ADON/ MDS Coordinator (RN): Long Term Care | Full-Time

Holly Thompson

Why Blue Mountain Hospital District & Grant County?

The Blue Mountain Hospital District (BMHD) is located in Grant County, Oregon, at the heart of the John Day River, in beautiful, rural, Eastern Oregon.  Our District is comprised of a Critical Access Hospital (CAH), Family & Rural Medicine Clinic, Home Health and Hospice, Emergency Medical Services, an Intermediate Care Center and all of the supporting ancillary departments necessary to care for the health and wellness of our community.

Our District spans from John Day to Prairie City, nestled in a valley surrounded by the Blue Mountains.  The Strawberry Mountain Range and John Day River Valley offers a variety of outdoor activities, from abundant hiking/mountain biking/horse riding trails, to high and low lakes and ponds.  Our area is known to be a “go to” place not just for recreation, but also for big game hunting and fishing!

Join our family-like team and settle into a lifestyle that is hard to beat!

For more information on our area, visit our Grant County Chamber of Commerce page at:

Position Summary:

The ADON/ MDS Coordinator has 24 hour accountability for the care of all residents in Blue Mountain Care Center (BMCC).  The RCM’s name will appear on the resident’s medical record and on the care plan. The RCM collaborates with all members of the health care team to develop and maintain a high quality of nursing care for his/her residents.  The RCM works under the direction of the Director of Nursing and/or Administrator.

Essential Duties & Functions:

  • Adheres to Oregon State rules and regulations concerning delivery of resident care and assures that nursing services are provided and documented.
  • Assures that resident admission status is assessed and documented within 8 hours of admission.
  • Assures that a plan of care for nursing services is developed and documented within 24 hours of admission, and completed within 14 days.
  • Assures that residents’ condition is updated and reviewed when residents’ condition changes and no less than quarterly both in resident record and care plan.
  • Has good working knowledge of State and Federal Rules and Regulations.
  • Completes comprehensive assessment within 14 days of admission.
  • Assists during annual State Survey and other surveys as requested.
  • Is aware of delinquent physician visits as reported by Medical Records and assists with communicating the need for visits to physicians as necessary. Assures standing orders are replaced in the charts annually.
  • Demonstrates observation skills for obvious and subtle changes in resident’s condition.
  • Accurately assesses resident physical and psychological status in collaboration with the charge nurse.
  • Reads 24 hour report and Charge Nurse Book and checks resident’s records for documentation.
  • Identifies resident illness (via labs and presenting symptoms, etc.) and utilizes necessary resources for unfamiliar conditions.
  • Reports changes in resident’s condition to appropriate personnel (charge nurse, DNS, physician) and documents.
  • Responsible for initiating and discontinuing Alert Charting or assuring it is done.
  • Alters care plan to reflect changes in resident conditions.
  • Provides resident and family with explanations of the conditions as necessary.
  • Implements physician orders in a timely manner with understanding of purpose of order as it relates to the resident’s condition.
  • Coordinates provision of services with other health care providers (physician, PT, SS, Activities, etc.).
  • Applies problem solving principles in care delivery process.
  • Investigates incidents, accidents and errors; initiates corrective action as necessary.
  • Conducts weight loss, care plan or other meetings as needed, as well as monthly nursing QA.
  • Assists in orientation of new staff.
  • Provides input with employee performance evaluations as needed.
  • Recognizes legal responsibilities and functions within scope of practice.
  • Demonstrates professional responsibility of conduct and attendance record.
  • Provides input to change process and supports DNS and Care Center in process.
  • Covers for DNS in absence (taking call, attending or holding meetings, supervising staff, covering the schedules).
  • Delegates nursing functions and tasks to RN’s and LPN’s within their scope of practice.
  • Completes the MARS, TARS, ADL’s and 60 day orders appropriately and in a timely manner.
  • Assures accurate completion of resident chart in collaboration with Medical Records person.
  • Interprets and adheres to established policies of Care Center.
  • Reports all problems, needs and concerns to the DNS.
  • Will assist in the supervision of staff.
  • Will cover the floor in the absence of the charge nurse.
  • Will cover every other weekend on the floor as the charge nurse as needed to meet the state mandated requirement of (1 RN in the facility for a minimum of 8 hours every day).
  • Demonstrate ability to maintain a high level of output without sacrificing quality.
  • Able to demonstrate and maintain consistent and efficient performance.
  • Ensures all resident care is performed in an environment that optimizes resident safety and reduces the likelihood of medical/health care errors.
  • Demonstrates ability to establish priorities and organize effectively.
  • Establishes priorities for resident care and delegates as necessary.
  • Demonstrate ability to learn and maintain appropriate technical skills to effectively support the electronic record system.
  • Displays a thorough understanding of electronic medical records and charting per regulations.
  • Ability to learn Point Click Care and Transmission process for MD’s.
  • Establish & maintain solid work relationships, through communication, cooperation, and positive interaction with all employees, staff and physicians.
  • Approachability – build rapport by making the effort to be cooperative and adaptive, put others at ease, and support co-workers.
  • Listening – practice active listening; not interrupting, display patience when listening to the views of others, and discuss differing opinions with an open mind.
  • Problem Solving work with others to prevent problems & find a solution when issues arise.
  • Establishes priorities for resident care and delegates as necessary.
  • Implements plan of care based on resident needs with health care team members.
  • Demonstrates leadership abilities.
  • Interacts with all members of the Interdisciplinary Team in a professional manner.
  • Interacts with resident families in a professional manner.
  • Participates in infection control procedures.
  • Acts as a resource person and accepts guidance from available resources.
  • Exhibit professional behavior while being caring and compassionate
  • Customer Focusdedicated to meeting the expectations of the internal customer. Demonstrate sensitivity, empathy, concern and respect for others.  Act with the resident care in mind, gain trust and respect by building and maintaining effective relationships.
  • Maintain confidentialityin accordance with the OSBN, hospital and HIPAA regulations.
  • Self motivated and contribute to new ideas.
  • Improvements – initiate improvements and apply new methods of working to help achieve goals.
  • Learning on the go develop an action plan when facing new problems, and be open to change.
  • Is responsible for meeting own continuing education requirements.
  • Assumes responsibility for professional growth and continuing education.
  • Participates in In-Service education programs.
  • Adheres to dress code, appearance is neat and clean.
  • Completes annual education requirements.
  • Maintains regulatory requirements, including all federal, state, local regulations and accrediting organization standards.
  • Reports to work on time and as scheduled.
  • Wears identification while on duty.
  • Attends annual review and performs departmental in-services.
  • Represents the organization in a positive and professional manner.
  • Attends committee and management meetings, as appropriate.
  • Complies with all organizational policies regarding ethical business practices.
  • Communicates the mission, ethics and goals of the facility.

Supervisor Responsibilities:

Oversight of CNA staff while Charge Nurse; or all nursing staff while DNS is absent.

Supervised by:

DNS and/or Administrator

Education & Certifications Required:


  • Graduate of an accredited program of nursing education.
  • Licensure in the State of Oregon.
  • Experienced in the care of the geriatric resident as evidenced by completed courses and clinical practice. RCM course within 6 months of hire.
  • BLS certificate


  • Bachelor’s Degree in Nursing or Nursing Administration
  • Certification in areas related to Geriatric Care

For more information, contact:

Jonie Jones, Administrator – Blue Mountain Care Center  |  (541) 820-3341


Holly Thompson, Human Resources Generalist  |  (541) 575-3820