Administrative Assistant Home Health
Resume:
Vicki Courtney
Email: abqf5q@r.postjobfree.com
Address: *** ******** ******
City: Southgate
State: KY
Zip: 41071
Country: USA
Phone: 859-***-****
Skill Level: Experienced
Salary Range: $40,000
Primary Skills/Experience:
See Resume
Educational Background:
See Resume
Job History / Details:
VICKI L. (WADSWORTH) COURTNEY, LPN
317 Electric Avenue
Southgate, Kentucky 41071
abqf5q@r.postjobfree.com
PROFESSIONAL EXPERIENCE
Humana October 28, 2012 - January 21, 2013
640 Eden Park Drive
Cincinnati, OH
800-***-**** x1026464
Clinical Advisor, LPN
* Review clinical information upon request by SNF to admit member to facility; clinical information includes, but not limited to: MD H&P/most recent progress notes, MD/Wound consultation notes, PT /OT/ ST inpatient initial evaluations/most recent treatment notes, Lab results, Imagining - Xrays, scans, MRI- results, Med list, Treatments to assess whether member appropriate for SNF admission
* Upon review either approve the member for admission, direct member to LLOC if appropriate or send to RMD to review if meeting criteria is questionable
* Provide, request, receive information from hospitals, SNF, MD office clients via phone, voice mail, RightFax
* Authenticate and document in clinical record each encounter, whether inbound or outbound contact
* Attach clinical information to case if received via RightFax
* Keep hospital/SNF informed of status of case as changes occur
* Required to meet metrix as to # of cases processed, # of call documentations on daily/weekly basis
Forest Hills Care Center January 30, 2012 - Present
8700 Moran Road
Cincinnati, OH 45244
Case Manager / MDS 3.0 Coordinator
* Obtain benefit / eligibility information and pre-certification from insurance companies for patients prior to admission to our SNF for rehabilitation services / skilled nursing care
* Obtain reports from Nursing, PT, OT, ST & LSW to update insurance companies to obtain re-certification for continued stay in rehabilitation services / nursing care as appropriate
* Communicate with residents / families regarding the updates following communication with insurance companies, inform of next update and initiate discussions towards discharge planning
* Assess per *MDS / RAI process including care plan initiation and updates, educating nursing staff to ensure appropriate documentation for reimbursement, submission of MDS 3.0 to CMS
* Attend interdisciplinary meetings to discuss residents care needs / concerns, progress and any anticipated changes to help prepare for better outcomes during stay & discharge planning needs
* Initiate / update / submit billing log at end of each month for all managed care skilled residents
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Personal Touch Homecare October 2011 - January 2012
20 North Grand Avenue
Fort Thomas, KY 41075
Intake Coordinator
* Communicate with area hospital discharge planners (via ALLSCRIPTS - ECIN), nursing home / rehab centers, community agencies and physicians` offices referring patients for home health care services; inform supervisory staff of specialized needs / equipment to care for new patients
* Verify insurance (or Medicare / Medicaid), obtain pre-cert for admission to home health program
* Collaborate with scheduler to ensure availability of staff to meet patient`s needs as ordered
* Communicate with patients / families as to what services are available, when services will begin, and updates following communication with doctors, insurance companies, etc.
