Melinda Miller Greene
Coventry,RI
Summary
Dynamic healthcare professional seeking a challenging and stable position to leverage extensive experience in patient care while enhancing knowledge and skills for improved patient outcomes and optimized facility reimbursement. Proven expertise in conducting thorough patient care assessments and ensuring compliance with healthcare regulations. Strong organizational and analytical abilities facilitate accurate coordination of assessments and care plans, fostering effective team collaboration. A solid understanding of clinical documentation contributes to seamless operations and the delivery of high-quality patient care.
Overview
21
21
years of professional experience
1
1
Certification
Work History
MDS Coordinator
Riverview Rehab and Health Center
Coventry, RI
10.2024 - Current
- Reviewed electronic medical record for required documentation to support MDS coding. Led weekly utilization review to go over recent clinical activities and provide best treatment and discharge plan. Collaborated closely with therapy departments to accurately capture rehabilitation needs within MDS documentation, supporting appropriate resource allocation for residents'' needs. . Utilized extensive knowledge of medical terminology, ICD-9-CM, ICD-10-CM. Utilized clinical skills and experience collaboratively with IDT to assess, plan, implement, coordinate, monitor and evaluate to ensure the best patient outcomes. Analyzed and processed Medicare UBs. Conducted audits of current MDS records to identify discrepancies and improve record accuracy, enhancing reimbursement rates for the facility. Communicated with providers and others to facilitate care/treatment and appropriate/safe discharge planning. Collaborated with healthcare providers to facilitate comprehensive care plans tailored to individual resident needs. MDS assessment processes to maintain compliance with regulatory standards. Led training sessions for staff on MDS documentation practices, improving overall accuracy and efficiency. Analyzed assessment data, identifying trends to drive improvements in quality of care initiatives. Mentored new coordinators, fostering a collaborative environment focused on best practices in MDS processes. Ensured timely completion of all MDS assessments, maintaining full compliance with federal and state regulations. Collaborated closely with therapy departments to accurately capture rehabilitation needs within MDS documentation, supporting appropriate resource allocation for residents'' needs. Led weekly utilization review to go over recent clinical activities. Provided guidance to nursing staff on accurate completion of Section GG assessments, enhancing overall documentation quality and supporting appropriate Medicare/Medicaid reimbursement rates. Supported facility-wide initiatives aimed at reducing hospital readmissions by closely monitoring MDS data for trends and potential areas of concern. Analyzed patient data to impact, identifying trends and areas for improvement in clinical outcomes. Coordinated completion of MDS assessments ensuring compliance with federal and state regulations.
MDS Coordinator
Lakeside Nursing & Rehab
N. Kingston, RI
08.2023 - Current
- Responsibilities include chart review and resident assessment and interview while observing current conditions/symptoms of LTC residents. Develop and maintain MDS schedules for SNF residents adhering to Medicare, insurance and OBRA requirements. Create/Update care plans quarterly and as needed. Promote physical and emotional well being of SNF residents using the RAI. Collaborate with and provide support with DON and therapy disciplines to meet residents’ needs and provide highest RUG rate/CMI and PDPM to maximize reimbursement. Conduct utilization review meeting in collaboration with therapy disciplines to ensure proper documentation to be in compliance with Medicare guidelines. Ensure physician certifications, NOMNC's/ABN's are completed appropriately and on time. Conduct medical reviews in collaboration with various insurance companies to ensure insurance coverage. Ensure proper RN and CNA documentation while providing ongoing education/guidance to ensure coding accuracy in order to ensure maximum reimbursement. Work collaboratively with IDT to identify areas of concern r/t quality measures effecting the 5 star rating. Report to administrator.
MDS Coordinator / RN manager
South Kingston Nursing and Rehab
W. Kingston, RI
09.2022 - 08.2023
- Responsibilities include...Management of MDS dept. Collaborate with therapy diciplines to meet residents needs and provide highest RUG rates to maximize CMI and PDPM reimbursments. Chart review and resident assessment and interview. Develop and maintain MDS schedules for SNF residents adhering to Medicare, insurance and OBRA requirements. Create/Update care plans on admission, quarterly and as needed. Promote physical and emotional well being of SNF residents using the RAI. Conduct utilization review meeting in collaboration with therapy and nursing disciplines to ensure proper documentation to be in compliance with Medicare guidelines and icrease reimbursement. Ensure physician certifications are completed appropriately and on time.
MDS Coordinator
Apple Clipper Rehab Center
Westerly, RI
07.2018 - 09.2022
- Responsibilities include chart review and resident assessment and interview. Develop and maintain MDS schedules for SNF residents adhering to Medicare, insurance and OBRA requirements. Create/Update care plans quarterly and as needed. Promote physical and emotional well being of SNF residents using the RAI. Collaborate with therapy disciplines to meet residents’ needs and provide highest RUG rate to maximize reimbursement. Conduct utilization review meeting in collaboration with therapy disciplines to ensure proper documentation to be in compliance with Medicare guidelines. Ensure physician certifications are completed appropriately and on time. Ensure proper RN documentation to ensure maximum reimbursement.
MDS Coordinator
Kingston Nursing and Rehab Center
West Kingston, RI
07.2016 - 07.2018
- Responsibilities include chart review and resident assessment and interview. Develop and maintain MDS schedules for SNF residents adhering to Medicare, insurance and OBRA requirements. Update care plans quarterly and as needed. Promote physical and emotional well being of SNF residents using the RAI. Collaborate with therapy disciplines to meet residents’ needs and provide highest RUG rate to maximize reimbursement. Conduct utilization review meeting in collaboration with therapy disciplines to ensure proper documentation to be in compliance with Medicare guidelines. Ensure physician certifications are completed appropriately and on time. Ensure proper RN documentation to ensure maximum reimbursement. Wound and fall tracking with weekly reports including development of interventions to prevent falls/wounds and incorporate them into individualized care plans.
