assessments are completed accurately and submitted on time to meet federal and state regulations.

Communication and resident advocacy :

Communicating resident needs to family members, healthcare team members, and facility management, advocating for resident well-being.

Quality improvement initiatives :

Participating in quality improvement projects to enhance resident care and maintain compliance standards.

Required skills for an MDS nurse :

• Current and unrestrictive active R.N / L.P.N Illinois State License
• Strong clinical assessment skills
• Excellent communication and interpersonal skills
• Detail-oriented and organized approach to data collection and documentation
• Ability to collaborate effectively with a multidisciplinary team
• Knowledge of federal regulations related to long-term care and Medicare / Medicaid reimbursement
• Understanding of the MDS assessment process and its application