NATANIELLA PLESHTIYEV, RN BSN
Flushing
Summary
Compassionate and detail-oriented Registered Nurse with advanced expertise in MDS coordination, patient assessments, and interdisciplinary care planning in a skilled nursing setting. Seeking to transition into an RN care manager role, bringing strong clinical judgment, communication skills, and a commitment to improving patient outcomes at home and in the community.
Overview
6
6
years of professional experience
Work History
MDS Coordinator/Director
Elmhurst Care Center
05.2020 - Current
- Solely responsible for managing all aspects of MDS and care planning operations in a busy, high volume 240 bed skilled nursing facility, demonstrating independence, leadership, and deep familiarity with regulatory standards
- Assessed patients and completed federally mandated MDS assessments to evaluate their physical, emotional, medical, cognitive, and psychosocial status
- Coordinated and led care plan meetings with interdisciplinary team members, patients, and family members, to align treatment goals and document patient’s progress
- Communicated daily with nursing, rehab, social work, dietary, and recreation to ensure that care plans reflect current goals, and medical needs
- Provided detailed clinical updates to MLTC care managers regarding their member’s condition, progress, and discharge planning needs to support appropriate service planning
- Advocated for patient and family needs, addressing barriers to care and ensuring proper education on diagnoses and treatment plan
- Assigned ICD 10 codes aligned with clinical documentation to support appropriate reimbursement and accurate care planning
- Thoroughly reviewed and analyzed hospital records, discharge summaries, and PRIs to clarify diagnoses and support post acute care transitions
- Documented daily skilled nursing notes for patients covered under Medicare part A
- Attended in-service training and other educational programs as directed
- Assisted with facility audits and state survey reviews, including pulling documentation, justifying care plans, and explaining diagnosis coding decisions
Personal Care Aide
S&A Unified Home Care
01.2020 - Current
- Assist patient with daily living activities, promoting independence and enhancing quality of life.
- Support light housekeeping tasks such as tidying, laundry, and meal prep
- Provide medication reminders per plan of care
- Escort patient to grocery shopping and errands to maintain independence
- Recognize and report abnormalities or changes in patient's health status to case manager.
Education
Bachelors of Science in Nursing (BSN) -
Adelphi University
Garden City, NY05-2019
Skills
- Certified in CPR and BLS
- Bilingual communication: English and Russian
- Knowledgeable in SigmaCare and Visual EMRs
- Care Planning
- Communication with MLTCs & Insurance Care Managers
- Strong Documentation Skills
- Proficient in Microsoft Word, Excel, Outlook
- ICD-10 Coding & Diagnosis Selection
Timeline
MDS Coordinator/Director
Elmhurst Care Center
05.2020 - Current
Personal Care Aide
S&A Unified Home Care
01.2020 - Current
Bachelors of Science in Nursing (BSN) -
Adelphi University