Healthcare professional with comprehensive understanding of resident assessment processes and care planning. Known for strong focus on team collaboration and achieving high-quality results. Reliable and adaptable, with skills in regulatory compliance and care documentation, fostering positive and efficient working environment.
Overview
9
9
years of professional experience
Work History
Regional MDS Support
NewGen Administrative Services
09.2024 - Current
Coordinated with billing department to facilitate appropriate reimbursement based on accurate completion of resident assessments.
Supported successful survey results by addressing any identified concerns or deficiencies related to the MDS process promptly and effectively.
Improved patient care by thoroughly reviewing and analyzing MDS assessments for accuracy and completeness.
Optimized patient care through participation in Quality Improvement meetings with interdisciplinary team members.
Assisted in maintaining facility accreditation by adhering to industry standards and regulations for the Long-Term Care setting.
Provided comprehensive training for nursing staff on MDS processes, leading to improved assessment quality.
Mentored new MDS nurses, providing guidance and support to ensure a smooth transition into their role.
Maintained accurate medical records, ensuring proper reimbursement for services provided to patients.
Facilitated timely completion of MDS assessments through effective time management and organization skills.
Promoted a culture of continuous learning among nursing staff by providing ongoing education on MDS best practices.
Collaborated with therapy departments to ensure accurate representation of patient needs within the MDS system.
Reduced errors in MDS submissions by conducting regular audits of completed assessments and providing corrective feedback to staff when necessary.
Ensured regulatory compliance by maintaining up-to-date knowledge of CMS guidelines and applying them to daily practice.
MDS Coordinator
Country Villa Sheraton Nursing And Rehabilitation Center
05.2019 - 09.2024
Maintained Quality Measure rating from 4 to 5 Stars
Maintained timely completion of MDS assessments with average daily patient admission of 3-5, average daily discharges of 5
Maintained timely completion of assessments necessary for billing with monthly average of 60 HMO residents, 15 Medicare and 30 Managed Care
Set schedules for staff to start and complete MDS assessments and care plan meetings.
Managed clinical and chart review of skilled residents to project and code accurate HIPPS
Ensured timely completion of all MDS assessments, maintaining full compliance with federal and state regulations.
Assisted with reviewing clinical data to capture highest possible reimbursement rates
Participates and assists with safely discharging residents to lower level of care
Monitor clinical conditions and coordinate with DON to ensure Short and Long Term Quality Measures are met
Established a good open communication between Nursing and Therapy execute ADL coding accuracy
Trained and provided staff education in proper techniques for completing MDS assessments, and proper behavior documentation
Reviews and monitor clinical and care plan dashboard
Participated in quality assurance reviews to verify accuracy and reliability of data
Led IDT in capturing and documenting clinical data and care that would contribute to PDPM reimbursement
Led staff in implementing the standard of care expected at the facility
Assisted staff in reviewing documentations and care plans for required documentation to support MDS coding
MDS Nurse, LVN Charge Nurse
Panorama Gardens Nursing & Rehab Center
01.2017 - 03.2019
Participated in maintaining 5 Star Quality Measure
Implemented quality patient care techniques to align with safety, health, and organizational regulations
Evaluated effectiveness of interventions implemented within care plans, making recommendations for adjustments as needed.
Completed minimum data set assessments with strong collaboration across business, provider and clinical disciplines
Verified prompt and accurate completion of MDS activities for billing
Implemented care plans for patient treatment after assessing physician medical regimens
MDS Nurse, LVN Charge Nurse
Alden Terrace Convalescent Hospital
01.2016 - 01.2017
Participated in maintaining 5 Star Quality Measure
Implemented quality patient care techniques to align with safety, health, and organizational regulations
Completed minimum data set assessments with strong collaboration across business, provider and clinical disciplines
Verified prompt and accurate completion of MDS activities for billing
Implemented care plans for patient treatment after assessing physician medical regimens
Education
Bachelor of Science - Nursing
De La Salle University - Health Sciences Campus
01.2006
High School Diploma - undefined
La Consolacion College
01.2002
Skills
Sufficient LTC Experience
Care Planning
Computer Skills
Project Implementation
Interdisciplinary Care and Meetings
Patient Reimbursement/Reimbursement Management
Critical thinking
HIPAA compliance
Leadership and supervision
Timeline
Regional MDS Support
NewGen Administrative Services
09.2024 - Current
MDS Coordinator
Country Villa Sheraton Nursing And Rehabilitation Center
05.2019 - 09.2024
MDS Nurse, LVN Charge Nurse
Panorama Gardens Nursing & Rehab Center
01.2017 - 03.2019
MDS Nurse, LVN Charge Nurse
Alden Terrace Convalescent Hospital
01.2016 - 01.2017
High School Diploma - undefined
La Consolacion College
Bachelor of Science - Nursing
De La Salle University - Health Sciences Campus
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