Ida Wilson
El Paso,TX
Summary
Talented Case Manager adept at handling high caseloads without sacrificing quality of care. Operates in high-pressure environments while recommending best resources and courses of action to benefit patient needs and return each to optimal quality of life.
Overview
21
21
years of professional experience
Work History
Case Manager
Molina Healthcare Texas
10.2014 - Current
- Maintained accurate documentation on all cases, ensuring compliance with regulations and confidentiality requirements.
- Conducted thorough assessments of clients'' situations, identifying issues, goals, and necessary interventions.
- Monitored ongoing cases closely, adjusting case management strategies as needed based on evolving circumstances or new information.
- Educated clients on available programs, benefits, and services, empowering them to make informed decisions about their care needs.
- Coordinated services with other agencies, community-based organizations, and healthcare professionals to provide useful benefits to clients.
- Developed and implemented comprehensive case management plans to address client needs and goals.
MDS Coordinator
Vista Hills Health Care Center
08.2008 - 05.2014
- Set schedules for staff to start and complete MDS assessments and care plan meetings.
- Ensured timely completion of all MDS assessments, maintaining full compliance with federal and state regulations.
- Maintained up-to-date knowledge on CMS guidelines and changes to ensure accuracy in reporting and reimbursement processes.
- Verified prompt and accurate completion of MDS activities for billing.
- Collaborated closely with therapy departments to accurately capture rehabilitation needs within MDS documentation, supporting appropriate resource allocation for residents'' needs.
- Collaborated with nursing staff to provide accurate and timely clinical assessments for each resident, leading to improved overall care.
- Assessed electronic medical record for required documentation to support MDS coding.
- Enhanced patient care quality by implementing comprehensive MDS assessments and care plans.
Risk Manager
Ambrosio Guillen Texas State Veterans Home
03.2005 - 03.2007
- Conducted thorough analysis of historical data, helping identify patterns and trends in potential risks.
- Conducted regular audits of existing policies and procedures, ensuring their continued effectiveness in addressing organizational goals related to mitigating risks.
- Developed short-term goals and long-term strategic plans to improve risk control and mitigation.
- Developed strong relationships with internal stakeholders, promoting a culture of risk awareness and accountability.
- Trained employees on risk management best practices, empowering them to make informed decisions regarding potential risks.
Admission Coordinator
Hospice Of El Paso
02.2003 - 03.2005
- Provided exceptional customer service during phone and email interactions with prospective students and their families, addressing concerns promptly and professionally.
- Confirmed all insurance benefits met standards of admissions as dictated by policy.
- Assisted in patient admission process based on federal and state laws.
- Collaborated with admissions team to develop and implement strategies to improve admissions process.
- Completed preliminary paperwork for incoming patients.
Education
Licensed Practical Nurse - Nursing
Trinidad State Junior College
Trinidad, CO05.1983
Skills
- Problem-Solving
- Case Management
- Case Documentation
- Organization and Multitasking
Languages
Spanish
Professional Working
Timeline
Case Manager
Molina Healthcare Texas
10.2014 - Current
MDS Coordinator
Vista Hills Health Care Center
08.2008 - 05.2014
Risk Manager
Ambrosio Guillen Texas State Veterans Home
03.2005 - 03.2007
Admission Coordinator
Hospice Of El Paso
02.2003 - 03.2005
Licensed Practical Nurse - Nursing
Trinidad State Junior College
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