Veda Hilbers
Seymour,TX
Summary
Proven leader in healthcare management, excelling in HIPAA compliance and staff development at Seymour Rehab and Healthcare. Leveraged interdisciplinary team collaboration and medical record management to enhance patient care quality and ensure meticulous Medicare reimbursement processes. Demonstrates exceptional communication skills and a continuous commitment to learning. Hardworking and passionate job seeker with strong organizational skills eager to secure Regional Reimbursement position. Ready to help team achieve company goals.
Overview
19
19
years of professional experience
Work History
MDS Coordinator
Seymour Rehab and Healthcare
04.2024 - 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.
- Assessed electronic medical record for required documentation to support MDS coding.
- Enhanced patient care quality by implementing comprehensive MDS assessments and care plans.
- Monitored and managed Case Mix Index
- Communicated with managed care insurances to obtain prior authorizations for skilled resident needs, provided weekly clinical updates.
- Stayed up-to-date with ICD10 coding and changes.
- Coordinated and participated in monthly triple check procedures.
- Completed LTCMIs for medicaid reimbursement, resolved pending denial statuses.
- Collaborated closely with therapy departments to accurately capture rehabilitation needs within MDS documentation, supporting appropriate resource allocation for residents'' needs.
- Collaborated with nursing staff to provide accurate and timely clinical assessments for each resident, leading to improved overall care.
- Complied with federal and state regulations for completion and coordination of RAI process.
Floor Nurse LVN
Seymour Hospital
06.2023 - Current
- Communicated effectively with patients and family members to convey important instructions and discuss treatments.
- Administered medications safely according to physician orders, closely monitoring for adverse reactions or interactions among drugs.
- Maintained accurate records of residents' healthcare treatments and responses.
- Administered basic patient care and treatments by dressing wounds, treating bedsores, giving enemas and performing catheterizations.
- Provided thorough patient education, ensuring understanding of diagnoses, treatments, and follow-up instructions.
- Administered medication such as insulin and monitored patients' responses to detect problems.
- Conducted ongoing assessments of patients'' physical, emotional, and social needs, adjusting care plans accordingly.
- Reduced medication errors with diligent attention to detail during medication administration.
- Educated family members on how best support their loved ones during the recovery process at home after discharge from the hospital.
- Managed patients recovering from medical or surgical procedures.
- Monitored patient reactions after administering medications and IV therapies.
- Monitored vital signs and assessed patients regularly, swiftly identifying any changes in condition and addressing concerns promptly.
- Managed time efficiently during busy shifts by multitasking effectively without compromising quality of care.
- Performed IV therapy treatments safely and accurately, administering fluids and medications as ordered by physicians.
ADON/MDS Coordinator
Seymour Rehab and Healthcare
12.2005 - 07.2023
- Established strong partnerships with community resources including hospice providers, home health agencies, and outpatient rehabilitation centers to enhance patient care transitions and discharge planning.
- Managed staffing needs effectively, ensuring appropriate nurse-to-patient ratios during all shifts.
- Mentored new nursing staff, fostering professional growth and development while maintaining high standards of patient care.
- Reduced medication errors by conducting thorough medication administration audits and providing feedback to nursing staff.
- Collaborated with interdisciplinary teams to develop individualized care plans for patients, ensuring optimal health outcomes.
- Participated in regulatory surveys conducted by external agencies, demonstrating compliance with established standards of practice and delivering high-quality patient care services consistently across all aspects of operations.
- Enhanced staff competency through regular training sessions and performance evaluations.
- Oversaw and approved recruitment, hiring and orientation of new nursing staff.
- Ordered all pharmacy supplies and kept check on inventory levels.
- Enhanced patient care quality by implementing comprehensive MDS assessments and care plans.
- Monitored changing regulations related to RAI/MDS requirements, keeping staff informed about updates that impact their daily work routines.
- Completed minimum data set assessments with strong collaboration across business, provider and clinical disciplines.
Education
GED -
Acadiana High School
Lafayette, LALicensed Vocation Nurse - Nursing
Vernon Junior College
Seymour, TX08.2005
Skills
- HIPAA Compliance Understanding
- Electronic Health Records Proficiency
- Medical Record Management
- Staff Training and Development
- Continuous Learning Commitment
- Care Planning
- Interdisciplinary Team Collaboration
- MDS Software Familiarity
- Long-term care experience
- Medicare Reimbursement Knowledge
- Problem-Solving
- Multitasking
- Excellent Communication
- Reliability
Timeline
MDS Coordinator
Seymour Rehab and Healthcare
04.2024 - Current
Floor Nurse LVN
Seymour Hospital
06.2023 - Current
ADON/MDS Coordinator
Seymour Rehab and Healthcare
12.2005 - 07.2023
GED -
Acadiana High School
Licensed Vocation Nurse - Nursing
Vernon Junior College
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