Daniel Shimek
Katy,TX
Summary
To use my skills to provide quality patient care as a licensed vocational nurse and to continue to increase my knowledge through continuing and higher education, and to gain more experience that will facilitate my further advancement in the medical and healthcare field. Resourceful Coordinator possessing outstanding prioritization, multitasking and planning abilities to juggle responsibilities with proven ability to exceed targets and goals. Systematic and methodical professional offering 12 years of hands-on experience handling various administrative duties and tasks in office setting of case management.
Overview
13
13
years of professional experience
1
1
Certification
Work History
PDPM Coordinator
Solera @ West Houston
Houston
07.2022 - Current
- I have maximized reimbursement opportunities by leveraging my extensive knowledge base of PDPM in Cantex’s best, Solera @ West Houston
- I have chosen to overcome and effectively manage and achieve rates at a superior level in an extremely fast pace and demanding environment, consistently
- I have thrived in time management and precisely and accurately captured acuity as evidenced by outstanding monthly PDPM rate reports
- I have effectively trained and overseen multiple new hire PDPM coordinators in the region
- I have assisted in managing multiple buildings case load due to shortage of MDS nurses in the region.
PDPM Coordinator
Brighton Senior Care of Katy
Katy
07.2020 - 07.2022
- Coordinating assessment of patients and ensured timely completion of MDS adhering to Medicare, OBRA and Insurance requirements
- Now that PDPM has been implemented in the SNF world, meeting all the requirements and optimizing PDPM reimbursement for the ever-changing scene of nursing.
Charge nurse
Giddings State School
Giddings
01.2020 - 07.2020
- Provided a basic level of general nursing care to forensic clients, patients and inmates with mental, emotional or developmental disabilities and provided care under the clinical direction of a registered nurse and physician.
Charge nurse
Aveanna Home Health Care
07.2019 - 01.2020
- Responsible for the delivery and coordination of quality patient care in compliance with physician orders
- Accept responsibility for personal and professional accountability by complying with Aveanna policies, state and federal regulations, accrediting bodies and the Nurse Practice Act
- Provide care utilizing infection control measures that protect both the staff and the patient according to OSHA standards
- Educate the patient and family regarding the disease process, self-care techniques, and prevention strategies, and in meeting the patient's nursing needs
- Maintain knowledge of competencies related to the nursing profession by participating in educational programs, continued education units, internal learning management skills and skill evaluations.
PPS Coordinator
Solera @ West Houston
Houston
10.2018 - 07.2019
- Coordinated assessment of patients and ensured timely completion of MDS adhering to Medicare, OBRA and Insurance requirements
- Monitored the assignment of residents to Resource Utilization Groups (RUGS) and the payment periods associated with MDS schedules
- Developed and maintained on-going MDS/PPS schedules of each patient.
PPS Coordinator
The Medical Resort @ Sugar Land
Sugar Land
03.2016 - 10.2018
- Strategically maximized reimbursement for an innovated Skilled Nursing Facility holding up to 90 skilled beds
- Consistently captured care provided for a building capable and operational of a Vent unit and much more
- Ensured accurate daily documentation of a Skilled Nursing Facility with the capacity of 24-hour respiratory therapy, Daily Skilled therapy, In-house Dialysis and In-house Pharmacy.
MDS/PPS Coordinator
Woodridge Nursing and Rehabilitation
05.2015 - 03.2016
- Effectively innovated an approach of capturing the care provided to patients and maximizing the reimbursement potential in the MDS/PPS schedule
- Aided in the transition to electronic documentation for nursing staff including CNA, CMA, LVN, RN
- Periodically held opportunities for education to staff to better understand the care they are providing for patients.
Director of Reimbursement
West Houston Rehabilitation and Health Care Center
Houston
11.2014 - 05.2015
- Successfully coordinated and established the opening of a brand-new building fulfilling numerous roles and duties such as: PPS/MDS Coordinator, Charge Nurse, CMA, CNA, Maintenance, and Central Supply
- Excelled in admitting and coordinating several admissions all within a short time frame
- Trained and developed multiple floor staff such as RN, LVN, CMA, CNA, and Admissions Nurse, to be fully competent and superior.
MDS/PPS Coordinator
West Oaks Rehabilitation and Health Care Center
Houston
10.2011 - 11.2014
- Coordinated assessment of patients and ensured timely completion of MDS adhering to Medicare, OBRA and Insurance requirements
- Monitored the assignment of residents to Resource Utilization Groups (RUGS) and the payment periods associated with MDS schedules
- Developed and maintained on-going MDS/PPS schedules of each patient
- Communicated with physicians, nurses, CNAs, coworkers, interdisciplinary team members and families, regarding resident’s clinical condition
- Excelled in my promotion to MDS Coordinator maximizing the reimbursement rates for Medicaid
- Periodically filled in and met the needs for Medicare reimbursement PRN
- Successfully managed and renovated the Restorative Nursing Program for the building
- Have a vast knowledge of Quality Measures and triggering factors that can affect CMS reports
- Excellent service and communication skills as demonstrated by courtesy, tact, and respect while interacting with patients, families, and staff
- Responsible to give cutting edge nursing care for patients with complex and chronic conditions during their stay, as well as the needed education to feel comfortable after discharge
- Provided patient support by means of telephonic disease management, processing of recommendations, and otherwise supporting the patient’s health care needs
- Supported over 7 primary care doctors for high skill patients in their participation inside our facility
- Helped doctors related to patient’s disease management to substantially reduce excursions to the ER and admissions into the hospital
- Followed physician/nurse specialist orders and established standards and practices the LVN can lead to
- Assisted doctors to deliver, coordinate, educate and deliver robust physician care to keep high risk patients stable and from acute care.
Education
Diploma -
Leon High School
05.2005
Vocational Nursing Program -
Navarro South College
08.2011
Skills
- Document Management
- Data Entry
- Financial Management
- Database Management
- Information Collection
- Discretion and Confidentiality
- Autonomous and Self-Directed
- Document Control
- Relationship Building
- Schedule Management
- Work Planning and Prioritization
- Best Practices Implementation
Certification
Licensed Vocational Nurse License #302772
BCLS certification eCard Code:225413309533
References
References available upon request.
Timeline
PDPM Coordinator
Solera @ West Houston
07.2022 - Current
PDPM Coordinator
Brighton Senior Care of Katy
07.2020 - 07.2022
Charge nurse
Giddings State School
01.2020 - 07.2020
Charge nurse
Aveanna Home Health Care
07.2019 - 01.2020
PPS Coordinator
Solera @ West Houston
10.2018 - 07.2019
PPS Coordinator
The Medical Resort @ Sugar Land
03.2016 - 10.2018
MDS/PPS Coordinator
Woodridge Nursing and Rehabilitation
05.2015 - 03.2016
Director of Reimbursement
West Houston Rehabilitation and Health Care Center
11.2014 - 05.2015
MDS/PPS Coordinator
West Oaks Rehabilitation and Health Care Center
10.2011 - 11.2014
Diploma -
Leon High School
Vocational Nursing Program -
Navarro South College
Licensed Vocational Nurse License #302772
BCLS certification eCard Code:225413309533
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