Melody Burton
Middle River,MD
Summary
Seasoned nursing professional offering proven clinical knowledge, natural interpersonal strengths and technical abilities. Knowledgeable about EMR charting, medication administration and interdisciplinary collaboration focused on optimizing patient care and support. Quality-focused and efficiency-driven leader. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
24
24
years of professional experience
Work History
RN- Lead Clinical Reimbursement Coordinator
Complete Care Heritage Center
05.2021 - Current
- Served as a liaison between interdisciplinary team members to facilitate clear communication regarding Minimum Data Set completion, care planning, and discharge planning.
- Collaborated with physicians and nurse practitioners for Medicare Certification completion and accurate ICD-10 diagnosis coding.
- Performed oversite and education to the interdisciplinary team for all aspects of MDS completion, care planning, and other required assessment documentation.
- Participated in monthly Quality Assurance Performance Improvement meetings.
- Developed and reported on QAPI action plans as needed for MDS and Quality Measure reports.
- Maintain logs and on-going audits of various nursing performance areas including intravenous therapy, and care planning, and completion of Medicare Certification Forms.
- Completion of Minimum Data Set Assessments.
- Completion of 3871's for determining appropriate Levels of care for skilled nursing facility.
- Managed the clinical reimbursement for all residents and patients from admission to discharge.
- Performed ongoing chart audits to validate HIPPS codes for reimbursement.
RN Clinical Reimbursement Coordinator
Genesis Health Care Heritage Center
03.2020 - 04.2021
- Served as a liaison between interdisciplinary team members to facilitate clear communication regarding Minimum Data Set completion, care planning, and discharge planning.
- Collaborated with physicians and nurse practitioners for Medicare Certification completion and accurate ICD-10 diagnosis coding.
- Performed oversite and education to the interdisciplinary team for all aspects of MDS completion, care planning, and other required assessment documentation.
- Participated in monthly Quality Assurance Performance Improvement meetings.
- Developed and reported on QAPI action plans as needed for MDS and Quality Measure reports.
- Maintain logs and on-going audits of various nursing performance areas including intravenous therapy, and care planning, and completion of Medicare Certification Forms.
- Completion of Minimum Data Set Assessments.
- Completion of 3871's for determining appropriate Levels of care for skilled nursing facility.
- Managed the clinical reimbursement for all residents and patients from admission to discharge.
- Performed ongoing chart audits to validate HIPPS codes for reimbursement.
RN Clinical Reimbursement Coordinator
Genesis Health Care Homewood Center
09.2018 - 03.2020
- Served as a liaison between interdisciplinary team members to facilitate clear communication regarding Minimum Data Set completion, care planning, and discharge planning.
- Collaborated with physicians and nurse practitioners for Medicare Certification completion and accurate ICD-10 diagnosis coding.
- Performed oversite and education to the interdisciplinary team for all aspects of MDS completion, care planning, and other required assessment documentation.
- Participated in monthly Quality Assurance Performance Improvement meetings.
- Developed and reported on QAPI action plans as needed for MDS and Quality Measure reports.
- Maintain logs and on-going audits of various nursing performance areas including intravenous therapy, and care planning, and completion of Medicare Certification Forms.
- Completion of Minimum Data Set Assessments.
- Completion of 3871's for determining appropriate Levels of care for skilled nursing facility.
- Managed the clinical reimbursement for all residents and patients from admission to discharge.
- Performed ongoing chart audits to validate HIPPS codes for reimbursement.
Director of Nursing
Genesis Healthcare Heritage Center
06.2017 - 09.2018
- Oversaw and approved recruitment, hiring and orientation of new nursing staff.
- Established new policies and updated existing policies to improve standard of care for patients.
- Enhanced staff performance by conducting regular evaluations, providing constructive feedback, and offering tailored professional development opportunities.
- Engaged with local educational institutions to support the recruitment and retention of highly skilled nurses, contributing to a robust pipeline of qualified professionals entering the workforce.
- Conducted routine facility inspections, identifying areas needing improvement and eliminating hazards posed to staff and residents for continued compliance with associated regulations.
- Streamlined nursing operations by optimizing staffing schedules, resource allocation, and workflow processes.
- Promoted a culture of safety by enforcing compliance with infection control policies and procedures.
- Ensured regulatory compliance by staying current on industry standards and updating policies accordingly.
- Planned and assigned workload to 80-100-person nursing staff to direct patient care.
- Managed budgets effectively, identifying cost-saving measures while maintaining high-quality patient care standards.
