
State of Iowa licensed Registered Nurse experienced in regulatory survey assistance in both SNF and ALF/ Memory Care settings. ICD 10 coding certification and a member of AANAC. Possesses exceptional clinical, interpersonal and time management abilities. Conscientious of current CMS regulations and policies with proven improvement in quality measures. Diligent in managing a high caliber team with quality care and resident/ family satisfaction a priority.
Oversee two Assisted Living/ Memory Care locations in a hybrid role, ensuring regulatory compliance, aiding in obtaining deficiency free status in Iowa community. Experience with CMS MDS completion with deficiency free status, quality reporting history in three SNFs. Point person and Provider Security Official for all SNFs for iQIES transition. Trained and managed new MDS coordinators, Social Workers, therapists, and Activities personnel in MDS section completion and care planning. Point person for PointClickCare software training for clinical staff at Oak Park Place communities.
Accurate completion of all OBRA and PPS assessments including care plan completion. Accurate diagnosis coding for all admissions. Ensure Certifications for Medicare/ Managed Care services completed and signed in timely manner. Collaborate with IDT members for discharge planning needs. Issue correct end of skilled services forms to residents. Provide routine in-service/ education for floor staff regarding correct ADL documentation, correct Medicare A/ Managed care provider documentation, and ongoing PDPM documentation. Assist facilities within company remotely with MDS and diagnosis coding completion.
Lead MDS/ care plan nurse in a 130 bed LTC facility. Reviewed referrals for medical necessity qualifications in long term care setting. Ensured diagnosis coding in compliance with billing regulations for Medicaid and Medicare residents. PPS and OBRA assessment completion with traditional Medicaid/ Medicare benefits and Managed Care benefits. Responsible for completion of all care plans for all residents within the facility. Deficiency free MDS and Care Plan during annual survey. Provided nursing staff education for correct ADL coding, Medicare charting. Ensure Restorative Nursing program in compliance with guidelines.
Completion of all MDS assessments and care plans. Lead all IDT meetings and assist in appropriateness for long term stay residents versus discharge. Educate family and residents regarding transition back to community or appropriateness of medical necessity for a long term transition within nursing facility. Provide routine ins-service/ education for correct ADL documentation and Medicare charting guidance. Responsible for Restorative Nursing Program compliance including RNA documentation compliance.
Review potential admissions for appropriateness within the facility. Communicate with area admitting physicians of status of potential admissions and clinical updates. Ensure infection control, resident rights, nursing standards of care in compliance with DADs and CMS standards in a long term care/ skilled nursing facility. Conduct annual skills check-off in-services with nursing staff. Provide routine education on correct ADL coding, restorative nursing coding, and Medicare charting guidelines.