Anthony Morris
Summary
Registered Nurse Position Successful MDS Coordinator with significant experience assessing residents and managing resulting data. Effective at training and monitoring staff work to deliver consistent, reliable results. Collaborates effectively at all levels to help patients get optimal care.
Overview
28
28
years of professional experience
Work History
MDS Coordinator / Case Manager
Kindred Hospital SAU
07.2018 - Current
- Act as liaison between patient, facility, and insurance companies in a unique setting of Ventilator dependent patients.
- Responsible for scheduling MDS assessments, monitoring quality measures, and working with an interdisciplinary team to coordinate and develop the plan of care for each patient.
- Review patient’s chart upon admission and add relative ICD10 codes, manage patient benefits and billing including: inputting ancillary charges, determining CPT codes for labs and x-rays,
- Calculate respiratory therapy minutes and charges for oxygen, equipment rentals and ventilator.
- Work closely with therapy and other departments to maximize both reimbursement and quality of care.
- Responsible for reviewing and submitting clinical information for concurrent reviews for all managed care patients.
- Coordinate with nursing, physical, occupational, speech and respiratory therapies to ensure we are providing the best outcomes for our patients.
MDS Coordinator
The Villas of Guerin Woods
02.2017 - 07.2018
- Solely responsible for the entire MDS process as the only MDS coordinator of a not for profit, 78 bed facility.
- Conducted assessments, coordinating care by involving the interdisciplinary team,
- Audited nursing staff to ensure proper documentation is in place, and developing resident centered care plans.
- Conducted assessments to determine the resident's functional and cognitive abilities, as well as their level of care needs.
- Monitor our case mix index to maximize the reimbursement potential and ensure all the necessary supporting documentation is in place.
- Worked diligently to monitor and improve our quality measures, taking the facility from 2 stars to 5 stars and raising the facility’s over-all star rating to a perfect 5 star status,
- Key player in helping the facility achieve 2 deficiency free surveys
- Writing policies and procedures to help the facility be in compliance with Phase 2 of the Mega Rule, developed our own baseline care plan and the processes surrounding it, as well as assisting in developing our antibiotic stewardship program.
Utilization Review – Medicare Compliance
Jewish Hospital
01.2015 - 01.2017
- Reviewed patient medical records to determine whether the patient meets outpatient, observation, or in-patient criteria based on Indicia’s MCG software and level of service provided.
- Ensured proper documentation was provided to support the determined level of care to meet Medicare guidelines for their stay.
- Managed patient's length of stay plan through frequent communication with the care managers.
- Evaluated level of service, and communication with the utilization review MD.
Registered Nurse
CMS at Louisville Dept. of Correction
01.2008 - 08.2011
- Performed History and Physicals on all inmates who entered the jail,
- Evaluated their medical and mental health needs, completed the necessary referrals, and implemented the proper nursing interventions per protocol,
- Filled the role of infection control nurse for a facility with an average daily census of 1,950,
- Monitored all contagions within the jail complex, implemented proper quarantine procedures, and reported all necessary contagions to the local health department and CDC as required,
- Employee health nurse, monitoring and administering immunizations, TB Fit testing, and reported on all employee exposures.
Registered Nurse
Norton Healthcare
2005 - 01.2008
- As a floor nurse, assessed, planned, implemented plan of care in the renal/diabetic/telemetry unit.
- Administered medications and I.V. treatments according to physician orders.
- Therapy, peritoneal dialysis, wound care, and documentation according to hospital protocol.
Sales Consultant+
IAM Technologies
03.2005 - 01.2006
- Worked in telephonic and Internet sales and frequently held the lead position in percentage of sales
- Initiated several projects, implemented new sales plans, and offered proposals to increase sales and productivity.
Missionary
Missionary
05.1996 - 01.2006
- Lived and operated as a missionary in the Phillipines, Cameroon, and Ivory Coast over the course of 10 years.
- Learned to be an effective public speaker, presenter and fundraiser, in order to accomplish my mission,
- Worked in a midwife clinic and orphanage in the Philippines where we would see nearly 80 women biweekly' performing prenatal exams and providing education.
