MedSearch Corp

For over 80 years, MedSearch Corp has been providing healthcare-only personnel placement. Building on past successes, we are moving into the future with the ever-changing healthcare landscape.

More than just a medical placement service, we specialize in creating long-term strategic relationships with our clients and candidates. We talk with each and every client and candidate personally, when possible face-to-face, and most importantly, we listen. Placing a successful candidate in an available position is about much more than a job: it is about a successful partnership at its foundation. And that all begins with a conversation.

$80,000 - $130,000 yearly
MedSearch Corp Bemidji, MN, USA
Oct 15, 2019
Full-time
PODIATRIST JOB SUMMARY: The Podiatrist will ensure that the health and safety of all clients are met. The Podiatrist will provide foot care to long term care residents, clinic patients, and support community outreach programs. This position serves its caseload of patients living in the community long term care facilities who are not mobile and cannot come to the clinic in on their own. You will be working with an assistant and report to the Podiatry Supervisor. Full time first shift. Lots of flexibility. Excellent salary and benefits package. Base 85K with expected income from 95-1205K. Apply today. PODIATRIST QUALIFICATIONS: Must be licensed with the State of Minnesota as a DPM. Must have a valid driver’s license, if driving is required. At least 3 years’ experience in a related field. OTHER SPECIALIZED KNOWLEDGE AND ABILITIES: This position required the candidate to have: Possess a sensitivity and aptitude for working with the elderly. Possess skills to communicate effectively with those you supervise, clients, family members and staff. Possess leadership / supervisory skills. Must be able to prioritize and organize work effectively and efficiently. PODIATRIST ESSENTIAL JOB FUNCTIONS AND TASKS: Podiatrist Job Function: Provide support and address needs for programs and services. Tasks: Basic Footcare to include, but not limited to the following; Assess abnormalities and diseases regarding the area of the foot and lower limb Provide treatment to the high – risk patient groups who run a greater risk of amputation Use therapeutic and surgical techniques to treat the leg and foot-related issues Deliver education on foot health Corns Calluses Ingrown toenails Bunions Heel spurs Arch problems Ankle and foot injuries, deformities, infections Maintain client files and appropriate documents as required. Monitors clients on an ongoing basis to assure their needs can be met. Inform personnel of changes in the client’s needs and conditions. Maintains communication with clients, families, and other staff. Responds to client concerns or complaints. Podiatrist Job Function: Participate and function effectively as a team member. Tasks: Develop and maintain a positive working relationship with staff Articulate information regarding clients to the team. Provide proactive, constructive participation in staff meetings, committees, etc. Job Type: Full-time Salary: $80,000.00 to $130,000.00 /year
$30.00 - $35.00 hourly
MedSearch Corp South Metro Twin Cities,
Oct 14, 2019
Full-time
RN POSITION PURPOSE Join our growing team of dedicated professionals. Provide exceptional services to our VIP residents in assisted living homes. RN PRINCIPAL ACCOUNTABILITIES  Meet with the resident and family to accurately complete all admission paperwork. Assure that the client and family understand the home care plan and their responsibilities.  Demonstrate dependability.  Maintain a safe environment for clients.  Initiate the Plan of Care and make necessary revisions.  Maintain accurate and timely documentation.  Supervise, teach and orient caregivers per agency guidelines and regulatory standards.  Maintain compliance with the state regulations affecting home care.  Demonstrate knowledge of current home care practices. RN SPECIFIC JOB KNOWLEDGE, SKILLS, AND PERSONAL ABILITIES REQUIRED  Nursing degree from an accredited school of professional nursing.  Currently registered/licensed with the Minnesota Board of Nursing.  Previous nursing/managerial experience in private duty home care preferred.  Demonstrate the ability to make appropriate nursing judgments.  Ability to listen and communicate clearly, fluently and diplomatically orally  Ability to remain flexible, resilient, calm and maintain a sense of humor  Ability to plan, organize, prioritize, delegate and accurately follow-through  Ability to generate goodwill for the organization and its management  Possess and maintain good physical and mental health, including current TB testing.  U.S. Citizen or evidence of valid Alien Work Permit.
