Summary
Overview
Work History
Education
Skills
Affiliations
Honors
Timeline
Generic

Curtis McKeown

Foxborough,MA

Summary

Seasoned Reimbursement Manager with background in healthcare ranging from CNA, Nurse Clinician, Clinical Manager, and Clinical Reimbursement Manager across multiple healthcare environments and systems. Experienced in managing reimbursement policies, ensuring all regulations are met while liaising with different departments to ensure smooth workflows. Strengths lie in strategic planning, problem-solving, leadership and communication skills. Previous roles have demonstrated significant experience in positive impacts on process improvement, management, and policy implementation.

Overview

23
23
years of professional experience

Work History

Clinical Reimbursement Manager

EF Senior Care
Plymouth , MA
08.2022 - Current
  • Manage reimbursement processes to streamline claims and improve efficiency.
  • Develop training materials for staff on reimbursement policies and procedures.
  • Analyze reimbursement trends to identify areas for process improvement.
  • Ensure compliance with healthcare regulations and reimbursement guidelines consistently.
  • Oversaw the implementation of EHR software systems for accuracy.
  • Conducted audits of reimbursement claims to ensure correctness and completeness.
  • Provided guidance to staff on complex clinical and reimbursement issues and inquiries effectively.

MMQ Coordinator

Vantage Health Care
South Hadley, MA
02.2022 - Current

- Staff education and evaluation of accurate documentation.

- Experience with MMQ survey preparation and understanding of the current auditing process and standards.

- Evaluation and implementation of the MMQ process to provide improved and consistent results for future surveys.

- Management of staff for the timely completion of required documents.

- Management of the MMQ process in three active skilled nursing facilities.

Other Roles at CareOne

- Case Manager of a skilled nursing facility with a large and active managed care case load.

- MDS completion as requested by Clinical Reimbursement Coordinator.

Senior MMQ Coordinator

Vero Healthcare
New Bedford, MA
05.2018 - 02.2022
  • Oversaw the MMQ process for 7 nursing facilities through out Massachusetts, including management of the mmq coordinators in each of the facilities.
  • Created and implemented processes to ensure maximum reimbursement for the mmq system.
  • Coordinated with interdisciplinary teams to ensure that mmq processes and issues amongst facilities were managed and given the guidance to succeed.
  • Created systems in Point Click Care to manage documentation and nursing needs across all modalities in the skilled nursing environment.
  • Audited MMQ biannual turn arounds prior to submission for all cycles and worked with MMQ coordinators to increase accuracy and reduce losses.
  • Communicated with state and contracted auditors to schedule and manage MMQ reviews.

MMQ Coordinator

CareOne
Newton, MA
02.2017 - 05.2018

- Staff education and evaluation of accurate documentation.

- Experience with MMQ survey preparation and understanding of the current auditing process and standards.

- Evaluation and implementation of the MMQ process to provide improved and consistent results for future surveys.

- Management of staff for the timely completion of required documents.

- Management of the MMQ process in three active skilled nursing facilities.

Other Roles at CareOne

- Case Manager of a skilled nursing facility with a large and active managed care case load.

- MDS completion as requested by Clinical Reimbursement Coordinator.

Nursing Management

Kindred Healthcare
South Boston, MA
02.2009 - 10.2017

- Sub-Acute Unit Manager

- VOHRA Certified Wound Nurse

- Staff Development Coordinator

- Assistant Director of Nursing

- Infection Control Preventionist


During my time with Kindred I took on many roles in multiple buildings.  At the end of my tenure I was seen as one of the senior Staff Development Coordinators in the greater Boston area, charged with helping to develop staff training programs and infection control programs used throughout the company.

MDS Data Entry Clerk / Medical Records

Kindred Healthcare
Walpole, MA
12.2008 - 07.2010

Certified Nursing Assistant

Epoch Senior Healthcare
Norton, MA
08.2002 - 06.2009

▪ Bathing, grooming residents of all ages, and varying degrees of help as needed
▪ Transferring and transporting of patients
▪ Feeding and alteration of liquids for required diets

Education

High School Diploma -

Norton High School
2005

General Health Studies

Bristol Community College

Licensed Practical Nurse

Tri-County RVTHS
2010

Skills

  • Quick learner
  • Results-oriented
  • Training and development
  • Reports generation and analysis
  • AAPACN RAC-CT Certified
  • IV certified
  • TPN certified
  • VOHRA wound certified

Affiliations

BLS Certified

Licensed Practical Nurse                      Lic# LN86944

Honors

Eagle Scout

Timeline

Clinical Reimbursement Manager

EF Senior Care
08.2022 - Current

MMQ Coordinator

Vantage Health Care
02.2022 - Current

Senior MMQ Coordinator

Vero Healthcare
05.2018 - 02.2022

MMQ Coordinator

CareOne
02.2017 - 05.2018

Nursing Management

Kindred Healthcare
02.2009 - 10.2017

MDS Data Entry Clerk / Medical Records

Kindred Healthcare
12.2008 - 07.2010

Certified Nursing Assistant

Epoch Senior Healthcare
08.2002 - 06.2009

High School Diploma -

Norton High School

General Health Studies

Bristol Community College

Licensed Practical Nurse

Tri-County RVTHS