Jennifer Culley

**** ******* ** #** **** Jordan, UT 84084 801-***-**** acu6an@r.postjobfree.com

PROFESSIONAL PROFILE

Accomplished Nursing Professional with 25 years’ work experience, seeking the opportunity to utilize skill set to help improve a professional and passionate company. Background includes positions as Case Manager, RN, Director of Nursing, MDS Coordinator and Clinical Compliance Partner. Proven leader that values relationship building, trust and communication as a foundation to a successful career.

• 13 years in MDS Management in LTC setting including Medicare/Medicaid and private pay.

• 8 years in hospitals including Medical/Surgical, ICU, Geriatric, and Psychiatric Care.

• 4 years in LTC as a Charge Nurse.

EXPERIENCE

Woodland Park Care Center - Salt Lake City, Utah March 2016 - Today

Case Manager for 25-30 resident. Up dating Case Managers for HMO, Medicaid replacement plan, and Commercial plans. Uploading and Managing electronic workbook to ensure all related documents related to case management to ensure billing goes easily. keeping residents informed of insurance continues to authorizations.

Avalon Care Center of Bountiful - Bountiful, Utah September 2015 - March 2016

Resident Assessment Director Managing the Medicare/Medicaid MDS Coordination. Case manager for HMO Medicare replacement plans. 0 deficiency Survey in October2015. Provided assistance increasing Medicaid Case Mix and education administration on it. Managed and audit accuracy of MDS. Helped team go from a one star facility to a 4 star facility.

Spring Creek Healthcare Center - Salt Lake City, Utah August 2013 - September 2015

MDS Coordinator/Medicare Manager/Case manager for HMO Medicare replacement plans.

• Managed the setting of ARD date. Preparing Medicare Certification for Doctors to sign

• Coordinated with rehab department for appropriate Rug levels, weekly medicare meetings and transmitting the MDS”

•Educating/inservice training CNAs ADL documentation

•Promoting and participating in ongoing education of inside and outside the facility to maintain and enhance knowledge of current government regulations

•Case management with HMO Medicare replacement plans

Ensign Services Inc. – salt lake city, Ut Feb 2009 – Aug 2013

MDS clinical compliance partner Rn (Jan 2013 – Aug 2013)

mDS Regional Resource RN (Feb 2009 – Jan 2013)

• Provided training and support for MDS Coordinators in the Long Term Care Facilities.

• Educated facilities staff on Medicare Compliance and Reimbursement.

• Evaluated effectiveness of the educational process and the results it had.

• Provided training in services and other MDS related education as needed.

• Overhauled and improved appropriate case mix and Medicare reimbursement for the Milestone Group.

Garden Terrace Life Care – Salt Lake City, UT Jan 2000 – July 2007 Sep 2008 – Feb 2009

MDS Coordinator

• Managed the setting of ARD dates.

• Coordinated with rehab department for appropriate RUG levels, weekly Medicare meetings, and transmitting the MDS’.

• Monitored and audited clinical record documentation on assigned residents to ensure accuracy and timeliness.

• Promoted and participated in ongoing education, inside and outside the facility, to maintain and enhance knowledge of current regulations.

Sunrise Senior Living – Salt Lake City, UT Mar 2008 – Sep 2008

Director of Nursing

• Admitted, managed and coordinated care for assisted living residents.

• Responsible for teaching and managing Medication Technicians and Care Managers.

• Coordinated, implemented and maintained Nursing’s role in the care plan program for maximum patient outcomes.

Lifepath Home Health – Murray UT Sep 2007 – Mar 2008

Case Manager RN

•Experienced with filling out Oasis CMS forms for Medicare Medicaid reimbursement.

•Provided skilled nursing and case management for home health patients including IV infusions treatments and medication management.

EDUCATION & CERTIFICATIONS

Excelsior College – New York, NY (2005)

Associate’s Degree in Science Nursing RN

Salt Lake Community College – Taylorsville, UT (1990)

Licensed Practical Nurse

ACTIVE REGISTERED NURSE LICENSE UNDER INTERSTATE COMPACT 197***-****

Resident Assessment Coordination CertificationT from AANAC 2013

Certified Nurse Executive Certification from AANAC 2013

Assessment Intelligence Systems Certificate for MDS 2016

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