$22.00 - $27.00 hourly
MedSearch Corp Woodbury, MN, USA
Oct 14, 2019
Full-time
We are hiring great team members for our LPN positions in a growing ENT practice. Must follow MDs as they circulate among several local clinic sites. Working knowledge of ENT, asthma, allergy, restorative surgeries, and procedures a plus. Great Mon-Fri days schedule. No nights or weekends. LPN position overview: Responsible for assisting physicians with all procedures and patient exams, Patient education and communicating effectively with team members, Accurately documenting patient information into their electronic medical record (EMR). LPN Qualifications: LPN/CMA applicants should possess the flexibility and motivation to provide clinical support across all divisions of the organization. Must have a current Minnesota LPN license in good standing. Apply today. LPN Job Type : Full-time. Direct Hire. Benefits-eligible.
$22.00 - $27.00 hourly
MedSearch Corp Maplewood, MN, USA
Oct 14, 2019
Full-time
We are hiring great team members for our licensed practical nurse (LPN) positions in a growing ear-nose-and-throat practice. Must follow MDs as they circulate among several local clinic sites. Working knowledge of ENT, asthma, allergy, restorative surgeries, and procedures a plus. Great Mon-Fri days schedule. No nights or weekends. LPN position overview: Responsible for assisting physicians with all procedures and patient exams, Patient education and communicating effectively with team members, Accurately documenting patient information into their electronic medical record (EMR). LPN Qualifications: LPN applicants should possess the flexibility and motivation to provide clinical support across all divisions of the organization. Must have a current Minnesota Licensed Practical Nurse license in good standing. Enjoy working in a flexible and busy specialty clinic environment. Attention to detail and exceptional customer service are prefered. Apply today. LPN Job Type : Full-time. Direct Hire. Benefits-eligible.
$185,000 - $240,000 yearly
MedSearch Corp Rochester, MN, USA
Oct 14, 2019
Full-time
PHYSICIAN ESSENTIAL JOB FUNCTIONS AND TASKS Initial Patient Care/Care Transitions The attending physician should assess a new admission in a timely fashion, based on a joint physician-facility-developed protocol and, depending on the individual's medical stability, recent and previous medical history, presence of significant or previously unidentified medical conditions, or problems that cannot be handled readily by phone. The attending physician will: Seek, provide, and analyze needed information regarding a patient's current status, recent history, and medications and treatments, to enable safe, effective continuing care and appropriate regulatory compliance; Provide appropriate information and documentation to support the facility in determining the level of care for a new admission; Authorize admission orders in a timely manner, based on a joint physician-facility-developed protocol, to enable the nursing facility to provide safe, appropriate, and timely care; and for a patient who is to be transferred to the care of another health care practitioner, continue to provide all necessary medical care and services pending transfer until another physician has accepted responsibility for the patient. Physician Regulatory Visits Comprehensive regulatory patient visits, in coordination with the facility’s overall plan of care for a resident, establish and guide the total program of care for each resident. The intent of these visits is to have the physician take an active role in supervising the care of residents. This should not be a superficial visit but should include an evaluation of the resident’s condition and a review of and decision about the continued appropriateness of the resident’s current medical regimen. The attending physician should: Maintain a schedule of visits appropriate to the resident's medical condition depending on the patient's medical stability, recent and previous medical history. The frequency of visits shall be no less often than once every 30 days for the first 90 days after admission, and at least once every 60 days thereafter. Review the resident's total program of care, including medications and treatments, at each regularly scheduled visit, including reasons for changing or maintaining current treatments or medications, and a plan to address relevant medical issues. Total program of care includes all care the facility provides residents to maintain or improve their highest practicable mental and physical functional status, as defined by the comprehensive assessment and plan of care. Care includes medical services and medication management, physical, occupational, and speech/language therapy, nursing care, nutritional interventions, social work and activity services that maintain or improve psycho-social functioning. Periodically review all medications and monitor both for continued need based on validated diagnosis or problems and for possible adverse drug reactions. The medication review should consider observations and concerns offered by nurses, consultant pharmacists and others regarding beneficial and possible adverse impacts of medications on the patient. Properly define and describe patient symptoms and problems, clarify and verify diagnoses, relate diagnoses to patient problems, and help establish a realistic prognosis and care goals. Participate as a member of the