Social Services Nursing Assistant
Resume:
Krista Elder
Medicaid, Medicare & CMS/Marketplace Health Insurance Navigator/Social Worker Director
Social Services
Saint Joseph, MO 64503
adyqt3@r.postjobfree.com
• Adult and Child Mental Health First Aide Certified.
• Certified Lifestyle Coach Facilitator Diabetes prevention Program.
• Knowledgeable in CMS MCD/MCR services, electronic program enrollment, electronic DA-124 completion and submission, c-forms, division of assets and income breakdown to determine if qualified, monthly supplement amount or spend downs, continued education by CMS website/program. I currently have CMS/REGTAP accounts and training as a MCR/MCD insurance assister/health navigator. Receives daily CMS updates and changes to skilled rehab services/program enrollment billing requirements, Community and Clinical Education on Chronic Disease Management, Community events, Social Services Designee In skilled ltc 100+ beds facility, Track and Submit required information documentation per state requirements MDS, NOMNC’s.
• Worked with community businesses such as, local news station & Lowes Home Improvement for donation of supplies and build of a divide. Allowing safe visits between residents & family during covid-19 improving moral and living environment.
• with social/emotional well-being of residents to improve atmosphere during covid-19.
• Works with community programs to provide activities and events to residents.
• Works with community programs to help with winter coats & blankets for the homeless, created a yearly adopt a family program for facilities & facility staff to provide/donate Thanksgiving meals and gifts for Christmas.
• Specialized in Director of Social Work in a 100 Bed Skilled/LTC Facility Setting.
• Medicaid, Medicare and Managed Care Knowledgeable.
• Knowledgeable in Issuance/Procedure of Medicare Non Coverage/NOMNC’S and ABN’S per State Regulations.
• Knowledgeable in completing plan of corrections and state regs for all departments throughout a skilled/Medicaid facility.
• Ability to oversee/manage multiple staff members.
• Understanding of the facility administrator position from years of healthcare management experience.
• Social Services Designee Certified with MO Healthcare Association.
• Specialize in Hospital Oncology Acute Care Setting.
• Certified Nursing Assistant in LTC/Skilled Facility Setting.
• Medication Aide/Insulin Certified in Assisted Living Management.
• Experienced in Nursing Care Management, Overseeing and Training Floor Staff/CNA.
• Efficient in Microsoft Office/Word, Point Click Care, AHT and Optima Computer Programs. Willing to relocate: Anywhere
Authorized to work in the US for any employer
Work Experience
Team Health Care Navigator/Social Worker
Amberwell Hospital & Healthcare - Atchison, KS
December 2022 to Present
Knowledgeable in CMS MCD/MCR services, electronic program enrollment, electronic DA-124 completion and submission, c-forms, division of assets and income breakdown to determine if qualified and monthly supplement amount or spend downs, continued education by CMS website/program. I currently have CMS/REGTAP accounts and training as a MCR/MCD insurance assister/health navigator. Receives daily CMS updates and changes to skilled rehab services/program enrollment. Community and Clinical Education on Chronic Disease and Insurance assistance, community events and Social Services for difficult cases when needed, Track and Submit required information documentation per state and issues NOMNCs/submit in timely manor.
Director of Social Services, Admissions, Transportation, Medicaid/Medicare & Healthcare Management.
LaVerna Senior Living LLC - Savannah, MO
November 2021 to August 2022
Marketing and community Liaison for Admissions, knowledgeable in cur span/Navi Health system and working with Mosaic on the referral system, overseeing transport services and appointments, care planning and building relationships between family and residents. Social Services Director, CNA, Floor Staff Trainer when needed Abbey Woods Rehab and Healing Center - St. Joeseph January 2017 to September 2021
• Director of Social Services
• Certified Nursing Assistant and Trainer of floor staff when needed.
• Social Services Designee/ Admissions
• Medicaid Enrollment and documentation requirement.
• Online referral programs and review for admission or denial.
• Medicare guidelines/requirements
• EMR programs: PCA, AHT.
SUMMARY: The primary purpose of the Social Services Designee is to assist in planning, organizing, implementing, evaluating, and directing the overall operations of our facility’s Social Services Department in accordance with federal, state, and local standards, guidelines and regulations, our established policies and procedures, and as may be directed by the Administrator, to assure that the medically related emotional and social needs of the resident are met/maintained on an individual basis. ESSENTIAL DUTIES AND RESPONSIBILITIES
• Review facility policies and procedures as part of the facility’s interdisciplinary team to assure compliance with state and federal regulations.
