Laura Verbarg
West Haven ,UT
Summary
Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
15
15
years of professional experience
1
1
Certification
Work History
Corporate RN Case Manager
Sandstone HealthCare
12.2023 - Current
- Managed support services and fostered communication among social workers, therapists, and patients.
- Collaborate with Insurance Case Managers on current skilled status and ensure safe discharge for 30+ patients.
- Act as liaison between patients and their insurance providers.
- Coordinate care and services for patients to promote collaborative practice and continuity of care.
Clinical Reimbursement Specialist
QRM (Quality Rehab Management)-Addison, TX
08.2023 - 12.2024
- Provide support to MDS coordinators and interdisciplinary teams including education, process implementation, and ongoing support/management of systems
- Provide ongoing education and guidance to MDS teams to improve coding accuracy, workflow organization, and compliance
- Collaborate with facility staff to identify barriers to success impacting quality measures, Five Star rating, reimbursement capture• Guide the IDT in implementing best practices relating to the RAI process
- Analyze and report on key performance indicators to measure success and proactively identify areas of need
- Maintain and share expertise/knowledge related to reimbursement and quality outcomes
- Work in conjunction with teams to resolve issues, endorse changes and conduct follow-ups to establish that recommendations are effectively implemented and monitored for appropriateness•
- Promote compliance by performing periodic audits of assessments, supporting documentation, and other relevant data.
VP of Clinical Reimbursement
HealthPRO Heritage-Baltimore, MD
03.2023 - 04.2023
- Provides in-services and training to facility clinical staff as needed
- Functions as a resource for clinical reimbursement program, caseload development, education &training
- Completes remote and onsite PDPM, CMI, MDS & QM audits as indicated• Participates in TeleMDS remote strategic partnership audits as needed
- lead and participated in video conferencing and educational webinars as needed
- Collaborates with Operation, Clinical Strategies and QAC while working on various partnership and internal education, training, strategy, etc.
Resident Assessment Director/ Case Manager
Avalon Valley/Woodland Park Care Center-Salt Lake City, UT
01.2019 - 03.2023
- Provide education, leadership and oversight to staff specific to Reimbursement Programs: Medicare, Managed Care, Medicaid, Quality and Quality Measures
- Conduct daily PDPM meeting, to include review of NTA, Diagnosis, NSG CMG, hospital records, ST CMG,GG evaluations, BIMS, Resident care and the setting of the Assessment Reference Date in collaboration with the IDT to ensure the most appropriate assessment reference date (ARD) is utilized for Medicare Assessments.
- Case Manager-conduct intake assessments with patient, physician and families.• Facilitate interdisciplinary care team meetings to discuss patients’ progress and to deliberate on appropriate care
- Assist with discharge planning, coordinate home health, DME and PCP follow up appointments.• Evaluate patients’ progress toward goal achievement, including identification and evaluation of barriers to meeting or complying with case management plan of care, reassess for changes in goals and/or health status
- Complete ICD-10 coding for all new admissions
- Maintain 5 Star Quality Measures.• Lead team on education/transition to PDPM
- Deficiency free on MDS State Surveys.• Responsible for training new MDS Coordinators
- • Consistently have highest revenue for PDPM and CMI in the company.
Director of Nursing (DON)
Canyon Home Care and Hospice-Ogden, UT
07.2017 - 12.2018
- Oversee, direct and coordinate nursing staff to provide proper patient care consistent with standard nursing practices.
- Oversee the provision of appropriate medications, treatments and general nursing services according to the patient's care plan and physician directed orders
- Monitor and control inventory of supplies.• Ensure compliance with local, state and federal guidelines and regulations
- Oversee the recruitment, selection and hiring of professional personnel.
- Develop staff schedules in accordance with clinical needs of the patient population.
RN MDS Coordinator/Case Management
Stonehenge Rehabilitation-Ogden, UT
06.2015 - 07.2017
- Collaborated with clinical staff to provide education, feedback and assistance regarding medical documentation, insurance claims submissions and reimbursement
- Assisted the Administrator in coordinating the daily PPS Management meeting, to include review of resident care and the setting of the Assessment Reference Date in collaboration with the Facility Rehab Coordinator to ensure the most appropriate assessment reference date (ARD) is utilized for Medicare Assessments.
- Maintain health records, prepare incident reports, provide health education, dispense standard drugs/medications, provide medical services, wound care.
