Jessica Winningham-Hall

• Advocate for patients during the pre- admission process.
• Perform clinical assessments of referred patients, then counsels with patient's families to assist in the decision making process.
• Partner with hospital case managers and complete ICU rounds to ensure appropriate referrals are provided.
• Provide education to providers regarding LTACH level of care to ensure discharge execution of patients within a timely manner.
• Complete ongoing quarterly education meetings with referral sources.
• Facilitate communication between patients, families, and healthcare providers
• Analyzed patient needs to recommend appropriate services and support
• Develops strong rapport with community partners by attending local health fairs, conferences, or networking events to promote the facility''s programs and services.
• Cultivated productive relationships with referral sources, leading to increased admissions for the facility.
• Promoted positive patient outcomes by identifying potential barriers to recovery and addressing them proactively with the treatment team.
• Facilitated seamless transitions of care for patients entering rehabilitation services, resulting in reduced anxiety and improved healing environment.
• Served as a liaison between patients and their insurance providers, advocating for coverage of necessary treatments and services.
• Collaborated with marketing efforts to showcase facility strengths and attract new referral sources from local hospitals or community-based organizations.

• Interviewed patients to obtain medical information, weight and height measurements and vital signs.
• Monitored social media and online sources for industry trends.
• Works with VP/Director Business Development to identify opportunities for expansion of strategic business initiatives .
• Resolved conflicts and negotiated mutually beneficial agreements between parties.
• Identified appropriate marketing channels and target customers for campaigns.
• Confirmed all insurance benefits met standards of admissions as dictated by policy.
• Maintains effective communication with patients, families, healthcare providers, employers, clients and team members.
• Develops and maintains client relationships within a competitive marketplace.

• Led successful 5-person team comprised of RNs, LPNs and ancillary staff.
• Reviewed patient history to verify conditions and current medications.
• Managed various general office duties such as answering multiple telephone lines, completing insurance updates, MDS assessments,.
• Worked with different disciplines to provide cohesive care to patients.
• Managed support services and fostered communication among social workers, therapists, staff and patients.
• 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.
• Identified care needs of individual patients and coordinated responses based on physician advice, insurance limitations and procedural costs.I
• Obtained authorizations from multiple insurance carriers for various levels of care.
• Evaluated medical guidelines and benefit coverage to determine appropriateness of services.
• Accurately documented all elements of nursing assessment, including treatment, medications and IVs administered, discharge instructions and follow-up care.
• Participated in department head meeting on a daily basis. Participated in Clinical start up daily
• Reviewed skilled nursing documentation.
• Reviewed new orders daily and appropriately updated care plan to reflect changes.
• Met with the DOR daily for morning PPS meetings.
• Documented patient information obtained from interviews
• Opened new MDS assessments in assessment scheduler weekly
• Completed MDS assessments as well as submitted assessments.
• Opened MDS assessments on new admits, created Recertification forms for Medicare A and Managed Care residents.
• Communicated with physicians daily for timely signatures on Recertification forms.
• Held weekly Utilization Review meetings to discuss Medicare, Managed Care, and Part B residents with the team.
• Completed Quality rounds with Director of Rehab weekly.
• Completed Managed Care updates with insurance companies and updated eligibility form with each new update.
• Obtained new Authorization codes for resident who become appropriate for skilled benefits.
• Issued NOMNC's for Medicare A and Managed Care residents.
• Created weekly skilled documentation forms for charge nurses.
• Completed billing with Administrator, DON,DOR, BOM, and CBO on a monthly basis.
• Prepared information for UMR prior to their survey visit.
• Worked closely in providing DOH with corrective action plans
• Effectively managed MDS department for 95-bed facility.
• Maintained CMI between 1.08-1.10.
• Self-directed with astute judgment skills. High level of personal accountability

