Becky Rios
Farmersville,TX
Summary
Experienced nursing professional bringing demonstrated clinical expertise, leadership and training skills, and technical knowledge. Proficient in updating charts, monitoring medications and working with multidisciplinary teams to optimize patient care. Quality-driven and efficient with strong interpersonal abilities. Possessing and understanding that the success of a healthcare organization depends on effective patient care, team work, and adherence to state and federal regulatory guidelines. Detail oriented with a focus on simplifying work flow processes for optimal compliance and work performance to better meet the needs of patients, employees and the company as a whole.
I am currently attending Southern New Hampshire University with four credits remaining to obtain my bachelor's in applied psychology, with the goal of getting my masters in clinical social work. In my program, I have taken courses in both Industrial/Organizational Psychology and Educational Psychology which have given me an understanding of learning styles, training styles, and corporate psychology.
Overview
14
14
years of professional experience
1
1
Certification
Work History
Patient Care Coordinator
ChartSpan
Greenville, SC
06.2023 - Current
- Monitored patient progress, reported changes to physician and provided education to families regarding medical conditions.
- Maintained accurate medical records for each patient utilizing electronic health record systems.
- Assessed patient needs for additional services such as social work or home health aides.
- Instructed patients on proper self-care techniques such as medication administration, nutrition management and disease prevention strategies.
- Provided emotional support to patients and their families during difficult times.
- Educated patients about preventative measures for healthy living such as exercise routines, dietary guidelines and smoking cessation programs.
- Served as an advocate for individualized patient care by coordinating resources within facility limits while promoting cost effective solutions whenever possible.
- Answered patient and family questions to educate on optimal treatment procedures.
- Interviewed patients to obtain medical history.
- Observed strict confidentiality and safeguarded all patient-related information.
Care Management LVN
Florida Cancer Specialists & Research Institute
Fort Myers, FL
06.2022 - 06.2023
- Follow up hospital phone calls as part of the transitional care management process.
- Chart review for completion of medical patient forms, including financial and medical records requests
- Assist with refills of oncolytic medications.
- Ensured compliance with all state laws governing nursing practice standards.
- Provided emotional support to patients and their families during difficult times.
- Interviewed patients to obtain medical history.
MDS Coordinator
Four Square Healthcare
Farmersville, TX
12.2021 - 06.2022
- Medicare insurance, and Medicaid Minimum Data Set assessment for the purpose of reimbursement
- Provided training and education to nursing staff on current MDS regulations.
- Assisted in developing and implementing quality assurance programs related to MDS completion.
- Coordinated timely submission of all required documents including Minimum Data Set forms, Care Area Assessments, Quarterly Assessment Reconciliation, Annual Assessment Reconciliations and other regulatory paperwork.
- Participated in survey preparation activities by ensuring that all necessary documents were available during surveys conducted by state agencies or accreditation organizations.
- 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.
- Assisted in identifying opportunities for improvement in processes related to the completion of the MDS form.
- Prepared annual reviews of all residents' medical records according to federal guidelines.
- Analyzed trends in data collected through the Minimum Data Set.
- Researched new developments in Medicare and Medicaid reimbursement policies related to long-term care facilities.
- Trained and supervised health care workers conducting resident assessments.
- Work closely to monitor when skill is no longer needed to be in compliance with Medicare and insurance skilled needs
- Issue NOMNCs for end of care
- Review documentation to assess for continued skilled needs
- Volunteered to take on ADON responsibilities during COVID as staffing and workload was very challenging. These responsibilities included taking call, hiring and disciplinary management, clinical assessments upon admission and staff scheduling.
- Developed individualized plans of care for each resident based on assessment findings.
- Quality assurance audits all chart documentation for accuracy and provided staff training on updated government regulations.
- Care plan meetings with patients and family members for discharge planning, continuation of care and satisfaction with current care received
- Collaborated with interdisciplinary teams to develop comprehensive care plans.
- Conducted assessments to determine the resident's functional and cognitive abilities, as well as their level of care needs.
- Monitored residents' progress and updated MDS records accordingly.
- Interpreted physician orders for accuracy and completeness prior to submitting them electronically into the MDS system.
- Reviewed clinical documentation to ensure accuracy of information reported on the MDS forms.
