Employment Spot

Job Description

We are currently seeking an experienced OBRA nurse for our TLC East Skilled Nursing Home in Temple, TX.

SUMMARY

Develops, implements, and manages a successful MDS Medicaid OBRA RUG management program from admission through discharge.  This includes the coordination of clinical data from various facility departments, to complete the Minimum Data Set (M.D.S.) assessment and develop a comprehensive care plan.  Maintains tracking systems, helps facilitate correct and timely completion of the MDS & care plans to comply with state and federal regulatory requirements.

ESSENTIAL DUTIES AND RESPONSIBILITIES

Include the following. Other duties may be assigned.

•    Performs full resident assessments and chart reviews on all Medicaid and private pay admissions and/or readmissions before completing a M.D.S.

• Interviews staff caring for residents prior to completing M.D.S. assessment.

• Reviews resident medical record documentation prior completion of MDS.

• Completes M.D.S. assessments based on the OBRA schedule & Medicaid RUG payment rules.

• Inputs the M.D.S. assessment data into the computer software program.

• Performs Validation Logic and Quality Indicator (QI) checks prior to transmission.

• Transmits M.D.S. assessment data per state and federal requirements.

• Completes on line LTCMI forms for OBRA Medicaid to facilitate Medicaid RUG payment.

• Completes R.A.P.’s and Triggers on the M.D.S’s requiring this process.

•  Participates in the care planning process on all residents.

• Maintains a tracking system/schedule on M.D.S. assessment time frames and completion due dates.

• Communicates daily with all department heads   M.D.S. assessments time frames and completion due dates.

• Participates in daily stand up meetings.

• Participates in weekly Dual Monitoring meeting with BOM & facility Administrator.

• Participates in Quality Improvement initiatives.

• Communicates on at least a weekly basis with Immediate Supervisor and the Resource Center regarding the status of the assessments and any program or software/transmission issues.

• Supervises and evaluates implementation of the “Resident’s Rights".

• Participates and attends periodic in-services and staff meetings.

Job Requirements

SUPERVISORY RESPONSIBILITIES

None

QUALIFICATIONS

• Must possess the ability to perform accurate physical assessment skills

• Must possess the ability to communicate well with the interdisciplinary team, residents, and the state/federal agenciesMust possess the ability to make decisions when circumstances warrant
• Must possess the ability to deal effectively with personnel, residents, family members, visitors, government agencies and the general public under all conditions
  • Must be willing to follow directions
  • Must be dependable in attendance and available by telephone and/or phone number on reasonable notice

EDUCATION and/or EXPERIENCE

Knowledge of M.D.S. regulations and/or care requirements of skilled geriatric patients.

CERTIFICATES, LICENSES, REGISTRATIONS

Current State of Texas Registered Nurse or Licensed Vocational Nurse

Current AANAC RAC-CT Certification.
Good standing in the state registry is required.

PHYSICAL DEMANDS and WORK ENVIRONMENT 

Employee is required to hear, speak, sit, stand, and walk daily.  The position is located in healthcare facility environment.  Employee may lift up to 40 pounds and/or transfer 100 plus pounds.

EOE  M/F/D/V

Pre-Employment Drug Screen Required