Job Description

Accountable for direct patient care and supervision of care delivery by ancillary staff. Coordinates the Resident Assessment process to ensure that comprehensive assessments are completed timely and that each resident has an appropriate individualized ongoing plan of care.

What you will do

Develop, implement and maintain ongoing quality insurance programs for resident assessments and care plans. Provides appropriate care accurately according to the plan of care. Ensure that a baseline resident centered care plan is completed within 48 hours of resident admission. Ensure that a comprehensive resident centered care plan is completed within 21 days of resident admission and is kept current. Ensure that quarterly and annual resident assessments are care plan reviews are made on a timely basis. Communicate changes in resident function or needs clearly and in a timely fashion. Ensure that a complete resident assessment is conducted within 14 days of a significant change in the resident's condition and reports significant information to physician and resident's family. Ensure that medical and nursing care is administered in accordance with the resident's wishes, including the implementation of advance directives and discussion of advanced directives quarterly. Provide adequate charting to maintain optimal RUG classification data of residents/clients and document resident's/client's problems, nursing approaches, care plan accurately and according to charting schedule. Demonstrate ability to assess and evaluate resident needs in regards to maintenance and restorative therapy as recommended by PT, OT, ST or physician. Develop and implement the maintenance therapy portion of the resident care plan, integrate into nursing care plan. Organize facilitate resident's care conferences quarterly. Monitor charting by therapy professionals for timeliness, accuracy, optimal resident outcomes, and highest reimbursement potential. Assist with direct resident care related to activities of daily living. Conduct initial and periodic comprehensive, accurate, and standardized assessments of each resident. Ability to initiate, coordinate and document resident care/support Coordinates resident centered discharge planning as needed upon discharge or transfer to another facility, provides legible, accurate and pertinent information. Coordinates in resident/family teaching Act as resident advocate and protect resident confidentiality. * Able to operate equipment involved in resident care, keep current with new operating, maintaining and cleaning existing and new equipment.