Resourceful MDS Coordinator known for high productivity and efficient completion of tasks. Specialize in care plan development, regulatory compliance, and patient assessment. Excel in communication, problem-solving, and time management to enhance operational efficiency and quality of care delivery in healthcare settings.
Overview
10
10
years of professional experience
2
2
years of post-secondary education
1
1
Certification
Work History
Director of Reimbursement/MDS Coordinator
Mountain View Rehabilitation and Senior Living Cen
Coal Township
12.2022 - Current
Ensured compliance with all applicable federal, state and local laws and regulations related to reimbursement.
Maintained current knowledge of industry trends through participation in professional organizations and conferences.
Collaborated with departments throughout the organization on issues relating to reimbursement policies and procedures.
Managed appeals process for denials or underpayments from third party payers.
Coordinated resident assessments and care plans for optimal patient outcomes.
Collaborated with healthcare teams to ensure compliance with regulatory standards.
Communicated effectively with families regarding care plans and progress updates.
Assisted in training staff on MDS processes and documentation requirements.
Participated in interdisciplinary meetings to discuss resident needs and strategies.
Maintained accurate records of assessments, ensuring timely submissions for reimbursement.
Facilitated team meetings with members from other departments such as Social Services, Dietary, Activities, Rehabilitation services, to discuss resident issues and concerns related to the MDS process.
Developed individualized plans of care for each resident based on assessment findings.
Reviewed clinical documentation to ensure accuracy of information reported on the MDS forms.
Monitored residents' progress and updated MDS records accordingly.
Coordinated timely submission of all required documents including Minimum Data Set forms, Care Area Assessments, Quarterly Assessment Reconciliation, Annual Assessment Reconciliations and other regulatory paperwork.
Home Health Nurse
Residential Home Health
Williamsport
05.2021 - 04.2022
Provided direct patient care in home settings, ensuring comfort and safety.
Administered medications and treatments as prescribed by healthcare providers.
Educated patients and families on health management and disease prevention.
Monitored vital signs and reported changes to the healthcare team.
Collaborated with multidisciplinary teams to develop personalized care plans.
Maintained accurate patient records and documentation for compliance purposes.
Supported patients emotionally, fostering a compassionate care environment.
Provided home health care services such as wound care, medication administration, and IV therapy.
Developed personalized care plans for patients based on individual needs.
GI Clinic Registered Nurse
Geisinger Medical Center
Danville
04.2019 - 05.2021
Administered medications and treatments according to physician orders.
Monitored patient vital signs and reported changes to healthcare team.
Maintained accurate patient records using electronic health systems.
Performed in-clinic procedures required for surgical interventions.
Assisted in triage calls involving acute issues, appointments, and scheduling patients for in-clinic medication administration education.
Assisted in prior authorizations for high cost medications.
Medical/Surgical Registered Nurse
Geisinger Medical Center
Danville
09.2015 - 04.2019
Administered medications and treatments according to physician orders.
Monitored patient vital signs and reported changes to the healthcare team.
Collaborated with interdisciplinary teams to develop patient care plans.
Educated patients and families on post-operative care and health management.
Documented patient progress and interventions accurately in electronic health records.
Trained and mentored new nursing staff on hospital protocols and best practices.
Monitored vital signs, administered intravenous fluids, medications, blood transfusions and other treatments according to physician orders.
Administered treatments, therapies, and medication according to prescribed methods and protocols.
Assessed patients for signs and symptoms of medical conditions and reported changes to physicians.
Education
RN - Registered Nurse
Joseph F. McCloskey School of Nursing
Pottsville, PA
08.2013 - 06.2015
Some College (No Degree) - Nursing
Pennsylvania State Schuylkill Campus
Schuylkill Haven, PA
Skills
MDS documentation
Compliance management
Patient assessment
Care planning
Clinical documentation
Interdisciplinary collaboration
Effective communication
Time management
Critical thinking
Team collaboration
Certification
BLS/first aid certified 10/2024
Affiliations
Avid baker
Reading psychological thriller books
Painting/drawing
Timeline
Director of Reimbursement/MDS Coordinator
Mountain View Rehabilitation and Senior Living Cen