* Obtain reports from Nursing, PT, OT & ST, communicate updates to insurance companies to obtain re-certification for continued home health services
* Ordering of supplies for KY Medicaid patients after obtaining PCP orders / signed documents then provide to correct KY Medicaid organization i.e. Traditional, Ky Spirit, Coventry, Wellcare
Mercy Saint Theresa April 2011 - December 2011
7010 Rowan Hill Drive February 2003 - April 2011
Cincinnati, Ohio 45227
513- 271-7010
Charge Nurse
MDS Coordinator
* *MDS / RAI process including care plan initiation and updates, educate nursing staff to ensure appropriate documentation for case mix / reimbursement
* *Charge nurse responsibilities: making rounds / communication with physicians / consultants; supervision of CNA daily assignments, med pass, treatments, weekly and PRN skin assessments, documentation, updating families on residents` conditions, other as directed by Shift Lead (Supervisor) or ADON / DON
* Manage LTC MDS / Care Conference schedule and attend weekly / PRN care conferences
* Conduct orientation / in-service education for nursing staff
* Lead care conferences with residents / families / IDT
* Initiate referrals in collaboration /w Social Services for hospice evaluation / admission process
* Coordinate care options / care planning decisions with hospice PCRN / IDT
* Coordinate care / communication between MST / Dialysis centers per regulations
* Create Excel forms / spread sheets for tracking / audit / training purposes
* Log physician`s orders / quality tracking on daily basis
* Member - Performance Improvement Committee; -Champion- for low risk incontinence
* Member - Dementia Care Panel; Member - Palliative Care Committee
* Chairman - IDT Meeting, results - significant improvement in QI/QMs first (3) quarters 2009; facility received 5 star rating for quality from CMS, February 2009
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Baptist Convalescent Center August 1994 - February 2003
120 Main Street August 1980 - August 1993
Newport, Kentucky 41071
MDS Coordinator
Charge Nurse
Nursing Administrative Assistant
* * MDS / RAI process - *Charge nurse responsibilities as outlined above
* Manage LTC MDS / Care Conference schedule and attend weekly / PRN care conferences
* Nursing Administrative Assistant responsibilities: Perform / record facility wide immunizations / TB skin testing; conduct CNA 40 hour training course / clinical updates to nursing staff; meet with pharmacist monthly to review concerns / get updates; coordinate in-service education for employees with local vendors, manage floor nurses` schedule, record / audit all nursing staffs` attendance; screen calls / messages, arrange meetings for ADON / DON; ancillary assignments as directed i.e. type letters to physicians, notifications to families, etc.
* Mentor - LPN students (NKSVTS - Gateway) / CNA students (Brighton Center)
* Employee of the month, October 1992
EDUCATION/LICENSURE
* Graduate, Northern Kentucky State Vocational and Technical School / NAPNES Pharmacology
* Dually Licensed - Kentucky and Ohio
* Current CPR Certification from American Heart Association, 6/2011 - 6/2013
PROFICIENCY/OFFICE SKILLS
* Microsoft Office: Proficient use of Word & Excel, some experience with Power Point
* Experienced use of PointClickCare & ECS Electronic Charting Systems
* Experience use of Konica Minolta Copier / Scanner / Fax machines
ADDITIONAL EDUCATION / CERTIFICATION
* -RUGS IV-, March 23, 2011
* Dementia 10 module workshop through Mercy Health Partners, October 2010
* -KAHCF Comprehensive MDS 3.0 Training-, Kentucky Association of Health Care Facilities, July 13, 14, 15 2010
* -RUGS III Maximization-, Plante and Moran Clinical Group, September 2008
* -Surviving & Thriving, Quality Indicators/Quality Measures-, HHI, October 2007
* -Medicare Guidelines & Documentation-, HHI, July 2007
* -Effective Leadership-, ODH, June 2006
* -Pain Management - Categories of Pain-, Vitas Hospice, March 2006
* -Wound Care Management-, February 2006
* -Early Recognition and Management of Depression and Anxiety in the Elderly-` AKH, March, 2005
* -Medicare Entitlement, Eligibility and Coverage Criteria in a Skilled Nursing Facility-` HHI, August 2004
* -Behavioral Management Techniques: Dealing with Difficult Behaviors- The Counseling Source, Inc., October 2003
* Certification, -R.I.S.E.N - Re-Investing Spirituality and Ethics in our Networks-, CHP, July 2008
* Certification, -Long term care-, July 1997
* Certification, IV therapy - 30 hour course, LTC Pharmacy, Covington, KY, December 1993
* Certification, IV therapy - 40 hour course, The Tuomey Hospital, Sumter, SC, June 1979
* Certification, Coronary Care, 80 hour course, The Tuomey Hospital, Sumter, SC, February 1979
LETTER OF COMMENDATION
* LTC Pharmacy, Patient Advocacy, September 1984
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PROFESSIONAL REFERENCES
MARTHA SCHWALLIE, LPN
3689 Moonridge Drive
Cincinnati, Ohio 45248
Phone: 513-***-****
Cell: 859-***-****
abqf5q@r.postjobfree.com
abqf5q@r.postjobfree.com
MARY MIDDENDORF, LPT
743 Hurstborne
Edgewood, KY 41017
Phone: 859-***-****
Cell: 859-***-****
abqf5q@r.postjobfree.com
JAWN WORTHINGTON, LSW
2370 Fairview Avenue
Cincinnati, OH 45219
Phone: 513-***-****
abqf5q@r.postjobfree.com
JANELLE WAGNER, LSW
4062 Beavercreek Circle
Cincinnati, OH 45241
Cell: 513-***-****
abqf5q@r.postjobfree.com
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