Priyanka Dave, BSN, CCDS

Alpena, MI

PROFESSIONAL SUMMARY

Availability: 2 Weeks’ Notice

Years of experience: CDI – 5 years, Nursing – 10+ years

Units: ICU, CCU, Med Surg, Cardiac, Neuro, Oncology, Transplants, Urology, Ortho, Vascular,

Clinical Strengths: Mortality Reviews, Denials, CDI education, Physician education, Retrospective reviews, Appeal writing, 2nd-level reviews,

Systems Experience: EPIC, CDE 1, Mckesson, MedLink, Huron, 3M 360, Cerner

Environment: Level 1 Trauma, Teaching Facility

PROFESSIONAL EXPERIENCE

02/22 – Present

Valley Health Systems, Las Vegas, NV

Clinical Documentation Specialist

Experience with both MS-DRG and APR-DRG focused reviews

Quality outcomes (PSI and HAC) focused CDI review experience

Assess data for relative complexity and review mortality rates dependent on condition and familiar with sepsis core measure abstraction.

Generates and evaluate DQR reports for physicians on weekly bases

Nuance CDE-1 and Cerner experienced

Attends Propel education and quarterly coding update conferences.

Participates in weekly and monthly CDI meetings

Expertise in developing and maintaining strong, collaborative, supportive working relationships with CDI peers, physicians, coders, and other clinical professionals.

03/17 – 02/22

Mid-Michigan Medical, Alpena, State

Clinical Documentation Specialist

Reviews and evaluates inpatient records for completeness and accuracy of information

Educates physicians, nurses, case managers, and other members regarding documentation standards and coding clinic updates (quarterly and yearly)

Assess data for relative complexity and review mortality rates dependent on condition and familiar with sepsis core measure abstraction.

Assists in reviewing denial cases

Generates positive financial impact being the new CDI program of the hospital.

Nuance CDE-1 and Epic experienced

Attends quarterly CDI steering committee

Attends quarterly UR committee meeting

01/16 – 03/17

Mid-Michigan Medical Center, Alpena, MI

Nurse Shift Supervisor

Assessed the hospital acuity and delivery of care provided on each floor

Planned and guided the staff as needed in conductive to patient centered care

Evaluated the care provided in each department

Attended and documented the Codes and provided the feedback to the staff as needed

Assigned bed for the patient per their acuity level.

Managed and resolved any intra-inter-departmental conflicts in the hospital

10/14 – 11/15

Holly Center, Salisbury, MD

Medical Charge Registered Nurse

Managed nursing care and comfort of individuals with developmental disabilities on a unit

Assessed, and planned. implemented, and evaluated all actions that relate to the practice of nursing for individuals with a developmental disability

Served as a shift leader and supervises performance by the direct care staff for the individuals

Participated with an interdisciplinary team in the assessment, planning, implementation, and evaluation of the person’s habilitative plan of care

Evaluated staff/visitor injuries and exposures, provides necessary interventions, and notifies appropriate personnel as necessary.

Act as a resource nurse, providing guidance to campus nurses and other departments upon request.

Knowledge of Medicare, Medicaid, and JCAHO regulations.

07/13 – 11/15

Peninsula Regional Medical Center, Salisbury, MD

Med-Surg/ Tele-stroke Registered Nurse (Part-time/Flex)

Assessed and documented patient conditions and nursing needs, using the nursing process

Provided direct patient care on various medical-surgical floors

Performed patient and family education

Admissions and Discharge Planning

07/13 – 09/14

Hartley Hall Nursing Home & Rehab Centre, Pocomoke, MD

Charge Nurse

Supervised staff engagement in direct resident care and ensured quality services

Managed shift operations efficiently and effectively

Consulted resident needs and operations to improve the delivery of care

Developed and distributed resident care assignments

Evaluated staff performance in conjunction with the Director of Nursing

Educated resident’s condition and disease process family

Knowledge of Insurance plans, Medicare, & Medicaid

08/12 – 07/13

McCready Foundation Crisfield, MD

Staff Nurse – Medical Surgical

Provided and supervised direct and indirect total nursing care to age specific groups identified in unit standards of care

Utilized nursing process (assessing, planning, implementing, and evaluating) in achieving the goals of the department to provide a high standard of care

Adhered to the McCready Foundation and to all rules and regulations of all applicable local, state, and federal agencies and accrediting bodies

Provided outstanding customer service and was responsible for maintaining relationships that are equally respectful to all

EDUCATION

North Park, Chicago, IL

Bachelor of Science: Nursing, 2012

Pune University, Pune, India

Bachelor Degree: Pharmacy, 2007

LICENSE/CERTIFICATIONS

Registered Nurse in Michigan

Certified Clinical Documentation Specialist (CCDS)

Certified Pharmacy technician (2008-2014)

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