Summary
Overview
Work History
Education
Skills
Certification
Work Availability
Quote
Timeline
GeneralManager

Helen R. Stein

Registered Nurse
Westmont,IL

Summary

Healthcare professional offering extensive experience in the areas of nursing, nursing management, assessments, discharge planning, healthcare/wellness marketing, risk management, chart review, and education program development. Recognized for expert clinical, organizational, leadership, education and team building abilities. Flexible in adapting to ongoing changes with CMS, CDC and Governmental Regulations.

Overview

35
35
years of professional experience
1
1
Certification

Work History

RN-Lead, MDS Coordinator/Case Manager

Franciscan Village
Lemont, IL
10.2014 - Current
  • Responsible for timely completion of all Medicare/Medicaid case-mix documents in order to ensure appropriate reimbursement for services provided within skilled nursing facility.
  • Coordinated Plan of Care with clinical team while overseeing and participating in MDS Process.
  • Utilization Review in Medicare NOMNC/ABN Letters, Medicare Certifications, hospital referral review, evaluation of hospital records for ICD 10 coding, setting of ARD dates of admissions and readmissions, and OBRA scheduling.
  • On–going education of IDT and caregivers regarding MDS coding.
  • Developed and maintain good working rapport with interdepartmental personnel, as well as other departments within facility.
  • Oversee weekly Medicare and monthly Triple-Check meetings.
  • Supervised and submit documentation for Appeal Process, completion of Alternative Dispute Resolution, and clinical documentation for ongoing insurance authorization.
  • Assisted in implementing practice changes and standards that are evidence-based.
  • Provided direction, education and oversight of Quality Assurance/Performance Improvement process as it relates to MDS process (minimum data set), including PDPM.
  • Resource for DON and Administrator in relation to implementing processes, collection of data for risk assessments, compliance areas, and quality measures.
  • Reported findings to quality departments after conducting routine audits and work with team to devise corrective actions for deficiencies.
  • Communicated with healthcare team members to plan, implement and enhance treatment strategies.
  • Assisted in staff competency training.
  • Managed care from admission to discharge, including patient assessments, care planning, health educations and discharging support to provide comprehensive care to for Med A and Managed Care Residents.
  • Implemented care plans for patient treatment after assessing physician medical regimens.
  • Audited charts and reviewed clinical documents to verify accuracy.
  • Leveraged feedback and process improvement opportunities to create safer and healthier environment and increase patient satisfaction.
  • Led successful 10-person team comprised of NP, Nursing Manager, Social Service, Therapy Director, Medical Records and ancillary staff.
  • Followed all personal and health data procedures to effectively comply with HIPAA laws and prevent information breaches.
  • Used first-hand knowledge and clinical expertise to advocate for patients under care and recommended prescribed treatment strategies.
  • Addressed disruptions in patient care, including delays in discharge, postponed procedures and discharge equipment unavailability.
  • Delivered high level of quality care to diverse populations while overseeing patient admission and triaging based on acuity and appropriate department admission.
  • Participated in education activities, including evidence-based practice project implementation, nursing competency development and nursing simulation activities.
  • Performed ongoing assessments to evaluate mental health needs, working with multidisciplinary team to develop, initiate, manage and modify individualized plans of care.
  • Increased referral rates by providing excellent service and building meaningful relationships with patients and caregivers
  • Partnered with physicians, social workers, activity therapists, nutritionists and case managers to develop and implement individualized care plans and documented all patient interactions and interventions in electronic charting systems
  • Managed caseload of 111 patients/residents to ensure care to residents with post-hospital and long-term care needs.

Certified Lifestyle Educator/Health and Life Coach

Self Employed
Westmont, IL
01.2004 - Current
  • Market cutting edge wellness programs and technologies to healthcare professionals, businesses, community groups, and individuals for delivery of optimum health and well-being.
  • Organize, market, and seminars to promote wellness and reverse disease.
  • Train potential business associates to market wellness technologies.
  • Increased health programs from zero to eight in 6 months along with presentation of wellness education programs.
  • Coached 10 clients per day developing health goals and action plans.
  • Supported implementation of patient health plan, including nutritional wellness, weight loss programs, and personalized fitness and exercise program.
  • Maintained records of clients' health progress and compared to health goals.
  • Recommended nutrition and fitness modifications to improve overall health of clients.
  • Conducted initial patient assessment and analysis, prepared patient charts, and performed pre-admissions processing.
  • Recorded health data by asking clients to complete self-assessments.
  • Provided comprehensive, empowering, and professional wellness coaching programs so members remain motivated to attain personal health and fitness goals.
  • Developed and implemented performance improvement strategies and plans to promote continuous improvement

