RN MDS Full-time

Employee Type:

Regular

Work Shift:

Day - 8 hour shift (United States of America)

Join Team Tidelands and help people live better lives through better health!


Skilled Care Coordinator (RN)
Are you passionate about quality and committed to excellence? Consider joining our Tidelands Health team. As our region's largest health care provider, we are also one of our area's largest employers. More than 2,500 team members at more than 70 Tidelands Health locations bring our healing mission to life each day.

A Brief Overview
The Skilled Care Coordinator is responsible for programmatic oversight, clinical leadership and clinical outcomes management in the patient care setting and through the transitions of care. The coordinator facilitates evidence-based care, improves systems processes, supports care coordination, facilitates outcomes management, establishes an evolving risk assessment, supports the patient experience, strives for ongoing quality improvement and serves as a role model for inter-professional communication. As a member of the unit leadership team, the coordinator promotes value-based models among the nursing team as well for the continuum of care for patients, ensuring the appropriate patients and level of service is delivered in a highly reliable model. Under the supervision of the Medical Director and clinical department leadership, the coordinator is responsible for coordinating the Skilled Care (Swing Bed) program within the hospital, which includes screening patients for placement, completion of admission assessment and documentation, completion, documentation, and submission of Minimum Data Set (MDS) and daily physical assessments, providing patient and family education, assisting with admission/discharge of patients into the program and developing and maintaining policies consistent with CIHQ and CMS regulations to support the Swing Bed program.

What you will do
  • Assist in completing admission process for patients admitted to inpatient unit, including care plan initiation, patient education, home medication history documented in EMR.
  • Coordinate completion of EMR and paperwork for patients discharging from inpatient status
  • Coordinate admission process to Swing Bed Status Offers and implements solutions to admission challenges/problems
  • Complete, document, and submit MDS via submission portal at required interval.
  • Complete and document daily physical assessment on each resident.
  • Apply working knowledge of healthcare reimbursement methodologies and cost structures to evaluate and support appropriate Swing Bed placement decisions.
  • Assist with clinical audits and data collection to facilitate improved quality and patient outcomes
  • Coordinate interdisciplinary team efforts along the continuum of care to better meet the needs of patients within the Swing Bed program
  • Function as a contact/resource person for the patients and their families. Assists with coordination of the clinical rehabilitation disciplines in achieving desired patient outcomes and distribution of information
  • Facilitate the weekly interdisciplinary meetings with physicians, nurses, case management, PT/OT, Speech and patient families when available.
  • Maintain ongoing knowledge of CMS and CIHQ regulations and guidelines applicable to Swing Bed programs to ensure regulatory compliance and program integrity.
  • Represents Swing Bed program on committees, councils and task forces

Education Qualifications
  • BSN Required
  • Master's Degree Preferred

Experience Qualifications
  • Three (3) years minimum experience in clinical specialization Required
  • 2 years of post acute care experience Required

Skills and Abilities
  • Demonstrated ability to manage multiple priorities.
  • Demonstrated clinical expertise, critical thinking and computer skills.
  • Must have excellent prioritization and communication skills.
  • Demonstrated ability to implement, support and effectively monitor change. Must be able to translate data into practice.
  • Ability to analyze reimbursement and productivity
  • Demonstrate excellent communication skills facilitating collaboration with various departments such as: Finance, Physical and Occupational Therapy, Speech and Case Management

Licenses and Certifications
  • Registered Nurse - South Carolina Department of Labor, Licensing and Regulation Required
  • Basic Life Support Certified - American Heart Association within 30 Days Required
  • Advanced Cardiovascular Life Support Certified - American Heart Association Preferred

Physical Demand
Medium Physical Demand
The intent of this job description is to provide a representative and level of the types of duties and responsibilities that will be required of positions given this title and shall not be construed as a contract for employment nor a declaration of the total of the specific duties and responsibilities of any particular position. Employees may be directed to perform tasks other than those specifically presented in this description. Tidelands Health is an Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex, sexual orientation, or veteran status.

Tidelands Health is an equal opportunity employer (EOE). Tidelands Health does not discriminate against employees or applicants for employment on the basis of race, color, creed, religion, age, national origin, disability, marital status, veteran status, gender, genetic information, familial status, or any other legally protected status.

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