Melanie Gray

• Conducted detailed investigations of complaints ensuring prompt resolution and preventing recurrence of issues in the healthcare setting.
• Enhanced the quality of nursing care by identifying areas for improvement during facility surveys and providing constructive feedback to staff.
• Utilized strong analytical skills to evaluate the effectiveness of facility policies and procedures to identify opportunities for enhancement with regulatory requirements.
• Maintained up-to-date knowledge of federal and state regulations governing healthcare providers enabling accurate evaluation of facility compliance.

• Coordinated and monitored PASRR services.
• Served as a primary point of contact for clients.
• Maintained accurate records per state guidelines.
• Competency in conducting PASRR evaluations.

• Contract position: Visited physician’s offices to retrieve and analyze medical documents for healthcare organizations performing studies and projects such as CMS, HCC risk adjustment, HEIDIS 3, and medical record reviews/audits

• Collaborated with interdisciplinary teams for optimal patient care ensuring communication between healthcare providers.
• Administered medications and treatment to patients and monitored responses while working with healthcare teams to adjust care plans.

• Communicated with patients regarding their rehabilitation and medical regime.

• Provided health education to patients and families regarding discharge instructions and plans of care.

• Experience with MDS 3.0 and ICD 9 coding.
• Ensured timely completion of all MDS assessments to maintain compliance with federal and state regulations.
• Maintained up-to-date knowledge on CMS guidelines and changes to ensure accuracy in reporting and reimbursement processes.
• Provided ongoing education for nursing staff regarding MDS best practices contributing to a knowledgeable and skilled workforce.
• Enhanced patient care quality by implementing comprehensive MDS assessments and care plans.
• Collaborated with nursing staff to provide accurate and timely clinical assessments for residents leading to improved overall care.
• Completed LTCMIs for Medicaid patients.