interdisciplinary care team in the development and review of the resident's comprehensive care plan with the understanding that the minimum level of physician participation in interdisciplinary development and review of the care plan shall be a person-to-person conference with the registered professional nurse who has principal responsibility for the development and implementation of the resident's care plan. Determine the progress of each patient's condition at the time of the regulatory visit by evaluating the patient, talking with staff as needed, talking with responsible parties and/or family as indicated, and reviewing the relevant information, as needed. In consultation with the facility's staff, determine appropriate services and programs for a patient, consistent with diagnoses, conditions, prognosis, and patient and family goals and wishes, focusing on helping patients attain their highest practicable level of functioning in the least restrictive environment. Conduct or arrange for palliative care counseling and pain management interventions when the resident is determined to be terminally ill or has a life-limiting condition that may benefit from these services. Prepare, authenticate and date progress notes at each visit. Maintain progress notes that cover pertinent aspects of the resident’s condition and current status and goals. Provide documentation needed to explain medical conclusions and decisions; permit effective, timely resident care. Over time, documentation related to physician visits should address relevant information about significant ongoing, active, or potential problems and cover at least the following: Status of chronic medical conditions; Status of any recent or current symptoms or changes in condition; Pertinent physical findings; How the individual’s acute and chronic conditions effect his/her functioning, quality of life, nutrition, hydration, cognition, mobility, prospects for improvement, and ability to socialize and participate in activities (for example, how a recent episode of pneumonia or exacerbation of COPD affected anticipated functional improvement); Clinically important abnormal lab results The rationale for substantial changes in medication and treatment orders, including identification and management of complications of existing medications and treatments, and ensure that each medication has an indication for continued usage; Identified special needs such as dental services or restorative care Review of the pertinence of the overall plan of care Evaluation of any discharge potential. Physician Acute Illness Visits Acute illness visits should be performed to meet the medical needs of the complex residents in the nursing home. APPROPRIATE CARE FOR RESIDENTS The attending physician should: In consultation with facility staff, ensure that treatments, including rehabilitative efforts, are medically necessary and appropriate in accordance with relevant medical principles and regulatory requirements; In consultation with the facility staff, manage and document ethics issues consistent with relevant laws and regulations and with patients' wishes, including advising patients and families about formulating advance directives or other care instructions and helping identify individuals for whom aggressive medical interventions may not be indicated; and Provide orders that ensure individuals have appropriate comfort and supportive care measures as needed, for example, when experiencing significant pain or in palliative or end-of-life situations.
$20.00 - $25.00 hourly
MedSearch Corp Fridley, MN, USA
Oct 11, 2019
Full-time
.LPN/CMA POSITION SUMMARY:   This position is responsible for assisting our medical providers by maintaining daily clinic visits, assisting and supporting primary RN and team with clinic staff to maintain clinic flow, prompt responses to patient needs.    LPN/CMA JOB RESPONSIBILITIES : Assist in providing comprehensive cardi Assist in providing comprehensive cardiac care in clinic environment.  Assist with daily clinic visits, rooming patients, recording weight. Assist in recording patient medical history when necessary. Prepare and maintain exam and treatment areas. Prepare, explain, and assist with explaining procedures and treatments to patients. Perform ECG tracings, understanding and instructing of standard clinic response to each rhythm. Provide patient instruction, placement, and removal of Holter Demonstrate the ability to work with confidential information. Provide detailed education and explanation of purpose, function, instructions and potential side effects of medications.  Utilize handout tools.  Review physician discharge orders with patients. Team with RN to schedule ordered tests and procedures. Work with RN for providing a detailed plan of care including explanations and educational resources regarding orders, medications, and tests/procedures. Team with RN to provide patients with test results, assess and evaluate patients' understanding. LPN/CMA POSITION REQUIREMENTS: Current Minnesota LPN License OR Graduate of an accredited medical assistance program. Cardiology experience is desired, but not required. Flexibility to handle several duties simultaneously required. Strong attention to detail and high accuracy rate required. Ability to work varied hours, including participating in the weekend rotation every eighth weekend. Must be able to travel between locations. Experience with electronic medical records.
