VERA ODOMS, RN
Brooklyn,NY
Summary
Results-driven management professional with a proven ability to lead teams to success. Strong focus on team collaboration, operational efficiency, and achieving measurable outcomes. Adept at strategic planning, process improvement, and fostering a culture of accountability and excellence. Known for adaptability and consistently meeting changing organizational needs.
Overview
27
27
years of professional experience
3
3
Certification
Work History
Clinical Documentation Integrity Manager
Montefiore Medical Center
08.2016 - Current
- Manage +14 RN Clinical documentation specialists with coverage of an urban Medical health system
- Assess skill level and competency of CDI staff by reviewing working DRG versus final billed DRG
- Monitor and track performance and trends, and escalate issues in order to advance improvements
- Responsibility for interviewing, onboarding, workflow assignments, performance evaluation, and performance remediation of staff
- Manage and motivate employees to be productive and engaged in work
- Conduct potential vendor interviews, perform analyses, and develop recommendations for potential hires
- Perform data and quality reviews on inpatient records to validate ICD-10-CM/PCS codes, Clinically validate diagnoses, risk adjust for HCC/Elixhauser diagnoses
- Perform service line audits to increase Severity of illness and Risk of Mortality Ratio, MCC/CC capture, and Clinical validation utilizing ICD10 CM Coding guidelines and Coding clinics
- Educates physicians, clinicians, and other involved parties regarding the necessity of providing complete and clear documentation of the care provided throughout a patient's stay to improve clinical quality, coding specificity and obtain equitable reimbursement
- Foster a strong company culture focused on employee engagement, collaboration, and continuous learning opportunities.
- Achieved departmental goals by developing and executing strategic plans and performance metrics.
- Built high-performing teams through effective recruitment, onboarding, and talent development initiatives.
- Streamlined workflows by identifying bottlenecks in existing systems and implementing appropriate solutions.
- Spearheaded transition to remote work during global health crisis, ensuring business continuity and employee safety.
- Coordinated with IT department to upgrade technology infrastructure, enhancing operational efficiency and data security.
- Developed PSI process and workflow while working intimately with the Medical director that lead to a successful creation of CDI- Quality department
- Support interdisciplinary collaboration with Nursing, Medical, and Health Information Management partners
Weekend Throughput Manager
Montefiore Medical Center
10.2015 - 12.2019
- Managing internal and external flow of throughput in the Montefiore Health System
- Responsibility for Staffing, Supervision, and supportive education for + 15weekend Acute Care SW, Utilization Case Managers
- Facilitate conflict resolution discussion with patients, families and the interdisciplinary Team regarding discharge barriers
- Collaboration with Insurance Companies for matters of Authorizations, DME vendors, Home Care agencies and Administrators of Receiving Facilities to solidify discharge plans
- Reporting and data metrics management for Senior Leadership regarding fiscal issues of actual versus budgeted discharges
- Facilitate continuity of care with escalation follow up to the Assistant Directors of Social Work and Utilization Management
Complex Case Manager
Montefiore Medical Center
03.2014 - 08.2016
- Assess and manage discharge planning efforts for Prucol eligible uninsured and undocumented acute care clients
- Assist Internal and Outside Legal Counsel with matters of medical record analysis, client interview, and representation as an Expert Nursing witness
- Repatriation of consenting acute care patients to Canada and Mexico
- Weekly data trending to Senior leadership regarding metrics and discharge barriers of complex case load and LOS admissions 20 days or greater
- Chair and facilitate conflict resolution meetings between patients, medical providers, family members, insurance and pharmaceutical companies
- Weekly in-patient rounding on 11 medical units as a hands-on resource for referral requests, discharge care planning, education and supportive counseling for staff
- Foster relationships with internal and external partners including acute care facilities, skilled nursing facilities, home care agencies, insurance companies and governmental agencies
- Negotiate complex financial contracts including charity for medications, durable medical equipment and admissions to alternate level of care facilities
Administrative Nurse Manager – Medical Surgical
Montefiore Medical Center
07.2012 - 03.2014
- 24 hour clinical and administrative responsibility for a 28 bed Medical Surgical Unit
- Oversee over 40 staff members including professional and nonprofessional staff
- Staff development – interviewing, hiring, scheduling, disciplining and performance appraisal
- Development and maintenance of capital and operational budget
- Collaboration with collective bargaining and regulatory agencies
- Education of families, staff and patients regarding medical complexities of the Adult Medical Surgical Population