• Participate in reviewing and setting policies concerning resident care and quality of life.
• Participate in developing facility social work policies.
• Participate in quality assurance interdisciplinary team meetings.
• Understand and meet all government requirements for social service documentation.
• Document progress in meeting the psychosocial needs of residents.
• Work with the interdisciplinary team and administration to promote and protect resident rights and the psychological wellbeing of each resident. Prevent and address resident abuse as mandated by law and professional licensure.
• Work with residents, families, significant others and staff to provide support, information and organization for taking a more proactive role in self advocacy to improve quality of life/care for individual residents and those who live and work within the nursing home and the community at large.
• Complete a social history and psychosocial assessment for each resident that identifies social, emotional, and psychological needs.
• Participate in the development of a written, interdisciplinary plan of care for each resident that identifies the psychosocial needs/issues of the resident, the goals to be accomplished for those needs/issues and the appropriate social worker interventions.
• Ensure or provide therapeutic interventions to assist residents in coping with their transition and adjustments to a long-term care facility, including their social, emotional, and psychological needs.
• Ensure or provide support and education to residents’/family members/significant others to assist in their understanding or placement and facility issues in addition to referring them to appropriate social service agencies when the facility does not provide the needed services.
• Provide groups for residents’/ family members/significant others as appropriate to their needs.
• Provide clinical interventions to address catastrophic events that occur during the resident’s stay in the facility.
• Coordinate the resident discharge planning process and make referrals for appropriate home care services prior to the resident’s return to the community.
• Educate staff regarding the role of the social worker in the facility and the psychosocial needs of the residents and their families/significant others including the problems of aging and disability.
• Educate staff regarding cultural diversity and each staff member’s importance when caring for resident. Educate staff regarding residents’ rights and how to recognize and prevent abuse, neglect and mistreatment.
• Educate residents and families/significant others regarding their rights and responsibilities, effective problem solving and the extend of community, health and social services that are available to them, including those necessary for effective discharge planning.
• Ensures appropriate admission papers and signatures are obtained from residents or responsible parties prior to admission. Communicates special needs of new admits to staff to ensure a smooth transition.
• Maintains a working knowledge of federal and state regulations and reimbursement (Managed Care, Medicare and Medicaid). Provides assistance with new associate orientations on these topics and the admission process. Has a strong working knowledge of managed care referral process.
• Monitors inquiry/referral, admissions and census trends. Prepares appropriate reports/tracking logs, and other reports as required. Monitors all active and inactive inquiries. Completes and submits all tracking logs and reports to Admission Director in a timely manner.
• Works with the Director of Nursing to ensure that all admissions are screened thoroughly and adequately prior to admission.
Patient Care Technician
Mosaic Hospital - Saint Joseph, MO
May 2018 to August 2018
Multi tasking in a timely manner getting patients to and from procedures, providing rounds and cares for patients, admits and discharges, comfort measures computer charting, multi computer nursing programs and vital signs
Certified Nursing Assistant
Riverside Place Of Diversicare - Saint Joseph, MO
November 2016 to January 2017
Certified Nursing Assistant Helping residents with daily living. Training nursing assistants stud more Certified Nursing Assistant
Wathena Healthcare and Rehab - Wathena, KS
October 2015 to October 2016
• Worked in a nursing facility, home environment, hospital and nursing home
• Assisted 60+ hospice, elderly, disabled and cancer patients daily
• Provided patients/residents with care and companionship
• Checked vital signs
• Helped residents, patients and clients with activities of daily life (ADL): bathing, grooming, dressing, feeding, walking, exercising and ROM exercises
• Aided in scheduling patient and resident daily activities
• Documented all care
• Handled minor wound care
• Performed post-mortem care, if needed
• Cleaned and sanitized rooms
• Made beds
CMA
Vintage Gardens - Saint Joseph, MO
October 2013 to February 2014
Managed 5-6 care giver's in a Assisted Living setting. Worked with community physicians and pharmacies for scripts & medication delivery. Medication passes. Education
High school diploma in Computer Tech High School
Central High School - Kansas City, MO
Skills
• TRAINING (10+ years)
• LEADERSHIP SKILLS
• PROBLEM SOLVER
• CLERICAL
• Home Health
• Cna Certified
• CNA
• Social work
• Managed care
• Vital Signs
• Nursing
• Quality Assurance
• Hospital Experience
• Patient Care
• Medical Terminology
• Medication Administration
• EMR Systems
• Word Processing, Microsoft Office, Point Click Care, Optima and AHT (10+ years)
• ICD-10
• Employee Orientation
• Caregiving
• Case Management
• Hospice Care
• Medical Office Experience
• ICD-9
• Insurance Verification
• Nursing home experience
• English
• Leadership
• Discharge planning
• Microsoft Excel
• Recruiting
• Microsoft Outlook
• Filing
• Customer service
• Data collection
• Crisis Intervention
• Medical Records
• Management
• MDS
• Computer skills
• Microsoft Office
• Organizational skills
• Microsoft Word
• Healthcare Management
• Crisis Management
• Supervising experience
• Behavioral health
• Program management
• Administrative experience
• Developmental disabilities experience
• Program development
• Relationship management
• Budgeting
Languages
• English - Expert
Awards
Social Services Honor/Acknowledgment
March 2020
Certifications and Licenses
BLS/CPR
2021 to Present
• MHCA Social Service Designee/Director in 120 bed Skilled Rehab, LTC & Assisted Living facilities.