• Participated in department head meeting on a daily basis.
• Participated in Clinical start up daily.
• Reviewed skilled nursing documentation.
• Reviewed new orders daily and appropriately updated  care plan to reflect changes.
• Met with the DOR daily for morning PPS meetings.
• Documented patient information obtained from interviews
• Opened new MDS assessments in assessment scheduler  weekly.
• Completed MDS assessments as well as submitted assessments.
• Opened MDS assessments on new admits, created Recertification forms for Medicare A and Managed Care residents.
• Communicated with physicians daily for timely signatures on Recertification forms.
• Held weekly Utilization Review meetings to discuss Medicare, Managed Care, and Part B residents with the team.
• Completed Quality rounds with Director of Rehab weekly.
• Completed Managed Care updates with insurance companies and updated eligibility form with each new update.
• Obtained new Authorization codes for resident who become appropriate for skilled benefits.
• Issued NOMNC's for Medicare A and Managed Care residents.
• Created weekly skilled documentation forms for charge nurses.
• Educated charge nurses on proper skilled documentation notes and importance of documentation.
• Educated Certified Nursing Assistance on coding accuracy.
• Completed a monthly Care Plan schedule from OBRA assessments and distributed to the care plan team.
• Attended Care Plan Conference's.  
• Instructed patients and family members on proper discharge care.
• Able to easily navigate through EPIC system to obtain IV Medication as well as fluids while not a resident.
• Closely monitored diagnosis to ensure proper coding in the MDS.
• Completed billing with Administrator, DON,DOR, BOM, and CBO on a monthly basis. 
• Prepared information for UMR prior to their survey visit.
• Worked closely in providing DOH with corrective action plans.
• Effectively managed MDS department for 95-bed facility.
• Maintained CMI between 1.08-1.10.
• Self-directed with astute judgment skills. High level of personal accountability

• Pharmacological and non-pharmacological management and treatment of various disorders and diseases.
• Experience with various medical conditions including Parkinson's, Dementia, Diabetes, Cancer, Alzheimer's and Paget's disease.
• Liaised between patients and physicians to ensure patient comprehension of treatment plans.
• Instructed patients and family members on proper discharge care.
• Closely monitored acute conditions.
• Monitored patient reactions to drugs and carefully documented progress of individuals participating.
• Treated patients with chronic and acute health problems such as MI, arrhythmias, asthma, COPD and pneumonia.
• Delegated staff nurse duties.
• Followed infection control procedures.
• Assisted patients with daily functions.
• Ensured efficacy of treatments through monitoring of treatment regimens.
• Assisted residents with bathing, dressing, feeding, lifting and transferring.
• Authorized drug refills and provided detailed prescription information to pharmacies.

Participated in department head meeting on a daily basis. •Participated in Clinical start up daily.

•Reviewed skilled nursing documentation.

•Reviewed new orders daily and appropriately updated care plan to reflect changes

.•Met with the DOR daily for morning PPS meetings. •Documented patient information obtained from interviews •Opened new MDS assessments in assessment scheduler weekly. •Completed MDS assessments as well as submitted assessments. •Opened MDS assessments on new admits, created Recertification forms for Medicare A and Managed Care residents. •Communicated with physicians daily for timely signatures on Recertification forms. •Held weekly Utilization Review meetings to discuss Medicare, Managed Care, and Part B residents with the team. •Completed Quality rounds with Director of Rehab weekly. •Completed Managed Care updates with insurance companies and updated eligibility form with each new update. •Obtained new Authorization codes for resident who become appropriate for skilled benefits. •Issued NOMNC's for Medicare A and Managed Care residents. •Created weekly skilled documentation forms for charge nurses. •Educated charge nurses on proper skilled documentation notes and importance of documentation. •Educated Certified Nursing Assistance on coding accuracy. •Completed a monthly Care Plan schedule from OBRA assessments and distributed to the care plan team. •Attended Care Plan Conference's. •Instructed patients and family members on proper discharge care. •Able to easily navigate through EPIC system to obtain IV Medication as well as fluids while not a resident. •Closely monitored diagnosis to ensure proper coding in the MDS. •Completed billing with Administrator, DON,DOR, BOM, and CBO on a monthly basis. •Prepared information for UMR prior to their survey visit. •Worked closely in providing DOH with corrective action plans. •Effectively managed MDS department for 95-bed facility. •Self-directed with astute judgment skills. High level of personal accountability

• Assisted residents with bathing, dressing, feeding, lifting and transferring.
• Experience with various medical conditions including Parkinson's, Dementia, Diabetes, Cancer, Alzheimer's and Paget's disease.