Reinaflor Bahn

Assisted multiple facilities with MDS Coordinator responsibilities to manage the department.

• Scheduled MDS assessments according to CMS guidelines.
• Reviewed admissions and assigned ICD 10 codes and primary diagnoses, ensuring NTA points captured within first 3 days for optimal reimbursement.
• Collaborated with nursing and rehab to determine GG usual performance for patients.
• Conducted patient interviews in a timely manner to gather essential health information.
• Led IDT/PDPM meetings to address skill needs, nursing qualifiers, and NTA qualifiers.
• Presided CMI meeting weekly and discuss possible reimbursement, avoid QM trigger, and improve QM.
• Trained new staff on MDS process.
• Reviewed QM monthly and discuss with nursing.
• Reviewed Myers and Stauffer quarterly.

Formerly Genesis Powerback Rehabilitation at Brightwood

• Led a 3-person MDS department to ensure efficient management of assessments and compliance with regulations.
• Directed IDT team regarding new changes set by CMS, like the utilization of the new section GG and the new PDPM payment system.
• Worked closely with Nursing and Medical team to ensure proper documentation is implemented for maximum reimbursement.
• Managed Medicare meetings weekly to assist the team in identifying skill needs and safely discharging the patient to the community.
• Reviewed QM and 5 Star Report and discussed with the team any issues.
• Scheduled OBRA assessments monthly and reviewed CMI qualifier.
• Sustained a CMI rate above 1.8, optimizing reimbursement potential for services provided.
• Educated staff on any issues related to MDS.
• Assisted in discharge planning and Livanta appeals.
• Improved the work process by attending training, completing the annual mandatory education, reviewing company policy.
• Secured a 5-star quality measure rating, contributing to an overall improvement in star rating from 3 to 4.
• Completed 3871 to get a level of care for a LTC stay or transfer to another facility.
• Communicated with the Insurance Case Manager and updated on the patient's current progress.

• Worked closely with Nursing and Medical team to ensure proper documentation is implemented for maximum reimbursement.
• Managed Medicare meetings weekly to assist the team in identifying skill needs and safely discharging the patient to the community.
• Completed MDS assessments promptly.
• Scheduled OBRA assessments monthly and reviewed CMI qualifier.
• Educated staff on any issues related to MDS.
• Assisted in discharge planning and appeals.
• Reviewed QM and 5 Star Report and discussed with the team any issues.
• Enhanced work processes through training participation and policy review.
• Achieved a 5-star on Quality Measures and improved overall star rating to 4
• Communicated with the Insurance Case Manager and updated on the patient's current progress.
• Oversaw daily operations of a two-person department.

Completed MDS assessments within deadlines to ensure timely patient care.

• Worked closely with Nursing and Medical team to ensure proper documentation is implemented for maximum reimbursement.
• Participated in company trainings to stay informed on updated MDS regulations and best practices.
• Attended IDT meetings to identify skill needs, facilitating safe patient discharges to the community.
• Attended care plan meetings to help the patient and family understand the care provided.
• Supported discharge planning and appeals process to enhance patient transitions.
• Completed 3871 to get a level of care for a LTC stay or transfer to another facility.
• Communicated with the Insurance Case Manager and updated on the patient's current progress.
• Improved the work process by attending training, completing the annual mandatory education, reviewing company policy.

• Completed MDS assessments promptly.
• Attended company trainings to keep updated with the new changes in MDS.
• Attended IDT/UR meetings weekly to assist the team in identifying skill needs and safely discharging the patient to the community.
• Daily meeting with Rehab Director to get the highest RUG.
• Assisted in discharge planning and appeals.
• Improved the work process by attending training, completing the annual mandatory education, reviewing company policy.
• Communicated with the Insurance Case Manager and updated on the patient's current progress.

Supervised weekend operations, ensured adequate staffing, admitted new patients, and addressed concerns from staff, patients, and families.

Cared for patients in an LTC unit and later in a sub-acute unit, providing IV antibiotics, wound care, TPN, tube feeding, tracheostomy care, and rehabilitation therapy.

Trained to insert IV lines, administered injections including SSI and Intra-articular.