RN MDS Coordinator

The Grove Of Fox Valley
Aurora, IL
03.2013 - 10.2014
  • Responsible for accurate and timely completion of all Medicare/Medicaid case-mix documents in order to assure appropriate reimbursement for services provided within skilled nursing facility.
  • Conducts concurrent MDS review to assure achievement of maximum allowable RUGs category.
  • Increased compliance of MDS assessment completion within 72-hour window from 55% to 95%.
  • Participates in process and tracking of MDS/PPS documentation and transmission.
  • Collaborated with interdisciplinary healthcare personnel to meet patients' personal, physical, psychological and cognitive needs.
  • Conferred with physicians to discuss diagnoses and devise well-coordinated treatment approaches.
  • Quickly responded to situations impacting safety and security to unit, actualizing crisis prevention interventions to control and de-escalate situations.
  • Coordinated and implemented in-service educational programs focusing on safety and adherence to protocols.
  • Evaluated system data to calculate and update Medicare and Medicaid budgeting systems.
  • Motivated nursing staff to pursue advanced training and collaborated with unit leaders to identify skill needs.
  • Participated in nursing simulation activities, evidence-based practice project implementation and competency development to further nursing education.
  • Audited charts and reviewed clinical documents to verify accuracy.

Assistant Director of Nursing

Westmont Nursing and Rehabilitation Center
Westmont, IL
01.2011 - 01.2013
  • Oversee daily nursing operations of 208-bed facility and assists director of Nursing Services in planning, developing and supervising activities of licensed and non-licensed personnel who provide health care and nursing services to Nursing Home residents.
  • Participates in development and implementation of nursing services, objectives, policies, and procedures in accordance with Federal and State regulations resulting in decreasing F tags by 50%.
  • Established policy and procedures for Nursing Department staff, orientation, completing employee appraisals, and resolving problems in involving employee disciplinary action.
  • Shares responsibility for 24-hour per day, 7 day per week basis.
  • Confers with residents' physicians on occasional basis to clarify medical orders and direct care.
  • In absence of Administrator and Director of Nursing Services, Assistant Director of Nursing Services performs duties of Director.
  • Responsibility as it pertains to Quality Assurance, Infection Control, and Occurrences.

Educator/Director of Wellness Services

Comprehensive Center for Women’s Medicine, CCWM
Chicago, IL
01.2007 - 01.2012
  • Treat and monitor patients using cutting edge wellness and aesthetic technologies for nutrition, body composition, skin, stress management, and overall health issues.
  • Trained and certified as First Line Therapy provider Lifestyle Educator, utilize clinical experience, and skills in collaborative process to assess, plan, implement, monitor, and evaluate treatment regimens that result in decreased healthcare costs incurred by patients through prevention, and reduction of risk of chronic degenerative disease.
  • Daily caseload of 10 patients per day guiding them from initiation of First Line Therapy through discharge from program.
  • Design and administer studies of effectiveness of new wellness technologies.
  • Market CCWM/CWB to businesses, professional associations, community groups, and individuals.
  • Collaborate with Medical Director, Physicians, Nurse Practitioner, and other multi-disciplinary services to ensure quality patient outcomes, while promoting Healthcare Services and optimum benefit utilization.

Education

Bachelor of Science - Nursing

Wayne State University
Detroit, MI

Skills

  • Strong clinical judgment
  • Leadership
  • ICD 10 Coding
  • Reimbursement
  • Alternative Dispute Resolution (ADR)
  • Data collection
  • Educator
  • Case Management
  • Quality Assurance
  • Risk Management
  • Stress management
  • Supervision
  • Preventative health
  • Chronic disease management
  • Patient consultation
  • Computer Skills
  • Social and life skills educator

Certification

  • Sigma Theta Tau
  • RAC-CT certification
  • Certified Life-Style Educator
  • First Aid/CPR Certified
  • Health & Life Coach

Work Availability

monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
swipe to browse

Quote

There is a powerful driving force inside every human being that, once unleashed, can make any vision, dream, or desire a reality.
Tony Robbins

Timeline

RN-Lead, MDS Coordinator/Case Manager

Franciscan Village
10.2014 - Current

RN MDS Coordinator

The Grove Of Fox Valley
03.2013 - 10.2014

Assistant Director of Nursing

Westmont Nursing and Rehabilitation Center
01.2011 - 01.2013

Educator/Director of Wellness Services

Comprehensive Center for Women’s Medicine, CCWM
01.2007 - 01.2012

Certified Lifestyle Educator/Health and Life Coach

Self Employed
01.2004 - Current

Bachelor of Science - Nursing

Wayne State University

Similar Profiles

CREATE PROFILE
Helen R. SteinRegistered Nurse