Nurse Case Manager – Medical Surgical/Oncology
Maimonides Medical Center
05.2011 - 06.2012
- Clinical resource nurse directing the interdisciplinary team, patients, caregivers and families on insurance benefits, managed care processes, and issues of clinical and utilization review in order to maximize quality of patient care and effectively manage length of admission
- Coordinates patient care within hospital departments, community agencies and extended care facilities
- Performs chart reviews, which include matters of length of stay, resource management, compliance with managed care contracts, patient outcomes, sequence and scheduling tests/treatments, consultations, variations in care delivery or implementation of algorithms
- Applies appropriate third-party payer procedures regarding financial coverage, non-coverage and alternate level of care
- Knowledgeable in Millman and InterQual criteria
Assistant Nurse Manager – Progressive Cardiac Care Stepdown
Maimonides Medical Center
09.2009 - 05.2011
- Second in 24 hour clinical and administrative responsibility for a 54-bed cardiac telemetry and cardio-thoracic stepdown
- Oversee over 65 staff members including professional and nonprofessional staff
- Staff development – including interviewing, hiring, scheduling, disciplining and performance appraisal
- Assist in the development and maintenance of capital and operational budgets
- Collaborative relationship with collective bargaining units and regulatory agencies
- Educates patients, families and staff on issues in cardiac care
- Supports interdisciplinary teamwork with physicians, physician assistants, nurse practitioners and registered nurses
- Promotes strong ethical and moral values in the healthcare organization
Staff Nurse – Cardiothoracic Intensive Care Unit
Maimonides Medical Center
09.2007 - 09.2009
- Provided critical care for the adult cardiothoracic population
- Initiate immediate post operative care for coronary bypass graphs, Mitral and AAA Repairs
- Maintain supportive care for intra-aortic balloon pump and left ventricular assist devices
- Actively participated in weaning patients from mechanical ventilation
Staff Nurse – Progressive Cardiac Care Unit
Maimonides Medical Center
06.2001 - 09.2007
- Provided direct patient care for acute cardiac patients on a telemetry unit
- Prepared and monitored patients for angiograms, angioplasties, permanent pacemakers, and open heart surgery
- Educated patients and families on how to manage their chronic illness
- Assumed charge nurse responsibilities of a 37-bed unit including expediting admissions and discharges
Staff Nurse – Medical Surgical Unit
Maimonides Medical Center
11.1997 - 06.2001
- Used the nursing process to evaluate and assist in the treatment of the medical surgical needs of the adult and geriatric patient
- Maintained ventilation therapy for endotracheal tubes and tracheostomies
- Administered blood and plasma products
- Served as a nurse advocate within the interdisciplinary team
- Enhanced client satisfaction by providing personalized support and promptly addressing inquiries.
Education
M.S. - Executive Program for Nursing and Healthcare Management
LONG ISLAND UNIVERSITY
Brooklyn, NY12.2011
Legal Nurse Consultant Certification -
LONG ISLAND UNIVERSITY
Brooklyn, NY09.2007
Bachelor of Science - Nursing
HUNTER COLLEGE, CITY UNIVERSITY OF NEW YORK
New York, NY06.1996
Skills
- Team leadership
- Strategic planning
- Complex Problem-solving
- Key performance indicators
- Policy and procedure development
- Regulatory compliance
- Revenue cycle management
- Decision-making
- Excellent communication
- High Emotional Intelligence
- ICD10 Diagnosis & Procedural Coding
- Medicare Severity & All Patient's Refined DRG
- AHRQ Quality & Patient Safety Indicators (PSI)
- Case Mix Index (CMI)
- Appeals & Denials
Certification
- NY State Registered Nurse Licensure, 494490-1
- CCS- Certified Coding Specialist
- CCDS- Certified Clinical Documentation Integrity Specialist
- PRI certified
APPLICATIONS
- EPIC
- 3M 360 Encompass
- Allscripts
- Kronos
- SAP
Affiliations
- American Nurses Association
- American Association of Clinical Documentation Specialists
- American Association of Health Information Management
Timeline
Clinical Documentation Integrity Manager
Montefiore Medical Center
08.2016 - Current
Weekend Throughput Manager
Montefiore Medical Center
10.2015 - 12.2019
Complex Case Manager
Montefiore Medical Center
03.2014 - 08.2016
Administrative Nurse Manager – Medical Surgical
Montefiore Medical Center
07.2012 - 03.2014
Nurse Case Manager – Medical Surgical/Oncology
Maimonides Medical Center
05.2011 - 06.2012
Assistant Nurse Manager – Progressive Cardiac Care Stepdown
Maimonides Medical Center
09.2009 - 05.2011
Staff Nurse – Cardiothoracic Intensive Care Unit
Maimonides Medical Center
09.2007 - 09.2009
Staff Nurse – Progressive Cardiac Care Unit
Maimonides Medical Center
06.2001 - 09.2007
Staff Nurse – Medical Surgical Unit
Maimonides Medical Center
11.1997 - 06.2001
Legal Nurse Consultant Certification -
LONG ISLAND UNIVERSITY
M.S. - Executive Program for Nursing and Healthcare Management
LONG ISLAND UNIVERSITY
Bachelor of Science - Nursing
HUNTER COLLEGE, CITY UNIVERSITY OF NEW YORK
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