Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Naomi Salas

Hatboro,PA

Summary

Experienced Registered Nurse with 28 years service in both hospital and long term care settings. Extensive background in long term care subacute setting. Proven track record of providing compassionate care while ensuring adherence to best practices and regulatory standards .

Overview

17
17
years of professional experience
1
1
Certification

Work History

Clinical Reimbursement Director

Accela Healthcare
Philadelphia, PA
01.2024 - Current
  • Responsible for scheduling and completing all OBRA / PPS assessments of the Resident Assessment Instrument in accordance with federal and state regulations and company policy and procedures.
  • Conduct skilled documentation audits
  • PDPM skilled
  • Accurate and thorough completion of the Minimum Data Set under PDPM guidelines,Care Area Assessments and Care Plans, in accordance with current federal and state regulations and guidelines.

Quality Assurance Nurse and RNAC

Healthcare Center at The Hill at Whitemarsh
Lafayette Hill, PA
04.2019 - 01.2024
  • Lead the healthcare team with the overall development, implementation and evaluation of the quality improvement (QI) plan.
    Maintain current knowledge of state and federal regulations and accreditation standards. Identify deviations and recommend methods to improve processes of care.
    Review concurrent and retrospective clinical records per the requirements of the QI plan or when needed for focused or other reviews. Follow up with the appropriate clinical manager to improve quality and adhere to regulatory requirements.
    Monitor quality improvement indicators including but not limited to: utilization review, client satisfaction, occurrences, infection control, complaints, potentially avoidable events and agency scorecard.
    Review, compile, summarize and report on QI activities and outcomes using the electronic medical record (EMR) for QAPI or other committee/department uses.
    Complete timely and appropriate reports.
  • During Pandemic : Assist DON with Staff and Resident rapid nasal swab COVID-19 testing. Assist with Respiratory Protection program policy writing with Director of healthcare.
  • Case Management :
    Prepare all managed care clinical updates in collaboration with the IDT team.
    Deliver telephonic/electronic managed care reviews.
    Prepare and communicate all managed care appeals with resident/families, IDT team and Managed care company.

Clinical Reimbursement Coordinator

Statesman Health and Rehab Center
Levittown, PA
02.2016 - 01.2019
  • Lead RNAC for 101 bed facility . Case mix building . Oversee LNAC.
    Responsible for scheduling of and completion of the Resident Assessment Instrument in accordance with federal and state regulations and company policy and procedures. Attend and actively participate in IDT clinical meeting daily .
    Communicate frequently with DOR and Business office manager .
    Attend Triple check .Schedule and attend care conferences.
    Conduct skilled documentation and Med A certification audits.
  • Case Management :
    Prepare all managed care clinical updates in collaboration with the IDT team.
    Deliver telephonic/electronic managed care reviews.
    Prepare and communicate all managed care appeals with resident/families, IDT team and Managed care company.

QAPI Nurse

Twinning Village
Holland, PA
01.2015 - 02.2016
  • Lead and managed the overall development, implementation and evaluation of the agency quality improvement (QI) plan. Maintain current knowledge of state and federal regulations and accreditation standards. Identify deviations and recommend methods to improve processes of care. Review concurrent and retrospective clinical records per the requirements of the QI plan or when needed for focused or other reviews. Follow up with the appropriate clinical manager to improve quality and adhere to regulatory requirements. Monitor quality improvement indicators including but not limited to: utilization review, client satisfaction, occurrences, infection control, complaints, potentially avoidable events and agency scorecard. Review, compile, summarize and report on QI activities and outcomes using the electronic medical record (EMR) for QAPI or other committee/department uses. Complete timely and appropriate reports or analysis in meeting with the requirements of the QI plan.

Assistant Director of Nursing

Chapel Manor- Genesis Healthcare
Philadelphia, PA
10.2013 - 12.2014
  • Assist the Director of Nursing in planning, organizing, developing and directing the day-to-day operations of a 240 bed Nursing department in accordance with current federal, state and local standards
    Assess the comprehensive nursing needs of each resident using acceptable long-term care assessment software tools and according to state and federal time frames
    Monitor medication and treatment schedules, work with attending physicians/ NP and provide direct care when required. Wound care rounds and assessment weekly .
    Assist in determining staffing needs; recruit, select, and assist to orient nursing/direct care personnel
    Ensure nursing staff follows all safety precautions when performing tasks within state and federal regulations

Assistant Director of Nursing

Care One Hamilton
Hamilton, NJ
01.2008 - 09.2013
  • Assist the DON in the management of the nursing department of a 65 bed CMS 5 Star rated , fast paced , Subacute nursing unit to maintain quality standards of care, including consultation to medical staff, department heads, and Administrator in matters related to nursing service.
    Assist the Director of Nursing with regulatory compliance and ensure effective communication strategies with all levels of nursing staff to promote effective care delivery.
    Along with the Director of Nursing, promote positive employee & customer relations.
    Ensure Integrity of educational programs offered within the facility.
    Staff Development/ Red Cross CPR trainer .
    Identify current employees to be mentored into both personal and career advancement towards leadership position within the corporation.
    Acted as Employee heath nurse . Maintained employee health records .

Director of Nursing

Angela Jane Pavilion
Philadelphia, PA
12.2006 - 01.2008
  • Direct the overall nursing function in a subacute rehabilitation care setting, including managing nursing staff, creating policies, ensuring regulatory compliance, providing education/training, and collaborating with other healthcare professionals to achieve high standards of patient care.
  • PA Department of Health and JCAHO Survey management
  • 5 star facility
  • Low staff turnover

Education

Bachelor of Science - Nursing

Temple University
Philadelphia, PA
05-2004

Diploma - Nursing

Northeastern Hospital School of Nursing
PA
05-1996

Skills

  • Staff Management
  • Staff Development
  • Clinical Reimbursement
  • Verbal and Written Communication
  • Legal and Regulatory Compliance
  • Budget Control
  • Microsoft Excel
  • Microsoft Office

Certification

  • PA RN licensure RN-512746-L
  • American Heart Association BLS CPR
  • AAPACN RAC-CT

Timeline

Clinical Reimbursement Director

Accela Healthcare
01.2024 - Current

Quality Assurance Nurse and RNAC

Healthcare Center at The Hill at Whitemarsh
04.2019 - 01.2024

Clinical Reimbursement Coordinator

Statesman Health and Rehab Center
02.2016 - 01.2019

QAPI Nurse

Twinning Village
01.2015 - 02.2016

Assistant Director of Nursing

Chapel Manor- Genesis Healthcare
10.2013 - 12.2014

Assistant Director of Nursing

Care One Hamilton
01.2008 - 09.2013

Director of Nursing

Angela Jane Pavilion
12.2006 - 01.2008

Bachelor of Science - Nursing

Temple University

Diploma - Nursing

Northeastern Hospital School of Nursing

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Naomi Salas