$19.00 - $21.00 hourly
MedSearch Corp Shoreview, MN, USA
Oct 09, 2019
Full-time
We are looking for a superstar customer service professional to work as a full-time (32 hours per week) at our busy high-end medical specialty clinic. The assignment will last 3-5 months and may become permanent for the right person. Front Desk Professional Responsibilities: Function as the face of the clinic Greeting and registering patients Scheduling patients Phone management Insurance verification Using multiple computer programs, Office, Quickbooks, EMR Ordering medical supplies Going over patient instructions Front Desk Professional Requirements: Exceptional recent customer service experience High school or GED Able to pass a background check Experience in the medical front office and patient care Working knowledge of computer programs, Quickbooks and EMR Excellent pay and growth potential. Apply today!
$22.00 - $27.00 hourly
MedSearch Corp Woodbury, MN, USA
Oct 04, 2019
Full-time
We are hiring for our CMA positions in a growing ear nose and throat (ENT) practice. Must follow MDs as they circulate among several local clinic sites. Working knowledge of ENT, asthma, allergy, restorative surgeries, and procedures a plus. Mon-Fri days schedule. No nights or weekends. Apply today! CMA position overview: Responsible for assisting physicians with all procedures and patient exams, Patient education and communicating effectively with team members, Accurately documenting patient information into their electronic medical record (EMR). CMA Qualifications: CMA applicants should possess the flexibility and motivation to provide clinical support across all divisions of the organization. Must have a current Minnesota LPN license in good standing.
$72,000 - $80,000 yearly
MedSearch Corp Hopkins, MN, USA
Oct 03, 2019
Full-time
Nurse Case Manager General Description:  The RN Case Manager-Home Health ensures client-centered , quality, effective services and supports for helping individuals achieve and maintain overall health and well-being, and independence with self-care.  Clients and families are supported by informed decision-making for achieving client-centered outcomes.  The RN Case Manager role includes providing skilled nurse home visits per the physician’s orders and under the direction of the RN Nurse Manager.  Nurse Case Manager Key Responsibilities: Client and family education, assessment, care planning, coordination of care, supervision of home health services and care transitions, timely documentation, and communication/liaison with other health care and community providers.  The RN Case Manager is a professional role model and mentor for staff, who applies critical thinking, problem-solving, and effective communication skills to assure the delivery of quality services.      Nurse Case Manager Qualifications: Bachelor’s degree in nursing preferred, accompanied by a minimum of 1-year nursing experience working in a hospital, skilled nursing facility, or home health care setting. (Prior RN Case Management experience may be considered in lieu of a Bachelor’s Degree.). Current license as a Registered Nurse in the State of Minnesota. Effective verbal and written communication, assessment, care planning, teaching, clinical, and disease management skills. Knowledge of nursing care for older adults and persons with chronic/acute conditions. Skilled with INRs, wounds, blood draws, falls prevention, psychosocial issues, IVs. Ability to work independently and demonstrate leadership skills for directing care activities of LPN/unlicensed professional staff. Effective organizational, critical thinking, problem-solving, communication, and interpersonal skills. Familiar with health care programs, and community resources. Basic computer skills and the ability to use an electronic health record system. Ability to comply with privacy and HIPAA laws. Must pass a background study with the Minnesota Department of Human Services. Have a valid driver’s license, clean driving record and reliable transportation to use for work driving purposes. Knowledge of home health care requirements, regulations, and protocols a plus.
