Originally Posted by jaxnRN
Hello. I have done a "search" on this subject and have a completely negative image of this job now....but I am going to ask you all anyway....
I have been offered a job as a Medicare Coordinator at a LTC facility. The facility is fairly new (within the last 8 years), and is in a fairly small town.
The number of Medicare residents is around 10 but the administrator is hoping to have 25, that is her goal.
Anyway, I know NOTHING about what this job entails but I am ready for a new position. I have been an RN for 14 years and worked in the same area for that entire time.
But after reading some of the posts, I am having major second thoughts.
I am extremely organized and learn very fast. I would have 2 MDS coordinators who are LPN's working with me. I will NOT be pulled to the floor and at my interview was told that this job is 8 hour days, 5 days per week.
The facility is well staffed and maintained.
Can anyone PLEASE share with me what I might be in for?
We have a 63 bed skilled nursing bed unit.
20 bed dimentia unit.
Thanks for ANY and ALL help on this one!!!!
If you are leaving floor nursing because you are tired of the rat-race and really just want a break from the floor, then becoming an MDS Coordinator is really a nice job. I did MDS's for a little over a year. It was very interesting in that I was able to research the resident's history and look globally at the resident's overall care needs and develop a functional plan of care. In addition, it was very nice to lead the multidisciplinary team and get feedback from everyone. For the first time in a long time, I thought I was doing something very worth while and something that provided some reasonable benefit for the resident, the facility and for the nursing staff.
There are many aspects of the job that must be learned. First and foremost, you will need to learn the scheduling system and when MDS's are due to Medicare and how often they have to be completed. Next, you will need to learn the term RUGS. These are your reimbursement classifications that the MDS tallies after you have completed and entered your assessment in to the main computer system. In addition, you will need to understand ther term RAPS as well as how to use them to articulate a well rounded and compliant care plan. These can be very complex, but once they are learned, they are very easy to follow.
If I were you, entering this field pretty green, ask your administrator or director of nursing about how long the orientation process is going be for you. In addition, sounds like you have two other nurses that are going to be good resources for you. Just remember .... in most States, the LPN's can not assess and if they are completing an MDS - as the RN, you will be signing off on all that the LPN's do. This can be tough in the beginning when you do not know these nurses or how well they assess and how accurate their MDS completion is. Once you develop that level of trust, I am sure it will be fine.
I have often thought about going back to MDS's while I am finishing out my graduate degree as the job is so much less stress. But there are very few opportunities locally for me.
Anyway .... good luck and hope you enjoy the new position.