• BLS adult & children
• First Aide adult and children
• American Red Cross
• CNA
• CMA
• Insulin Cert
• Intro to Adverse Childhood Experiences
• Preventing Adverse Childhood Experiences
• Connections Matter Early Childhood
• Working W/People Experiencing Language Barriers
• CDC Foundation Federal Grants Management
• Motivational Interviewing
• Diabetes Prevention Program Trainer/Facilitator
• First Aide Mental Health Adult & Children
• Stroke Bootcamp
• Healthy Heart Ambassador Trainer/Facilitator
• CMS Marketplace Assister MCD/MCR trained
CNA
January 2007 to 2023
Provide cares/ADL’s in a home healthcare, skilled rehab and long term care settings. CMA
Social Services Designee/ Social Services Director January 2017 to Present
• Social Worker in Skilled/LTC 100 Bed Facility
• MDS, BIMS, SLUM Assessments
• Advance Directives/Power of Attorney
• Discharge Planning
• Knowledgeable in State Survey Regulations Process/Procedure
• Grievances Policy and Procedures
Licensed Certified Social Worker
Help with community programs to return home from skilled stay, to discharge and be successful in the community. Prevent hospital return rate or percentage down. State Tested Nursing Assistant
Microsoft Excel
January 2013
Creating Graphs, legends, tracking such as covid vaccine. Assessments
Customer service — Proficient
October 2022
Identifying and resolving common customer issues
Full results: Proficient
Work style: Reliability — Proficient
September 2021
Tendency to be reliable, dependable, and act with integrity at work Full results: Proficient
Case management & social work — Proficient
September 2022
Determining client needs, providing support resources, and collaborating with clients and multidisciplinary teams
Full results: Proficient
Management & leadership skills: Impact & influence — Proficient February 2023
Choosing the most effective strategy to inspire and influence others to meet business objectives Full results: Proficient
Work motivation — Proficient
September 2021
Level of motivation and discipline applied toward work Full results: Proficient
Customer focus & orientation — Proficient
October 2022
Responding to customer situations with sensitivity Full results: Proficient
Work style: Reliability — Proficient
October 2022
Tendency to be reliable, dependable, and act with integrity at work Full results: Proficient
Sales skills — Proficient
November 2022
Influencing and negotiating with customers
Full results: Proficient
Basic computer skills — Proficient
October 2022
Performing basic computer operations and troubleshooting common problems Full results: Proficient
Spreadsheets with Microsoft Excel — Proficient
July 2023
Knowledge of various Microsoft Excel features, functions, and formulas Full results: Proficient
Supervisory skills: Motivating & assessing employees — Proficient February 2023
Motivating others to achieve objectives and identifying improvements or corrective actions Full results: Proficient
Home health aide skills — Proficient
September 2021
Providing care to patients in a home setting
Full results: Proficient
Indeed Assessments provides skills tests that are not indicative of a license or certification, or continued development in any professional field.
Additional Information
Skills
Nursing, Computers, Problem Solver, Good Leadership Skills, Clerical skills and Training CNA's (10+ years)
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