Gina Valone
Manchester,TN
Summary
Well-qualified as a MDS/ ADON successful at building and maintaining secure, accurate and efficient data collection systems. Hardworking and pragmatic with strong attention to detail and methodical approach. Dedicated to using excellent research, investigation and project management abilities to optimize management, organization and reporting of clinical data. Results-driven, precise and systematic with quick learning and collaborative nature.
Overview
8
8
years of professional experience
Work History
MDS Coordinator
Manchester Center For Rehabilitation And Healing
Manchester, United States
11.2019 - Current
- Completed minimum data set assessments with strong collaboration across business, provider and clinical disciplines.
- Assessed electronic medical record for required documentation to support MDS coding.
- Led weekly utilization review to go over recent clinical activities.
- Complied with federal and state regulations for completion and coordination of RAI process.
- Trained staff in correct techniques for completing and signing MDS assessments.
- Followed up on outstanding clinical items within established timelines for optimal care delivery.
- Reviewed missing assessment reports and analyzed issues for leadership team.
- Verified prompt and accurate completion of MDS activities for billing.
- Set schedules for staff to start and complete MDS assessments and care plan meetings.
- Wrote work instruction manuals, data capture guidelines and standard operating procedures.
- Built and deployed plans, reports, validation procedures and entry processes for data management needs.
- Complied with federal and state regulations for completion and coordination of RAI process
MDS Plan Coordinator
Claiborne And Hughes Skilled Nursing And Rehab
Franklin, TN
06.2019 - 11.2019
- Developed and updated policies and procedures, maintaining compliance with statutory, regulatory and local, state and federal guidelines relating to HIPAA, benefits administration and general liability.
- Trained staff in correct techniques for completing and signing MDS assessments.
- Completed assessments for residents admitted under PDPM.
- Followed up on outstanding clinical items within established timelines for optimal care delivery.
- Set schedules for staff to start and complete MDS assessments and care plan meetings.
- Led weekly utilization review to go over recent clinical activities.
- Complied with federal and state regulations for completion and coordination of RAI process.
- Verified prompt and accurate completion of MDS activities for billing.
- Reviewed missing assessment reports and analyzed issues for leadership team.
- Completed minimum data set assessments with strong collaboration across business, provider and clinical disciplines.
- Assessed electronic medical record for required documentation to support MDS coding.
- Built and deployed plans, reports, validation procedures and entry processes for data management needs.
- Verified prompt and accurate completion of MDS activities for billing
- Set schedules for staff to start and complete MDS assessments and care plan meetings
- Complied with federal and state regulations for completion and coordination of RAI process
- Reviewed missing assessment reports and analyzed issues for leadership team
MDS Coordinator
Boulevard Terrace
Murfreesboro, TN
01.2018 - 06.2019
- Completed minimum data set assessments with strong collaboration across business, provider and clinical disciplines.
- Assessed electronic medical record for required documentation to support MDS coding.
- Led weekly utilization review to go over recent clinical activities.
- Complied with federal and state regulations for completion and coordination of RAI process.
- Trained staff in correct techniques for completing and signing MDS assessments.
- Followed up on outstanding clinical items within established timelines for optimal care delivery.
- Reviewed missing assessment reports and analyzed issues for leadership team.
- Set schedules for staff to start and complete MDS assessments and care plan meetings.
- Verified prompt and accurate completion of MDS activities for billing.
- Collected, reviewed and analyzed data from diverse departments for documentation needs.
- Upheld critical security standards when managing user access actions such as setting up and removing accounts.
- Assessed electronic medical record for required documentation to support MDS coding
- Set schedules for staff to start and complete MDS assessments and care plan meetings
- Complied with federal and state regulations for completion and coordination of RAI process
- Led weekly utilization review to go over recent clinical activities
- Verified prompt and accurate completion of MDS activities for billing
- Completed minimum data set assessments with strong collaboration across business, provider and clinical disciplines
Unit Manager
Community Care Of Rutherford County
Murfreesboro, TN
07.2016 - 08.2018
- Assisted in development and implementation of policies, procedures and regulations for unit operations.
