ADON / MDS Coordinator

Dallam Hartley Counties Hospital District•Dalhart, TX

8d•Onsite

About The Position

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.

Requirements

Current, unrestricted Texas Registered Nurse (RN) license required.
Minimum of three (3) years of nursing experience in a long-term care or skilled nursing preferred.
Previous supervisory or nursing leadership experience preferred.
Previous MDS experience strongly preferred.
Thorough knowledge of CMS MDS, RAI Manual, Medicare, Medicaid, and reimbursement processes.
Strong understanding of Texas long-term care regulations.
Proficient with electronic health records and Microsoft Office applications.

Nice To Haves

Minimum of three (3) years of nursing experience in a long-term care or skilled nursing.
Previous supervisory or nursing leadership experience.
Previous MDS experience.

Responsibilities

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.
Complete two MDSs for every admission: an Entry MDS due immediately upon admission, and an Admission MDS due 14 days after admission, including CAA worksheets and updating daily care plans.
Complete quarterly MDS assessments for every resident, and 'off cycle quarterlies' to capture therapy, outpatient blood, IVs, etc., for reimbursement optimization.
Organize schedules and lead all care plan meetings for every resident, inviting family and residents.
Coordinate care and discharges to psyche facilities under the DON as needed.
Adhere to the RAI manual for specific instructions and steps required to complete each MDS.
Schedule MDSs at the beginning of the month and adjust for admissions, discharges, and significant changes, ensuring schedules follow the RAI manual.
Gather information for the 18 sections of the MDS, using a gathering information sheet and attaching important medical records as proof of decisions.
Collect information from PCC (assessments, interviews, progress notes, orders, incidents, physician notes) and Meditech (therapy minutes, ED notes, physician visits, labs/imaging) and enter the MDS.
Submit completed MDSs and immediately update care plans.
Complete an additional form for TMHP for every Medicaid resident, listing all medications.
Determine if a resident requires an additional MDS, including significant changes, based on strict criteria in the RAI manual.
Ensure accuracy and timely completion of assessments and entries for dietary, activities, and social services sections.
Review staff charting for accuracy to capture resident status.
Review Quarterly Measures to audit and communicate areas needing improvement in the facility.
Ensure every Medicaid applicant obtains Medical Necessity through TMHP, communicating with the Medicaid review nurse as needed.
Meet daily deadlines to be compliant with TMHP.
Complete monthly and quarterly MDS assessment schedules for nurses and conduct interviews with each resident prior to completing MDS, performing daily audits for missing assessments.
Ensure all residents have up-to-date restorative care plans.
Meet with the rehab director for updates on residents needing therapy services.
Meet with restorative aides monthly and chart on restorative residents as needed and monthly.
Assist with the day-to-day workload of the facility, helping areas/nurses with questions or resident situations.