Heidi Mays
Newark,OH
Summary
Seasoned nursing professional offering proven clinical knowledge; a natural leader with strong computer related skills. Experience using Point Click Care software computer system and software including proficiency in Microsoft Office and an email system. Strong oral and written communication skills. Strong organizational skills. Ability to work with all levels of employees in multiple facilities. Ability to read, write, and speak English. Ability to relate positively, effectively, and appropriately with residents/patients, families, community members, volunteers and other facility staff/IDT. Expert knowledge of the MDS and RAI process and experience with Medicare and Medicaid population. Experienced leader in long term care. Authorized to work in the US for any employer
Overview
11
11
years of professional experience
1
1
Certification
Work History
Corporate MDS Compliance Auditor
CommuniCare Health Services
, Ohio
01.2021 - 02.2022
- Works with compliance department to develop MDS compliance plan and related policies and procedures
- Performs routine audits of documentation, reimbursement statutes, regulations and program requirements and directives, Medicare and Medicaid processes including NOMNC/ABN letters
- Develops education programs for facility personnel on documentation and coding practice
- Supports facility based and regional leadership in relation to corporate compliance questions and audit activities
- Develop and recommend corrective actions to address deficiencies in MDS coding procedures
- Travels as needed to locations across the company.
MDS Specialist
Otterbein Senior Lifestyle Choices
Lebanon, OH
02.2018 - 01.2021
- Oversee 8-10 MDS Departments across central and Northern Ohio
- Audits MDS assessments and processes regarding reimbursement for Medicare and Medicaid
- Utilization Review process and monitoring Managed Care and Medicare processes regarding reimbursement, NOMNC/ABN process, discharge planning, communication with insurance companies and concurrent review.
- Implemented new processes such as monitoring ADL scores and initiating quarterly ADL training with front line staff, monitoring and education on documentation practices, education to MDS nurses and DON’s regarding the RAI manual
- Quality Measures/5 Star management and repair
- Responsible for education of MDS nurses on managing CaseMix Monitoring
- Weekly and monthly calls/visits with all facilities to monitor compliance and provide support
- Participate in mock surveys and survey readiness for all facilities
- Responsible for ongoing PDPM education/support for all facilities.
- Coordinated with interdisciplinary professionals to develop plans of care, administer tests and monitor patient status.
Registered Nurse Mobile MDS Coordinator
HCR ManorCare
, Ohio
04.2015 - 02.2018
- Travels to each building in the region to complete MDS assessments and fill in as needed for MDS Coordinators vacation
- Completes quarterly audits on a timely basis as instructed by the Case Mix Specialist
- Ensures each building has correct MDS processes in place per policy.
- Managed a team of employees, overseeing hiring, training, and professional growth of employees.
Registered Nurse- Assessment Coordinator
HCR Manorcare
05.2012 - 04.2015
- Assists the Administrative Director of Nursing with ensuring that documentation in the center meets Federal, State, and Certification guidelines
- Coordinates the RAI process assuring the accuracy, timeliness, and completeness of the MDS, CAAs, and Interdisciplinary Care Plan
- Conducts the nursing process - Assessment, Planning, Implementation, and Evaluation- under the state's Nurse Practice Act
- Essential job functions include: ensuring Resident Rights are honored, following safety and sanitation policies and procedures, participates in staff development, actively participates in the survey process, reports trends from completed audits, initiates and monitors RAI process tracking, discharge/reentry, and Medicaid tracking forms through the Point Click Care system, provides IDT schedule for all MDS assessments and care plans as required by PPS and OBRA, relays or acts upon information from the case mix specialist audits, follows up with staff to assure compliance to standards of documentation, facilitates accurate determination of the Assessment Reference Date that accurately reflects the patient's care needs and captures all resources utilized to ensure appropriate payment by Medicare and Medicaid and insurance programs
- Attends weekly Medicare meetings as needed, maintains confidentiality, and participates in staff meetings and department head meetings
- Updates the 802/672 when applicable
- Completes ADL/documentation training during orientation of new employees, quarterly and as needed with STNAs and nurses.
Registered Nurse- Administrative Director of Nursing
HCR Manorcare
11.2011 - 05.2012
- Work in direct contact with the Administrator to direct the Nursing Department to maintain quality standards of care, report allegations of patient abuse, ensure patient information is kept confidential; ensure safety policies are followed,
- Participate in QAA program, oversee Q Maps to ensure improvement, monitor
- Trends and outcomes, work to minimize potential problems, participate and promote
- Guardian Angel program, educate staff to maintain compliance, promote critical thinking in nursing care delivery, provide nursing support to ensure an effective admission process, complete performance appraisals of nursing personnel, conduct staff meetings, provide 24 hour on-call service in case of emergency, participate in hiring, counseling and/ or terminating employees in the nursing department, monitor staffing of the nursing department, ensures employees are adequately oriented and trained, establish and maintain effective two way communication to meet the needs staff, investigate and respond to employee complaints, participate in department head meetings, and other center meetings, follow HCR Policy and Procedures manual, participate in patient care conferences, ensure clinical follow-up is completed, perform any miscellaneous work assignments as required.
Registered Nurse - Director of Care Delivery
HCR Manorcare
09.2011 - 11.2011
- Assisted the ADNS with day to day operations, prepared clinical information for
- Eagle Room Process on a daily basis, ensured clinical follow-up was completed,
- Supervised staff of RNs, LPNs, and STNAs, scheduled appointments, participated in weekly Medicare meetings, participated in patient care conferences, reviewed new admission referrals and assisted with the admission process, completed patient assessments and care plans, communicated with families and physicians to coordinate patient care and outcomes.
Registered Nurse - Unit Manager
Bennington Glen Nursing and Rehabilitation
12.2010 - 09.2011
- Responsible for a 40 bed skilled unit, experience with state survey, quarterly assessments, supervising staff of RNs, LPNs, and STNAs
- Working closely with the medical director in the coordination of patient care and outcomes
- Experience with admissions and discharges
- Interviewing for open positions, probationary and annual evaluations of staff and disciplinary experience
- Experience with interdisciplinary team meetings and QA meetings
- Assisting floor staff to meet the needs of residents.
Education
BSN - Nursing
Ohio University
Athens, Ohio09.2017
Associate of Applied Science - Nursing Technology
Central Ohio Technical College
Newark, Ohio01.2011
LPN - Nursing
Knox County Career Center
Mount Vernon, OH06.2004
Skills
- Creative Problem Solving
- Attention to Detail
- Accurate Documentation
- Care Coordination
- Patient Care Oversight
- Patient Condition Monitoring
- Preventive Healthcare
- Nursing Consultation
- Effective communication skills
- Delegation and Motivation
Certification
- RAC-CT certified in 2013
Timeline
Corporate MDS Compliance Auditor
CommuniCare Health Services
01.2021 - 02.2022
MDS Specialist
Otterbein Senior Lifestyle Choices
02.2018 - 01.2021
Registered Nurse Mobile MDS Coordinator
HCR ManorCare
04.2015 - 02.2018
Registered Nurse- Assessment Coordinator
HCR Manorcare
05.2012 - 04.2015
Registered Nurse- Administrative Director of Nursing
HCR Manorcare
11.2011 - 05.2012
Registered Nurse - Director of Care Delivery
HCR Manorcare
09.2011 - 11.2011
Registered Nurse - Unit Manager
Bennington Glen Nursing and Rehabilitation
12.2010 - 09.2011
BSN - Nursing
Ohio University
Associate of Applied Science - Nursing Technology
Central Ohio Technical College
LPN - Nursing
Knox County Career Center