Professional with strong background in nursing and case management, specializing in patient advocacy and care coordination. Adept at developing comprehensive care plans, managing complex medical cases, and working collaboratively with multidisciplinary teams to achieve optimal patient outcomes. Known for adaptability, reliability, and results-focused approach in dynamic healthcare environments. Skilled in patient assessment, discharge planning, and resource utilization.
Overview
26
26
years of professional experience
Work History
MDS Coordinator PPS Specialist
Owensboro Health Regional Hospital/ Transitional Care Cente
07.2021 - Current
Coordinated comprehensive assessments and care plans for residents to ensure compliance with regulatory standards.
Collaborated with interdisciplinary teams to optimize resident outcomes through effective communication and resource allocation.
Managed MDS documentation processes to enhance accuracy and improve overall quality of resident care.
Analyzed data trends in resident health outcomes to inform strategic planning and quality improvement initiatives.
Trained staff on MDS procedures and best practices, fostering a culture of continuous learning and compliance.
Conducted regular audits of MDS submissions to identify discrepancies and implement corrective actions as needed.
Engaged with families and residents to address concerns, ensuring a person-centered approach in care delivery.
Maintained up-to-date knowledge on CMS guidelines and changes to ensure accuracy in reporting and reimbursement processes.
Collaborated closely with therapy departments to accurately capture rehabilitation needs within MDS documentation, supporting appropriate resource allocation for residents'' needs.
Collaborated with nursing staff to provide accurate and timely clinical assessments for each resident, leading to improved overall care.
Provided ongoing education for nursing staff regarding MDS best practices, contributing to a knowledgeable and skilled workforce.
RN Case Manager Discharge Planner and UR Rev
Ohio County Healthcare
07.2018 - 07.2021
Coordinated patient care plans to enhance health outcomes and service efficiency.
Conducted comprehensive assessments to identify patient needs and develop tailored interventions.
Collaborated with interdisciplinary teams to streamline communication and optimize care delivery.
Managed complex caseloads, ensuring timely follow-up and adherence to treatment protocols.
Educated patients and families on healthcare resources, promoting self-management and wellness.
Mentored junior staff in best practices for case management and patient advocacy strategies.
Educated patients and families on available community resources, facilitating access to necessary support services.
Reduced hospital readmission rates through effective case management and patient education on self-care techniques.
Coordinated care conferences with interdisciplinary team members, ensuring all perspectives were considered in the development of comprehensive treatment plans.
RN/ Case Manager
Owensboro Health Regional Hospital
03.2007 - 07.2018
Coordinated patient care plans to optimize health outcomes and ensure continuity of services.
Conducted comprehensive assessments to identify patient needs and develop tailored interventions.
Collaborated with interdisciplinary teams to implement treatment protocols and improve care delivery.
Monitored patient progress, adjusting care plans as necessary to enhance recovery trajectories.
RN duties of floor nursing
Epic educator to coworkers with new upgrades to system transitioning from paper charting to electronic
RN, CNA, Monitor Tech
Medical Center Of Bowling Green
08.1999 - 03.2007
Administered medications and treatments according to established protocols and patient care plans.
Collaborated with interdisciplinary teams to develop and implement comprehensive care strategies for patients.
Mentored nursing staff on best practices and new procedures, enhancing team performance and knowledge base.
Conducted thorough patient assessments to identify needs and monitor progress throughout treatment cycles.
Worked in ICU, cardiac step down, and the LTACH within the Med Center facility.
Education
Bachelor of Science - Nursing
Western Govenor University
Salt Lake City, UT
12-2021
Associate of Science - Nursing
Western Kentucky University
Bowling Green, KY
12-2003
Skills
HIPAA compliance
Electronic health records proficiency
Medical record management
Research and data collection
Staff training and development
Continuous learning commitment
Delegation and supervision
Care planning
Patient advocacy
Interdisciplinary team collaboration
Regulatory Compliance Knowledge
Clinical assessment expertise
Case management experience
Medicare reimbursement knowledge
Geriatric nursing expertise
Resource utilization management
Long-term care experience
MDS software familiarity
Timeline
MDS Coordinator PPS Specialist
Owensboro Health Regional Hospital/ Transitional Care Cente