Care Manager

Astrid Diop RN, RAC *** Britton Street Raynham, Massachusetts02767

Cell: 857-***-**** **********@***.***

Objective: To obtain a position where I can utilize my degree and pursue the

opportunity of a career that will allow me to excel and continue to grow in the healthcare

community

Education: Laboure College, Dorchester, MA

May 2009

Employment History:

MDSC/Case Manager

Athena Healthcare System

Feb 2017-Present.

Performs ongoing utilization review and acts as a liaison to the payer while assuring that

Cost- effective treatment is provided by the team.

Patient care advocate assures regulations regarding patient’s rights are fulfilled.

Oversees the effective coordination of services and manages issues in the following areas:

Admission and discharge planning, team conference and interdisciplinary plan of care communication, manages information to effectively oversee health care delivery and facilitate

Interdisciplinary plan of care decisions, patient and family education, payer

Relations.

* Maintenance of a PPS and OBRA calendar, accessible to members of the

Interdisciplinary Team IDT which provides clear concise, up to date information on

completion and datelines for each phase of the RAI process for each applicable patient.

* Timely accurate completion of all aspects of nursing portions of required MDS

Assessment

* Verify quality of care standards remain consistent. Prompt notification of IDT

members when a change of condition assessment is initiated.

* Coordinating and facilitating interdisciplinary Resident Care Plan Conferences to meet

state and federal regulations. Ensuring that the resident and responsible party receives

written invitation and notification of the meeting.

* Active participation in the development of a comprehensive, individualized,

interdisciplinary plan of care for each resident

* CAA’s. Participate in developing individualized resident Care Plans, identifying the

needs of the resident and projected outcomes as required by Federal and State

National Health Care/Colony Center for Health &Rehabilitation.

September 2016-Present. MDS Coordinator. January 2018

* Maintenance of a PPS and OBRA calendar, accessible to members of the

Interdisciplinary Team IDT which provides clear concise, up to date information on

completion and datelines for each phase of the RAI process for each applicable patient.

* Timely accurate completion of all aspects of nursing portions of required MDS

Assessment

* Verify quality of care standards remain consistent. Prompt notification of IDT

members when a change of condition assessment is initiated.

* Coordinating and facilitating interdisciplinary Resident Care Plan Conferences to meet

state and federal regulations. Ensuring that the resident and responsible party receives

written invitation and notification of the meeting.

* Active participation in the development of a comprehensive, individualized,

interdisciplinary plan of care for each resident

* CAA’s. Participate in developing individualized resident Care Plans, identifying the

needs of the resident and projected outcomes as required by Federal and State

Kindred Healthcare 06/15-December 2015MDS/PPS/ Case Manager Coordinator.

Performs ongoing utilization review and acts as a liaison to the payor while assuring that

Cost- effective treatment is provided by the team.

Patient care advocate, assures regulations regarding patient’s rights are fulfilled.

Oversees the effective coordination of services and manages issues in the following areas:

admission and discharge planning, team conference and interdisciplinary plan of care communication, manages information to effectively oversee health care delivery and facilitate

interdisciplinary plan of care decisions, patient and family education, payor

relations.

Wingate Healthcare 08/2012 –April 2015 MDS Coordinator

Needham, MA MDS Coordinator.

* Coordination of all required Resident Assessment Instruments per state and federal

regulations to ensure timely completion.

* Maintain confidential patient data and submit patient information securely to

authorized locations

* Maintenance of a PPS and OBRA calendar, accessible to members of the

Interdisciplinary Team IDT which provides clear concise, up to date information on

completion and datelines for each phase of the RAI process for each applicable patient.

* Timely accurate completion of all aspects of nursing portions of required MDS

Assessment

* Verify quality of care standards remain consistent. Prompt notification of IDT

members when a change of condition assessment is initiated.

* Coordinating and facilitating interdisciplinary Resident Care Plan Conferences to meet

state and federal regulations. Ensuring that the resident and responsible party receives

written invitation and notification of the meeting.

* Active training of certified nursing assistant with POC system documentation.

* Cover the MDS Department in the absence of the Director.

Golden Living. 2010-2014 Charge Nurse/ Chestnut-Hill MA

2010-2014 Charge Nurse/ Chestnut-Hill MA

* Responsible for the independent supervision and the delivery of care to the residents

* Assessed resident’s needs, developed individual care plans, administered and evaluated

nursing care

* Supervised and distributed tasks to the nurses and CNAs on my unit

* Medication administration, accurate documentation and completed necessary reports

* Wound care and treatment, IV therapy and treatment, Foley catheter insertion, removal

and care, colostomy care, PICC line removal and dressing care

Golden Living Center

08/2011/ 07/ 2012 RN Assessment Coordinator

Newton, Ma

* Uses Company standard to manage the RAI process, including Concurrent Review &

Point Right

* Coordinates the development and completion of the resident assessment (MDS) in

accordance in federal and states regulations.

* Monitor and guide the completion of MDS Assessment for PPS and OBRA and

CAAS.

* Held weekly Medicare Meeting. Monitor skilled care, ADL’S changes. Identify

Change in Condition status. Monitoring Part A remaining days.

* Ensure the timely electronic submission of all Minimum Data Sets to the state base,

saves and reviews the state validation reports and ensures that appropriate follow- up

action is taken.

* Review MDSS’s for accuracy and analyzes QI/QM data on conjunction with the DON

to identify trends on a monthly basis. Weekly communication & review of residents

with Medicare Coverage & Utilization

Contact this candidate