Valerie Mendoza
Corpus Christi
Summary
Dynamic MDS Coordinator at Cimarron Place Nursing & Rehab with expertise in electronic health records and a strong commitment to HIPAA compliance. Knowledgeable Registered Nurse with a deep understanding of compliance and assessment processes in healthcare settings. Enhanced patient care quality through comprehensive assessments and interdisciplinary collaboration, achieving improved resident outcomes. Successfully coordinated interdisciplinary teams to ensure accurate patient assessments and care plans. Demonstrated proficiency in clinical documentation and regulatory standards, showcasing strong analytical and organizational skills. Recognized for mentoring staff and streamlining processes, fostering a positive work environment while ensuring regulatory compliance.
Overview
11
11
years of professional experience
1
1
Certification
Work History
MDS Coordinator
HMG
06.2024 - Current
- Set schedules for staff to start and complete MDS assessments and care plan meetings.
- Ensured timely completion of all MDS assessments, maintaining full compliance with federal and state regulations.
- Maintained up-to-date knowledge on CMS guidelines and changes to ensure accuracy in reporting and reimbursement processes.
- Verified prompt and accurate completion of MDS activities for billing.
- Enhanced patient care quality by implementing comprehensive MDS assessments and care plans.
- Assessed electronic medical record for required documentation to support MDS coding.
- Collaborated with nursing staff to provide accurate and timely clinical assessments for each resident, leading to improved overall care.
- Collaborated closely with therapy departments to accurately capture rehabilitation needs within MDS documentation, supporting appropriate resource allocation for residents'' needs.
- Provided ongoing education for nursing staff regarding MDS best practices, contributing to a knowledgeable and skilled workforce.
- Monitored changing regulations related to RAI/MDS requirements, keeping staff informed about updates that impact their daily work routines.
- Implemented interdisciplinary meetings focused on individualized care plan development, resulting in more targeted interventions and improved resident outcomes.
- Developed a comprehensive system for tracking MDS completion deadlines, ensuring timely submissions and minimizing the risk of financial penalties.
- Established regular review processes to evaluate the accuracy and completeness of MDS records, leading to proactive identification of potential issues before they escalate.
- Developed strong relationships with interdisciplinary team members to facilitate efficient collaboration on resident care planning.
- Led weekly utilization review to go over recent clinical activities.
- Reduced errors in data collection by streamlining the MDS process and improving communication among interdisciplinary teams.
- Provided guidance to nursing staff on accurate completion of Section GG assessments, enhancing overall documentation quality and supporting appropriate Medicare/Medicaid reimbursement rates.
- Conducted audits of current MDS records to identify discrepancies and improve record accuracy, enhancing reimbursement rates for the facility.
- Complied with federal and state regulations for completion and coordination of RAI process.
- Trained staff in correct techniques for completing and signing MDS assessments.
- Supported facility-wide initiatives aimed at reducing hospital readmissions by closely monitoring MDS data for trends and potential areas of concern.
- Identified areas of improvement in the facility''s quality measures through thorough analysis of MDS data, resulting in targeted interventions and better outcomes for residents.
- Coordinated multidisciplinary care team meetings to enhance communication and ensure consistency in patient care delivery.
- Supported resident families with clear communication, providing updates on care plans and answering questions about MDS process.
- Facilitated smooth transitions of care by collaborating with external healthcare providers, ensuring continuity of care for residents.
- Enhanced resident satisfaction, establishing strong rapport and addressing concerns promptly.
- Fostered positive work environment, encouraging teamwork and open communication among MDS and clinical staff.
- Improved interdisciplinary team collaboration by organizing regular strategy meetings to discuss care plans and resident needs.
- Advanced personal knowledge of MDS regulations and best practices through continuing education and professional development activities.
- Completed minimum data set assessments with strong collaboration across business, provider and clinical disciplines.
Regional MDS Support Specialist
Regency Nursing & Rehabilitation Centers
06.2014 - 07.2023
- Maintained detailed documentation of support interactions, ensuring valuable insights are preserved for future reference and analysis.
- Acted as a liaison between clients and development teams, ensuring timely communication during critical incidents.
- Responded to customer inquiries and resolved complaints to establish trust and increase satisfaction.
- Optimized internal workflows to expedite incident escalations, leading to faster problem-solving efforts from specialized teams.
- Managed high-priority tickets with professionalism, ensuring timely resolutions while maintaining excellent rapport with clients.
- Mentored junior team members in mastering complex technical concepts, bolstering the overall capabilities of the support unit.
- Utilized critical thinking skills to prioritize nursing interventions based on patients'' acuity levels and individual needs.
- Conducted thorough patient assessments to identify changes in condition, promptly notifying physicians and initiating appropriate interventions when necessary.
- Administered medications safely according to established guidelines while closely monitoring for side effects or adverse reactions requiring intervention.
- Enhanced patient satisfaction by providing compassionate, holistic nursing care that addressed physical, emotional, and spiritual needs.
- Assisted in the training and mentorship of new nursing staff members, contributing to a positive work environment and high-quality patient care.
- Collaborated with interdisciplinary teams to develop comprehensive treatment plans for complex patients with multiple comorbidities.
- Skillfully managed challenging patient situations using de-escalation techniques, crisis intervention strategies, and therapeutic communication skills.
- Improved patient outcomes by implementing evidence-based nursing interventions and individualized care plans.
- Participated in ongoing professional development opportunities to stay current on best practices in nursing care and emerging trends in healthcare delivery.
- Provided support for patients'' families during difficult medical decisions or end-of-life care, serving as a liaison between the healthcare team and loved ones.
- Contributed to interdisciplinary team meetings by presenting relevant clinical data about patients'' progress toward reaching established goals of care.
- Facilitated patient transitions between different levels of care, ensuring continuity of services and minimizing disruptions in treatment plans.
- Implemented evidence-based fall prevention strategies, resulting in a significant decrease in patient falls within the unit.
- Collaborated with interdisciplinary teams to develop comprehensive care plans for complex cases.
- Educated family members and caregivers on patient care instructions.
- Communicated with healthcare team members to plan, implement and enhance treatment strategies.
- Managed patients recovering from medical or surgical procedures.
- Explained course of care and medication side effects to patients and caregivers in easy-to-understand terms.
- Evaluated patient histories, complaints, and current symptoms.
- Provided skilled, timely and level-headed emergency response to critically-ill patients.
- Monitored patient reactions after administering medications and IV therapies.
- Offered exceptional care and support to individuals recovering from acute incidents and dealing with chronic conditions.
- Used first-hand knowledge and clinical expertise to advocate for patients under care and enacted prescribed treatment strategies.
- Implemented care plans for patient treatment after assessing physician medical regimens.
- Quickly responded to situations impacting safety and security to unit, actualizing crisis prevention interventions to control and de-escalate situations.
- Performed triage on incoming patients and determined severity of injuries and illnesses.
Education
Registered Nurse
Del Mar College
Corpus Christi, TX05-2013
Skills
- HIPAA compliance and Medical record management
- Electronic health records proficiency and Research and data collection
- Patient assessment
- Clinical judgment
- Patient management with Compassionate care
- Patient and Family education
- Clinical documentation
- Healthcare ethics
Certification
Texas Resource Utilization Group (RUG) Certification
Languages
English
Native or Bilingual
Spanish
Native or Bilingual
Timeline
MDS Coordinator
HMG
06.2024 - Current
Regional MDS Support Specialist
Regency Nursing & Rehabilitation Centers
06.2014 - 07.2023
Registered Nurse
Del Mar College
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