Molly Houston
Richmond Heights
Summary
An organized and motivated individual, eager to utilize time management and organizational skills across diverse settings. Seeking entry-level opportunities to enhance abilities while contributing to company growth.
Experienced nursing professional bringing demonstrated clinical expertise, leadership skills and technical knowledge. Proficient in updating charts, monitoring medications and working with multidisciplinary teams to optimize patient care. Quality-driven and efficient with strong interpersonal abilities.
Overview
22
22
years of professional experience
Work History
Home Care Nurse/ RN
Self Employed
Richmond hts
07.2022 - Current
- Provided personalized care for clients in their homes.
- Administered medications according to prescribed schedules.
- Developed individualized care plans based on client needs.
- Educated families on patient care techniques and health management.
- Maintained accurate records of patient care and progress notes.
- Ensured compliance with all applicable laws, regulations and professional standards related to home health care services.
- Evaluated effectiveness of interventions used in order to modify treatment plans accordingly.
MDS Nurse RN
Franklin Plaza
Cleveland
03.2024 - 12.2024
- 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 care plans and meet residents needs.
- Utilization review meetings weekly.
- Assessed patients' needs and developed comprehensive care plans.
- Collaborated with interdisciplinary teams to ensure optimal patient care.
- Reviewed medical records for accurate documentation of diagnoses according to established criteria.
- Performed chart audits on a regular basis to ensure accuracy of documentation.
- Conducted comprehensive assessment of residents' physical, psychological, social, spiritual, cultural, environmental
Community Resource Consultant
Western Reserve Area on Aging
Cleveland
10.2023 - 02.2024
- Face to face assessment in the community to determine level of care for passport and assisted living placement.
- Collaborate with health care providers and caregiver to meet the individuals needs.
- Provide options and referrals to meet individuals needs if not pursuing a waiver.
- Advocate on customers behalf if there is a health and safety issue.
- Create care plan for enrollees.
- Meet NCQA guidelines in documentation.
- Assist with Medicaid application process.
- Explain changes of managed care insurance once enrolled in waiver.
- Assisted clients in accessing essential services and resources for aging support.
- Conducted assessments to identify individual needs and recommend appropriate services.
- Managed communication between clients, families, and community partners for service coordination.
MDS Coordinator
Walton Manor
Walton Hills
03.2022 - 06.2022
- Set schedules for staff to start and complete MDS assessments.
- 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 care plans and meet residents needs.
- Utilization review
- Reviewed and analyzed data to support quality improvement initiatives.
- Facilitated team meetings with members from other departments such as Social Services, Dietary, Activities, Rehabilitation services, to discuss resident issues and concerns related to the MDS process.
- Developed individualized plans of care for each resident based on assessment findings.
- Reviewed clinical documentation to ensure accuracy of information reported on the MDS forms.
- Collaborated with interdisciplinary teams to develop comprehensive care plans.
- Coordinated timely submission of all required documents including Minimum Data Set forms, Care Area Assessments, Quarterly Assessment Reconciliation, Annual Assessment Reconciliations and other regulatory paperwork.
Home Care Nurse RN
Mcgregor Pace Insurance
Cleveland
05.2020 - 12.2021
- Administered medications and treatments as prescribed by healthcare providers.
- Educated families on proper care techniques and health management of chronic diseases.
- Collaborated with interdisciplinary teams to develop personalized care plans.
- Monitored clients' health status and reported changes to medical professionals.
- Provided direct nursing care to patients in their homes, including wound care, medication management and administration, patient education and monitoring of vital signs.
- Maintained accurate documentation of all visits according to agency policies and procedures.
- Managed multiple caseloads while maintaining a high standard of care for each patient.
- Counseled patients regarding lifestyle modifications required for optimal health outcomes.
- Educated family and caregivers about disease processes, treatments options and symptom management strategies.
- Evaluated effectiveness of interventions used in order to modify treatment plans accordingly.
- Initiated referrals to other healthcare professionals when appropriate for additional treatment needs or therapies such as physical therapy or occupational therapy.
- Collaborated with interdisciplinary team members to ensure quality patient outcomes.
- Prepared comprehensive reports detailing visits made, treatments provided and results obtained from each visit.
- Maintained strict patient data procedures to comply with HIPAA laws and prevent information breaches.
- Utilized computerized Resource and Patient Management System (RPMS) and Electronic Health Record (EHR) system.
- Utilized critical thinking skills to assess clinical situations quickly and accurately.
- Collaborated with physicians, nurses, therapists, social workers and other healthcare professionals to develop individualized treatment plans for each patient.
- Assessed, planned, implemented and evaluated nursing care for assigned patients.
Licensed Practical Nurse, Home Care
Mcgregor Pace Insurance
Cleveland
05.2021 - 12.2021
- Educate and supervise patients and family members regarding preventative strategies, self-care techniques and nursing care needs.
- Coordinate and collaborate with various multidisciplinary teams to promote patient safety and health.
- Responded to patient requests with appropriate clinical and personal assistance.
- Assessed vital signs for patient health progress and needs with chronic diagnosis.
- Perform lab draws, collect specimens for processing.
- Covid-19 nasal swabs.
- Prepare trailers and annual assessments for recertification with the state of ohio.
- Utilization review meetings weekly.
LPN Charge Nurse, MDS
Mount Saint Joseph Nursing Home
Euclid
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 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.
- Utilization review with multidisciplinary team.
- Work as weekend Manager On-Call rotation.
Home Health RN Case Manager/ Utilization Review
McGregor PACE Insurance
Cleveland
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 Hts
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
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
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, OHDiploma in Practical Nursing -
ATS Institute
Highland HeightsInsurance Follow Up Certificate -
Cuyahoga Community College
Medical Coding Certificate -
Polaris Career Center
Cleveland, OHSkills
- Interdisciplinary Meetings
- Daily Audits
- Patient Assessments
- EMR Systems
- Patient Health Information Access
- Pointclickcare HER
- Patient Care and Monitoring
- ICD-10 Coding
- HIPAA and
- Chronic Condition Management
- Problem Resolution
- Treatment Planning and Implementation
- Admissions and Discharge Processes
Timeline
MDS Nurse RN
Franklin Plaza
03.2024 - 12.2024
Community Resource Consultant
Western Reserve Area on Aging
10.2023 - 02.2024
Home Care Nurse/ RN
Self Employed
07.2022 - Current
MDS Coordinator
Walton Manor
03.2022 - 06.2022
Licensed Practical Nurse, Home Care
Mcgregor Pace Insurance
05.2021 - 12.2021
Home Care Nurse RN
Mcgregor Pace Insurance
05.2020 - 12.2021
Home Health RN Case Manager/ Utilization Review
McGregor PACE Insurance
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
Insurance Follow Up Certificate -
Cuyahoga Community College
Medical Coding Certificate -
Polaris Career Center