Flerida Manabat

• Complied with federal and state regulations for completion and coordination of RAI process.
• Verified prompt and accurate completion of MDS activities for billing.
• Assessed electronic medical record for required documentation to support MDS coding.
• Led weekly utilization review to go over recent clinical activities.
• Trained staff in correct techniques for completing and signing MDS assessments.
• Set schedules for staff to start and complete MDS assessments and care plan meetings.
• Followed up on outstanding clinical items within established timelines for optimal care delivery.
• Enforced strict data validation rules to maintain accuracy and completeness of clinical data.

• Verified prompt and accurate completion of MDS activities for billing.
• Complied with federal and state regulations for completion and coordination of RAI process.
• Assessed electronic medical record for required documentation to support MDS coding.
• Led weekly utilization review to go over recent clinical activities.
• Completed assessments for residents admitted under assessments requiring [Number] day books.
• Followed up on outstanding clinical items within established timelines for optimal care delivery.
• Enforced strict data validation rules to maintain accuracy and completeness of clinical data.

Oversee and facilitate the completion of resident assessments at nursing facility. Throughout the assessment and while planning care I ensure compliance with Federal and State regulations.

Administer/complete patient assessments. Oversee the assessment process, setting the assessment schedules and assuring that assessments are done in an accurate and timely manner.

After completion and reviewing residents assessments, I transmit assessments to CMS. They review the results Quality Measures, 5 star, SNF QRP, Quality Assurance Surveillance Plan.

Develop care plans according to regulatory requirements. Ensure that important resources are available to patients and that patient care is delivered effectively to a satisfactory standard

Create the schedule for all Medicare and Medicaid. They also start Medicare coverage for newly qualified patients or send out denial letters. Remain updated on changes in medicare coverage and help determine documents needed for Medicaid reimbursement.

• Developed and delivered new hire training programs and continuous professional development.
• Performed reviews of employee work performance to check for areas in need of additional training.
• Coordinated and manages the overall RAI process and tracking of all Medicare case-mix documents in order to assure appropriate reimbursement for service provided and assuring timeliness and completeness of the MDS, CAAs and Interdisciplinary Care Plan. Assisted DON with ensuring that documentation in healthcare facility meets Federal, State and Certification guidelines

• Traveled to patients' homes on daily basis to assess health conditions and provide superior level of nursing care.
• Provided complete care to home health patients, including physical assessments, medication and chronic disease management.
• Advised and coached patients progressing from hospitals, rehab facilities and other medical organizations to at-home treatment settings.
• Informed physicians of any changes to patients' health or concerns observed during home visits.
• Incorporated therapeutic, rehabilitative and nursing goals into detailed, individualized care plans based on diagnoses.
• Assessed patients' health conditions and asked appropriate questions to better understand current feelings.
• Educated patients on use and benefits of equipment such as home blood pressure cuffs and glucose meters.
• Worked with multidisciplinary team to carry out successful treatment plans for diverse acute and chronic conditions.

• Provided direct patient care, stabilized patients and determined next course of action.
• Administered medications via oral, IV and intramuscular injections and monitored responses.
• Managed care from admission to discharge, including patient assessments, care planning, health educations and discharge support.
• Ordered and analyzed diagnostic tests to identify and assess patient conditions.
• Performed emergency medical procedures such as BLS, ACLS and other condition stabilizing interventions.
• Provided health education to patients and families regarding discharge instructions and plans of care.
• Conferred with physicians to discuss diagnoses and devise well-coordinated treatment approaches.
• Participated in nursing simulation activities, evidence-based practice project implementation and competency development to further nursing education.

Directed the Resident assessment Instrument Process and Minimum Data St coding and review to comply with Medicare and Medicaid Reimbursement standards.

Deployed expertise in Minimum Data Set measures that meet Prospective Payment System and Omnibus Budget Reconciliation Act of 1989.

• Reviewed each step of patient care and made proactive adjustments to avert issues.
• Established rapport and relationships with patients and external partners to cross-train and support medical staff.
• Delivered excellent patient experiences and direct care.
• Reviewed medical charts and served as liaison between patient, doctor and hospital.
• Completed resident assessments in accordance with current regulations and guidelines.

• Performed reviews of employee work performance to check for areas in need of additional training.
• Developed and delivered new hire training programs and continuous professional development.
• Selected to develop patient care and staff plans and monitor Medicare and Medicaid compliance and reporting with Joint Commission on Accreditation of Healthcare Organizations and California Regulations.
• Developed and performed patient care plans customized for age and specific healthcare issues.
• Trained CNA staff to perform patient care under the California Code of Regulations and Title 22 guidelines

• Performed various nursing interventions such as wound dressing, vital sign monitoring and specimen collection.
• Assessed medical status of patients pre- and post-operation by checking vital parameters and supervising food intake.
• Gathered patient health data through interviews and observation, documenting all data in electronic records.
• Monitored patients' conditions and reported changes in physical ability, appearance and behavior to discuss treatment with physicians.