RN Nurse Administrator
Quail Meadow Assisted Living-North Ogden, UT
06.2014 - 06.2015
- Supervise and train certified nursing assistants on proper medication administration.
- Perform head to toe assessment on residents anytime there is a change of condition (new onset of confusion, vital signs outside normal parameters, UTI symptoms, sign and symptoms of stroke or cardiac concerns, assess for injury after fall (broken bones/fractures, lacerations, head injury, change in level of consciousness),
- Report and record changes in condition to the Medical Director.
RN Case Manager Home Health
Legacy Home Health Care-Layton, UT
11.2013 - 06.2014
- Provide nursing care for both home health and hospice patients in a variety settings including: Patient Homes, Adult Family Homes, and Skilled Nursing Facilities
- Maintain health records, prepare incident reports, provide health education, dispense standard drugs/medications, provide medical services, wound care.
RN MDS Coordinator/Case Manager
Avalon Valley Rehabilitation-Salt Lake City, UT
12.2012 - 11.2013
- Promoted to MDS coordinator/nurse manager above staff with longer tenure.
- Responsible for training all newly hired nursing and CNA staff on ADL charting and Medicare documentation procedures.
- Assumed Director of Nursing (DON) duties during absence of primary DON; On-call DON one weekend a month and as needed.
- Maintain health records, prepare incident reports, provide health education, dispense standard drugs/medications, provide medical services, wound care.
MDS Coordinator/Case Manager
Legacy Village Rehabilitation-Layton, UT
02.2010 - 12.2012
- Collaborated with clinical staff to provide education, feedback and assistance regarding medical documentation, insurance claims submissions and reimbursement.
- Assisted the Administrator in coordinating the daily PPS Management meeting, to include review of resident care and the setting of the Assessment Reference Date in collaboration with the Facility Rehab Coordinator to ensure the most appropriate assessment reference date (ARD) is utilized for Medicare Assessments.
- Collaborated with clinical staff to provide education, feedback and assistance regarding medical documentation, insurance claims submissions and reimbursement.
- Assisted the Administrator in coordinating the daily PPS Management meeting, to include review of resident care and the setting of the Assessment Reference Date in collaboration with the Facility Rehab Coordinator to ensure the most appropriate assessment reference date (ARD) is utilized for Medicare Assessments.
Education
Associate of Applied Science - Registered Nurse
Stevens Henager College
Ogden, UT10.2010
LPN - Licensed Practical Nurse
Bates Technical College
Tacoma, WA08.2005
Skills
- Skilled Nursing
- Nurse Management
- Case Management
- Excellent written/oral communication
Certification
- BLS
- ACLS
- RN, 01/01/25, UT
Additionalinformation
Certified Minimum Data Set (MDS) Coordinator, Sexual Assault Nurse Examiners Training (SANE), Member of American Association of Nurse Assessment Coordination (AANAC), Basic Administrator Course, Point Click Care, Microsoft Office Suite, Excel, MATRIX EMAR System, Blue Step EMAR System, AHLTA Health Care System, CHCS Health Care System, PIMR/AF Fitness Management System/CITA
Personal Information
Title: Registered Nurse
Timeline
Corporate RN Case Manager
Sandstone HealthCare
12.2023 - Current
Clinical Reimbursement Specialist
QRM (Quality Rehab Management)-Addison, TX
08.2023 - 12.2024
VP of Clinical Reimbursement
HealthPRO Heritage-Baltimore, MD
03.2023 - 04.2023
Resident Assessment Director/ Case Manager
Avalon Valley/Woodland Park Care Center-Salt Lake City, UT
01.2019 - 03.2023
Director of Nursing (DON)
Canyon Home Care and Hospice-Ogden, UT
07.2017 - 12.2018
RN MDS Coordinator/Case Management
Stonehenge Rehabilitation-Ogden, UT
06.2015 - 07.2017
RN Nurse Administrator
Quail Meadow Assisted Living-North Ogden, UT
06.2014 - 06.2015
RN Case Manager Home Health
Legacy Home Health Care-Layton, UT
11.2013 - 06.2014
RN MDS Coordinator/Case Manager
Avalon Valley Rehabilitation-Salt Lake City, UT
12.2012 - 11.2013
MDS Coordinator/Case Manager
Legacy Village Rehabilitation-Layton, UT
02.2010 - 12.2012
Associate of Applied Science - Registered Nurse
Stevens Henager College
LPN - Licensed Practical Nurse
Bates Technical College
- BLS
- ACLS
- RN, 01/01/25, UT
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