I work in Mass in 135 bed dually certified facility.I was the only coordinator until 
last year.I went onto the clock 1 year ago and do 32-36 hours a week.I handle all the 
med a patients.I do all PPS and do the obras thru the rap process,run daily med a 
meeting[we discuss managed care there also,handle the denial letters,all communication 
to the FI..The other mds coordinator works up to 40 hours.She does all careplans on 
the med a patients[if with us on day 21], updating all the annual and quarterly 
assessments and does the mds'.She does  many of the careplans but the other 
disciplines do many careplans also.The unit managers go to careplan and have the most 
input into careplans.We also have a person who does the computer input,she does the 
scheduling with our oversight.She is just great,has learned the process so well that 
she keeps us all on our toes.The other mds coordinator was the med a unit manager so 
she at times is called to help out on the med a unit.I then can help her catch up.We 
both have helped out with monthly editing.
We usually have about 20 med a and about 10 managed care patients.Our staffing is 
usually good and our process is seldom behind.I can't understand why facilities pay a 
nurse to do the computer input.I feel it is such a waste where nursing hours are 
stretched so far in facilities.

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