About the Organization
Saint Joseph’s is a non-profit organization, offering multiple levels of care including Skilled/Rehab, Long Term, Memory, Palliative, Spiritual and Respite care to the greater Portland community and beyond. Founded in 1975, Saint Joseph’s is one of the largest providers of Skilled/Rehab and Long Term care in the state of Maine. Saint Joseph’s has been recognized by the Centers for Medicare & Medicaid Services as a four-star facility. Saint Joseph’s is an affiliate of Maine Medical Center.
Why Work Here
Saint Joseph’s is one of the largest providers of Skilled/Rehab and Long Term Care in Maine. Our team and work environment provides a range of professional opportunities that can challenge and reward new graduates and career professionals alike. We are committed to helping each member of our team grow professionally by focusing on delivering care that stresses values like Respect, Ownership, Innovation, Integrity, Excellence and Patient Centeredness.
Summary of the Position
The primary purpose of this position is to conduct and coordinate the development and completion of the resident assessment in accordance with the requirements of this state, RAI manual, and the policies and goals of Saint Joseph’s Rehabilitation & Residence.
Duties and Responsibilities:
Conduct and coordinate the development and completion of the resident assessment (MDS) in accordance with current rules, regulations, and guidelines that govern the resident assessment according to the RAI manual. Schedule and complete assessments in accordance to the OBRA, PPS, and PDPM per regulations and the RAI manual. Review supporting documentation including but not limited to wound care, falls, weight loss, dialysis, etc. Maintain the assessment schedule for the MDS. Conduct or coordinate the interviewing of each resident for the resident’s assessment. Ensure that assessments are completed in a timely manner. Develop preliminary and comprehensive care plans of the nursing needs of each resident, utilizing the RAI Manual, regulations, and facility policies. Coordinate the development of the plan of care for each resident that identifies the needs of the resident, indicates the care to be given, goals to be accomplished, and which professional service is responsible for each element of care. Coordinate the review and revision of the resident’s care plan by the interdisciplinary team after each quarterly review or other assessment, assuring that the care plan is evaluated and revised each time an assessment is done or when there is a change in the resident’s status. Participate in facility surveys (inspections) made by authorized government agencies as necessary or as may be directed. Process QM and regular MDS audits for State and MDS survey. Conduct training programs for appropriate staff on the completion and use of the MDS. Assist the RN Educator & Quality Specialist in developing any training activities needed concerning resident assessment/care plan skills (including, but not limited to initial or refresher courses relative to techniques for interviewing residents, rehabilitation principles, commonly used psychotropic drugs, care plan functions, etc.) Ensure that a current copy of the RAI Manual is available to persons completing portions of the MDS. Audit and review resident chart for documentation, discrepancies, quality, reimbursement requirements, and risk for liabilities. Functions as integral part of quality improvement. Serve on, participate in, and attend various other committees of the facility (e.g. Quality Assurance) as required and as appointed by the Administrator and/or Director of Clinical Services. Ensure that all residents are treated fairly, and with kindness, dignity, and respect.
Required Knowledge, Skills and Abilities
- Registered Nurse in the State of Maine or compact licensure
- ADN required, BSN preferred
- Minimum of two years long-term care experience is preferred
- Must be knowledgeable of medical terminology and procedure
- Working knowledge of MDS and PPS process with minimum of one year of MDS experience
- Familiarity of the RAI manual and ICD 10 coding
- Knowledge of MDS submission process and interpretation of validation reports
- MDS certification (AANAC) required within 6 months
- Must possess strong organizational skills and have the ability to multi-task in a fast paced ever evolving environment
- Must be able to prioritize tasks competently
- Must be able to exhibit excellent customer service at all times
- Must have proven ability to effectively communicate verbally and in writing, with a wide range of people in the long-term care environment, including ability to communicate pertinent information about a resident’s condition and to collaborate with other departments and disciplines both within and outside the organization • Must be able to independently initiate and complete job tasks that are routine in nature
- Must be able to effectively work collaboratively in a team environment
- Proficiency with Point Click Care (PCC) Electronic Record computer systems is desired • Strong working knowledge of Microsoft Excel