Coordinate the assessment schedule and opens resident assessments in accordance with current Federal and state rules, regulations and guidelines that govern the resident assessment instrument, including the implementation of CAAs and CATS. Select the Assessment Reference Date (ARD) that will most accurately reflect the resident’s condition based upon the capture of all resources utilized and care provided.  Gather the necessary documentation to accurately encode the assessment item set and ensure that it is complete, accurate, signed and submitted to the state database in accordance with RAI or state regulations. Meet daily with the Rehab Program Manager to review Resident therapy schedules in order to minimize the need for non-scheduled assessments. Coordinate with the interdisciplinary team to ensure the care plan is comprehensive, completed timely, and remains current based on the Resident’s condition.  Attend and participate in the Resident Care Conference. Disseminate any new or updated materials involving the RAI process to the interdisciplinary team to include assessment calendars, due dates, etc. Facilitate the involvement of appropriate health professionals as needed to improve or maintain the Resident’s functional abilities at the highest practicable level.  Assist and/or direct Managed Care case management duties. Review the state validation reports and ensure that the appropriate follow-up action is taken, if needed. Serve on, participate in, and attend various other committees of the facility (e.g. At Risk, Triple Check, Medicare UR) as required, and as directed by the Administrator or Executive Director. Communicate with and provide education to all nurses and CNAs to expand their knowledge of the RAI process and how their duties can impact the process.   Communicate with Business Office regarding unfinished assessments, defaults, and other billing concerns. Understand, comply with, and promote all rules and regulations regarding Residents’ Rights; promote positive relationships with Residents, visitors, and regulators, to include presenting a professional appearance.  Maintain HIPAA compliance at all times.

Take and record vital signs. Measure and record height, weight, and fluid intake/output. Recognize abnormal changes in body functioning and importance of reporting such changes to a supervisor. Assist as needed with medication reminders, bathing, grooming, dressing, escort service, and other activities of daily living. Transfer, position, and turn residents. Provide skin care to residents. Contribute to the resident’s assessment and the plan of care. Provide nursing rehabilitation/restorative nursing services. Follow the schedule of resident’s needs set out by supervisor. Provide emotional and social support to residents. Promote and protect resident rights, assist residents in making informed decisions, treat residents with dignity and respect, protect resident’s personal belongings, report suspected abuse or neglect, avoid the need for physical restraints in accordance with the current professional standards, and support independent expression, choice, and decision-making consistent with applicable law and regulation. Inform supervisor of any resident issues or concerns. Respect and encourage the independence and dignity of the residents. Respect residents’ confidentiality.