- Championed a culture of continuous learning by promoting professional development opportunities for nursing staff, including in-house training programs, conferences, workshops, and online resources.
- Liaised with other healthcare professionals to develop comprehensive patient care plans and provide highest quality of care.
- Established and maintained effective communication with staff, physicians and community organizations to promote high quality patient care.
- Spearheaded and implemented new projects to expand scope of engagement.
- Identified department issues to recommend corrective actions.
Assistant Director of Nursing
Genesis Health Care Heritage Center
06.2012 - 06.2017
- Contributed to the Annual State Survey process by maintaining compliance with state and federal regulations for nursing standards.
- Enhanced staff performance through regular training sessions and professional development opportunities.
- Established and monitored infection control programs to provide safe, sanitary environment to prevent transmission of disease and infection.
- Performed rounds to observe care and interview staff, residents, and families.
- Implemented infection control measures, reducing hospital-acquired infections significantly over time.
- Mentored new nurses in clinical practice and procedures, fostering a supportive learning environment.
- Promoted a culture of teamwork by encouraging open communication among staff members and facilitating collaboration across departments.
- Participated in quality improvement initiatives aimed at enhancing overall service delivery within the facility.
- Worked closely administration to develop and implement best practices to improve patient outcomes.
- Collaborated with staff, management, and external groups to coordinate patient care.
- Prepared and reviewed infection control surveillance reports to identify trends and develop effective actions to control and prevent infections.
- Coordinated with physicians on complex cases, ensuring seamless communication among healthcare professionals involved in patient care.
- Conducted routine facility inspections, identifying areas needing improvement and eliminating hazards posed to staff and residents for continued compliance with associated regulations.
- Assisted in developing policies and procedures for safe medication administration, minimizing errors within the department.
- Managed nursing schedules and budgets, streamlining processes for cost savings while maintaining high-quality patient care.
- Monitored and evaluated nursing staff performance, providing feedback and guidance to support standards of care.
- Established and maintained effective communication with staff, physicians and community organizations to promote high quality patient care.
- Used strong analytical and problem-solving skills to develop effective solutions for challenging situations.
- Developed and maintained courteous and effective working relationships.
- Played a key role in attaining high patient satisfaction scores by consistently delivering compassionate care and addressing concerns promptly.
Nurse Practice Educator / Infection Preventionist
Genesis Health Care Heritage Center
07.2000 - 06.2012
- Led and facilitated all staff education and orientation.
- Conducted regular training sessions on infection control procedures, maintaining a safe environment for both patients and staff members.
- Assessed ongoing training needs of nursing staff through surveys and direct observation, ensuring targeted skill development opportunities were offered.
- Served as a mentor for new nurses, guiding them through the transition from academia to clinical practice.
- Evaluated the effectiveness of educational interventions through pre-and post-training assessments, making adjustments as needed to optimize learning outcomes.
- Stayed current on advances in Nursing practice and incorporated into ongoing training.
- Prepared course materials such as syllabi, homework assignments and handouts for distribution or use within classroom.
- Played an active role in recruitment efforts by participating in job fairs or conducting interviews with prospective candidates.
- Assessed student knowledge levels and abilities with detailed assessments.
- Created an orientation program for newly hired nurses that streamlined their integration into the team while providing essential information about hospital policies and procedures.
- Developed educational programs for nursing staff, leading to improved clinical skills and increased job satisfaction.
- Enhanced patient care quality by implementing evidence-based nursing practices and protocols.
- Maintained accurate records of all training activities, ensuring compliance with accreditation requirements.
- Contributed educational and clinical expertise to help optimize training courses and boost student learning.
Education
No Degree - Registered Nursing
Union Memorial Hospital School of Nursing
University Parkway, Baltimore, Maryland 2121801.1990
Timeline
RN- Lead Clinical Reimbursement Coordinator
Complete Care Heritage Center
05.2021 - Current
RN Clinical Reimbursement Coordinator
Genesis Health Care Heritage Center
03.2020 - 04.2021
RN Clinical Reimbursement Coordinator
Genesis Health Care Homewood Center
09.2018 - 03.2020
Director of Nursing
Genesis Healthcare Heritage Center
06.2017 - 09.2018
Assistant Director of Nursing
Genesis Health Care Heritage Center
06.2012 - 06.2017
Nurse Practice Educator / Infection Preventionist
Genesis Health Care Heritage Center
07.2000 - 06.2012
No Degree - Registered Nursing
Union Memorial Hospital School of Nursing
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