Job Summary

Our Clinical Care Coordinator is responsible for assessing comprehensive needs of each of our residents to develop an appropriate plan of care. This involves comprehensive assessments, care conferences, Doctor’s rounds, coordinating resident’s appointments, weekly wound assessments, Restorative Nursing RN, and collaborating with the MDS coordinator with the admission process and the written care plans.

Essential Functions

• Plans, organizes, directs, evaluates, and implements the nursing plan of care for assigned residents for all shifts in collaboration with the MDS Coordinator.

• Coordinates and participates with the Social Worker for the quarterly, annual, and prn care conferences for all the residents.

• Directs & supervises the admission and discharge of residents in collaboration with the MDS Coordinator.

• Serves as the main point of contact & proactively communicates with family members concerning any changes in resident conditions.

• Ensures care plan is implemented and evaluates effectiveness of plan regularly in collaboration with the MDS Coordinator.

• Will perform weekly wound assessment and document for all the residents that have wounds.

• Assist CNA’s and LPN/RNs on the floor as needed. This could include weekends and holidays, depending on staffing levels.

• Keeps providers informed of resident conditions & effectiveness of medications used and will perform Doctor rounds when scheduled for all the residents.

• Participates in the Interdisciplinary Care Center Team

• Practices correct infection control procedures.

• Other duties as assigned.

• Expectation to serve on QA/QI sub-committee or task forces.

• Active & integral participant of the MDH State Survey Process.

• Uses the EMR accurately & efficiently.

• Functions as the facility Restorative Nursing RN and holds monthly Restorative meetings.

• RN On-Call Rotation

• MDS back-up for MDS Coordinator (vacations and time off)

• Pharmacy prior authorization management including

Required Skills & Knowledge

• Ability to organize, plan, implement, supervise, direct, and evaluate nursing activities independently.
• Demonstrates excellence in clinical skills and understanding of the Nursing process.
• Must be available to work weekends, holidays, and rotating shifts as needed to ensure 24-hour nursing
• needs are met.
• Must have computer skills, including, but not limited to Word, Excel, and PowerPoint, experience with
• electronic health records a plus.
• Knowledge of Medicare
• Good oral and communication skills
• Knowledge of gerontology and assessment skills.
• Good problem-solving skills.
• Knowledge of current state and federal regulations.
• Ability to organize time and priorities.

Requirements

• Current RN licensure in Minnesota.
• Medicare experience desired.
• CPR certification.
• Experience in LTC preferred.

Supervisory Responsibilities

• LPNs/TMAs
• Nursing Assistants
• Rehab Aides
• Social Services

The foregoing statements describe the general purpose and responsibilities assigned to this job and are not an exhaustive list of all responsibilities and duties that may be assigned or skills that may be required.