$18.00 - $20.00 hourly
MedSearch Corp Plymouth, MN, USA
Oct 01, 2019
Full-time
Front desk and scheduler posiiton overview: We are looking for customer service superstars! In this role, you will be responsible for checking in patients, collecting patient payments, answering calls in a friendly and welcoming manner, and scheduling and coordinating appointments for multiple providers. Front desk and scheduler hours: Monday- Friday, 40 hours a week (Between hours of 7am-6:30 pm; must be able to work until 6:30 pm two nights a week - generally Tuesdays ad Thursdays) Front desk and scheduler duties: - Accurately schedule patients for appropriate services - Follow all office and scheduling policies and procedures - Keep office space orderly - Time-sensitive, daily tasks such as scanning, copying and faxing - Managing multiple providers schedules - Scoring test forms - Projects as assigned Front desk and scheduler skills: 1. Critical thinking skills- problem solve, work independently 2. Customer service skills - friendly and welcoming in person and on the phone with patients, families, schools, and others 3. Communication skills 4. Ability to take feedback well 5. Positive attitude 6. Attention to detail 7. Front desk experience 8. Basic insurance knowledge 9. Proficient computer skills 10. High school diploma required 11. Bachelor’s degree preferred
$32.00 - $36.00 hourly
MedSearch Corp Brooklyn Park, MN, USA
Oct 01, 2019
Full-time
Medication Nurse Brief Description: You will conduct psychiatric assessments of clients with diverse mental health challenges. You will provide medication management and education services consistent with the needs of the client. You will collaborate with nursing staff to ensure clients receive appropriate follow up, monitoring and education regarding medication and symptoms of mental illness. Medication Nurse Responsibilities:  Monitoring patients’ overall health during every visit  Explaining procedures and treatment protocols to residents  Performing medication setup  Administering medication  Verifying residents are taking the correct dosages of medications  Storing and securing medications  Verifying the effectiveness of systems to ensure safe med handling  Coordinating med refills  Handling and implementing changes to prescriptions  Communicating with the pharmacy about the client’s medications  Ensure compliance with Minnesota 245 D, AFC, and Class F regulations  Collaborate with administrative/support staff to ensure efficiency in scheduling client appointments, follow up, consultations, phone calls, etc.  Facilitate and evaluate clients for admission to our group homes  Provide protection to clients from accident, injury, and infection  Perform residents admissions in accordance with 245 D , comprehensive home care, and Class F regulations  Make prompt and accurate nursing care judgments  Remaining on-call for patients who have healthcare emergencies  Effectively communicate with clients, staff, families, visitors, and others Medication Nurse Position Requirements:  Current RN license in the state of Minnesota  Associate's degree in Nursing, Bachelor's degree preferred  Combined 3 years of experience providing home health nursing care  Current driver's license and vehicle insurance  Excellent decision-making skills  Ability to learn and remember a large amount of information  Emotional stability, patience, and compassion  Being dedicated to customer service  Having computer literacy and proficiency with Microsoft Outlook, Word, Excel  State of Minnesota 245 D, AFC, and Class F regulations knowledge highly preferred
$82,000 - $100,000 yearly
MedSearch Corp Brooklyn Park, MN, USA
Sep 26, 2019
Full-time
We are hiring an experienced DON for our team of dedicated healthcare and mental health providers working with clients living at our assisted living facilities in the North metro area. This is a full-time, direct hire position offering an outstanding salary and compensation package as well as a growth potential. Apply today! DON Responsibilities Ensure compliance with MN statutes overseeing assisted living Respond to audits Maintain client charts to meet licensing requirements Create and edit all staff training policies and procedures Provide ongoing staff training Provide supervision to all program staff Oversee all aspects of medication management Develop relationships with clients, families and community providers Oversee all admission and discharge process and documentation DON Job Qualifications MN licensed RN. Bachelor's degree and BSN preferred Working knowledge of assisted living and long term care Working experience with adults with serious and persistent mental illness Successful track record of nurse leadership, including clinical and program supervision and oversight
$35.00 - $37.00 hourly
