Seasoned Director of MDS Services with deep understanding of care plan development and delivery, as well as detailed knowledge of Medicare/Medicaid reimbursement systems. Strengths lie in leading diverse teams and maintaining compliance with regulatory standards. Excel in communication, leadership, and problem-solving, utilizing these soft skills to lead teams towards achieving organizational goals.
Overview
5
5
years of professional experience
Work History
Director of MDS Services
Parham Health and Rehabilitation
Richmond
07.2024 - Current
Developed policies for MDS services to enhance patient care standards.
Coordinated training programs for staff on MDS regulations and best practices.
Managed compliance audits to ensure adherence to healthcare regulations.
Collaborated with interdisciplinary teams to assess patient needs and outcomes.
Oversaw documentation processes to maintain accurate patient records.
Implemented quality improvement initiatives within the MDS department.
Facilitated communication between departments to streamline service delivery.
Reviewed and updated MDS assessments for accuracy and completeness.
Managed day-to-day activities within the department while also setting long term goals that aligned with organizational objectives.
Oversaw daily operations within the MDS Services department, including staffing needs, scheduling, workflow processes.
Provided guidance to interdisciplinary teams in order to facilitate appropriate documentation for resident care plans.
Ensured timely submission of all Medicare reimbursement reports.
Director of Case Management
Consulate
01.2024 - 07.2024
Facilitated communication between clients, families, and service providers for effective support.
Documented case notes and maintained accurate records in the case management system.
Participated in interdisciplinary team meetings
Regional Director of Case Management
Care One Nursing Home
Lakewood
06.2022 - 01.2024
Developed and implemented case management strategies for patient care enhancement.
Communicate with insurance companies regarding coverage, LOS, levels of reimbursement
Work with facilities to maximize insurance length of stay.
Work with facilities to get access to all available insurance portals
Regional MDS Director
Care One Nursing Home
Lakewood
01.2021 - 06.2022
Developed and implemented staff training programs to enhance service delivery.
Worked successfully with diverse group of coworkers to accomplish goals and address issues related to our products and services.
Implemented quality improvement initiatives within the MDS department.
Reviewed and updated MDS assessments for accuracy and completeness.
Analyzed data trends from various sources including but not limited to, CMS claims data, Quality Measures Reports, OBRA assessment scores, in order to identify areas of improvement or potential risk.