Jennifer Miller
Centre Hall
Summary
Detail-oriented MDS Coordinator with over 19 years of experience in enhancing care delivery through comprehensive assessments and effective communication. Recognized for streamlining documentation processes and training staff, leading to increased accuracy and timely MDS submissions.
Overview
31
31
years of professional experience
Work History
MDS Coordinator
Juniper Village At Brookline
State College, PA
10.2007 - 03.2026
- Coordinated comprehensive assessments for resident care plans, ensuring regulatory compliance and quality standards.
- Collaborated with interdisciplinary teams to optimize resident outcomes through effective care strategies.
- Streamlined documentation processes, enhancing accuracy and efficiency in MDS submissions.
- Trained and mentored staff on MDS protocols, improving team performance and knowledge retention.
- Analyzed data trends to identify areas for process improvement within the MDS workflow.
- 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.
- Assessed electronic medical record for required documentation to support MDS coding.
- 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.
- Enhanced patient care quality by implementing comprehensive MDS assessments and care plans.
- Monitored changing regulations related to RAI/MDS requirements, keeping staff informed about updates that impact their daily work routines.
- Completed minimum data set assessments with strong collaboration across business, provider and clinical disciplines.
- Implemented interdisciplinary meetings focused on individualized care plan development, resulting in more targeted interventions and improved resident outcomes.
- Established regular review processes to evaluate the accuracy and completeness of MDS records, leading to proactive identification of potential issues before they escalate.
- Reduced errors in data collection by streamlining the MDS process and improving communication among interdisciplinary teams.
- Developed strong relationships with interdisciplinary team members to facilitate efficient collaboration on resident care planning.
- Led weekly utilization review to go over recent clinical activities.
- Provided guidance to nursing staff on accurate completion of Section GG assessments, enhancing overall documentation quality and supporting appropriate Medicare/Medicaid reimbursement rates.
- Complied with federal and state regulations for completion and coordination of RAI process.
- Supported facility-wide initiatives aimed at reducing hospital readmissions by closely monitoring MDS data for trends and potential areas of concern.
- Identified areas of improvement in the facility''s quality measures through thorough analysis of MDS data, resulting in targeted interventions and better outcomes for residents.
- Improved communication between departments by establishing clear protocols regarding assessment timelines, leading to more efficient care planning processes.
- Coordinated multidisciplinary care team meetings to enhance communication and ensure consistency in patient care delivery.
- Optimized care plans for impact, integrating evidence-based practices and patient preferences.
- Achieved significant improvements in MDS accuracy and timeliness, recognized by facility leadership.
- Improved interdisciplinary team collaboration by organizing regular strategy meetings to discuss care plans and resident needs.
- Implemented quality improvement projects, identifying areas for enhancement in resident care and MDS process accuracy.
- Supported resident families with clear communication, providing updates on care plans and answering questions about MDS process.
- Reduced hospital readmissions with proactive monitoring and intervention for residents at high risk.
- Improved patient outcomes with comprehensive assessments, identifying changes in condition and adjusting care plans accordingly.
- Fostered positive work environment, encouraging teamwork and open communication among MDS and clinical staff.
- Ensured compliance with federal and state regulations by meticulously reviewing and updating resident care plans.
- Enhanced resident satisfaction, establishing strong rapport and addressing concerns promptly.
- Facilitated smooth transitions of care by collaborating with external healthcare providers, ensuring continuity of care for residents.
- Advanced personal knowledge of MDS regulations and best practices through continuing education and professional development activities.
- Analyzed patient data to impact, identifying trends and areas for improvement in clinical outcomes.
- Fostered relationships with external agencies to ensure alignment on resident care standards and enhancements.
- Developed a comprehensive system for tracking MDS completion deadlines, ensuring timely submissions and minimizing the risk of financial penalties.
- Provided ongoing education for nursing staff regarding MDS best practices, contributing to a knowledgeable and skilled workforce.
