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RNAC

The RNAC implements and evaluates the Minimum Data Set (MDS) program and provides assistance in care planning, following Keswick's philosophy of nursing care and ensuring that documentation complies with requirements for reimbursement.ESSENTIAL JOB DUTIES:Meets with resident/patient in-person to collect information (initial and ongoing) for the Resident Assessment Instrument (RAI) and provides a focused assessment of the resident/patient health status that will be used in addressing anticipated changes in resident/patient condition as well as emergent changes in health status; recognizes alterations to previous conditions; synthesizes the biological, psychological, spiritual, and social aspects of the resident/patient condition; evaluates the impact of nursing care. Attends clinical meetings.Uses this analysis to make decisions and nursing diagnoses, plan nursing interventions, evaluate the need for different interventions. Recommendations are shared with the Unit Manager and/or DON as appropriate.Communicates and consults with other health team membersCompletes comprehensive resident assessment (initial, quarterly, annual); ensures that documentation meets requirements of Keswick and regulatory agencies and is sufficient to substantiate reimbursement for Keswick servicesCompletes MDS and MMDS according to established policies and procedures; locks and transmits to the StateContributes to the development of plan of care based on identified resident/patient problems and needs; evaluates resident/patient response to plan of care and recommends appropriate changesReviews documentation of direct care staff and provides education to ensure documentation meets requirements of Keswick and regulatory agencies.Keeps the Director of Clinical Reimbursement (DCR) informed of major or recurring problems; communicates any operational or patient care issues to the Unit Manager and/or DON as appropriate.Educates other members of the care-delivery team on MDS information and procedures.Complies with regulatory and legislative requirements; participates as needed in federal, state and local surveys and inspections; follows any plans of correction; reports abuse, neglect or violence according to established procedures; addresses complaints from patients, families, or physicians or refers complaints to the Unit Manager.Prepares data and/or attends triple check meeting as needed.Meets with Rehab Program Manager for compliance of PPS dates and CMI dates.Performs other duties as assigned.KNOWLEDGE, SKILLS, AND ABILITIES REQUIREMENTS:KNOWLEDGE OF: nursing practice and principles; applicable laws and regulations governing long-term and/or sub-acute care; reimbursement requirements; diseases, conditions and treatment therapies for the patient population of the unit; MDS coding and regulations; ICD-10 coding; patient's rights and the nursing role in helping protect and enhance those rights; principles and requirements for documentation and medical record management; computerized healthcare systems and medical records systems. Must be able to read, write, speak and understand the English language.SKILL IN: using MDS computer program; communicating with other care providers; effective listening and critical observations and utilizing the information for effective problem solving; relating to and working with elderly, ill, disabled, recovering, emotionally upset and at times hostile people with tact and sensitivity; showing empathy and compassion; interpersonal, verbal and written communication; dealing tactfully with residents/patients, family, staff, sponsors, visitors, government agencies/personnel and the general public; critical thinking, time management, and organizational skills; working harmoniously with professional and non-professional personnel as part of care-delivery team; independently pursuing training and continuing education in addition to required in-service programs; maintaining patient confidentiality.EDUCATIONAL REQUIREMENTS:Bachelor's degree from an accredited School of Nursing is preferred. BS in a related Health Field is acceptable.LICENSURE, CERTIFICATION AND REGISTRATION:Registered Nurse, licensed and in good standing with the Maryland Board of Nursing requiredCurrent AHA HCP BLS certification requiredResident Assessment Coordinator Certified (RAC-CT) must obtain within 6 months of hireWORK ORIENTATION & EXPERIENCE REQUIRED:Three years of work experience as an MDS Coordinator.PHYSICAL REQUIREMENTS & ENVIRONMENT/WORKING CONDITIONS:Work is performed in a healthcare environment and an office environment. Occasionally bends, lifts, and carries objects up to 10 pounds intermittently throughout the workday. Constant use of computer keyboard and monitor. Requires ability to talk, hear and smell. Requires close vision, distance vision, depth perception, color vision and ability to adjust focus.May experience stress during emergency situations or due to multiple demands from residents, families, and staff. Some local travel may be necessary.

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