Melissa Sikes
New Hope,AL
Summary
Talented Administrator highly successful at motivating teams and streamlining operations. Analytical problem solver and persuasive communicator with talent for thinking outside box for creative solutions.
Overview
11
11
years of professional experience
1
1
Certification
Work History
Administrator
Diversicare
11.2022 - Current
- Managed operations at 117 and 129 bed facility.
- Conducted routine facility inspections, identifying areas needing improvement and eliminating hazards posed to staff and residents for continued compliance with associated regulations.
- Increased occupancy from 70% to 83%.
- Decreased workforce costs by eliminating contract providers through recruitment and retention.
- Complied with statutory, regulatory, state and federal guidelines in terms of benefits and developed appropriate procedures to meet strategic initiatives for nursing home.
- Controlled accounts payable, accounts receivable, billing and claims processes to obtain maximum reimbursement from Medicare, Medicaid and other insurance providers.
- Established and maintained effective communication with staff, physicians and community organizations to promote high quality patient care.
Director of Care Coordination
Diversicare
11.2020 - 11.2022
- Developed care plans for patients to meet short- and long-term care goals and needs
- Coordinated with community medical and health providers to determine patient treatment, discharge and plan of care.
- Issue and deliver all Notice of Medicare Non-Coverage notices.
- Lead daily care coordination meeting with IDT team to ensure documentation needs are met in order to achieve optimal reimbursement rate.
- Lead contact for managed care providers. Ensuring authorizations are obtained and maintained. Compile and submit reviews for continued stay.
Director of Social Services
Diversicare
05.2017 - 10.2020
- Established preliminary and comprehensive assessment for social service needs of consumers.
- Delegated authority and responsibility to department personnel.
- Led performance improvement projects based on QAPI efforts.
- Collaborated with department managers to correct and improve services.
- Complete Minimum Data Set (MDS) on identified residents focusing on mood, behavior, and discharge planning.
- Oversee all OBRA PASRR levels through completion, reporting, updating, and submitting monthly reports.
Social Worker
Thrive Alabama
10.2012 - 05.2017
- Updated client documentation for accurate, compliant and current records.
- Supported clients and families with empathy and compassion during difficult times.
- Advocated for clients to assure respected rights and wishes.
- Interviewed clients, families, or groups to assess situations, limitations and issues and implement services to address needs.
- Formulated treatment plan strategies with multidisciplinary teams to provide comprehensive and continuous care plan.
- De-escalated stressful situations through individual and family crisis interventions.
Education
Bachelor in Social Work -
Alabama A & M University
Normal, AL05.2005
Master of Social Work - Geriatrics
Florida State University
Tallahassee, FL08.2019
Skills
- Project Coordination
- Expense Monitoring
- Staff Management
- Performance Improvement
- Business Development
- Team Building and Leadership
- Attention to Detail
- Effective communication
- Conflict resolution
- Dependable and Responsible
Certification
- Licensed Social Worker - 4105B
- Licensed Nursing Home Administrator - 2289
Timeline
Administrator
Diversicare
11.2022 - Current
Director of Care Coordination
Diversicare
11.2020 - 11.2022
Director of Social Services
Diversicare
05.2017 - 10.2020
Social Worker
Thrive Alabama
10.2012 - 05.2017
Bachelor in Social Work -
Alabama A & M University
Master of Social Work - Geriatrics
Florida State University
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