MedSearch Corp Maplewood, MN, USA
Sep 24, 2019
Part-time
Home Care Nurse Overview: The Home Care Nurse is responsible for overseeing and carrying out all of the nursing responsibilities involved with maintaining a comprehensive home care license. Ensure the ongoing satisfaction, quality, and safety of existing clients through regular contact, in conjunction with designated quality assurance home visits for clients who specifically receive nursing delegated comprehensive services. The position requires the exercise of discretion and independent judgment regarding significant matters of quality assurances/clinical management/risk management and training of the CAREGiversSM for Home Instead Senior Care. A clear understanding of RN regulations and responsibilities for delegation to an unlicensed caregiver. This is an hourly position. Home Care Nurse Essential Job Qualifications: Assist with the medication and other comprehensive clinical services Comfortably delegate nursing tasks as outlined in the Minnesota Administration Rules A clear understanding of the rules and regulations regarding delegating nursing tasks to both other licensed and non-licensed employees Maintain a current, non-restricted Registered Nursing License in the state of Minnesota 1 or more years of nursing experience, including delegation and management of employees Experience in home care is preferred Home Care Nurse Knowledge, Skills and Abilities: Must demonstrate excellent oral and written communication skills Must have the ability to work independently, maintain confidentiality of information and meet deadlines Must demonstrate effective interpersonal skills as well as sound judgment Must have the ability to organize and prioritize daily, monthly, quarterly and yearly work Must possess basic computer skills Must be in good physical condition and have the ability to lift 25 pounds, bending, twisting, stooping, kneeling, reaching, pushing, pulling and carrying OK with periodic contact with dog and cat hair, dust, mold, mildew, smoke and cleaning solutions Must have the availability to work evenings or weekends as required Must have the ability to perform duties in a professional office setting and in the field
$22.00 - $27.00 hourly
MedSearch Corp Eagan, MN, USA
Sep 23, 2019
Full-time
We are hiring for our CMA positions in a growing ear nose and throat (ENT) practice. Must follow MDs as they circulate among several local clinic sites. Working knowledge of ENT, asthma, allergy, restorative surgeries, and procedures a plus. Mon-Fri days schedule. No nights or weekends. Apply today! CMA position overview: Responsible for assisting physicians with all procedures and patient exams, Patient education and communicating effectively with team members, Accurately documenting patient information into their electronic medical record (EMR). CMA Qualifications: CMA applicants should possess the flexibility and motivation to provide clinical support across all divisions of the organization. Must have a current Minnesota LPN license in good standing.
$31.00 - $35.00 hourly
MedSearch Corp Burnsville, MN, USA
Sep 23, 2019
Full-time
Nurse RN POSITION PURPOSE Join our growing team of healthcare professionals providing exceptional care to our assisted living residents. We provide upscale assisted living residential homes situated in beautiful residential communities. Our VIP residents and their families demand excellence. Leadership ability a plus as are resilience and flexibility. Nurse RN PRINCIPAL ACCOUNTABILITIES Meet with the client and family to accurately complete all admission paperwork. Assure that the client and family understand the home care plan Demonstrate dependability. Maintain a safe environment for clients. Initiate the Plan of Care and make necessary revisions. Maintain accurate and timely documentation in preparing client visit Supervise, teach and orient caregivers per agency guidelines Maintain compliance with the state regulations affecting home care. Demonstrate knowledge of current home care practices. NURSE RN SPECIFIC JOB KNOWLEDGE, SKILLS, AND PERSONAL ABILITIES Nursing degree from an accredited school of professional nursing. Currently registered/licensed with the Minnesota Board of Nursing. Previous nursing/managerial experience in private duty home care preferred. Demonstrate the ability to make appropriate nursing judgments. Ability to listen and communicate clearly, fluently and diplomatically Ability to remain flexible, resilient, calm and maintain a sense of humor Ability to plan, organize, prioritize, delegate and accurately follow through Ability to generate goodwill for the organization and its management among staff, clients, and referral sources. Demonstrate a strong commitment to client service excellence. U.S. Citizen or evidence of valid Alien Work Permit.
