Brookside Rehab & Nursing Center
Responsible to coordinate resident care planning activities, including the MDS and care plan process. Frequent interaction with families, and staff. Responsible for assessment of residents, and timelines of assessments.
Job Description and duties:
Care Plans and Care Plan Meetings
•Coordinating and leading care plan meetings.
•Scheduling conferences, and communicating schedules to appropriate staff members, residents, and family members and/or responsible party.
•Communicate all care plan team recommendations to the appropriate disciplines.
•Serve as a resource person for resident care planning activities and discharge planning.
•Accurate MDS assessments, including Admission, Annual, Quarterly, Significant Change Assessments, and all required Medicare PPS assessments, as well as the CAAs where indicated.
o Gather resident data and consult with service providers to identify actual and potential resident care needs.
o Review ongoing resident weights and identify any significant change in weight status.
o Review entire MDS form for completeness and communicate to other disciplines areas that need completion.
o Input information into computer for electronic transmission.
•Assure that all assessments are done within the required frame.
•Assist with keeping care plans up to date (daily).
•Assist with training new staff members who are responsible for portions of the MDS and care planning process.
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