Kaamilya Carter
Arlington,TX
Summary
Seasoned healthcare leader and manager with over 20 years career experience dedicated to care, communication, quality assurance, operations, staff development and compliance. Exceptional skills in operations management, team building, teaching and individualized resident care, with assessment review and improving quality measures and employee relations.
Overview
18
18
years of professional experience
Work History
MDS Coordinator/AIT
Ignite Medical Center
12.2023 - Current
- 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.
- Enhanced patient care quality by implementing comprehensive MDS assessments and care plans.
- 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.
- Collaborated closely with therapy departments to accurately capture rehabilitation needs within MDS documentation, supporting appropriate resource allocation for residents'' needs.
- Monitored changing regulations related to RAI/MDS requirements, keeping staff informed about updates that impact their daily work routines.
- Provided ongoing education for nursing staff regarding MDS best practices, contributing to a knowledgeable and skilled workforce.
- Established regular review processes to evaluate the accuracy and completeness of MDS records, leading to proactive identification of potential issues before they escalate.
- Developed strong relationships with interdisciplinary team members to facilitate efficient collaboration on resident care planning.
- AIT training and development-survey preparedness, operational planning and management, financial planning management staffing management company leadership training
ADON/MDS Nurse
James L. West
10.2021 - 09.2022
- Nursing process procedures
- MDS Careplans completion
- Staff Training/management
- Staff interviews
- HR processing and procedures
MDS nurse
Benbrook Nursing and Rehab
06.2021 - 10.2021
- Admissions/marketing
- MDS
- Careplans
- Training
- Team Building/documentation training
Patient Care Coordinator
The Villa at Mountain View
02.2019 - 06.2021
- Company Overview: Dallas, Texas
- Careplanning
- Pdpm
- Managed care assessments/denials review
- Medicaid mds completion
- Clinical assessments and review
- Mds system development
- Meeting compliance and quipp goals
- Quality measures
- LTCMI completion
- Pasrr review PL1 completion
- Dallas, Texas
Utilization Review Nurse/Contract
Quest/Veterans Group
02.2015 - 03.2015
- Company Overview: Dallas, Texas
- Workers Comp Utilization Review
- Dallas, Texas
Regional Reimbursement Consultant
Southwest Long Term Care
11.2010 - 09.2014
- Company Overview: Frisco, TX
- Revenue Management/Billing
- MDS 3.0/Medicare/Medicaid/Managed Care
- Development of plans of care
- Team Building and management
- Training on government regulations/resident assessments
- Development of policy and procedure for financial compliance
- Budget tracking and finance development
- Review of resident pre-admission documentation for medical necessity
- Insurance Verification precertification/ recertification Medical Necessity
- Vendor updates and reviews: Hospice, Therapy
- Clinical Assessments and review
- Teaching clinical skills and development
- Frisco, TX
- Successful OIG audits with utilization review
- Meeting goals and benchmarks with assessment compliance
Regional Mds Coordinator
Luby and Associates
06.2010 - 11.2010
- Company Overview: Plano, TX
- MDS 3.0 Training
- MDS 3.0 assessment completion
- Care plan completion training
- Plano, TX
- MDS/Medical Necessity
Medicare MDS Coordinator
Legacy
05.2009 - 06.2010
- Company Overview: Dallas, TX
- MDS 2.0 and 3.0 completions
- Family care plan meetings
- Care plan development
- Clinical Assessments and review
- Insurance verification/Medicare/Medicaid review
- Dallas, TX
- Goals and benchmarks with assessment review and compliance
Assistant Director of Nursing
Stone gate: Vista Ridge and Mansfield Nursing
06.2006 - 10.2008
- Company Overview: Lewisville, TX
- Training resident care
- Care plan completion
- State complaints and follow up
- Nursing system review
- Staff training/on-call resident care
- Staffing
- Clinical Assessments
- Clinical operations leadership
- Teaching clinical leadership skills
- Lewisville, TX
- State Review-Deficiency Free
Education
Master of Science Degree - Healthcare Administration
University of Phoenix
Phoenix, AZ12.2007
Bachelor of Science Degree - Family Life Education/Gerontology
University of Central Oklahoma
Edmond, OK12.2003
LPN nursing program -
DeMarge College
Oklahoma City, OK06.2000
Skills
- Medicare/Medicaid regulations
- Managed care review and utilization
- Minimum Data Set 30
- Pdpm
- Multi-operations management
- AIT completion
- Texas/NHA/CORE NAB testing completion
- LNFA
- Financial reporting
- Personnel management
- Team building
- Recruitment and talent development
- Leadership mentoring
- Strategic planning
- Process improvement
- Organized and efficient
- Resident care and safety
- Government regulations
- Standards
- Nursing processes and development
- Teaching and operations development
Accomplishments
- Successful OIG audits with utilization review
- Meeting goals and benchmarks with assessment compliance
- State Review-Deficiency Free
- Goals and benchmarks with assessment review and compliance
- AIT program
License
LNFA
LVN
Timeline
MDS Coordinator/AIT
Ignite Medical Center
12.2023 - Current
ADON/MDS Nurse
James L. West
10.2021 - 09.2022
MDS nurse
Benbrook Nursing and Rehab
06.2021 - 10.2021
Patient Care Coordinator
The Villa at Mountain View
02.2019 - 06.2021
Utilization Review Nurse/Contract
Quest/Veterans Group
02.2015 - 03.2015
Regional Reimbursement Consultant
Southwest Long Term Care
11.2010 - 09.2014
Regional Mds Coordinator
Luby and Associates
06.2010 - 11.2010
Medicare MDS Coordinator
Legacy
05.2009 - 06.2010
Assistant Director of Nursing
Stone gate: Vista Ridge and Mansfield Nursing
06.2006 - 10.2008
Master of Science Degree - Healthcare Administration
University of Phoenix
Bachelor of Science Degree - Family Life Education/Gerontology
University of Central Oklahoma
LPN nursing program -
DeMarge College
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