- Compiled reports from various systems regarding utilization review outcomes and quality indicators as requested by management staff.
- Coordinated completion of resident assessments in accordance with current federal and state regulations.
- Reviewed and validated care plan reports and monitored follow-up actions to identify systemic deficiencies.
- Verified quality of assessments in accurately reflecting physical, mental and psychosocial status of each resident.
- Managed comprehensive, interdisciplinary assessments for patient admissions and annual reviews.
- Developed data management plans and reports, validation procedures and data entry processes.
- Followed standard operating procedures to perform quality control audits.
- Analyzed clinical data using statistical tools to identify informational trends.
- Developed procedures for organizing and filing clinical data to enhance workflow efficiency.
Clinic Nurse/Orthopedic Surgeon’s Nurse
COVID, Texas Health Resources
Plano, TX
03.2020 - 12.2021
- COVID clinic: Administer COVID 19 Flu and Strep tests
- Monitor all inventory
- Assessment of patient’s symptoms and escalating to provider of more than a screen is required
- Ensure compliance with PPE
- COVID vaccines
- Orthopedic surgeon’s nurse: Ran all day to day clinic operations for surgeon when seeing patient in clinic
- When not in clinic handled all interdisciplinary needs and patient communications.
- Assessed and monitored patient health conditions, including vital signs such as temperature, pulse rate and blood pressure.
- Ensured that all documentation was accurate and up-to-date according to established guidelines.
- Educated patients on their medical condition, treatment plans, and self-care management techniques.
- Performed physical assessments to identify any changes in the patient's condition or needs.
- Maintained a safe environment for both staff and patients through adherence to safety protocols.
- Managed multiple tasks simultaneously while prioritizing urgent requests from physicians or nurses.
- Participated in quality improvement initiatives in order to improve patient outcomes.
- Facilitated communication between members of the healthcare team by attending interdisciplinary meetings.
- Responded quickly and effectively in emergency situations utilizing advanced life saving skills when needed.
- Answered patient and family questions to educate on optimal treatment procedures.
- Assisted physician with examinations, tests and procedures.
Document Reviewer/Trainer
AccentCare
McKinney, TX
10.2018 - 02.2020
- Insure State and federal guidelines are adhered to for reimbursement purposes
- Created reports summarizing findings from document reviews.
- Recommended changes to existing processes based on findings from completed reviews.
- Developed strategies for improving workflow associated with document reviews.
- Trained new hire employees both working on the floor through shadowing and then as a member of the training team.
- Monitored progress throughout the entire document review process.
- Adhered strictly to applicable laws pertaining to legal documentation processing.
- Gathered and distributed content management system training materials to users.
- In this department I was responsible for development of training processes and work flows.
- Assessed document quality, readability and accuracy of data entries prior to billing.
LVN Field Nurse
1st Texas Home Health
Decatur, TX
11.2014 - 10.2018
- Wound care including wound vac, IV infusions, IM SubQ injections, feeding tube care, colostomy ileostomy care, trach care, patient and family education, med management, care coordination with multiple doctors and therapists
- Assisting in the office with scheduling and Oasis and Field nurse note Q&A
- Provided direct patient care by taking vital signs, administering medications and treatments, and providing wound care.
- Monitored patient progress, reported changes to physician and provided education to families regarding medical conditions.
- Maintained accurate medical records for each patient utilizing electronic health record systems.
- Assessed patient needs for additional services such as social work or home health aides.
- Instructed patients on proper self-care techniques such as medication administration, nutrition management and disease prevention strategies.
- Provided emotional support to patients and their families during difficult times.
- Responded quickly to life threatening situations using appropriate interventions based on established protocols.
- Participated in team meetings to discuss patient progress and plan treatment goals accordingly.
- Trained all new hire employee
- Worked closely with hospital programs to ensure patients received the care needed to avoid hospital re occurrence
- Chronic care management through education with patient/caregivers and frequent communication with providers and interdisciplinary teams
- Cross trained in intake and insurance verification
- Actively participated in continuing education activities in order to stay abreast of latest developments in nursing practices, procedures, techniques .
- Answered patient and family questions to educate on optimal treatment procedures.
Private Duty Pediatric Nurse
Children's Home Health
Van Alstyne, TX
08.2017 - 01.2018
- Performed assessments of patient's physical, mental and emotional condition to develop individualized care plans.
