Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Kemberlyn Lopez

The Bronx,NY

Summary

Well-qualified MDS Coordinator successful at building and maintaining secure, accurate and efficient data collection systems. Hardworking and pragmatic with strong attention to detail and methodical approach. Prepared to offer my knowledge, skills and experience to fast-paced position with room for advancement.

Overview

18
18
years of professional experience
1
1
Certification

Work History

MDS Coordinator

Kings Harbor Multicare Center
10.2023 - 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.
  • Assessed electronic medical record for required documentation to support MDS coding.
  • Speaking to residents and ensures their wellbeing through regular checks
  • 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.
  • Implemented interdisciplinary meetings focused on individualized care plan development, resulting in more targeted interventions and improved resident outcomes.
  • Developed strong relationships with interdisciplinary team members to facilitate efficient collaboration on resident care planning.

Registered Nurse

MedRite Urgent Care
08.2023 - 10.2023
  • Utilized critical thinking skills to prioritize nursing interventions based on patients'' acuity levels and individual needs.
  • Conducted thorough patient assessments to identify changes in condition, promptly notifying physicians and initiating appropriate interventions when necessary.
  • Administered medications safely according to established guidelines while closely monitoring for side effects or adverse reactions requiring intervention.
  • Enhanced patient satisfaction by providing compassionate, holistic nursing care that addressed physical, emotional, and spiritual needs.
  • Prevented the spread of infections by consistently adhering to strict infection control protocols and educating patients on proper hygiene practices.
  • Educated family members and caregivers on patient care instructions.
  • Performed triage on incoming patients and determined severity of injuries and illnesses.

Registered Nurse Manager

RCM Technologies
12.2021 - 08.2023
  • Overseeing patient admission in Rehab Unit and discharge process to coordinate related paperwork
  • Acting as patient advocate and implemented total patient care through team nursing process
  • Creating, implementing and evaluating patient care plans with medical team
  • Maintaining personal and team compliance with medication administration standards and patient care best practices
  • Adheres to infection control procedures to facilitate safe, clean patient environment
  • Communicates with families regarding resident's plan of care and any changes in condition
  • Communicates with Staff and Department Heads

Registered Nurse

RCM Technologies
05.2021 - 12.2021
  • Utilized critical thinking skills to prioritize nursing interventions based on patients'' acuity levels and individual needs.
  • Conducted thorough patient assessments to identify changes in condition, promptly notifying physicians and initiating appropriate interventions when necessary.
  • Administered medications safely according to established guidelines while closely monitoring for side effects or adverse reactions requiring intervention.
  • Enhanced patient satisfaction by providing compassionate, holistic nursing care that addressed physical, emotional, and spiritual needs.

Utilization Management Nurse

EXL Service Phil
01.2021 - 04.2021
  • Determined medical necessity and cost-effectiveness of services through utilization review process
  • Collaborated with Providers to obtain required clinical information, supporting prior authorization determinations and individual inquiries
  • Applied medical criteria and clinical judgement to researched cases to evaluate and establish determinations
  • Referred cases to secondary review for failure to meet criteria

Disease Management Nurse

EXL Service Phil
07.2019 - 12.2020
  • Demonstrated expertise in multiple therapeutic areas including diabetes, hypertension, heart failure, asthma, and COPD management.
  • Enhanced patient care by collaborating with multidisciplinary teams to establish comprehensive treatment strategies.
  • Improved patient outcomes by developing and implementing disease management plans tailored to individual needs.
  • Empowered patients through individualized goal setting sessions resulting in increased adherence to prescribed treatments.

Registered Nurse - OIC

Healthway Medical Clinics
06.2007 - 03.2011
  • Utilized critical thinking skills to prioritize nursing interventions based on patients'' acuity levels and individual needs.
  • Conducted thorough patient assessments to identify changes in condition, promptly notifying physicians and initiating appropriate interventions when necessary.
  • Administered medications safely according to established guidelines while closely monitoring for side effects or adverse reactions requiring intervention.
  • Enhanced patient satisfaction by providing compassionate, holistic nursing care that addressed physical, emotional, and spiritual needs.
  • Trained and mentored new RNs on best practices, clinic policies and standards of care
  • Performed diagnostic procedures such as ECG, TMST and Holter monitoring

Registered Nurse

Healthrends Medical Clinics and Diagnostic Center
07.2006 - 04.2007
  • Performed mobile Physical Exam for employees of different companies
  • Rendered first hand assistance to patients coming to the clinic for various health services
  • Evaluated patient's results and submitted results to MD for recommendations
  • Provide health educations and disease prevention

Education

Bachelor of Science - Nursing

Las Pinas College
Las Pinas City, Philippines
03.2006

Associate of Science - Physical Therapy

San Juan De Dios Educational Foundation
Pasay City, Philippines
03.2000

Skills

  • HIPAA Compliance Understanding
  • Electronic Health Records Proficiency
  • Medical Record Management
  • Research and data collection
  • Continuous Learning Commitment
  • Clinical Documentation Accuracy
  • Care Planning
  • Care Plan Development
  • Interdisciplinary Team Collaboration
  • Regulatory Compliance Knowledge
  • Goal Setting Abilities
  • Clinical Assessment Expertise
  • Geriatric nursing expertise
  • Patient Advocacy Abilities
  • Nursing Process Proficiency
  • Long-term care experience
  • Medicare Reimbursement Knowledge
  • Teamwork and Collaboration
  • Problem-Solving
  • Time Management
  • Attention to Detail
  • Multitasking Abilities

Certification

  • Licensed Registered Nurse (NY State)- 2019
  • Basic Life Support and AED Certification - 2023

Timeline

MDS Coordinator

Kings Harbor Multicare Center
10.2023 - Current

Registered Nurse

MedRite Urgent Care
08.2023 - 10.2023

Registered Nurse Manager

RCM Technologies
12.2021 - 08.2023

Registered Nurse

RCM Technologies
05.2021 - 12.2021

Utilization Management Nurse

EXL Service Phil
01.2021 - 04.2021

Disease Management Nurse

EXL Service Phil
07.2019 - 12.2020

Registered Nurse - OIC

Healthway Medical Clinics
06.2007 - 03.2011

Registered Nurse

Healthrends Medical Clinics and Diagnostic Center
07.2006 - 04.2007

Bachelor of Science - Nursing

Las Pinas College

Associate of Science - Physical Therapy

San Juan De Dios Educational Foundation
  • Licensed Registered Nurse (NY State)- 2019
  • Basic Life Support and AED Certification - 2023
Kemberlyn Lopez