VELISSA VALCICH, LNHA, CRS, LPNII
Orlando,FL
Summary
Licensed Nursing Home Administrator and Licensed Practical Nurse with over 20 years of progressive experience in skilled nursing facility operations, clinical reimbursement, regulatory compliance, and interdisciplinary team leadership. Proven ability to support census growth, control labor and operating costs, and maintain high standards of clinical quality and survey readiness. Strong operational leader with deep expertise in Medicare/Medicaid reimbursement, QAPI, risk management, and staff development.
Overview
19
19
years of professional experience
1
1
Certification
Work History
Clinical Reimbursement Specialist
Airamid - Orlando Health & Rehab Center
01.2023 - Current
- Lead the review and auditing of resident medical charts, developing diagnosis summaries to ensure accurate billing, regulatory compliance, and optimized revenue capture.
- Partnered with the Director to manage day-to-day clinical operations for a 380-bed skilled nursing facility.
- Provided oversight of patient care and clinical service delivery to maintain quality standards and regulatory compliance.
- Train staff on documenting clinical services provided to residents to maximize reimbursement.
- Coordinated electronic submission of MDS assessments to the state, ensuring accuracy and compliance with regulatory requirements.
- Develop and implement care plans and oversee quality of care and quality management meetings.
- Acting Manager on Duty within a rotating schedule, assuming authority for clinical and operational oversight.
Clinical Reimbursement Specialist
Airamid - Delaney Park Health & Rehab Center
02.2019 - 01.2023
- Partnered with the Director to manage day-to-day clinical operations for a 89-bed skilled nursing facility.
- Review patient care and clinical services to ensure the highest quality.
- Managed case coordination for a diverse patient population to support positive clinical outcomes.
- Audited resident charts and developed medical diagnosis lists to ensure accurate billing and revenue capture.
- Trained staff in clinical documentation best practices to ensure accurate billing and maximize reimbursement.
- Coordinated electronic submission of MDS assessments to the state, ensuring accuracy and compliance with regulatory requirements.
- Develop and implement care plans and oversee quality of care and quality management meetings.
MDS Coordinator
Orlando Senior Health Network
03.2018 - 02.2019
- Managed facility-wide MDS and care planning functions for a 168-bed skilled nursing facility, aligning clinical operations with regulatory and financial goals.
- Established accountability across interdisciplinary teams for timely assessments and documentation integrity.
- Implemented process improvements that enhanced operational efficiency and reimbursement outcomes.
MDS Coordinator
Southern Healthcare
02.2016 - 03.2018
- Managed MDS and care planning operations for a 68-bed skilled nursing facility, ensuring regulatory compliance and operational consistency.
- Led PPS and interdisciplinary team meetings, aligning care delivery with reimbursement and discharge goals.
- Oversaw communication with physicians, staff, residents, and families, coordinating care needs and discharge planning to support continuity of care.
MDS Coordinator
Consulate Health Care
02.2013 - 02.2016
- Served as interim lead for MDS and care planning operations in a 120-bed skilled nursing facility, providing stability, oversight, and regulatory compliance.
- Oversaw Medicare billing accuracy and documentation integrity, supporting timely claim approval and reimbursement.
Licensed Practical Nurse II
Orlando Health
10.2006 - 07.2012
- Provided direct nursing care across acute, non-acute, and critical care settings.
- Conducted assessments, ensured accurate documentation, and communicated changes in condition to providers and families.
Education
Bachelor of Science - Health Services Administration
University of Central Florida
Associate of Arts - undefined
Valencia College
Licensed Practical Nurse - undefined
Valencia College
Skills
- Skilled Nursing Facility Operations
- Survey Readiness and Regulatory Compliance
- Census Management and Admissions Support
- Labor Management and Budget Control
- Medicare & Medicaid Reimbursement (MDS / PPS)
- Revenue Capture and Denial Prevention
- QAPI and Risk Management
- Interdisciplinary Team Leadership
- Staff Development and Education
- Process Improvement and Root Cause Analysis
- Grievance Resolution and Problem Solving
- HIPAA compliance
Certification
- Florida Licensed Nursing Home Administrator (LNHA)
- Licensed Practical Nurse – Multistate
- RAC-CT Certification
- IHI Safety & Risk Certification
- Excel Certified
- AHA BLS Provider
- Six Sigma Yellow Belt | Green Belt (In Progress)
Languages
Spanish
Native or Bilingual
English
Native or Bilingual
Timeline
Clinical Reimbursement Specialist
Airamid - Orlando Health & Rehab Center
01.2023 - Current
Clinical Reimbursement Specialist
Airamid - Delaney Park Health & Rehab Center
02.2019 - 01.2023
MDS Coordinator
Orlando Senior Health Network
03.2018 - 02.2019
MDS Coordinator
Southern Healthcare
02.2016 - 03.2018
MDS Coordinator
Consulate Health Care
02.2013 - 02.2016
Licensed Practical Nurse II
Orlando Health
10.2006 - 07.2012
Associate of Arts - undefined
Valencia College
Licensed Practical Nurse - undefined
Valencia College
Bachelor of Science - Health Services Administration
University of Central Florida