Reports directly to DON and is responsible for maintaining accurate data entry of resident information, including accurate coding of the MDS and submission of required documentation to CIHI. Works closely with the Home's interdisciplinary team, residents and their family members to obtain and ensure accuracy of resident information.

RESPONSIBILITIES:

- Ensure compliance with the MLTC and CIHI requirements and coordination of the RAI/MDS process;

- Monitor MDS and care plan documentation for every resident. Ensure that the resident care documentation is reviewed through quarterly audits ensuring care plans accurately reflect resident care requirements;

- Ensure documentation is present in the Clinical Records to support MDS Coding;

- Support the tracking system of MDS schedule

- Ensure frequent and accurate data entry of resident information into appropriate computerized MDS program;

- Complete accurate coding of the MDS with information obtained via medical records review, observations, interviews with facility staff , residents and family members. Ensure timely opening/closing assessments, coding, raps, care planning and timely submissions to CIHI;

- Attend interdisciplinary team meetings and other related functions in order to gather information, communicate changes, necessary to maintain up-to-date information, as directed by the DON/Designate;

- Evaluate effectiveness of clinical records to ensure adherence with documentation policies and procedures, College of Nurses of Ontario protocol and the legislated requirements for long term care facilities in Ontario and other regulations, as required. Assist DON/CM to develop corrective action plan and follow-up compliance measures;

- Attend educational programs in order to upkeep and maintain knowledge base related to data entry and computer technology as directed by the MLTC and DON/Staff Educator.





- Coordinate completion and electronic quarterly submission of required reports/documents to CIHI and other entities per company policy;

- Actively participate in Quality Improvement activities, as may be directed by the DON;

- Attend all applicable RAI-MDS education sessions. Provide RAI-MDS users with education and computer application training and assist users to correctly code assessments and provide support for validation of coding;

- Oversee the RAI-MDS process according to applicable policies, laws and agreements, Standards of Practice, and interRAI requirements in collaboration with Staff Educator;

- Liaise with applicable software vendor and representatives to develop a training plan for RAI-MDS users on the computer application.

- Provide on-site computer application support to all RAI-MDS users in the home.

- Provide ongoing leadership for education, data accuracy, data submission and computer applications of RAI-MDS.

- Attend the Data Submission self-study training by CIHI
- In cases of staff shortages, replace staff on the unit as directed by the DON/designate, including emergency situations.

- Collect and submit NQUIRE Clinical & Human Resource data to RNAO (Registered Nurses Association

Must be a Registered Nurse or Registered Practical Nurse (RPN) with current Registration with the College of Nurses of Ontario, and have completed RN/RPN program requirements. Credentialing for MDS/RAI is required as per MLTC guidelines to include:

- required training from CIHI to implement the RAI-MDS Tool (User Manual RAI-MDS 2.0 may be obtained from CHIHI by contacting the education desk. The required RAI-MDS training is provided by CIHI at no cost and is outlined in the CIHI Learning & Development interRAI in Continuing Care info sheet.

- RAI-MDS Coordinator/Assistant/s must complete the RAI-MDS proficiency evaluations on an annual basis.

MANDATORY PRE-EMPLOYMENT REQUIREMENTS

- PRE-EMPLOYMENT HEALTH ASSESSMENT

- VULNERABLE POLICE REFERENCE CHECK

- EMPLOYMENT REFERENCE CHECK

Pay: $70,000.00-$72,000.00 per year

Perks

- Company pension

- Dental care

Work Location: In person

📌 RAI/MDS Coordinator (Burlington)
🏢 HAMPTON TERRACE CARE CENTRE
📍 Burlington