LORA WISE
Carbon Hill,AL
Summary
Dynamic MDS Coordinator with extensive experience at Walker Rehabilitation, excelling in regulatory compliance and interdisciplinary collaboration. Proven track record in enhancing patient care through accurate clinical documentation and effective care plan development. Skilled in MDS software and committed to patient advocacy, ensuring optimal outcomes in long-term care settings.
Overview
20
20
years of professional experience
Work History
MDS Coordinator
Walker Rehabilitation
09.2023 - 09.2025
- Assisted in coordinating patient assessments and care plans in compliance with regulatory standards.
- Provided support in documentation processes for Minimum Data Set (MDS) submissions.
- Collaborated with interdisciplinary teams to ensure optimal patient outcomes and care continuity.
- Learned electronic health record systems to maintain accurate patient information and documentation.
- Participated in quality assurance initiatives to enhance care delivery and operational efficiency.
- Supported training efforts for new staff on MDS protocols and procedures.
- Monitored compliance with state and federal regulations related to long-term care facilities.
- Set schedules for staff to start and complete MDS assessments and care plan meetings.
- Engaged in ongoing professional development to stay updated on industry best practices and standards.
- 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.
- Enhanced patient care quality by implementing comprehensive MDS assessments and care plans.
- Collaborated closely with therapy departments to accurately capture rehabilitation needs within MDS documentation, supporting appropriate resource allocation for residents'' needs.
- Assessed electronic medical record for required documentation to support MDS coding.
- Provided ongoing education for nursing staff regarding MDS best practices, contributing to a knowledgeable and skilled workforce.
- Monitored changing regulations related to RAI/MDS requirements, keeping staff informed about updates that impact their daily work routines.
- Implemented interdisciplinary meetings focused on individualized care plan development, resulting in more targeted interventions and improved resident outcomes.
- Developed a comprehensive system for tracking MDS completion deadlines, ensuring timely submissions and minimizing the risk of financial penalties.
- Led weekly utilization review to go over recent clinical activities.
- Developed strong relationships with interdisciplinary team members to facilitate efficient collaboration on resident care planning.
- Provided guidance to nursing staff on accurate completion of Section GG assessments, enhancing overall documentation quality and supporting appropriate Medicare/Medicaid reimbursement rates.
- Improved interdisciplinary team collaboration by organizing regular strategy meetings to discuss care plans and resident needs.
- Fostered positive work environment, encouraging teamwork and open communication among MDS and clinical staff.
MDS Coordinator
Cordova Health and Rehabilitation
07.2022 - 09.2023
- Verified prompt and accurate completion of MDS activities for billing.
- Collaborated with nursing staff to provide accurate and timely clinical assessments for each resident, leading to improved overall care.
- Complied with federal and state regulations for completion and coordination of RAI process.
- Trained staff in correct techniques for completing and signing MDS assessments.
- Facilitated smooth transitions of care by collaborating with external healthcare providers, ensuring continuity of care for residents.
- Coordinated multidisciplinary care team meetings to enhance communication and ensure consistency in patient care delivery.
- Supported resident families with clear communication, providing updates on care plans and answering questions about MDS process.
- Optimized care plans for impact, integrating evidence-based practices and patient preferences.
- Enhanced resident satisfaction, establishing strong rapport and addressing concerns promptly.
- Advanced personal knowledge of MDS regulations and best practices through continuing education and professional development activities.
- Ensured compliance with federal and state regulations by meticulously reviewing and updating resident care plans.
- Assisted in coordinating patient assessments and care plans in compliance with regulatory standards.
- Provided support in documentation processes for Minimum Data Set (MDS) submissions.
Nursing Unit Coordinator
Cordova Health and Rehabilitation
07.2021 - 07.2022
- Coordinated patient admissions, discharges, and transfers to streamline workflow and enhance patient care.
- Developed and maintained patient records using electronic health record (EHR) systems to ensure data accuracy.
- Facilitated communication between medical teams, patients, and families to support care coordination and understanding.
- Mentored new nursing staff on procedures and protocols to foster team integration and competence.
- Analyzed departmental processes to identify areas for improvement, implementing best practices in unit operations.
- Streamlined unit operations by implementing efficient organization systems for medical records and supplies.
- Collaborated with interdisciplinary teams to develop individualized care plans tailored to each patient's needs.
- Coordinated seamless discharge planning processes for patients transitioning from hospital care to home or rehabilitation facilities.
- Established and maintained effective communication with staff, physicians and community organizations to promote high quality patient care.
- Communicated with patients, ensuring that medical information was kept private.
- Ordered all pharmacy supplies and kept check on inventory levels.
- Discussed medical histories with patients in effort to provide most effective medical advice.
