Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Connie Plogger

Fairfield,USA

Summary

Nursing Professional Skills and Practices, Quality Measure, QRP and VBP, Broad Knowledge Base Federal/State Regulations, Word Processing and Computer Skills, Public Speaking and Presentations, Infection Control Procedures, Form Design, Personnel Management and Critical Thinking Skills. Experience in Medicare/PPS Compliance Audits. High Priority for Quality Measures, 5-star program and the MDS 3.0. Area of expertise has been Long Term Care for over 20 years.

Reimbursement specialist with strong focus on achieving accurate and timely reimbursements in healthcare settings. Skilled in navigating complex billing systems, ensuring compliance with regulations, and fostering team collaboration. Reliable and adaptable, consistently delivering results in dynamic environments while maintaining high standards of professional conduct.

Overview

20
20
years of professional experience
1
1
Certification

Work History

Area Director

Turning Point Consulting
11.2024 - Current
  • Support many portfolios in multiple states across the US, to include but not limited to Va, MD, FL, NJ, Indiana, NY. Responsible for compliance with MDS process, Quality measures, VBP and QRP.

Regional Revenue Integrity Specialist

Hill Valley Healthcare
03.2021 - Current
  • Support eight centers with MDS and QM’s
  • Conducted compliance audits and optimized reimbursement processes. Provide oversight of MDS processes, Quality measure reviews, QRP and VBP. I am currently doing prn hours in addition to TPC to keep my hands in the MDSC role.

Regional MDS consultant

Commonwealth Care of Roanoke
06.2015 - 01.2021
  • Responsible for support of 6/12 centers in Virginia
  • Educate MDS center level staff on MDS process and QM/5 star
  • Educate Administrator and Nursing Admin staff related to QM/5 Star

Interim MDS Consultant

Leaderstat
12.2012 - 06.2015
  • Manage all aspects of the MDS process including care plans and assessments.
  • Collaborate with IDT to assure accurate assessment and plan of care
  • Assure compliance with state/federal regulation
  • Optimize reimbursement for skilled care and case mix residents.

Director Of MDS

Friendship Health and Rehab Center
01.2007 - 12.2012
  • MDS and Case Management-Responsible for compliance in all areas of the resident assessment including scheduling and compliant with state and federal regulations
  • Collaborate with IDT to assure accuracy with assessment and plan of care
  • Optimize reimbursement through thorough assessments of case mix and skill care residents.

Director of Nursing

Woodhaven Nursing Home
  • The entire long term care facility under the direction of administrator and owner of this private pay facility.
  • Responsibilities include completion of the MDS and Care Planning Process, staffing, education of all staff, training and orientation of new employees.

Director of Nursing

Avante at Roanoke
  • Instrumental in the development of the subacute unit
  • Supervised other practitioners and employees, led recruiting and hiring, managed employee review process and ensured compliance with state and federal regulations. directing all aspects of the nursing department to assure compliance with all state and federal guidelines.

Shenandoah Healthcare Center
  • Responsible for compliance of resident care plans and direct care of residents.
  • Administering meds and treatments of residents.

Charge Nurse

Augusta Medical Center
  • Taking care of direct care needs of residents with acute and terminal dx., Administering Cancer medications safely and monitoring for side effects.
  • Efficient in IV therapy and lab draws, blood transfusions etc.

Director of Nursing

Brandon Oaks Health and Rehab Center
  • Supervise nurse managers, charge nurses, CNA, and Axillary Aides.
  • Focus on Quality Resident Care in compliance with all regulatory guidelines.
  • Responsible for staffing, education, training and orientation and skills performance and resident care issues.e.

Director of Nursing

Avante At Roanoke
  • Supervised other practitioners and employees, led recruiting and hiring, managed employee review process and ensured compliance with state and federal regulations.
  • Supervise all nursing personnel and direct the care plan team.

MDS Coordinator

Laurels of Charlottesville
01.2006 - 01.2007
  • Responsible for scheduling, completing, and transmitting assessments in compliance with regulatory guidelines.
  • Responsible for Care Plans.
  • Collaborate with IDT for res centered care.

Education

Associate of Science - Nursing

Blue Ridge Community College
Weyers Cave, VA
01.1993

Skills

  • Clinical reimbursement knowledge
  • Medicare compliance audits
  • Quality assessment analysis
  • Quality review process analysis
  • VBP strategy development
  • Knowledge of federal and state regulations
  • Team leadership
  • Analytical thinking
  • Software management for optimal reimbursement

Certification

  • RN license in Virginia/compact states
  • PA RN license

Timeline

Area Director

Turning Point Consulting
11.2024 - Current

Regional Revenue Integrity Specialist

Hill Valley Healthcare
03.2021 - Current

Regional MDS consultant

Commonwealth Care of Roanoke
06.2015 - 01.2021

Interim MDS Consultant

Leaderstat
12.2012 - 06.2015

Director Of MDS

Friendship Health and Rehab Center
01.2007 - 12.2012

MDS Coordinator

Laurels of Charlottesville
01.2006 - 01.2007

Director of Nursing

Woodhaven Nursing Home

Director of Nursing

Avante at Roanoke

Shenandoah Healthcare Center

Charge Nurse

Augusta Medical Center

Director of Nursing

Brandon Oaks Health and Rehab Center

Director of Nursing

Avante At Roanoke

Associate of Science - Nursing

Blue Ridge Community College

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