- Reviewed missing assessment reports and analyzed issues for leadership team.
- Streamlined MDS submission process, reducing errors and ensuring timely reimbursements from Medicare and Medicaid.
- Scheduled and facilitated Care Plan Meeting for 50 plus residents/families
- Developed all Nursing Care Plans, including updating/editing for 50 plus residents
- Leadership Team/Management skills
Pediatric Licensed Practical Nurse
Gentiva Home Health Services
State College, PA
09.2002 - 10.2007
- Administered medications and treatments according to physician's orders and care plans.
- Monitored vital signs and reported changes in patient conditions to healthcare team.
- Assisted in developing individualized care plans for pediatric patients with diverse needs.
- Educated families on home care procedures, medication management, and health maintenance strategies.
- Collaborated with multidisciplinary teams to optimize patient outcomes through coordinated care efforts.
- Implemented quality improvement initiatives that enhanced patient safety and satisfaction levels.
- Reduced hospital readmission rates through effective discharge planning and follow-up care coordination.
- Prevented infection spread by ensuring strict adherence to hygiene standards during all aspects of nursing practice.
- Improved patient outcomes by providing compassionate and comprehensive pediatric care.
- Monitored vital signs and reported abnormalities to supervising nurse or physician, promoting early intervention for potential health issues.
- Enhanced patient satisfaction by addressing concerns promptly and maintaining open lines of communication between healthcare team members, patients, and families.
- Demonstrated strong clinical judgment in assessing patient needs and implementing appropriate nursing interventions.
- Assisted physicians with examinations and treatments, ensuring optimal patient care and comfort.
- Administered vaccinations and medications to patients, adhering to proper dosage guidelines and protocols.
- Assisted in scheduling patient appointments and coordinating referrals/resources when needed.
- Collaborated effectively with interdisciplinary healthcare teams to develop individualized care plans for patients.
- Provided education on disease prevention, medical treatments, and medication administration to patients and their families.
- Participated in continuing education programs to remain up-to-date on best practices for pediatric nursing care.
- Maintained supply inventory levels by monitoring stock status regularly; ordering when necessary.
- Managed time efficiently in fast-paced settings while prioritizing tasks according to urgency levels.
- Administered medications and injections to patients.
- Monitored patient health conditions to report changes to assigned physician.
- Assessed patients' temperature, pulse, and blood pressure and recorded in electronic medical records.
- Delivered emotional support to patients and families during challenging times.
- Responded to patient requests with appropriate clinical and personal assistance.
- Provided patient education on health care issues and prescribed medications.
- Took samples to complete diagnostic and routine assessment tests.
- Helped patients complete bathing, dressing and eating.
- Helped long-term care residents with bathing, dressing, feeding, and other daily living activities.
- Protected patients and healthcare team members from infection by sterilizing equipment and reusable supplies.
- Provided diagnosis information, treatment possibilities, disease management tips and wound care advice to patients, loved ones and caregivers.
- Developed and implemented individualized patient care plans.
- Tracheotomy Care
- Tube feeding administration and care
- Iimplemented and demonstrated exercise programs developed by PT, OT, ST
Licensed Practical Nurse, Triage
Geisinger Medical Center
State College, PA
07.1997 - 09.2002
- Conducted patient assessments to determine urgency of care needs.
- Collaborated with healthcare teams to develop triage protocols and improve patient flow.
- Utilized electronic health record systems for accurate documentation and communication.
- Provided education to patients regarding treatment options and follow-up care.
- Mentored new staff on triage procedures and best practices in patient care.
- Streamlined triage processes, reducing wait times and improving patient satisfaction scores.
- Improved patient outcomes by providing high-quality nursing care and closely monitoring vital signs.
- Contributed to infection control efforts by maintaining a clean work environment and following best practices for hand hygiene.