- While in Africa, Instructed hundreds of Nationals weekly and regularly counseled individuals and couples through difficult times in their lives.
- Became fluent in French and regularly instructed in the language.
- In addition to spiritual instruction, taught classes on personal hygiene and the transmission of infectious diseases.
- Immersed myself into diverse cultures with different languages and have adapted to my environment, proving an ability to remain flexible, embrace new ideas, and sacrifice for the needs of others.
MDS Director (8 Months), Assistant MDS Director (8 Months), Coordinator (3.5yrs)
Oaklawn Health & Rehab
08.2011 - 2012
- After thorough chart review and patient interviews, utilized the nursing process to provide a plan of care for our patients.
- Assessed patient status to determine the diagnosis that relates to the patient’s stay, along with comorbidities that might impact patient’s outcomes.
- In conjunction with the Interdisciplinary Team, I established the plan of care to implement and then evaluate those outcomes, as well as assign the proper ICD-10 codes for current diagnosis.
- Prepare Humana Insurance levels for reimbursement, monitor RUG scores for Medicare reimbursement, and coordinate the scheduling and completion of the MDS for both OBRA and PPS schedules.
- Managed up to 6 nurses that serve a 130 bed Rehab/SNF averaging 30 admissions per week generating up to 1800 assessments per quarter.
Registered Nurse
Davita Inc
02.2007 - 2008
- Responsible for managing the care of up to 16 renal patients per shift, as a dialysis nurse.
- Coordinate care with physicians, patients, and dialysis staff, setting goals for the patient and facility in an effort to achieve optimum quality of life.
- Responsible for initiating and monitoring hemodialysis treatment, monitoring labs, and adjusting the treatment plan according to protocols, in addition to anemia management, and administering emergency treatment when necessary.
- Provided patient education on ESRD, diet, and nutrition.
- Responsible for preparation of the water treatment system.
Education
Associate of Science in Nursing -
Galen College of Nursing
01.2007
Licensed Practical Nursing, Diploma -
Spencerian College
07.1993
Skills
- Care Plan Development
- Policy and procedure development
- Regulatory Compliance
- Staff Training
- Resource utilization management
- Audit management
- Interdisciplinary Team Collaboration
Languages
Fluent in French.
Awards
Kathryn Mershon Emerging Leader in Nursing Award recipient in 2006, received at Galen College of Nursing.
References
Available upon request
Hobbies and Interests
Over the past few years I have been heavily involved in my community’s schools. A few years ago we were able to help our school board see the importance of keeping a local elementary school open. We accomplished this through organizing the community and addressing the local school board. I have participated in several committees for our school system and have seriously considered a run for school board member. I have a real passion for languages as they open a whole new arena of communication. I would love to expand my knowledge of French, and with our ever-increasing Hispanic population Spanish is my next linguistic goal. I enjoy playing the flute and piano, attending church, and spending time with my wife of 21 years and two children. I would love to further my education and have begun investigating the cost and requirements of an RN to MSN program.
Languages
French
Professional
Timeline
MDS Coordinator / Case Manager
Kindred Hospital SAU
07.2018 - Current
MDS Coordinator
The Villas of Guerin Woods
02.2017 - 07.2018
Utilization Review – Medicare Compliance
Jewish Hospital
01.2015 - 01.2017
MDS Director (8 Months), Assistant MDS Director (8 Months), Coordinator (3.5yrs)
Oaklawn Health & Rehab
08.2011 - 2012
Registered Nurse
CMS at Louisville Dept. of Correction
01.2008 - 08.2011
Registered Nurse
Davita Inc
02.2007 - 2008
Sales Consultant+
IAM Technologies
03.2005 - 01.2006
Missionary
Missionary
05.1996 - 01.2006
Registered Nurse
Norton Healthcare
2005 - 01.2008
Associate of Science in Nursing -
Galen College of Nursing
Licensed Practical Nursing, Diploma -
Spencerian College
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