Regional Director of Clinical Reimbursement
Aviata Healthcare
01.2024 - Current
Gerri Lynn Hussey
Regional Director of Clinical Reimbursement
MARIANNA,Florida
Summary
Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy.
Work History
MDS Coordinator
The Courtyard
07.2017 - 01.2024
- Complied with federal and state regulations for completion and coordination of RAI process.
- Assessed electronic medical record for required documentation to support MDS coding.
- Verified prompt and accurate completion of MDS activities for billing.
- Led weekly utilization review to go over recent clinical activities.
- Reviewed missing assessment reports and analyzed issues for leadership team.
- Completed minimum data set assessments with strong collaboration across business, provider and clinical disciplines.
- Set schedules for staff to start and complete MDS assessments and care plan meetings.
- Trained staff in correct techniques for completing and signing MDS assessments.
- Participated in quality assurance reviews to verify accuracy and reliability of data.
- Collaborated with medical teams to create uniform standards for clinical data reporting.
RN Risk Manager/ ADON
Signature Healthcare At The Courtyard
07.2011 - 07.2017
- Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
- Administered medications via oral, IV, and intramuscular injections and monitored responses.
- Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process, and management and lifestyle options.
- Trained new nurses in proper techniques, care standards, operational procedures, and safety protocols.
- Provided direct patient care, stabilized patients, and determined next course of action.
- Managed care from admission to discharge.
- Updated patient charts with data such as medications to keep records current and support accurate treatments.
- Monitored patient reactions to drugs and carefully documented findings.
- Evaluated healthcare needs, goals for treatment, and available resources of each patient and connected to optimal providers and care.
- Advocated for patients by communicating care preferences to practitioners, verifying interventions met treatment goals and identifying insurance coverage limitations.
- Collected blood, tissue, and other laboratory specimens and prepared for lab testing.
- Conferred with physicians to discuss diagnoses and devise well-coordinated treatment approaches.
- Advised patients and caregivers of proper wound management, discharge plan objectives, safe medication use, and disease management.
- Maintained quality care and comfort for patients with heart failure, pulmonary hypertension, and other conditions.
- Audited charts and reviewed clinical documents to verify accuracy.
- Oversaw delivery of care for patients on medical-surgical unit, providing direct care, delegating nursing assignments and supervising team comprised of nurses, LPNs, technicians, and unit clerks.
- Educated family members and caregivers on patient care instructions.
- Documented treatments delivered, medications and IVs administered, discharge instructions, and follow-up care.
RN, Critical Care
Jackson Hospital
07.2004 - 07.2011
- Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process, and management and lifestyle options.
- Managed care from admission to discharge.
- Provided direct patient care, stabilized patients, and determined next course of action.
- Monitored patient reactions to drugs and carefully documented findings.
- Administered medications via oral, IV, and intramuscular injections and monitored responses.
- Updated patient charts with data such as medications to keep records current and support accurate treatments.
- Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
- Organized and managed care of patients undergoing various therapies and procedures.
- Administered medications and treatment to patients and monitored responses while working with healthcare teams to adjust care plans.
- Advocated for patients by communicating care preferences to practitioners, verifying interventions met treatment goals and identifying insurance coverage limitations.
- Implemented medication and IV administration, catheter insertion, and airway management.
- Evaluated healthcare needs, goals for treatment, and available resources of each patient and connected to optimal providers and care.
- Collected blood, tissue, and other laboratory specimens and prepared for lab testing.
- Provided exceptional care to high-acute patients needing complex care such as ventilator management, extensive wound care and rehabilitation.
- Monitored patient condition by interpreting and tracking EKG readings, identifying irregular telemetry readings and updating team members on changes in stability or acuity.
- Orchestrated quality-driven, cost-effective care in high-volume trauma setting.
- Maintained quality care and comfort for patients with heart failure, pulmonary hypertension, and other conditions.
- Managed quality care for patients with heart failure, end-stage renal disease and coronary artery disease.
- Conferred with physicians to discuss diagnoses and devise well-coordinated treatment approaches.
- Evaluated patient histories, complaints, and current symptoms.
- Communicated with healthcare team members to plan, implement and enhance treatment strategies.
- Managed patients recovering from medical or surgical procedures.
- Monitored patient reactions after administering medications and IV therapies.
- Provided skilled, timely and level-headed emergency response to critically-ill patients.
Overview
21
21
years of professional experience
3
3
years of post-secondary education
Education
High School Diploma -
Marianna High School
Marianna High 1998 - 2001
Associate of Arts - Nursing
Chipola College
Marianna FL07.2004
Skills
- Regulatory Compliance
- Staff Training
- Care Planning
- Long-Term Care Experience
- Attention to Detail
- Problem Solving Abilities
- Clinical Documentation Accuracy
- Goal Setting Abilities
- Patient Advocacy Abilities
- Quality Improvement Initiatives
- Ethical Decision Making
- Care Plan Development
- Leadership Abilities
Timeline
Regional Director of Clinical Reimbursement
Aviata Healthcare
01.2024 - Current
MDS Coordinator
The Courtyard
07.2017 - 01.2024
RN Risk Manager/ ADON
Signature Healthcare At The Courtyard
07.2011 - 07.2017
RN, Critical Care
Jackson Hospital
07.2004 - 07.2011
High School Diploma -
Marianna High School
1998 - 2001
Associate of Arts - Nursing
Chipola College
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