Why work for Nebraska Methodist Health System? At Nebraska Methodist Health System, we focus on providing exceptional care to the communities we serve and people we employ. We call it The Meaning of Care – a culture that has and will continue to set us apart. It’s helping families grow by making each delivery special, conveying a difficult diagnosis with a compassionate touch, going above and beyond for a patient’s needs, or giving a high five when a patient beats a disease or conquers a personal health challenge. We offer competitive pay, excellent benefits and a great work environment where all employees are valued! Most importantly, our employees are part of a team that makes a real difference in the communities we live and work in. Job Summary: Location: Methodist Fremont Health - Dunklau Gardens Address: 450 E 23rd St. - Fremont, NE Work Schedule: Mon. to Fri. 8:00 a.m. to 4:30 p.m. Responsible for assuring the timely completion of accurate assessments and interdisciplinary care plans that meet Federal and State guidelines. Included is identifying resident acuity and needs helping to determine specific care needs and communicating needs/expectations to families and responsible parties. Overall responsibility of resident care and fiscal management of the nursing department. Is proactive in the development and implementation of facility practices to ensure regulatory compliance related to Resident Assessment Instrument (RAI) processes. Responsibilities: Essential Functions Adheres to the MDS RAI Manual in coding and care planning of the Comprehensive MDS Assessment. Assesses information and knowledge about residents, for accurate completion of the MDS. Determines the severity, functional impact, and scope of a resident's problems; understanding the causes and relationships between a resident's problems. Establishes a course of action that moves a resident toward a specific goal utilizing individual resident strengths and interdisciplinary expertise. Implements the care plan by staff knowledge about resident care goals and approaches. Evaluates care plan goals, interventions and implementations in terms of achieved resident outcomes and assessing the need to modify the care plan to adjust to changes in the resident's status, either improvement or decline. Formulates nursing diagnoses to identify and plan for the needs of an individual, family, or group to ensure interdisciplinary approach to resident cares. Utilizes history and Resident Assessment information to identify resident problems and set goals. Demonstrates the ability to revise plan of care as indicated by resident's response to treatment or physical changes occurring. Utilizes assessment data and formulates a plan for discharge needs. Communicates information regarding MDS/RAPS (Resident Assessment Protocols) appropriately and clearly to all disciplines involved in the resident's care. Implementation of Omnibus Budget Reconciliation Act (OBRA) and Prospective Payment System (PPS) assessment schedules. Possesses the OBRA and PPS knowledge and skills required to ensure compliance with timing and scheduling requirements for MDS Comprehensive Assessments. Completes all required scheduled and unscheduled MDS assessments according to regulatory timeline. Completes signature and dating of MDS according to regulatory guidelines. Evaluates the plan of care and treatment for all residents under his/her care to promote resolution of resident problems and positive resident outcomes. Effectively communicates between disciplines about resident care plans and needs. Routinely involves resident/family in review of resident care plans. Coordinates the completion and submission of the Resident Assessment Instrument to ensure accurate transmission of information to regulatory agencies and compliance of facility to government standards. Knowledge and skills of MDS completion, encoding, and transmitting. Checks accuracy of MDS coding’s as appropriate to provide for facility compliance and proper PPS billing. Reviews all final validation reports for fatal errors and non-fatal errors. Schedule: Mon. to Fri. 8:00 a.m. to 4:30 p.m. Job Description: Job Requirements Education • Graduated from an accredited Diploma School of Nursing/College of Nursing with an Associates of Science Degree in Nursing (ASN) or a Bachelor of Science in Nursing (BSN) required. License/Certifications • Current valid Registered Nurse (RN) license, valid compact multistate license, or a temporary permit while awaiting licensure required. • Current American Heart Association Basic Life Support (BLS) strongly preferred at time of hire, required within 3 months of hire. • MDS (Minimum Data Set) Coordinator Certification preferred. ​ Experience • Three years of experience in Long Term Care (LTC) required. • Three to Five years previous MDS experience preferred. Skills • Resident Assessment Instrument training preferred. Physical Requirements Physical Weight Demands • Medium Work - Exerting up to 50 pounds of force. Physical Activity • Occasionally Performed (1%-33%): • Climbing • Crawling • Kneeling • Sitting • Frequently Performed (34%-66%): • Balancing • Carrying • Crouching • Distinguish colors • Keyboarding/typing • Lifting • Pulling/Pushing • Repetitive Motions • Stooping/bending • Twisting • Constantly Performed (67%-100%): • Grasping • Hearing • Reaching • Seeing/Visual • Speaking/talking • Standing • Walking Environmental • Located in an indoor area. Job Hazards • Not Related: - Electrical Shock/Static • Rare (1-33%): • Radiation Alpha, Beta and Gamma (particles such as X-ray, Cat Scan, Gamma Knife, etc) • Radiation Non-Ionizing (Ultraviolet, visible light, infrared and microwaves that causes injuries to tissue or thermal or photochemical means) • Occasionally (34%-66%): • Physical hazards (noise, temperature, lighting, wet floors, outdoors, sharps) (more than ordinary office environment) • Equipment/Machinery/Tools • Explosives (pressurized gas) • Hazardous Drugs (exposure risks, personal protective equipment required) • Frequent (67%-100%): • Chemical agents (Toxic, Corrosive, Flammable, Latex) • Biological agents (primary air born and blood born viruses) (Jobs with Patient contact) (Blood and Body Fluid-BBF) • Mechanical moving parts/vibrations About Methodist: Nebraska Methodist Health System is made up of four hospitals in Nebraska and southwest Iowa, more than 30 clinic locations, a nursing and allied health college, and a medical supply distributorship and central laundry facility. From the day Methodist Hospital was chartered in 1891, service to our communities has been a top priority. Financial assistance, health education, outreach to our diverse communities and populations, and other community benefit activities have always been central to our mission. Nebraska Methodist Health System is an Affirmative Action/Equal Opportunity Employer and does not discriminate on the basis of race, color, religion, sex, age, national origin, disability, veteran status, sexual orientation, gender identity, or any other classification protected by Federal, state or local law.