RN Charge Nurse
Cordova Health and Rehabilitation
07.2019 - 07.2021
- Administered patient care plans and monitored vital signs for optimal health outcomes.
- Collaborated with interdisciplinary teams to develop and implement effective treatment strategies.
- Educated patients and families on disease management and preventive care protocols.
- Assisted in the coordination of patient admissions, discharges, and transfers within facility.
- Implemented infection control measures to maintain a safe healthcare environment for patients and staff.
- Evaluated patient responses to treatments, adjusting care plans based on individual needs and feedback.
- Administered medications accurately and safely, reducing medication errors and adverse reactions.
- Administered medications via oral, IV, and intramuscular injections and monitored responses.
- Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
- Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process, and management and lifestyle options.
- Developed strong relationships with patients'' families, providing emotional support while addressing concerns or questions about care plans.
- Improved patient outcomes by providing high-quality nursing care and implementing evidence-based practices.
- Managed care from admission to discharge.
- Mentored new nursing staff, contributing to a supportive work environment and improved retention rates.
- Provided emotional support to patients during challenging times, fostering a sense of trust and rapport that contributed to better overall wellbeing.
RN Supervisor
Ridgewood Health Services
07.2008 - 07.2009
- Supervised nursing staff, ensuring adherence to policies and protocols.
- Coordinated patient care plans, facilitating effective communication among multidisciplinary teams.
- Mentored new nurses, enhancing clinical skills and promoting professional development.
- Implemented quality improvement initiatives, improving patient outcomes and satisfaction ratings.
- Managed critical situations calmly and efficiently, providing guidance to the nursing team during emergencies.
- Served as an approachable leader who consistently addressed concerns raised by both nursing staff and families regarding patient care issues or operational challenges within the unit effectively resolving them promptly whenever possible.
- Consistently acted as a strong advocate for patients and their families, ensuring that their needs were met while navigating complex healthcare systems.
- Cultivated an atmosphere of teamwork and open communication among staff members, resulting in a more cohesive work environment and greater job satisfaction for the nursing team.
- Established strong relationships with interdisciplinary teams for seamless coordination of patient care services.
- Ensured accurate documentation of patient information in electronic medical records system for optimal data integrity and accessibility across healthcare providers.
RN Unit Manager
Civic Center Health and Rehabilitation
09.2005 - 07.2008
- Administered medications and monitored patient responses to ensure optimal recovery outcomes.
- Collaborated with interdisciplinary teams to develop and implement patient care plans.
- Educated patients and families on health management strategies and preventive care practices.
- Conducted comprehensive assessments to identify patient needs and prioritize care interventions.
- Implemented evidence-based practices to improve patient safety and quality of care standards.
- Enhanced patient satisfaction through effective communication, empathy, and timely response to their needs.
- Collaborated with interdisciplinary teams for comprehensive patient care plans, resulting in better health outcomes.
- Educated patients on disease management and self-care techniques, promoting lifestyle changes for improved health.
- Assessed patient conditions promptly upon admission to determine appropriate interventions and prioritize care needs.
- Provided direct patient care, stabilized patients, and determined next course of action.
- Monitored patient reactions to drugs and carefully documented findings.
- Managed patient caseloads effectively, ensuring timely interventions and thorough follow-ups to mitigate potential complications.
- Participated in professional development opportunities regularly to stay current on best practices in the field of nursing.
- Coordinated discharge planning efforts with social workers, case managers, and other multidisciplinary team members for smooth transitions posthospitalization.
- Administered medications and treatments as prescribed by physicians.
- Communicated with healthcare team members to plan, implement and enhance treatment strategies.
- Educated family members and caregivers on patient care instructions.
- Followed all personal and health data procedures to effectively comply with HIPAA laws and prevent information breaches.
Education
Bachelor of Science - Nursing
South University Savannah
GA05-2010
Skills
- HIPAA compliance
- Electronic health records proficiency
- Clinical documentation accuracy
- Care plan development
- Patient advocacy
- Interdisciplinary team collaboration
- Regulatory Compliance Knowledge
- MDS software familiarity
- Medicare reimbursement knowledge
- Assessment coding
- Geriatric nursing expertise
- Long-term care experience
Timeline
MDS Coordinator
Walker Rehabilitation
09.2023 - 09.2025
MDS Coordinator
Cordova Health and Rehabilitation
07.2022 - 09.2023
Nursing Unit Coordinator
Cordova Health and Rehabilitation
07.2021 - 07.2022
RN Charge Nurse
Cordova Health and Rehabilitation
07.2019 - 07.2021
RN Supervisor
Ridgewood Health Services
07.2008 - 07.2009
RN Unit Manager
Civic Center Health and Rehabilitation
09.2005 - 07.2008
Bachelor of Science - Nursing
South University Savannah
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