- Administered medications and treatments as prescribed by physicians and documented all interventions in patient records.
- Instructed families on proper nutrition for children with special dietary needs.
- Served as a liaison between family members and medical staff regarding patient's health status and progress towards goals.
- Communicated changes in patient's condition with physicians or other healthcare providers promptly.
- Maintained a safe environment for the patient by following infection control protocols.
- Assessed psychosocial needs of patients and families related to their illness or injury and provided support accordingly.
- Organized activities designed to promote socialization skills among pediatric patients.
- Encouraged participation from family members during therapy sessions or other activities.
- Assisted patients with activities of daily living such as bathing, dressing, grooming and toileting.
- Monitored vital signs including temperature, pulse, respiration rate and blood pressure.
- Provided direct nursing care to pediatric patients in the home setting according to physician orders.
Medicare, Insurance Coordinator
MDS
Bridgeport, TX
10.2010 - 12.2014
- Medicare insurance, and Medicaid Minimum Data Set assessment for the purpose of reimbursement
- Provided training and education to nursing staff on current MDS regulations.
- Assisted in developing and implementing quality assurance programs related to MDS completion.
- Coordinated timely submission of all required documents including Minimum Data Set forms, Care Area Assessments, Quarterly Assessment Reconciliation, Annual Assessment Reconciliations and other regulatory paperwork.
- Participated in survey preparation activities by ensuring that all necessary documents were available during surveys conducted by state agencies or accreditation organizations.
- 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.
- Assisted in identifying opportunities for improvement in processes related to the completion of the MDS form.
- Prepared annual reviews of all residents' medical records according to federal guidelines.
- Analyzed trends in data collected through the Minimum Data Set.
- Researched new developments in Medicare and Medicaid reimbursement policies related to long-term care facilities.
- Trained and supervised health care workers conducting resident assessments.
- Work closely to monitor when skill is no longer needed to be in compliance with Medicare and insurance skilled needs
- Issue NOMNCs for end of care
- Review documentation to assess for continued skilled needs
- Volunteered to take on ADON responsibilities during COVID as staffing and workload was very challenging. These responsibilities included taking call, hiring and disciplinary management, clinical assessments upon admission and staff scheduling.
- Developed individualized plans of care for each resident based on assessment findings.
- Quality assurance audits all chart documentation for accuracy and provided staff training on updated government regulations.
- Care plan meetings with patients and family members for discharge planning, continuation of care and satisfaction with current care received
- Collaborated with interdisciplinary teams to develop comprehensive care plans.
- Conducted assessments to determine the resident's functional and cognitive abilities, as well as their level of care needs.
- Monitored residents' progress and updated MDS records accordingly.
- Interpreted physician orders for accuracy and completeness prior to submitting them electronically into the MDS system.
- Reviewed clinical documentation to ensure accuracy of information reported on the MDS forms.
- Compiled reports from various systems regarding utilization review outcomes and quality indicators as requested by management staff.
- Coordinated completion of resident assessments in accordance with current federal and state regulations.
- Reviewed and validated care plan reports and monitored follow-up actions to identify systemic deficiencies.
- Verified quality of assessments in accurately reflecting physical, mental and psychosocial status of each resident.
- Managed comprehensive, interdisciplinary assessments for patient admissions and annual reviews.
- Developed data management plans and reports, validation procedures and data entry processes.
- Followed standard operating procedures to perform quality control audits.
- Analyzed clinical data using statistical tools to identify informational trends.
- Developed procedures for organizing and filing clinical data to enhance workflow efficiency.
Clinical Trainer
ChartSpan
Greenville, SC
01.2024 - Current
- Developed and implemented training plans to ensure clinical staff had the skills needed to provide quality patient care.
- Provided ongoing support and guidance to clinical staff during their training period and after trainees move to active.
- Assessed the performance of new employees in order to determine areas for improvement and develop individualized training plans.
- Provide progress reports to the supervisors for which the trainees will work under. These reports include strengths and areas which might require assistance to ensure the success of the employee. Most importantly this ensures adequate care for the patients.
- Constant evaluation o trainings to ensure changes have been updated.
- Created educational materials such as manuals, handouts, multimedia visual aids, and online tutorials for use during trainings.
