MDS+ - Care Plan Coordinator

Location: Lansing, KS (Twin Oaks Health & Rehab, 757 W Eisenhower Road)


Job Description: Employee is required to perform an assessment of each resident’s needs in accordance with company policies and procedures, standard nursing practices, and governmental regulations so as to maintain quality care for all residents.

Accountability: The MDS+ Care Plan Coordinator reports to the Director of Nursing.

Equipment used: Various office equipment and various medical equipment.

Duties and Responsibilities: The employee must be able to perform the essential functions of the job with or without reasonable accommodations. Except as specifically noted, the following functions are considered essential to this position.

  1. Conduct initial and periodic comprehensive, accurate and standardized assessment of each resident in the facility.
  2. Develop and maintain schedule system to ensure all assessments and care plans are conducted in accordance with guidelines set forth by governmental agencies.
  3. Complete RAPS and Triggers according to schedule for each resident.
  4. Perform quarterly assessment review and perform revisions as appropriate per each resident condition.
  5. Certify resident assessment has been completed.
  6. Lead interdisciplinary team to develop a comprehensive care plan for each resident, which shall include measurable objectives and time-tables to meet resident’s medical, nursing, mental and psychological well-being.
  7. Review care plans as requested with appropriate parties.
  8. Review care plan objectives as necessary to ensure appropriate care and service for each resident.
  9. Assures personal and staff compliance with all State and Federal regulations including blood borne pathogens, infection control, hazardous materials, fire safety, and building, electrical, and plumbing codes.
  10. Assures personal and staff compliance with residents’ rights.
  11. Required to perform quarterly fall risk assessment update.
  12. Required to check weights on weekly and monthly schedule.
  13. May be required to cover floor as charge or staff nurse and to take rotate on call status.

Physical Activity Requirements: The employee must be aware that during the normal, routine performance of the essential functions, some of the following body movements may occur naturally, although they may not be a requirement of the job.

Primary Physical Requirements:

Lift up to 10 lbs: Constantly

Lift 11 to 25 lbs: Occasionally

Lift 26 to 50 lbs: Rarely

Lift over 50 lbs: Rarely

Carry up to 10 lbs: Frequently

Carry 11 to 25 lbs: Occasionally

Carry 26 to 50 lbs: Rarely

Carry over 50 lbs: Not required

Reach above shoulder height: Frequently

Reach at shoulder height: Constantly

Reach below shoulder height: Constantly

Push/Pull: Constantly

Hand Manipulation:

Grasping: Constantly

Handling: Constantly

Torquing: Frequently

Fingering: Constantly

Controls & Equipment: General office and medical equipment

Other Physical Considerations:

Twisting: Not required

Bending: Required

Crawling: Not required

Squatting: Not required

Kneeling: Not required

Crouching: Not required

Climbing: Not required

Balancing: Not required

During an 8-hour day, Employee may be required to:

                                                                        Consecutive Hours    Total Hours

                     Sit                                      1                         3

                     Stand                                 1                         1

                     Walk                                  1                         6


Work Surface: Work surfaces vary from tile, carpet, linoleum, or tile.

Cognitive and Sensory Requirements:

Talking: Required

Hearing: Required

Sight: Required

Tasting & Smelling: Not required

Access to Personal Health Information: Requires access to the entire medical record on an as-needed basis.

Licensure/Certification Requirements:  Current registered nurse license

Other Training, Skills, and Experience Requirements:  Employee must be able to perform in such a way to build good working habits and relationships among the staff that they manage as well as other departmental staff. Employee must demonstrate on an ongoing basis the ability to develop and maintain good working relationships with co-workers and other department.

Summary of Occupational Exposures:

Bloodborne Pathogens:
            Tasks and procedures performed by employee involve risks classified by CDC as:
Category I (Direct contact with blood or other bodily fluids to which universal precautions apply.)
Specific Task Exposure:
            General Resident Care: Blood, urine, feces, vomitus, wound exudates, semen/vaginal secretions, other body fluids- cerebrospinal, synovial, pleaural, peritoneal, pericardial, amniotic;
            Handling Soiled Linens and Clothing: Blood, urine, feces, vomitus, wound exudates, semen/vaginal secretions, other body fluids- cerebrospinal, synovial, pleaural, peritoneal, pericardial, amniotic;
            Cleaning Resident Rooms and Common Areas- Blood, urine, feces, vomitus, wound exudates, semen/vaginal secretions. 

Refer to Exposure Control Plan for additional information.

Other Considerations and Requirements: The employee may be requested to perform other duties or tasks that are not listed, but are within the competence and training of the individual. The employer reserved the right to modify this job description based upon the company needs.

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