The responsibilities of the “Director/Managerial Role. Oversees team of MDS Assessors” are as follows:

Conduct Patient Assessments

One of the primary responsibilities of an MDS nurse is conducting patient assessments in accordance with federally mandated guidelines. These assessments examine patients' physical and mental well-being, focusing on indicators that can predict patient risk. If the MDS nurse identifies risk, they may also conduct the Resident Assessment Protocol (RAP) for further information and care management.

Develop Patient Care Plans

After conducting risk assessment procedures, the MDS nurse works with internal and external providers to develop patient care plans. The MDS nurse ensures that patients have access to the resources and professionals that they need, and that care plans follow federally mandated guidelines for long-term care facilities.

Make Patient and Facility Recommendations

MDS nurses contribute to effective care by making recommendations for patient support and healthcare facility operations. They may supply reports to the facility's upper management personnel as well as to the Department of Health to ensure that patient care procedures and plans are integrated in accordance with federal guidelines. MDS nurses may also direct the activities of other nursing staff and care providers.

Oversee Medicare and Medicaid Programs

MDS nurses direct their facilities' Medicare and Medicaid reporting and program activities. This can involve providing residents with assistance enrolling in these programs and updating their information, as well as monitoring changes in Medicare programs and coverage to ensure that the facility correctly issues reports and receives reimbursement for services provided to residents.

Provide Facility Support

Because MDS nurses need to be RNs or licensed practical nurses (LPNs), they may also occasionally provide support beyond their MDS reporting and assessment role. An MDS nurse may cover for other nursing staff in case of absence or illness, taking a more direct hand in patient caregiving and resident activities. In some cases, an MDS nurse may be “on call” to provide support and coverage for other nurses.

Skills and Qualifications

MDS nurses are vital to the operations and patient care practices of long-term care facilities, particularly those that receive federal funding or reimbursement. Nursing homes and other facilities tend to hire MDS nurses with at least an associate's degree, MDS certification, and the following skills:

• Medical assessment – MDS nurses perform patient assessment throughout the length of a patient's stay following strict federal guidelines, so they need excellent evaluation and assessment skills
• Patient care – experience providing care to patients is a necessity, since MDS nurses work with care providers and nursing staff to develop and enact care plans to enhance patient outcomes
• Attention to detail – MDS nurses need a high level of attention to detail, both while conducting patient assessments and while filling out reports and Medicare and Medicaid-related documentation
• Critical thinking – in this role, MDS nurses must quickly respond to changing patient circumstances and rapidly assess situations to make critical decisions about patient care
• Organization skills – this role also requires a high level of organization, as MDS nurses need to adhere to strict reporting and assessment deadlines and follow procedures exactly to ensure that the facility receives federal funding and reimbursement
• Communication skills – MDS nurses communicate with care staff, patients, federal agencies, and families, so they're also effective written and verbal communicators

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