Amber Ford
Monroe,MI
Summary
Experience and dedicated LPN with over 8 years of MDS experience. Demonstrated expertise in assessing and diagnosing patients, developing and implementing care plans, administering medication and treatment, and educating patients and families about their health, wellness and financial needs and concerns. Proven ability to work effectively with interdisciplinary teams to ensure patient outcomes.
Overview
17
17
years of professional experience
Work History
Corporate MDS Coordinator
Pioneer Health Care Management
Bingham Farms , MI
2018.07 - Current
- Maintains current knowledge of federal/state regulations regarding the MDS and Care Planning process.
- Maintains current knowledge of applicable Manage care, Medicare and State Medicaid regulations.
- Responsible for supporting multiple MDS coordinators in ensuing accurate completion and coding of the RAI and providing support to the facilities.
- Conducted 1:1 training regarding the MDS, reimbursement, and case management process
- Oversee and provide support to facility MDS nursing team to ensure timely and accurate completion of the RAI process.
- Implemented standards of RAI process through the formulation of policies and procedures.
- Support assigned facilities in creating action plans.
- Weekly triple checks for A/R billing accuracy.
- Completed monthly billing and monthly billing reports.
- Assist with survey management.
- Provided training and education to nursing staff on current MDS regulations.
- Assisted in identifying opportunities for improvement in processes related to the completion of the MDS form.
- Performed data entry functions associated with entering information into computer systems used for tracking and monitoring purposes.
- Developed procedures for organizing and filing clinical data to enhance workflow efficiency.
MDS Coordinator
Pioneer Health Care Management
Bingham Farms , MI
2016.04 - 2018.07
- Completed the Resident Assessment Instrument (RAI) accurately and timely.
- Maintained and monitored compliance of state and federal rules and regulations to RAI.
- Assist with pre-admission screenings to determine/ prepare for resident care needs.
- Schedules resident assessments for appropriate admission, quarterly, annual or change of condition according to the regulation guidelines.
- Planned, coordinated and supervised nursing care to ensure compliance with standards of care, per policy.
- Gathered information, review chart documentation for consistency and accuracy, interview patients/ residents and ensure that follow-up is completed, and document and assessment data is appropriately recorded into the MDS.
- Assisted in keeping the interdisciplinary team informed of assessment due dates and ensure that required timelines are met.
- Led facility meetings related to Medicare and Managed Medicare recipients in the facility.
- Knowledge and experience with case management and obtaining continued authorizations from insurance companies and update in EHR.
- Performed regular duties of a LPN, as needed.
- Developed individualized plans of care for each resident based on assessment findings.
- Collaborated with interdisciplinary teams to develop comprehensive care plans.
- Facilitated team meetings with members from other departments such as Social Services, Dietary, Activities, Rehabilitation services, to discuss resident issues and concerns related to the MDS process.
- Audited monthly MDS submissions for accuracy, timeliness, completeness and compliance with applicable regulations.
- Assisted in identifying opportunities for improvement in processes related to the completion of the MDS form.
Director of Business Development
Pioneer Health Care Management
Bingham Farms , MI
2014.07 - 2016.04
- Established relationships with case managers, social workers and others in hospital, nursing home, assisted living settings to ensure successful collaborations.
- Implemented and executed effective marketing plans.
- Organized promotional events such as tours, presentations and luncheons.
- Delivered informative presentations to industry professionals, providing valuable information on topics relevant to daily operations and company services.
- Supported marketing team members to drive census and development.
- Completed daily and monthly reports.
- Ensured effective and efficient resource management to provide quality health care, optimal customer satisfaction and favorable business results.
- Visited referral sources to establish networking, participated in the development of public relations activity, utilized community resources; assisted in the development of marketing strategies.
Clinical Nurse Liaison
Pioneer Health Care Management
Bingham Farms , MI
2013.07 - 2014.05
- Collaborated with physicians, nurses, and other healthcare professionals to ensure smooth transition into nursing home.
- Completed on-site for new referral visit to provide overview of the admission process. answering questions and work with the referral resource to facilitate transfer.
- Set- up admissions to the facility to include completion of contract signing and all necessary documentation, insurance verifications, tracking, pre-authorizations/review for managed care residents.
- Daily marketing in the health care setting as well as in the community.
- Performed comprehensive assessments of new admissions to identify potential issues or risks that may impact their recovery process.
- Served as a liaison between patients, families, healthcare providers, insurers, government agencies, and other related entities involved in the delivery of care.
- Experience with reviewing referral information ensuing clinical. equipment. and medication needs can be met.
- Obtained pre-authorization from insurance companies.
- Tracked and reported daily census.
Clinical Nurse Evaluator
Olympia Group
Dearborn , MI
2011.10 - 2013.06
- Work directly with social workers and discharge planners and identify new opportunities for partnership and growth.
- Obtained and evaluated information regarding the residents specific needs such as therapy, medication and nursing services.
- Served as a resource to hospital staff.
- Provided fast and accurate pre-placement patient assessments with determining the most appropriate and timely placement options.
- Facilitated and implemented case management through proactive communication among hospital discharges and social workers.
- Reviewed charts.
- Census building and development.
- Act as an advocate for patient and family.
- Help both host after hour work event for social worker, discharge planners and physicians.
Wound Care Coordinator/Charge Nurse/Shift Supervisor
Imperial Health Care Center
Dearborn Heights , MI
2007.09 - 2011.10
- Reviewed lab results, imaging reports and other diagnostic tests related to patient's condition.
- Collaborated with physicians and other health professionals regarding complex cases or difficult wounds requiring additional attention or specialized treatments.
- Assisted with development of policies and procedures related to wound care management practices.
- Attended professional conferences and seminars focused on current trends in wound management.
- Implemented infection control measures when treating patients with open wounds or sores.
- Developed and implemented wound care protocols to ensure patient safety and quality of care.
- Performed weekly rounds in the nursing home to assess patient's wound status and provide education to nursing staff.
- Maintained accurate documentation of patient's wound assessment, treatments, medications and other interventions in the medical record system.
- Conducted daily rounds to assess patient conditions, evaluate progress towards goals, and document changes in status or plan of care as needed.
- Implemented safety protocols when administering medications or performing treatments.
- Delegated tasks appropriately among staff members according to their qualifications.
- Managed staffing levels within the unit while ensuring optimal levels of patient care.
- Provided direct patient care, including assessments and treatments, to a variety of patients.
- Coordinated and performed patient admissions, transfers and discharges.
- Administered oral, IV and intra-muscular medications and monitored patient reactions.
Education
Licensed Practical Nurse - Nursing
Professional Skills Institute
Maumee, OH2007-07
Skills
- RAC-CT Certification
- Matrix Superuser
- Wound Care
- Management
- Problem solving
- Communication
- Leadership
- Patient Care
Timeline
Corporate MDS Coordinator
Pioneer Health Care Management
2018.07 - Current
MDS Coordinator
Pioneer Health Care Management
2016.04 - 2018.07
Director of Business Development
Pioneer Health Care Management
2014.07 - 2016.04
Clinical Nurse Liaison
Pioneer Health Care Management
2013.07 - 2014.05
Clinical Nurse Evaluator
Olympia Group
2011.10 - 2013.06
Wound Care Coordinator/Charge Nurse/Shift Supervisor
Imperial Health Care Center
2007.09 - 2011.10
Licensed Practical Nurse - Nursing
Professional Skills Institute
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