- Advocated for patients'' needs during healthcare team meetings, contributing valuable insights to improve overall quality of care.
- Prevented complications from chronic illnesses through proactive patient monitoring and early intervention strategies.
- Reduced medication errors through diligent administration of medications and thorough patient education.
- Assisted doctors with medical procedures, ensuring proper preparation, execution, and follow-up care.
- Strengthened communication between patients'' families and healthcare providers to ensure full understanding of treatment plans.
- Streamlined the triage process by effectively prioritizing patients based on urgency and acuity of conditions.
- Promoted patient safety by identifying potential hazards and implementing appropriate interventions.
- Facilitated the discharge process by educating patients on post-care instructions and coordinating resources for continued support at home.
- Served as a valuable resource for colleagues by sharing expertise and providing guidance on complex clinical situations.
- Increased efficiency in documenting patient information within electronic health record systems, ensuring accurate records for all patients.
- Enhanced patient satisfaction by addressing concerns, answering questions, and providing emotional support.
- Counseled patients via telephone according to established guidelines and protocols, advising on provider-established plans of care.
- Obtained case history and gathered triage information to determine appropriate avenue for care.
- Scheduled appointments for patients not requiring emergency services but needing examination from provider and consulting directly with provider.
- Performed additional clinic and non-triage nurse duties such as instructing patients in general and specific medical care and health issues and administering or dispensing medication and injections.
- Verified, updated and communicated patient history prior to clinic appointments and procedures with providers.
- Verified patient insurance eligibility and identified primary care physician, contacting office to obtain patient file.
- Clearly and thoroughly explained diagnoses, treatment options and procedures to patients and loved ones, checking in to verify understanding.
- Managed various general office duties such as answering multiple telephone lines, completing insurance forms, and mailing monthly invoice statements to patients.
- Reviewed patient history to verify conditions and current medications.
- Coordinated patient transfers to other facilities.
- Administered medications and injections to patients.
- Assessed patients' temperature, pulse, and blood pressure and recorded in electronic medical records.
- Delivered emotional support to patients and families during challenging times.
- Protected patients and healthcare team members from infection by sterilizing equipment and reusable supplies.
- Direct line of contact between patients and providers for a large Family Practice Office
Licensed Practical Nurse
Brookline Village
State College, PA
07.1995 - 05.1997
- Administered medications and treatments according to established protocols and patient care plans.
- Monitored vital signs and documented changes in patient conditions for timely interventions.
- Collaborated with healthcare teams to develop individualized care strategies for diverse patient populations.
- Implemented infection control measures, ensuring compliance with health regulations and standards.
- Provided emotional support to patients and families, fostering a compassionate healthcare environment.
- Conducted regular assessments of patient needs, adjusting care plans as necessary for optimal outcomes.
- Improved patient outcomes by administering medications, monitoring vital signs, and documenting relevant information.
- Cared for wounds, provided treatments, and assisted with procedures.
- Assisted with admissions, appointments, transfers, and discharges.
- Collaborated with interdisciplinary healthcare teams to ensure continuous quality improvement in patient care delivery.
- Documented accurate and complete patient information to address patient problems and expected outcomes.
- Demonstrated excellent technical skills in wound dressing changes, IV therapy administration, catheter insertion, and other routine nursing procedures.
- Managed patient care through closely monitoring respiration, blood pressure, and blood glucose levels.
- Facilitated efficient communication between patients, families, and healthcare providers to promote continuity of care across settings.
- Managed time-sensitive tasks effectively under pressure while maintaining composure during critical situations or emergencies.
- Obtained patient vital signs and input/output measurements from inpatients.
- Performed routine evaluations of each patient's status, needs, and preferences.
- Administered controlled narcotics, inserted IVs, and performed catheterizations.
- Comforted and counseled patients and families throughout care process.
- Provided compassionate palliative care for terminally ill patients while supporting their emotional needs during end-of-life stages.