- Conducted one-on-one or group trainings on a variety of topics, including CMS guidelines and company policies for patient care.
- Developed evaluation forms to assess employee knowledge following completion of each training session.
- Monitored employee progress throughout the training process by observing job performances and providing constructive feedback.
- Collaborated with department managers to identify current skill gaps among existing personnel and create targeted learning objectives for upcoming trainings.
- Ensured that all clinical staff were compliant with applicable laws, regulations, policies, procedures, standards of practice.
- Served as a resource person for clinical staff members seeking additional assistance or clarification on any aspect of their job duties.
- Adapted instructional methods based on individual learning styles within each class setting.
- Assessed students' knowledge and skills through assignments and exams.
- Educated and mentored students to help individuals surmount academic obstacles and personal difficulties.
Education
Bachelor of Arts - Applied Psychology
Southern New Hampshire University
Manchester, NH02.2024
Certified Professional Coding - Medical Coding And Billing
Medical Coding Academy
Arlington, TX01.2024
Licensed Vocational Nursing Program - Nursing
Vernon College
Vernon, TX12.2006
Skills
- Family Communication
- Clinical Documentation
- Staff Supervision
- Care Planning
- Chronic Disease Management
- Medical Records Management
- Compact Licensed Practical Nurse
- Regulatory Requirements
- Multi-Tasking and Prioritization
- Case Management
- Staff Direction and Task Delegation
- Employee Coaching
- Performance Evaluation
- New Program Development
- Materials Preparation
- Staff Training
- Audit Management
- Compliance Monitoring
- Discrepancy Management
- Analytical and Critical Thinking
- Database coordination
- New Hire Training
- Patient Care Coordination
- Critical Thinking Skills
- Goal Setting
- Cross-Functional Teamwork
- Performance Improvement
- Attention to Detail
- Quality Assurance
- Healthcare knowledge
- Organizational Skills
- Nursing
- Regulatory Compliance
- Policy compliance
- Customer Service
- Creative Problem-Solving
- Patient Care
- Documentation
- Patient documentation
- Medical Terminology
- Patient Assessment
- Verbal and written communication
- Process Improvements
Accomplishments
- Resident Counsel employee of the month 3 times in 2008
- Honor Roll and Dean's list in my bachelor's of applied psychology program
- Graduated top of my nursing school class
- Clinical Spotlight from my peers March 2024
Affiliations
- Active in little league sports, competition cheer and gymnastics coaching. Seeing confidence built in others, especially children through the accomplishments of hard work is unparalleled.
- Volunteer work in the homeless and active addiction communities. As an addict with 20 years of sobriety letting others know that they are loved and worthy has been the biggest accomplishment of this recovery journey.
Certification
- Compact multistate licensed practical nurse license
- Respiratory treatment certification
- PICC line, central line and IV certified
- BLS and CPR Certified
- Federal Background Check Green Light for participation in coaching children's sports
Languages
English
Native/ Bilingual
Nonprofessional Accomplishments
- Mother to 3 adult children and a four year old. Mim to one grandson.
- 20 years recovery from active addiction.
- Living a successful, happy productive life with childhood trauma PTSD, ADHD, and major depression. I am not surviving... I thriving.
- Working toward a degree to become a Licensed Clinical Social Worker to help others with similar struggles.
References
References available upon request.
Timeline
Clinical Trainer
ChartSpan
01.2024 - Current
Patient Care Coordinator
ChartSpan
06.2023 - Current
Care Management LVN
Florida Cancer Specialists & Research Institute
06.2022 - 06.2023
MDS Coordinator
Four Square Healthcare
12.2021 - 06.2022
Clinic Nurse/Orthopedic Surgeon’s Nurse
COVID, Texas Health Resources
03.2020 - 12.2021
Document Reviewer/Trainer
AccentCare
10.2018 - 02.2020
Private Duty Pediatric Nurse
Children's Home Health
08.2017 - 01.2018
LVN Field Nurse
1st Texas Home Health
11.2014 - 10.2018
Medicare, Insurance Coordinator
MDS
10.2010 - 12.2014
Bachelor of Arts - Applied Psychology
Southern New Hampshire University
Certified Professional Coding - Medical Coding And Billing
Medical Coding Academy
Licensed Vocational Nursing Program - Nursing
Vernon College
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