A typical day is to arrive early and gather information on new Skilled Patients prior to the arrival of therapists, who needed the charts also, and determine the skilled need as accurate and in accordance with Medicare guidelines. Ensure that orders were written, review consents and develop temporary and permanent plan of care for the patient, tweeking as needed. I worked to ensure that other team members, depending on the company and experience of the team members were able to complete their sections to provide an interdisciplinary result that best fit the patient. The most difficult part of the job is ensuring accuracy of disciplines that were not part of nursing, because ultimately the responsibility for ensuring that accuracy falls back on the PPS / MDS Coordinator, and the recent Medicare replacement plans consumed an enormous amount of time, as there are many replacement plans out there that require weekly updates and some have their own forms, requiring a weekly authorization number, and a note from interdisciplinary team members that had to be gathered weekly and ensuring they were done in a timely manner. It can be done, however, I am of the opinion that it takes quite a bit of teamwork and interdisciplinary understanding of the medicare replacement plans for this to occur in a timely manner . The most rewarding and enjoyable part of the job is Coordinating the entire process so that it runs smoothly, keeping in mind that time efficiency is a necessity.