Eldora Austin
Cheektowaga,NY
Summary
Motivated professional seeking a company that values career growth and offers a dynamic work atmosphere. Experienced in supervision and eager to contribute to a positive and challenging environment that empowers employees to excel. Committed to professional development and making a meaningful impact as a valuable team member.
Overview
13
13
years of professional experience
1
1
Certification
Work History
MDS Coordinator
Niagara Rehabilitation and Nursing Center
06.2022 - Current
- Ensure timely completion of all MDS assessments, maintaining full compliance with federal and state regulations.
- Maintain up-to-date knowledge on CMS guidelines and changes to ensure accuracy in reporting and reimbursement processes.
- Collaborate with nursing staff to provide accurate and timely clinical assessments for each resident.
- Enhance patient care quality by implementing comprehensive MDS assessments and care plans.
- Collaborate closely with interdisciplinary team to accurately capture rehabilitation needs/progress.
- Assess electronic medical record for required documentation to support MDS coding.
- Monitor regulations related to RAI/MDS requirements, keeping staff informed about updates that impact their daily work routines.
- Established regular review processes to evaluate the accuracy and completeness of MDS records.
- Provide support to nursing staff on accurate completion of Section GG assessments, enhancing overall documentation quality and supporting appropriate Medicare/Medicaid reimbursement rates.
- Identify areas of improvement in the facility''s quality measures through thorough analysis of MDS data, resulting in targeted interventions and better outcomes for residents.
MDS Coordinator
Comprehensive Rehabilitation
01.2016 - 06.2022
- Responsible for the timely completion of assessments for residents in accordance with the RAI process
- Scheduled, completed, and ensured timely transmission of all MDS assessments into the state database, verifying each assessment was within CMS guidelines
- Managed Medicare A, Medicaid, and Managed Care caseloads to obtain optimal reimbursement for long-term and short-term residents
- Organized and facilitated a weekly Utilization Review meeting
- Scheduled care plan meetings with residents, family members, and the Interdisciplinary Team
- Assisted in the creation and development of Comprehensive Care Plans for residents
- Responsible for the analysis of Quality Indicators/Quality Measurement data to identify trends
- Provided in-service to nursing staff on proper documentation of ADL's and condition changes of residents
Utilization Review Nurse
Blue Cross Blue Shield of WNY
09.2012 - 12.2016
- Performed pre-service and recertification review on existing medical information for Personal Care Services, and Adult Day Health Care Services
- Prepared cases for medical necessity reviewed by a Medical Director and sent out approval/denial letters for requested service confirmation
- Daily interaction with members, providers, and vendors, referring members to Case Management for Care Coordination
- Ensured all work conducted was in compliance with HIPPA regulations and guidelines
Education
Associate of Applied Science - Registered Nurse
Trocaire College
Buffalo, NY12-2024
Certificate - Licensed Practical Nurse
Trocaire College
Buffalo, NY06-2003
Skills
- Effective Communication
- Team Collaboration Etiquette
- Team Coordination
- Energetic Self-starter
- Time Management & Attention to Detail
- Analytical Thinking Skills
Certification
BLS/ CPR Instructor
Timeline
MDS Coordinator
Niagara Rehabilitation and Nursing Center
06.2022 - Current
MDS Coordinator
Comprehensive Rehabilitation
01.2016 - 06.2022
Utilization Review Nurse
Blue Cross Blue Shield of WNY
09.2012 - 12.2016
BLS/ CPR Instructor
Associate of Applied Science - Registered Nurse
Trocaire College
Certificate - Licensed Practical Nurse
Trocaire College
Similar Profiles
JESSICA WINGARDJESSICA WINGARD
Director of Nursing at Niagara Rehabilitation & NursingDirector of Nursing at Niagara Rehabilitation & Nursing
Irene MatukuIrene Matuku
LPN at Niagara Rehabilitation-NursingLPN at Niagara Rehabilitation-Nursing
Robert GordonRobert Gordon
Dietary Supervisor at Niagara Rehabilitation CenterDietary Supervisor at Niagara Rehabilitation Center