Adept at leading interdisciplinary teams and enhancing care coordination. Specializes in MDS assessments and direct patient care, blending critical thinking with leadership skills to improve nursing satisfaction and patient outcomes. Proven track record in documentation accuracy and care plan development.
Overview
5
5
years of professional experience
1
1
Certification
Work History
MDS Nurse
Twin Oaks Nursing and Convalescent
08.2023 - Current
Completed assessments for residents admitted to facility under provider care
Trained staff in correct techniques for completing and signing MDS assessments.
Reviewed missing assessment reports and analyzed issues for leadership team.
Completed minimum data set assessments with strong collaboration across business, provider and clinical disciplines.
Verified prompt and accurate completion of MDS activities for billing.
Led weekly utilization review to go over recent clinical activities.
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.
Collaborated with leadership to devise initiatives for improving nursing satisfaction, retention and morale.
Educated family members and caregivers on patient care instructions.
Equipped patients with tools and knowledge needed for speedy and sustained recovery.
Travel Nurse
NURSES DIRECT LLC
11.2021 - Current
Administered medications and treatment to patients and monitored responses.
Documented patient interactions and interventions in EPIC EMR.
Educated patients and families about medications, treatments and lifestyle changes to better understand and manage condition.
Developed relationships with patients and families to understand medical history and care needs.
Assessed patient conditions by taking vital signs and evaluating symptoms to determine appropriate treatment.
Provided medical care to patients in varied settings to offer patients best possible care regardless of location.
Collaborated with interdisciplinary teams to develop impactful treatment plans.
Conducted ongoing monitoring and evaluations of behaviors and conditions, and updated clinical supervisors with current information.
Used first-hand knowledge and clinical expertise to advocate for patients under care and enacted prescribed treatment strategies.
MDS Nurse
Ascension Oaks Nurising & Rehab
07.2022 - 07.2023
Trained staff in correct techniques for completing and signing MDS assessments.
Reviewed missing assessment reports and analyzed issues for leadership team.
Completed minimum data set assessments with strong collaboration across business, provider and clinical disciplines.
Complied with federal and state regulations for completion and coordination of RAI process.
Verified prompt and accurate completion of MDS activities for billing.
Led weekly utilization review to go over recent clinical activities.
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.
Followed all personal and health data procedures to effectively comply with HIPAA laws and prevent information breaches.
MEDICAL RECORDS NURSE, CNA SUPERVISOR, STAFF NURSE
Chateau St. James Rehab & Retirement
11.2019 - 11.2022
Administered medications via oral, IV, and intramuscular injections and monitored responses.
Remained calm during high-stress, critical situations, demonstrating sustained focus and problem-solving in real-time.
Performed routine wound care and dressing changes on schedule.
Equipped patients with tools and knowledge needed for speedy and sustained recovery.
Documented treatments delivered, medications and IVs administered, discharge instructions, and follow-up care.
Monitored patient reactions after administering medications and IV therapies.
Evaluated patient histories, complaints, and current symptoms.
Followed all personal and health data procedures to effectively comply with HIPAA laws and prevent information breaches.
Collaborated with leadership to devise initiatives for improving nursing satisfaction, retention and morale.