Demo

MDS Coordinator

Aventura Health Group
Petersburg, FL Full Time
POSTED ON 3/31/2025
AVAILABLE BEFORE 4/29/2025
We are currently seeking an experienced MDS Coordinator/ Nurse

UNDER NEW MANAGEMENT!

Job Responsibilities:

  • Provide admission and follow-up skilled nursing visits for skilled nursing resident’s home health patients.
  • Administer on-going for each patient, provide necessary follow-up as directed by the Clinical Manager.
  • Confer with physician in developing the initial plan of treatment based on physician's orders and initial patient assessment.
  • Provide hands-on care, management and evaluation of the care plan and teaching of the patient in accordance with physician orders, under Clinical Manager's supervision.
  • Revise plan in consultation with physician based on ongoing assessments and as required by policy/regulation.
  • Coordinate appropriate care, encompassing various healthcare personnel (such as Physical Therapists, Occupational Therapists, Home Health Aides and external providers).
  • Report patient care/condition/progress to patient's physician and Clinical Manager on a continuous basis.
  • Implement patient care plan in conjunction with patient and family to assist them in achieving optimal resolution of needs/problems.
  • Monitor the appropriate completion of documentation by personal care workers as part of the supervisory/leadership responsibility.
  • Discharge patients after consultation with the physician and Clinical Manager, preparing and completing needed clinical documentation.
  • Prepare appropriate medical documentation on all patients, including any case conferences, patient contacts, medication order changes, re-certifications, progress updates, and care plan changes.
  • Prepare visit/shift reports, updates/summarizes patient records, and confers with other health care disciplines in providing optimum patient care.


Required Experience/Skills:

  • Diploma, Associate, or Bachelor Degree in Nursing
  • A minimum of two year of case management experience preferred Current Registered Nurse licensure
  • Current CPR certification Strong organizational and communication skills

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