MDS Coordinator

Responsibilities Strong working knowledge of MDS completion, PCC and care planning. Must have strong leadership skills, computer skills and Microsoft Office. ND RN license is required. Bethany offers an attractive benefits package including health, dental and vision insurance, paid time off, extended sick time, longevity bonus, anniversary bonus, 401(k) with a generous employer match and a corporate wellness program. Bethany Retirement Living is an equal opportunity / affirmative action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law. Education & Licenses Currently Enrolled In: High School College CNA Class Not Enrolled If required for this position, indicate License, Registration, or Certification Information (Ex: CNA, RN, LPN, Pharmacy, etc.) Type State Licensed in State Number Expiration Date MM slash DD slash YYYY CNAs: If still in class, when is your test date? Month Day Year Work Experience Beginning with your most present or most recent employment (regardless of length of time), list all periods of employment and unemployment including military service assignments and volunteer activities. Previous Employment Company 1 * Company Supervisor's Name & Title This field is hidden when viewing the form Company Address * City State Company Phone Number * From MM slash DD slash YYYY To MM slash DD slash YYYY Your Title Description of Duties Reasons for Leaving If currently employed, may we contact them? Company 2 Company Supervisor's Name & Title This field is hidden when viewing the form Company Address City State / Province / Region Company Phone Number From MM slash DD slash YYYY To MM slash DD slash YYYY Your Title Description of Duties Reasons for Leaving If currently employed, may we contact them? Would you like to add more Previous Employers? Yes No Company 3 Company Supervisor's Name & Title This field is hidden when viewing the form Company Address City State / Province / Region Company Phone Number From MM slash DD slash YYYY To MM slash DD slash YYYY Your Title Description of Duties Reasons for Leaving If currently employed, may we contact them? Would you like to add more Previous Employers? Yes No More Previous Employers Company Address Phone Number Start & End Date Title & Description Reason for Leaving Personal Reference 1 * Name Phone Number How does this person know you? Personal Reference 2 Name Phone Number How does this person know you? I certify that answers given herein are true and complete to the best of my knowledge. In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I further understand that I am required to abide by all rules and regulations of the facility. Signature of Applicant Bethany Retirement Living is an equal opportunity/affirmative action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, sexual orientation, gender identity, or any other characteristic protected by law. Bethany Retirement Living is an Equal Opportunity Employer 201 University Dr. S., Fargo, ND 58103 View phone number on click.appcast.io APPLICANT DISCLOSURE AND RELEASE FOR BACKGROUND CHECKS, DRUG SCREENING, AND REFERENCE INFORMATION Having made application for employment with Bethany Retirement Living, and desiring them to be informed as to my previous record and character, I hereby authorize Bethany Retirement Living and its authorized representatives to obtain information relating to my activities from educational institutions, licensing agencies and all persons or entities named on my employment application. This information may include, but is not limited to, academic, achievement, performance, attendance, personal history, discipline and conviction records. I hereby direct you to release such information upon the request of the bearer. Further, I release any and all individuals and organizations, including record custodians, from and all liability for damages of whatever kind or nature because of furnishing said information. In connection with my application for employment with Bethany Retirement Living, I also understand that background checks will be performed on me if I receive an offer of employment from Bethany Retirement Living. I understand that an offer of employment is conditional on the results of the background information. The background information will be obtained through: ADVANTAGE CREDIT BUREAU 5050 47th St S, Fargo, ND 58104 Toll free phone: View phone number on click.appcast.io / Fax: View phone number on click.appcast.io I understand the information obtained from a background check may include my past employment history, criminal history and driving record. I further understand that the background information is not limited to the current state of my residence, but may include information from any other state where I have resided. I authorize all persons and companies contacted by the employer or its representatives to provide the requested background information. I understand and agree to release the aforesaid from any liability for collecting my background information. I understand that if adverse action is taken by Bethany Retirement Living based on the results of my criminal background check, I will be given notice orally, in writing, or electronically of such adverse action. I further understand that I may request in writing within a reasonable period of time, a complete disclosure of the nature and scope of the background investigation. I also understand that I have the right to dispute the accuracy or completeness of any information furnished by the reporting agency. I further understand that the reporting agency supplying the information does not make the decision to take adverse action and cannot give specific reasons for the adverse action, only the employer makes such a decision. I further authorize Bethany Retirement Living, if I am hired, to request a background report about me, for employment related purposes, at any time during the course of my employment to the extent allowed by law. I agree that this Disclosure and Release will be valid, now or in the future, in original, faxed, copied, or electronic form. I also give my consent to Bethany Retirement Living and to Sanford Laboratory to perform the appropriate test(s) to identify the presence of drugs and/or alcohol. I furthermore give my permission for the test results to be released to Bethany Retirement Living. I understand that refusal to take this test, attempts to adulterate the sample, or a positive test may result in Bethany Retirement Living removing my application from consideration. In addition, I understand that Bethany Retirement Living does not allow smoking on its property. Volunteer information and other sections follow as provided in the original description. #J-18808-Ljbffr