Dynamic Corporate EMR Nurse at CarDon with a proven track record in patient safety and compliance. Expert in electronic health records management and patient advocacy, I successfully enhanced treatment strategies and ensured adherence to HIPAA regulations. Committed to compassionate care and effective communication, I drive quality improvements in clinical settings.
Overview
23
23
years of professional experience
Work History
Corporate EMR Nurse
CarDon
07.2018 - 11.2020
Audited multiple facility's electronic medical record for patient safety, errors, and to stay compliant with federal/state regulations.
Conducted ongoing monitoring and evaluations of behaviors and conditions, and updated clinical supervisors with current information.
Followed all personal and health data procedures to effectively comply with HIPAA laws and prevent information breaches.
Communicated with healthcare team members to plan, implement and enhance treatment strategies.
MDS Coordinator/Clinical Case Manager
Bethel Pointe Rehabilitation Center
02.2018 - 07.2019
Verified prompt and accurate completion of MDS activities for billing.
Set schedules for staff to start and complete MDS assessments and care plan meetings.
Led weekly utilization review to go over recent clinical activities.
Completed assessments for residents.
Trained staff in correct techniques for completing and signing MDS assessments.
Completed minimum data set assessments with strong collaboration across business, provider and clinical disciplines.
Complied with federal and state regulations for completion and coordination of RAI process.
Reviewed missing assessment reports and analyzed issues for leadership team.
Assessed electronic medical record for required documentation to support MDS coding.
Participated in quality assurance reviews to verify accuracy and reliability of data.
Managed system for secure storage, transmission and manipulation of clinical data.
Partnered with physicians, social workers, activity therapists, nutritionists, and case managers to develop and implement individualized care plans and documented patient interactions and interventions in electronic charting systems.
Case Manager/Director of MDS Services
Flatrock
08.2017 - 02.2018
Developed and implemented comprehensive case management plans to address client needs and goals.
Assisted clients in navigating housing, legal services and public benefits to gain access to valuable resources.
Facilitated individual and group sessions to promote positive behavior change for clients.
Coordinated services with other agencies, community-based organizations, and healthcare professionals to provide useful benefits to clients.
Provided leadership, guidance and support to staff members.
Mds Coordinator/Discharge Planner
Providence Health & Services
02.2017 - 08.2017
Completed assessments for residents admitted under assessments requiring 100 day books.
Worked with utilization review to establish prior authorization for timely discharges.
Coordinated individualized discharge plans to manage safe transition back into community and home environments.
Managed caseload to satisfy multiple patients with diverse needs.
Coordinated patient discharge planning and follow-up care.
Minimized manual system errors with streamlined data entry process.
Collaborated with medical teams to create uniform standards for clinical data reporting.
Enforced strict data validation rules to maintain accuracy and completeness of clinical data.
This was a temporary position.
Case Manager/Director of MDS Services
Greenfield Health & Rehabilitation Center
08.2016 - 02.2017
Implemented successful healthcare program through professionalism, quality of care, medical teaching and patient satisfaction.
Discussed medical histories with patients in effort to provide most effective medical advice.
Completed all pe- cert and re- cert services for patients.
Communicated with patients, ensuring that medical information was kept private.
Liaised with other healthcare professionals to develop comprehensive patient care plans and provide highest quality of care.
Trained staff in correct techniques for completing and signing MDS assessments.
Completed minimum data set assessments with strong collaboration across business, provider and clinical disciplines.
Complied with federal and state regulations for completion and coordination of RAI process.
Reviewed missing assessment reports and analyzed issues for leadership team.
Assessed electronic medical record for required documentation to support MDS coding.
Partnered with physicians, social workers, activity therapists, nutritionists, and case managers to develop and implement individualized care plans and documented patient interactions and interventions in electronic charting systems.
Developed and implemented comprehensive case management plans to address client needs and goals.