Assistant Nurse Director
Spring Villa Assisted Living for Memory Care
West Warwick, RI
11.2014 - 07.2016
- Assess function, physical and mental status of each resident on admission, monthly and annually. Assess, plan, implement, re-evaluate and revise care plan with acute changes in condition and as needed. Oversee staff to implement care plans. Act as liaison between residents and PCP, implement orders and monitor health status. Obtain data related to physical, psychological, social and spiritual factors and incorporate into plan of care. Manage all aspects of nursing services including medication administration, health promotion and disease prevention. Document and provide accurate record keeping. Develop and oversee a philosophy of care focused on optimizing function and physical activity. Perform quarterly CMT evaluations. Report to administrator and director.
Registered Nurse
Kent County Memorial Hospital
Warwick, RI
06.2008 - 07.2016
- Responsibilities include implementing direct patient care on all inpatient medical/surgical units specializing in all areas of nursing. Conducting assessments, facilitating patient and family education, consulting and coordinating with health care team members to assess, plan, implement and evaluate patient care plans based on interpretation of diagnostic test results. Cases include cerebrovascular accident, head and spinal cord injury, amputee, chronic obstructive pulmonary disease, diabetes mellitus, alcohol and substance withdrawal, wound care, and status-post endoscopy, cardiac cath and bypass patients. Report to assistant nurse manager.
Student support Specialist
Coventry Public Schools
Coventry, RI
09.2010 - 09.2013
- Working with medically fragile students with special needs. Maintain appropriate oxygen saturation and respiratory status. Trachea and G-tube care and maintenance. Assess for seizure activity. Also serve as additional support to school nurse. Reported to school administration.
Substitute School Nurse Teacher
Exeter/West Greenwich and N. Kingston School Departments
EWG & NK, RI
10.2009 - 09.2010
- Provided care to students ranging from elementary to high school. Assessed and identified abnormal health findings. Provided health education and anticipatory guidance. Served as a resource person to staff members in health education. Interpreted the health status of children to parents and school personnel. Reported to school administration.
Unit Secretary
Kent County Memorial Hospital
Warwick, RI
02.2006 - 05.2008
- Medical transcription, data entry and maintained patient charts on a 40-bed oncology unit. Reported to nurse manager.
Data Entry Operator
Kent County Memorial Hospital
Warwick, RI
04.2005 - 02.2006
- Performed data entry of lab results, ran nightly reports hospital wide, provided technical assistance to staff members. Reported to lab operations manager.
Education
Associates - Registered Nurse
Community College Of Rhode Island
Warwick, RI01-2008
Skills
- HIPAA compliance
- Electronic health records proficiency
- Medical record management
- Research and data collection
- Clinical documentation accuracy
- Care planning
- Goal setting
- Interdisciplinary team collaboration
- Resource utilization management
- Case management experience
- Long-term care experience
- Assessment coding
- Clinical assessment expertise
- Medicare reimbursement knowledge
- Medical terminology
- Analytical thinking
- Professionalism
- Data collection
- Data monitoring
- Data organization
- Compliance monitoring
- Data interpretation
- Clinical research
- Staff training
- Organizational skills
- Interpersonal skills
Certification
- RAC-CT
- IV administration
- Diabetic teaching
- CPR
- Registered Nurse #46717
ADDITIONAL TRAINING
- Pediatric Rotation St Anne's Hospital, New Bedford MA. 160-bed acute care community hospital. Clinical rotations on pediatric units.
- Obstetric Rotation Kent County Memorial Hospital, Warwick RI 359-bed acute care, nonprofit hospital. Clinical rotations on antepartum, labor and delivery, postpartum, and newborn nursery.
- Psychiatric Rotation Butler Hospital, Providence RI A private, nonprofit psychiatric and substance abuse hospital for adults, adolescents, children, and seniors. Clinical rotation involving patients in substance abuse programs and a locked adult psychiatric ward.
- Acute Care Rotations Westerly Hospital, Westerly RI Rhode Island Hospital, Providence RI Landmark Hospital, Woonsocket RI Clinical rotations on medical/surgical units including ICU and ER.
Timeline
MDS Coordinator
Riverview Rehab and Health Center
10.2024 - Current
MDS Coordinator
Lakeside Nursing & Rehab
08.2023 - Current
MDS Coordinator / RN manager
South Kingston Nursing and Rehab
09.2022 - 08.2023
MDS Coordinator
Apple Clipper Rehab Center
07.2018 - 09.2022
MDS Coordinator
Kingston Nursing and Rehab Center
07.2016 - 07.2018
Assistant Nurse Director
Spring Villa Assisted Living for Memory Care
11.2014 - 07.2016
Student support Specialist
Coventry Public Schools
09.2010 - 09.2013
Substitute School Nurse Teacher
Exeter/West Greenwich and N. Kingston School Departments
10.2009 - 09.2010
Registered Nurse
Kent County Memorial Hospital
06.2008 - 07.2016
Unit Secretary
Kent County Memorial Hospital
02.2006 - 05.2008
Data Entry Operator
Kent County Memorial Hospital
04.2005 - 02.2006
Associates - Registered Nurse
Community College Of Rhode Island