Seasoned nursing professional offering proven clinical knowledge, natural interpersonal strengths, and technical abilities. Knowledgeable about EMR charting, medication administration and interdisciplinary collaboration focused on optimizing patient care and support. Quality-focused and efficiency-driven leader.
Overview
10
10
years of professional experience
Work History
RN MDS Coordinator
Avon Oaks Caring Community
Avon, OH
04.2019 - Current
Determine appropriate payer source for each resident and open corresponding MDS assessment within RAI Manual guidelines.
Assign primary diagnosis per ICD-10-CM guidelines and review of patient records from transferring facility.
Evaluate for need of skilled services.
Daily monitoring of interdisciplinary sections of MDS for accuracy and timeliness.
Submit MDS assessments to Medicare, Medicaid, and other third party payers within RAI and payer guidelines.
Implement and monitor ongoing certification of skilled residents. Forward certification request to physician or nurse practitioner for signature, as appropriate.
Lead utilization review meetings as a member of the interdisciplinary team.
Evaluate healthcare needs, goals for treatment, and assist in determining available resources of each patient .
Implement care plans and goals as determined by resident interviews, observations, medical record review, and MDS assessment triggers.
Evaluate case mix index and quality measures to determine where care improvements are needed.
Educate interdisciplinary team and clinical staff in areas of appropriate and accurate documentation of activities of daily living and overall care of resident.
Receive medical record requests. Review hard copy of record and EMR of records. Copy, upload, email or mail records to the requesting company (payer).
Provide direct patient care, including administration of medications and treatments, as needed within the facility.
RN MDS Coordinator
North Olmsted Manor Care
North Olmsted, OH
02.2015 - 03.2019
Receive request for admission to the facility and forward request to payer for authorization of stay.
Implement and monitor ongoing certification of skilled residents. Forward certification request to physician or nurse practitioner for signature.
Determine appropriate payer source for each resident and open corresponding MDS assessment within RAI Manual guidelines.
Review patient records from acute care hospital or other care facility and assign primary diagnosis for skilled services or long-term care admission within ICD-10-CM guidelines.
Daily monitoring of interdisciplinary sections of MDS for accuracy and timeliness.
Submit MDS assessments to Medicare, Medicaid, and other third party payers within RAI and payer guidelines.
Lead utilization review meetings as a member of the interdisciplinary team.
Evaluate healthcare needs, goals for treatment, and assist in determining available resources of each patient .
Implement care plans and goals as determined by resident interviews, observations, medical record review, and MDS assessment triggers.
Evaluate case mix index and quality measures to determine where care improvements are needed.
Educate interdisciplinary team and clinical staff in areas of appropriate and accurate documentation of activities of daily living and overall care of resident.
Receive medical record requests. Review hard copy of record and EMR of records. Copy, upload, email or mail records to the requesting company (payer).
Provide direct patient care, including administration of medications and treatments, as needed within the facility.
Registered Nurse
Heartland Hospice And Always Best Care
Cleveland, OH
01.2012 - 02.2015
Managed care from admission to discharge for hospice and home care patients within the community.
Provided direct patient care, stabilized patients and determined next course of action.
Administered medications via oral, IV and intramuscular injections and monitored responses.
Monitored patient reactions to drugs and carefully documented findings.
Advised patients and caregivers of proper wound management, discharge plan objectives, safe medication use and disease management.
Collected blood, tissue and other laboratory specimens and prepared for lab testing.
Advocated for patients by communicating care preferences to practitioners, verifying interventions met treatment goals and identifying insurance coverage limitations.