BOBBIE SHAW
Cincinnati,OH
Summary
Registered Nurse with a foundation in direct patient care and comprehensive MDS assessment, skilled in navigating complex Medicare and Medicaid documentation while maintaining a commanding presence on the floor. Dedicated to enhancing patient outcomes through the seamless integration of clinical expertise and hands-on care, ensuring precise care planning and adherence to regulatory standards. Demonstrated ability to cultivate collaborative relationships with interdisciplinary teams, driving significant quality improvements in patient care delivery. Passionate about advocating for patients' needs and optimizing healthcare processes to uphold the highest standards of care.
Overview
18
18
years of professional experience
1
1
Certification
Work History
RN/MDS
MT. Washington Care Center
MT. Washington, Ohio
04.2023 - Current
- Oversaw MDS 3.0 processes, maintaining compliance and accuracy in Resident Assessment Instrument (RAI) assessments.
- Engaged with interdisciplinary teams to refine case mix strategies and guarantee compliance with Medicare and Medicaid reimbursement criteria.
- Utilized ICD-10 coding techniques to enhance diagnostic precision and facilitate effective reimbursement processes.
- Analyzed CMS regulations to facilitate compliance and strengthen survey readiness efforts.
- Developed and implemented quality initiatives aimed at improving facility ratings and ensuring adherence to industry standards.
- Performed comprehensive evaluations and modifications of personalized care plans to meet specific individual needs.
- Conducted medication administration and observed patient reactions, focusing on achieving optimal care outcomes.
- Guided new nursing staff through comprehensive training on best practices and patient care protocols to ensure high-quality patient outcomes.
RN/PCA
The Jewish Hospital
Kenwood, Ohio
03.2022 - 04.2023
- Started as PCA in PACU in March of 2022 and transitioned to RN in PACU in September of 2022
- Assessed patient's surgical site, monitored body temperature, and tracked other indicators of stability or complications. Provided direct patient care, and stabilized patients recovering from medical or surgical procedures.
- Evaluated patient pain, nausea, difficulty breathing and fear, and agitation in recovery with various nursing interventions to manage vulnerabilities.
- Administered medications via oral, IV, and monitored responses.
- Evaluated patients' pain levels, implementing correct dosage of medication to alleviate discomfort.
- Collaborated with Anesthesiologist to deliver appropriate treatment.
- Conducted patient assessments, recorded vitals, and analyzed records and charts to define care requirements.
Financial Intake Coordinator
CHI Health at Home
Milford, Ohio
01.2018 - 04.2019
- I processed private insurance verifications, obtained prior authorizations
- Verified Medicare, Medicaid, and other third-party payers
- Obtained credit history information for self-pay payers.
- Explained eligibility requirements, application details, payment methods, and applicants' legal rights during intake assessment.
Admissions Intake Specialist
Alternate Solutions Healthcare Network
Kettering, Ohio
02.2008 - 12.2017
- Run reports to confirm quality measures and other requirements are met
- Communicate with referral sources, staff, and community resources in transitioning patients to home care services
- Dedication to process with excellence, so Patients have a timely, smooth transition to begin receiving home care services
- Maintain comprehensive working knowledge of contractual relationships and ensure that patients are admitted according to contract providers
- Communicate with multiple service providers to coordinate care, follow up with patients regarding Start of Care (SOC) & services being provided to measure satisfaction
- Call physicians to obtain orders and all documentation when follow up needed, run and work reports, delay stage, non-admits, and any other SOC issues
- Stay in compliance with all federal, state, and agency rules and regulations, Quality Outcomes, and financial, and System Growth Responsibilities to Achieve Understand and Stay current with CMS guidelines
- Ability to multi-task and prioritize
Education
Associate’s degree in nursing - Registered Nursing
Galen College of Nursing
Cincinnati, OH06-2022
Skills
- Collaborative teamwork with positivity
- Detail-oriented RN with 3 years in SNF settings
- Familiarity with CMS, OBRA, PPS, and PDPM standards
- RAI Process and Patient centered Care Plans
- Anesthesia Recovery, Perioperative Care, and Patient Recovery
- DME Equipment knowledge
- Epic systems, Point Click Care, Homecare Home Base
- Patient Assessment and Data Analysis Specialist, Direct Patient Care
- Medication and IV administration
- Direct patient care
Certification
- RN License
- BLS – Basic Life Support
- ACLS - Advanced Cardiovascular Life Support
Timeline
RN/MDS
MT. Washington Care Center
04.2023 - Current
RN/PCA
The Jewish Hospital
03.2022 - 04.2023
Financial Intake Coordinator
CHI Health at Home
01.2018 - 04.2019
Admissions Intake Specialist
Alternate Solutions Healthcare Network
02.2008 - 12.2017
Associate’s degree in nursing - Registered Nursing
Galen College of Nursing