- Handled complaints from patients and families and immediately took steps for quick resolution and to prevent reoccurrence.
- Oversaw RNs, LPNs, nursing aides, medical clerks and support staff and performed staffing scheduling duties.
- Met with nursing staff and support personnel to plan services, programs and activities.
- Supervised, directed and motivated high-quality performance from nursing staff.
- Investigated and independently resolved complaints from staff, physicians and patients by leveraging clinical judgment and unit management expertise.
- Assessed patients to determine individual needs and develop care plans in coordination with multidisciplinary healthcare professionals.
- Developed strategy to target nursing and patient satisfaction issues, improve response and patient care quality and suggest actionable improvements to promote hospital-wide quality and safety initiatives .
- Administered medications via oral, IV and intramuscular injections and monitored responses.
- Promoted professional development opportunities to encourage nurses to pursue continuous training.
- Updated patient charts with data such as medications to keep records current and support accurate treatments.
- Supervised professional and paraprofessional nursing staff and delegated tasks to maintain continuum of care.
- Evaluated skills of nursing personnel and verified staff certifications for validity.
- Conducted patient assessments and developed treatment plans.
- Engaged and participated in consults, patient care plan development and patient monitoring.
- I Have worked for several years off and on as a PRN floor nurse and assisted with on call.
- Developed and updated policies and procedures, maintaining compliance with statutory, regulatory and local, state and federal guidelines relating to HIPAA, benefits administration and general liability
- Scheduled surgeries, managed pre-certifications and verified insurance coverage
- Created customized care plans, working with hospital staff and families to assess and meet individual needs
Assistant Director of Nursing Services
Diversicare Of Smyrna
Smyrna, TN
12.2014 - 07.2016
- Performed rounds to observe care and interview staff, residents and families.
- Collaborated with staff, management and external groups to coordinate patient care.
- Established new policies and updated existing policies to improve standard of care for patients.
- Developed positive employee relations, incentives and recognition programs to promote teamwork and mutual respect.
- Participated in management team meetings to discuss resident status, census changes and resident complaints or concerns.
- Identified department issues to recommend corrective actions.
- Recruited, hired and trained all staff, providing direct supervision, ongoing staff development and continuing education to employees.
- Developed and updated policies and procedures, maintaining compliance with statutory, regulatory and local, state and federal guidelines relating to HIPAA, benefits administration and general liability.
- Monitored and inspected staff processes to eliminate hazards posed for both residents and staff while ensuring continuous compliance with regulations.
- Performed rounds to observe care and interview staff, residents and families
- Participated in management team meetings to discuss resident status, census changes and resident complaints or concerns
Education
Associate of Applied Science - Registered Nurse
Excelsior College
Albany, NY08.2007
Licensed Practical Nurse - Licensed Practical Nurse
B.O.C.E.S Chautauqua County-Erie 2 LPN Program
Fredonia, NY08.1993
Skills
- Healthcare Regulations
- Assessing Residents
- Patient Medical Histories
- Reimbursement Management
- Interdisciplinary Care
- Patient Admission
- Patient Health Information Access
- Interdisciplinary Meetings
- HIPAA and Confidentiality Compliance
- Pointclickcare HER
- ICD-10 Coding
- UR meetings/review
- Documentation review
- Care plans and review for updates
Timeline
MDS Coordinator
Manchester Center For Rehabilitation And Healing
11.2019 - Current
MDS Plan Coordinator
Claiborne And Hughes Skilled Nursing And Rehab
06.2019 - 11.2019
MDS Coordinator
Boulevard Terrace
01.2018 - 06.2019
Unit Manager
Community Care Of Rutherford County
07.2016 - 08.2018
Assistant Director of Nursing Services
Diversicare Of Smyrna
12.2014 - 07.2016
Associate of Applied Science - Registered Nurse
Excelsior College
Licensed Practical Nurse - Licensed Practical Nurse
B.O.C.E.S Chautauqua County-Erie 2 LPN Program
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