Molly Houston
Richmond Heights,OH
Summary
Dedicated to using excellent research, investigation and project management abilities to optimize management, organization and reporting of clinical data. Results-driven, precise and systematic with quick learning and collaborative nature. Strong history with Medical and insurance companies.
Overview
19
19
years of professional experience
Work History
MDS Coordinator
Walton Manor
Walton Hills, Ohio
03.2022 - Current
- Set schedules for staff to start and complete MDS assessments and care plan meetings.
- Complied with federal and state regulations for completion and coordination of RAI process.
- Assessed electronic medical record for required documentation to support MDS coding.
- Completed minimum data set assessments with strong collaboration across business, provider and clinical disciplines.
- Verified prompt and accurate completion of MDS activities for billing.
- Prepare and send supporting documentation for medicare and managed care skilled residents for insurance updates.
- Prepare Monthly Calendar for Annual and Quarterly Assessment's.
- Collaborate with the team to update Careplans and meet residents needs.
Home Care Licensed Practical Nurse
Mcgregor Pace
Cleveland, Ohio
05.2021 - 12.2021
- Educated and supervised patients and family members regarding prevention strategies, self-care techniques and nursing care needs.
- Coordinated and collaborated with various multidisciplinary teams to coordinate care and promote patient safety and health.
- Administered medications and oversaw activities of daily living such as bathing, hygiene and ambulation.
- Responded to patient requests with appropriate clinical and personal assistance.
- Took vital signs to assess patient health progress and needs.
- Perform lab draws, collect specimens for processing.
- Covid-19 nasal swabs.
- Prepare trailers and annual assessments for recertification with the state of ohio.
LPN Charge Nurse, MDS
Mount Saint Joseph Nursing Home
Euclid, OH
07.2010 - 05.2021
- Promoted patient independence by teaching self-care skills and explaining conditions and medications.
- Delivered direct quality care to patients by evaluating medical conditions and managing and assessing treatments.
- Developed individual care plans to meet patient needs and achieve treatment goals.
- Conducted patient assessments to obtain patient health history, pain levels, allergies and vital signs.
- Analyzed patient assessments and laboratory data to bring any issues to attention of physicians.
- Led and mentored [Number] newly licensed nurses and nursing students to develop professional expertise.
- Reviewed patient history to verify conditions and current medications.
- Helped long-term care residents with bathing, dressing, feeding and other daily living activities.
- Assist the MDS coordinator with admissions and processing of MDS assessments.
- Assign ICD-10 codes to residents admitting diagnosis.
- Make monthly calendar for Annual and Quarterly Assessments.
- Transmit completed MDS assessments to Center For Medicare for payments.
- Work as weekend Manager On-Call rotation.
Home Health RN Case Manager
McGregor PACE
Cleveland, Ohio
05.2020 - 01.2021
- Advised and coached patients progressing from hospitals, rehab facilities and other medical organizations to at-home treatment settings.
- Make visits to hospitals to assess patients prior to discharge home.
- Took samples to complete diagnostic and routine assessment tests.
- Delivered after-hours care to patients based on strict role-call rotations.
- Determined and addresses individual home care needs by completing detailed assessments and reviewing documentation.
- Responded to patient requests with appropriate clinical and personal assistance.
- Worked with multidisciplinary team to carry out successful treatment plans for diverse acute and chronic conditions.
- Documented patient vitals, behaviors and conditions to communicate concerns to supervising nurse.
- Communicated with healthcare team members to plan, implement and enhance treatment strategies in IDT meetings.
- Sustained quality standards by performing routine medication audits and upholding internal and industry best practices.
- Offered exceptional care and support to individuals recovering from acute incidents and dealing with chronic conditions.
- Observed and documented patient factors such as diets, physical activity levels and behaviors to understand conditions and effectively modify treatment plans.
- Promoted patient and family comfort during challenging recoveries to enhance healing and eliminate non-compliance problems.
LPN Charge Nurse
Manor Care Health Services
Mayfield Heights, OH
02.2007 - 11.2010
- Managed daily staff assignments and patient scheduling to guarantee clinic coverage and flow.
- Promoted patient independence by teaching self-care skills and explaining conditions and medications.
- Conducted patient assessments to obtain patient health history, pain levels, allergies and vital signs.
- Assembled and used equipment such as catheters, tracheotomy tubes or oxygen suppliers to effectively manage patient care.
- Delivered direct quality care to patients by evaluating medical conditions and managing and assessing treatments.
- Took samples to complete diagnostic and routine assessment tests.
- Responded to patient requests with appropriate clinical and personal assistance.
- Helped long-term care residents with bathing, dressing, feeding and other daily living activities.
- Worked with multidisciplinary team to carry out successful treatment plans for diverse acute and chronic conditions.
LPN Charge Nurse
Cleveland Clinic
Cleveland, Ohio
03.2005 - 02.2007
- Worked in Skilled Rehab to deliver direct care to patients by evaluating medical conditions and managing and assessing treatments.
- Clearly and thoroughly explained diagnoses, treatment options and procedures to patients and loved ones, checking in to verify understanding.
- Promoted patient independence by teaching self-care skills and explaining conditions and medications.
- Conducted patient assessments to obtain patient health history, pain levels, allergies and vital signs.
- Assessed patients' temperature, pulse and blood pressure and recorded in electronic medical records.
Insurance Follow Up/Medical Biller, Accounts Receivable
MetroHealth Medical Center
Cleveland, OH
06.2004 - 02.2005
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Prepared billing statements for patients and verified correct diagnostic coding.
- Liaised between patients, insurance companies and billing office.
- Collected, compiled and analyzed data to prepare customer invoices per contractual requirements.
- Posted payments and collections on regular basis.
- Contacted internal and external customers to obtain documentation to support invoices and claims.
- Reviewed patient diagnosis codes to verify accuracy and completeness.
- Analyzed aging reports to identify trends and patterns causing missed collections.
Education
Associates Degree in Nursing - Nursing
Hondros School of Nursing
Independence, OH04.2020
Diploma in Practical Nursing -
ATS Institute
Highland Heights, Ohio01.2005
Certificate -
Insurance Follow Up Certificate
Cuyahoga Community College04.2004
Medical Coding Certificate -
Polaris Career Center
Cleveland, OH06.2003
Skills
- Interdisciplinary Meetings
- Daily Audits
- Assessing Residents
- Patient Admission
- EMR Systems
- Patient Health Information Access
- Pointclickcare HER
- Patient Care and Monitoring
- ICD-10 Coding
- HIPAA and Confidentiality Compliance
- Acute and Rehabilitative Care
- Condition Management
- Patient Reimbursements
- Problem Resolution
- Treatment Planning and Implementation
- Admissions and Discharge Processes
Timeline
MDS Coordinator
Walton Manor
03.2022 - Current
Home Care Licensed Practical Nurse
Mcgregor Pace
05.2021 - 12.2021
Home Health RN Case Manager
McGregor PACE
05.2020 - 01.2021
LPN Charge Nurse, MDS
Mount Saint Joseph Nursing Home
07.2010 - 05.2021
LPN Charge Nurse
Manor Care Health Services
02.2007 - 11.2010
LPN Charge Nurse
Cleveland Clinic
03.2005 - 02.2007
Insurance Follow Up/Medical Biller, Accounts Receivable
MetroHealth Medical Center
06.2004 - 02.2005
Associates Degree in Nursing - Nursing
Hondros School of Nursing
Diploma in Practical Nursing -
ATS Institute
Certificate -
Insurance Follow Up Certificate
Medical Coding Certificate -
Polaris Career Center
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