$180,000 - $220,000 yearly
MedSearch Corp Minneapolis, MN, USA
Sep 16, 2019
Full-time
PHYSICIAN ESSENTIAL JOB FUNCTIONS AND TASKS Initial Patient Care/Care Transitions The attending physician should assess a new admission in a timely fashion, based on a joint physician-facility-developed protocol and, depending on the individual's medical stability, recent and previous medical history, presence of significant or previously unidentified medical conditions, or problems that cannot be handled readily by phone. The attending physician will: Seek, provide, and analyze needed information regarding a patient's current status, recent history, and medications and treatments, to enable safe, effective continuing care and appropriate regulatory compliance; Provide appropriate information and documentation to support the facility in determining the level of care for a new admission; Authorize admission orders in a timely manner, based on a joint physician-facility-developed protocol, to enable the nursing facility to provide safe, appropriate, and timely care; and for a patient who is to be transferred to the care of another health care practitioner, continue to provide all necessary medical care and services pending transfer until another physician has accepted responsibility for the patient. Physician Regulatory Visits Comprehensive regulatory patient visits, in coordination with the facility’s overall plan of care for a resident, establish and guide the total program of care for each resident. The intent of these visits is to have the physician take an active role in supervising the care of residents. This should not be a superficial visit, but should include an evaluation of the resident’s condition and a review of and decision about the continued appropriateness of the resident’s current medical regimen. The attending physician should: Maintain a schedule of visits appropriate to the resident's medical condition depending on the patient's medical stability, recent and previous medical history. The frequency of visits shall be no less often than once every 30 days for the first 90 days after admission, and at least once every 60 days thereafter. Review the resident's total program of care, including medications and treatments, at each regularly scheduled visit, including reasons for changing or maintaining current treatments or medications, and a plan to address relevant medical issues. Total program of care includes all care the facility provides residents to maintain or improve their highest practicable mental and physical functional status, as defined by the comprehensive assessment and plan of care. Care includes medical services and medication management, physical, occupational, and speech/language therapy, nursing care, nutritional interventions, social work and activity services that maintain or improve psychosocial functioning. Periodically review all medications and monitor both for continued need based on validated diagnosis or problems and for possible adverse drug reactions. The medication review should consider observations and concerns offered by nurses, consultant pharmacists and others regarding beneficial and possible adverse impacts of medications on the patient. Properly define and describe patient symptoms and problems, clarify and verify diagnoses, relate diagnoses to patient problems, and help establish a realistic prognosis and care goals. Participate as a member of the interdisciplinary care team in the development and review of the resident's comprehensive care plan with the understanding that the minimum level of physician participation in interdisciplinary development and review of the care plan shall be a person-to-person conference with the registered professional nurse who has principal responsibility for development and implementation of the resident's care plan. Determine progress of each patient's condition at the time of the regulatory visit by evaluating the patient, talking with staff as needed, talking with responsible parties and/or family as indicated, and reviewing relevant information, as needed. In consultation with the facility's staff, determine appropriate services and programs for a patient, consistent with diagnoses, conditions, prognosis, and patient and family goals and wishes, focusing on helping patients attain their highest practicable level of functioning in the least restrictive environment. Conduct or arrange for palliative care counseling and pain management interventions when the resident is determined to be terminally ill or has a life limiting condition that may benefit from these services. Prepare, authenticate and date progress notes at each visit. Maintain progress notes that cover pertinent aspects of the resident’s condition and current status and goals. Provide documentation needed to explain medical conclusions and decisions; permit effective, timely resident care. Over time, documentation related to physician visits should address relevant information about significant ongoing, active, or potential problems and cover at least the following: Status of chronic medical conditions; Status of any recent or current symptoms or changes in condition; Pertinent physical findings; How the individual’s acute and chronic conditions effect his/her functioning, quality of life, nutrition, hydration, cognition, mobility, prospects for improvement, and ability to socialize and participate in activities (for example, how a recent episode of pneumonia or exacerbation of COPD affected anticipated functional improvement); Clinically important abnormal lab results Rationale for substantial changes in medication and treatment orders, including identification and management of complications of existing medications and treatments, and ensure that each medication has an indication for continued usage; Identified special needs such as dental services or restorative care Review of the pertinence of the overall plan of care Evaluation of any discharge potential. Physician Acute Illness Visits Acute illness visits should be performed to meet the medical needs of the complex residents in the nursing home. APPROPRIATE CARE FOR RESIDENTS The attending physician should: In consultation with facility staff, ensure that treatments, including rehabilitative efforts, are medically necessary and appropriate in accordance with relevant medical principles and regulatory requirements; In consultation with the facility staff, manage and document ethics issues consistent with relevant laws and regulations and with patients' wishes, including advising patients and families about formulating advance directives or other care instructions and helping identify individuals for whom aggressive medical interventions may not be indicated; and Provide orders that ensure individuals have appropriate comfort and supportive care measures as needed, for example, when experiencing significant pain or in palliative or end-of-life situations.