- Educated patients and families on health promotion, disease prevention, and self-care management strategies.
- Monitored, tracked, and conveyed important patient information to healthcare staff to help optimize treatment planning and care delivery.
- Evaluated patients to identify and address wounds, behavioral concerns, and medically relevant symptoms.
- Gathered lab specimens, ordered testing, and interpreted results to diagnose patients.
- Used aseptic techniques to provide sterilized wound care and dressing applications.
- Maintained a safe and therapeutic environment for patients through effective risk assessment and crisis intervention strategies.
- Delivered updates in patient status to charge nurse, recording changes in medical records.
- Offered immediate assistance in emergency and routine paging situations to evaluate needs and deliver care.
- Assisted with feeding and monitored intake to help patients achieve nutritional objectives.
- Assisted physicians with diagnostic testing and procedural support for optimal treatment decisions.
- Ensured regulatory compliance by adhering to infection control protocols and maintaining accurate documentation of patient data.
- Answered incoming phone calls from patients to provide basic assistance and triage medical concerns.
- Promoted a culture of teamwork through active participation in unit meetings, performance improvement initiatives, and collaborative problem-solving efforts.
- Minimized staff and patient infection risk by cleaning and disinfecting equipment instruments.
- Reduced hospital readmissions by providing thorough discharge planning and follow-up care coordination.
- Improved patient satisfaction with empathetic communication and timely response to needs.
- Advocated for patients' needs and preferences with healthcare providers, fostering patient-centered care.
- Monitored patient reactions to medications and treatments, quickly addressing adverse reactions.
- Streamlined medication administration processes, reducing wait times and increasing patient compliance.
- Coordinated with pharmacy staff to ensure accurate medication dispensing, minimizing errors.
- Delivered wound care and managed dressings, preventing infections and promoting healing.
- Implemented infection control protocols, significantly reducing incidence of hospital-acquired infections.
- Conducted regular patient assessments to identify changes in health status, enabling timely interventions.
- Enhanced patient recovery by providing compassionate care and closely monitoring vital signs.
- Helped patients complete bathing, dressing and eating.
- Helped long-term care residents with bathing, dressing, feeding, and other daily living activities.
- Managed various general office duties such as answering multiple telephone lines, completing insurance forms, and mailing monthly invoice statements to patients.
- Coordinated patient transfers to other facilities.
Education
Nursing
Centre County Area Vocational Technical School
Pleasant Gap, PA06-1995
Skills
- HIPAA compliance
- Electronic health records proficiency
- Medical record management
- Research and data collection
- Clinical documentation accuracy
- Delegation and supervision
- Care planning
- Care plan development
- Patient advocacy
- Interdisciplinary team collaboration
- Geriatric nursing expertise
- Medicare reimbursement knowledge
- Long-term care experience
- MDS software familiarity
- Stress management techniques
- Teamwork and collaboration
- Problem-solving
- Time management
- Attention to detail
- Problem-solving abilities
- Multitasking
- Excellent communication
- Reliability
- Organizational skills
- Team leadership
- Medical terminology
- Data collection
- Quality control
- Quality assurance
- Medication administration
- Direct patient care
- Vital signs monitoring
- Wound care
- Diabetes management
- Infection control
- Catheter care
- ADL assistance
- Caregiving skills
- Palliative care
- Staff supervision
- Chronic disease management
- Pediatric care
- Home health care
- End-of-life care
- Multi-tasking and prioritization
- Educating families
- Certified in CPR/AED
Timeline
MDS Coordinator
Juniper Village At Brookline
10.2007 - 03.2026
Pediatric Licensed Practical Nurse
Gentiva Home Health Services
09.2002 - 10.2007
Licensed Practical Nurse, Triage
Geisinger Medical Center
07.1997 - 09.2002
Licensed Practical Nurse
Brookline Village
07.1995 - 05.1997
Nursing
Centre County Area Vocational Technical School