Quality Assurance Manager
Resume:
Carlene Sandoval, LVN/MDS Coordinator
Whittier, CA 90605
918-***-**** (cell) or 918-***-**** (alternate)
PROFESSIONAL EXPERIENCE:
Flagship HealthCare Center, Newport Beach, CA Sept. 2010-Present.
M DS Coordinator: Responsible for accurate coding and timely completion of the MDS 3.0
process for Medicare residents in compliance with state and federal regulations and RAI
process for 20+ PPS residents and the OBRA MDS Assessments for one half of the
population of long term care residents in the facility. Additional duties include: Resident,
Staff, and family interviews, chart reviews, accurate data entry of MDS coding and RAP
modules in to the computer software program CareCentral as required. Maintaining PPS
tracking system. Coordinating and setting of the ARD with IDT to manage assessment
calendar and capture highest RUG score possible. Conduct weekly Medicare meeting and
care conferences as required. Implementation and updating of resident care plans and
assessments. Staff education and teaching on MDS documentation and Medicare charting
guidelines as warranted. Distribution and preparation of monthly/weekly MDS and Care
Plan calendars. Scheduling and conducting weekly Care Plan meetings with family
members and residents.
S t. John Health System- F ranciscan Villa, T ulsa, Ok- May 2008 to present
MDS Coordinator: Responsible for accurate coding and timely completion of the MDS process for
Medicare, HMO, private pay, and long term care residents in compliance with state and federal
regulations and RAI process for a 99 bed facility, including up to 18 skilled residents. Duties includes:
Resident, Staff, and family interviews, chart reviews, input of MDS coding and RAP modules in to
American Health Tech computer program as required. Maintaining PPS tracking board and system.
Coordinating and setting of the ARD with IDT to manage assessment calendar and capture highest RUG
score possible. Conduct weekly Medicare meeting and care conferences as required. Implementation and
updating of resident care plans and assessments. Staff education and teaching on MDS documentation
and Medicare charting guidelines at biweekly nurse’s meetings. Updating and maintaining the CMS
802/672 reports weekly. Distribution and preparation of monthly MDS and Care Plan calendars.
Scheduling and conducting weekly Care Plan meetings with family members and residents. Chart audits
for timely and accurate documentation.
Evergreen Valley Healthcare and Rehabilitation, Phoenix/Mesa AZ- September 2006
to December 2007
MDS Coordinator/Unit Manager: Responsible for MDS process for up to 94 bed facility including
Medicare, HMO, private pay, and long term care residents. Duties included accurate and timely
assessments with RAP modules as required. Coordinated with therapies to manage assessment calendar
to capture highest RUG score. Participated in weekly Medicare meeting and care conferences as
required. Implementation and updating of resident care plans and assessments. Conducted daily PPS
meeting and maintained PPS tracking board/ system. In addition, provided clinical supervision of
licensed nurses and C. N. A.’s on the long term care unit for up to 50 residents. Maintained Quality
Assurance through weekly skin assessments, daily review and follow up on physician’s orders, and audits.
Direct interaction with residents, family members, staff, physicians, nurse practitioners, and case manager
to ensure quality of care and to coordinate resident care. Provide direct patient care including IV therapy
and Medicare documentation as required.
East Mesa Healthcare and Rehabilitation, Mesa AZ- January 2007 to December 2007
Weekend Charge Nurse: Provided clinical supervision of C. N. A.’s on the long term care and
subacute units for up to 25 residents. Responsible for intake of inquiries and coordination of admissions
for new residents, including clinical review of each new client. Maintained Quality Assurance through
weekly skin assessments, daily review and follow up on physician’s orders, and audits. Direct interaction
with residents, family members, staff, physicians, nurse practitioners, and case manager to ensure quality
of care to the residents. Provide direct patient care including IV therapy and Medicare documentation as
required.
Maxim Healthcare Services, Scottsdale AZ- September 2007 to December 2007
L.P.N. Flu Clinic Nurse: Temporary position: Provided vaccination for the community as assigned.
Completed appropriate consent forms. Reviewed insurance documentation and questionnaire forms for
accuracy. Maintained infection control procedures. Collected funds and accurately completed required
bookkeeping documentation.
LifeCare Center of Scottsdale, LifeCare Centers of America, Scottsdale AZ- May 2005 to
September 2006
Weekend Supervisor/LPN Charge Nurse: Responsible for clinical oversight of licensed
nurses and C. N. A.’s on two subacute rehabilitation units to ensure quality of care for up to 90 clients.
Responsible for intake of inquiries and coordination of admissions for new residents, including clinical
review of each new client. Oversight and management of staff assignments. Provided direct patient care
including IV therapy and accurate Medicare documentation.
Citadel Care Center, LifeCare Centers of America, Mesa AZ- Oct. 2000 to May 2005
Unit Manager: Responsible for the operation of a 34-bed unit. Clinical supervision of licensed nurses
and C.N.A.’s to ensure customer satisfaction. Monitored and maintained Quality Assurance through
weekly skin, incident, and nutrition at risk reports with implementation of appropriate interventions.
Implemented and maintained patient Care Plans through daily family/physician conferences.
Responsible for timely and accurate OBRA and Medicare MDS assessments including RAP
modules and care plans for each resident. Maintained Kardex system. Oversight and
management of staffing schedules and assignments. Clinical review and completion of new
admissions. Direct patient care, including: medication administration, treatments, and IV therapy.
Carriage House Manor, Fullerton CA- February 1998 to October 2000
Director of Staff Development: Responsible for all aspects of state required staff developing
duties ensuring quality of client care and customer service while enhancing employee dedication and
morale. Planned annual inservice calendar and developed inservice training programs for all staff.
Implemented special programs to improve employee recruitment and retention. Supervised and managed
Central Supply. Handled employee benefits including recognition award programs. Served as a Safety
Officer in charge of Workers Compensation, and employee health and safety programs. Responsible for
devising staff schedules and management of the staffing needs of the facility.
Harbor Health Care Nursing and Rehabilitation, Fullerton CA- September 1996 to
February 1998
Director of Staff Development: Responsible for orientation of all new employees. Planned
annual inservice calendar and developed inservice training programs for a 300-bed facility. Ensured
regulatory compliance of inservice department and maintained all staff education records. Provided
clinical supervision of C.N.A. performance. Served as a Charge Nurse and Unit Supervisor providing
direct patient care including IV therapy on the subacute and long term care units.
QUALIFICATIONS:
• Oklahoma L.P.N. License 0054629 Biennial # F7260002 current
• California L.V.N. License VN 253050, Exp. 6/30/2012.
• MDS 3.0 certification of review and competency completion June 18, 2010
• ANCC AIS MDS 3.0 Competency Certification Dec. 2010.
• American Heart Assoc. Healthcare Provider BLS CPR & AED certification April
23, 2010. Recommended renewal date April 2012
• IV Re-certification: Omnicare Pharmacy Tulsa, Oklahoma April 15, 2009
• MDS 2.0 Clinical Compliance Certification Program-February 2005
• Citadel Care Center Whatever It Takes Award- April 2004
• DHS State of California Certificate-1997 Director of Staff Development
• Riverside Community College- LVN program-Dean’s List 1994
• California High School- Honors graduate
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