April Threats

Completed assessments for residents admitted under assessments require.

• Assessed electronic medical record for required documentation to support MDS coding.
• Complied with federal and state regulations for completion and coordination of RAI process.

MDS 3.0 assessments and ensure accuracy in all reimbursement-related data for Medicare and Medicaid billing.

• Leveraged professional networks and industry knowledge to strengthen client relationships.
• Coordinate interdisciplinary care plans, ensuring compliance with CMS and state regulations.
• Conduct audits to identify reimbursement opportunities and mitigate compliance risks.
• Facilitate QAPI meetings and contribute to continuous improvement initiatives.
• Collaborate with external partners, including insurance carriers, to optimize case management outcomes.

• Directed MDS and case management functions for skilled nursing residents, ensuring timely submission and accuracy.
• Managed clinical reimbursement documentation and compliance audits.
• Collaborated with interdisciplinary teams to develop individualized care plans and ensure optimal outcomes.
• Supported staff education in MDS accuracy, regulatory standards, and documentation best practices.
• Maintained professional demeanor by staying calm when addressing unhappy or angry customers.

• Conducted MDS assessments and care planning for residents in skilled nursing facilities.
• Maintained high-quality documentation aligned with state and federal guidelines.
• Participated in QAPI meetings to enhance clinical outcomes and survey readiness.
• Collaborated with interdisciplinary team of healthcare and social service providers to address patients' needs through effective intervention and care planning.
• Answered incoming phone calls from patients to provide basic assistance and triage medical concerns.

• Completed MDS assessments and coordinated care planning with physicians, therapists, and nurses.
• Trained and supervised nursing staff on proper documentation and care processes.
• Collaborated with interdisciplinary teams to improve quality measures and reimbursement efficiency.
• Documented accurate and complete patient information to address patient problems and expected outcomes.
• Monitored, tracked, and conveyed important patient information to healthcare staff to help optimize treatment planning and care delivery.
• Evaluated patients to identify and address wounds, behavioral concerns, and medically relevant symptoms.
• Reviewed missing assessment reports and analyzed issues for leadership team.
• Led weekly utilization review to go over recent clinical activities.
• Verified prompt and accurate completion of MDS activities for billing.
• Developed and implemented individualized patient care plans.
• Set schedules for staff to start and complete MDS assessments and care plan meetings.