RN - RAI Director (67420)

JOB SUMMARY

Conduct and coordinate the development and completion of the patient assessment in accordance with the requirements of this state and the guidelines and goals of this organization.

ESSENTIAL SKILL/KNOWLEDGE FUNCTIONS

• Facilitates communication between nursing center departments and patient/family members to provide an effective assessment/care plan process.
• Establishes open lines of communication with consultants.
• Has effective interviewing skills for the purpose of collecting information from patients, families and staff members.
• Conducts/coordinates patient or family interviews for assessment purposes.
• Evaluates each patients condition and medical data to determine special needs, or the need to amend the admission assessment.
• Has a comprehensive understanding of nursing resource material and understands how to incorporate such information into care plans [i.e., nursing journal articles that relate to specific patient care topics (bowel and bladder retraining, restraint assessment and use, fall assessments, skin assessments, etc.)].
• Establishes open lines of communication with interdisciplinary team members in order to provide a comprehensive and holistic patient care plan.
• Maintains schedule of assessment/care plan meetings. Coordinates schedule with nursing center staff and others (family, therapists, etc.) to provide for appropriate participation.
• Care is provided in accordance with patients wishes.
• Coordinates the development of a care plan (preliminary and comprehensive) for each patient that identifies problems/needs, appropriate interventions and measurable goals.
• Provides that patient assessment and care plans are completed in a timeframe that is in accordance with current regulations.
• Facilitates education to inform associates of the patients care plan and review care plan prior to administering care.
• Coordinates the review of each assessment/care plan for accuracy including timeliness, appropriate signatures, dates, etc.
• Signs and dates each assessment to certify its completion.
• Monitors the MDS process for accuracy according to the MDS guidelines and other accepted standards.
• Educates the interdisciplinary team and other staff members as needed in the MDS process.
• Conducts physical assessment of patient to provide accurate MDS process as requested.
• Assesses patient needs and makes recommendations for skilled rehabilitative services as well as maintenance therapy services.
• Conducts patient care conferences.
• May be required to direct and implement nursing service educational programs in reference to patient assessment and care.
• May be required to meet with all shifts for the purposes of planning, coordinating and implementing care.
• Assists in compliance with Federal, State and local regulations in relation to scheduling, performing and implementing patient care plans.
• May be required to assist with management reports and participate in special assignments.
• Complies with specific time limitations in terms scheduling and planning patient care.

ESSENTIAL ADMINISTRATIVE FUNCTIONS

• Participates in Nursing Center surveys (Licensure/JCAHO) and any subsequently required reports.