ADON​/MDS Coordinator

Job Description

The Assistant Director of Nursing (ADON)/MDS Coordinator assisted the Director of Nursing in planning, organizing, developing, and directing the overall operations of the Nursing Home Nursing Department to ensure the highest quality of resident care. This position is also responsible for ensuring accurate and timely completion of Minimum Data Set (MDS) assessments, care planning, reimbursement optimization, and compliance with all federal, state, CMS, and facility regulations.

• Check 24‑hour report to see if DC MDS, Change in Status MDS or Entry MDS needs to be complete and to see falls, IR that will need to be on upcoming MDS’s
• The admission process begins when the admission date is known. All preadmission medical records are located and gone through to set up admission MDS (Sometimes this takes days to get other facilities to get this information to us). For every admission, there will be 2 MDSs due on 2 different dates. One is the Entry MDS, due immediately upon admission, and the second is the Admission MDS, due 14 days after admission.
  
  Included with this admission assessment, the CAA worksheets, which is writing a detailed small care plan for every area triggered in the admission MDS. Once it is complete, the daily care plan is updated if needed. The MDS will be queued for submission. MDSs are submitted every Friday.
• Every resident has an MDS due quarterly. We also do what we call “off cycle quarterlies” which are additional MDS to capture therapy, outpatient blood, IV’s etc. to raise the rates for the quarter. These are random and the same steps are completed.
• MDS Coordinator organizes schedules and leads all care plans meetings for every resident. Family and residents are invited to attend.
• MDS Coordinator helps coordinate care, DCs to psyche facilities under DON as needed.
• For each MDS, the following steps are completed:
  The MDS Coordinator must know and be compliant with the RAI manual which has specific instructions/directions/steps that are required to complete each MDS.
• Schedule is set at the beginning of the month and obviously, added to all during the month (Admissions, Discharges, Significant changes all require an MDS that is not already scheduled). Make sure each resident has MDS schedule that follows the RAI manual.
• To start gathering information for the 18 sects to be filled out MDS Coordinator gathers information sheet to guide through the process to make sure not to forget to print any important medical records that are then attached to the file to show proof of decisions made on the MDS.
• MDS Coordinator gathers all information needed from PCC (all assessments, interviews, progress noted, orders, incidents, physician notes) and Meditech (therapy minutes, ED notes, physician visits, labs/imaging). Once this is all located and printed out then start to enter the MDS.
• Once the MDS is complete, submit and immediately update care plans.
• Every Medicaid resident has an additional form that must be filled out for TMHP, which requires listing all meds, etc.
• The process from start to finish takes anywhere from 5‑8 hours to complete.
• During this process of going through the medical record, one may often find areas that need to be fixed, changed, or followed up on. So, it’s not always just a matter of completing the MDS and being done.
• MDS Coordinator is responsible for determining if a resident requires an additional MDS, which includes significant changes. This too also has strict criteria that is explained in the RAI manual.
• MDS Coordinator is responsible for making sure that sections pertaining to dietary, activities and social services is accurate, assessment completed and entered on time.
• The MDS Coordinator is responsible for ensuring that staff is charting accurately to capture status of the resident. This involves reviewing charting for each resident in a timely manner.
• The MDS Coordinator is responsible for reviewing Quarterly Measures to audit and communicate areas that need improvement in the facility.
• MDS Coordinator is responsible for ensuring that every Medicaid applicant obtains Medical Necessity through TMHP. Often this involves…