Regional Mds Nurse Consultant
Resume:
Molly Casper
Ronkonkoma, NY *****
adp9qm@r.postjobfree.com
Objective: To Obtain Regional MDS position
Summary of Qualifications:
Strong ability to maximize reimbursement using Medicare/Medicaid guidelines
Detailed knowledge regarding MDS coding to ensure accuracy for QMs/billing
Able to foster a strong team building environment
Excellent communication skills
Enthusiastic about teaching team members regarding MDS process
Detailed knowledge regarding Quality Assurance and Assessment protocols
Work Experience:
Director of MDS/Corporate Compliance Officer, September 2017-present
Scheduled Medicare and Medicaid MDS assessments for 320 bed SNF
Maximize Case mix and PPS reimbursement for facilities (score change from 1.18 to 1.39)
Perform chart audits to enhance Standards of Care/Improve Quality Measures
Coordinated Case Mix assessments to maximize reimbursement per regulations
Corporate Compliance Officer duties
Regional MDS Coordinator, February 2014-September 2017
Centers Health Care
Responsibilities:
Oversee nine facilities and their MDS departments (1500+ beds total) in NY and RI
Maximize Case mix and PPS reimbursement for facilities
Provide ongoing education regarding MDS/QAA processes/Quality Measures
Prepare for OMIG Audits/Appeal Medicare ADRs
Interview and hiring for MDS departments
MDS Scheduling for 225 bed facility
Extensive daily travel to meet facility needs
Director Resident Care Services, February 2012-February 2014
Affinity Skilled Living and Rehabilitation Center, Oakdale, NY
Responsibilities:
Scheduled Medicare and Medicaid MDS assessments for 280 bed SNF
Completed PPS/OBRA assessments on 40 bed sub-acute unit
Trained interdisciplinary team to perform chart audits to enhance Standards of Care
Coordinated Case Mix assessments to maximize reimbursement per regulations
In serviced staff regarding QA process/Coordinate Medicare D enrollment
Associate Director of Nursing, January 2011-February 2012
Brookhaven Health Care Facility, East Patchogue, NY
Responsibilities:
Scheduled and completed Medicare and Medicaid MDS assessments for 100 long term care residents
Trained peers regarding MDS/RAI process to ensure optimum Standards of Care withheld
Issued Denial letters and coordinated appeals process by QIO(Quality Improvement Organization)
Director of Nursing Services, October 2009-December 2010
Ross Health Care Facility, Brentwood, NY
Responsibilities:
Ensured optimum quality of care provided to residents by nursing department
Maintained schedule of nursing department while adhering to corporate budget
Communicated and met with multiple medical personnel to provide optimum care
Developed and implemented Department of Health plan of correction
Director Resident Care Services, April 2003-October 2009
Affinity Skilled Living and Rehabilitation Services
Responsibilities:
Scheduled Medicare and Medicaid MDS assessments for 280 bed SNF
Completed PPS/OBRA assessments on 40 bed sub acute unit
Trained interdisciplinary team to perform chart audits to enhance Standards of Care
Additional work history:
Ross Health Care Facility, Brentwood, NY
Director of Resident Care/MDS Coordinator July, 2001-April 2003
Ann Pearl Nursing Facility, Kaneohe, HI
Medicare MDS Coordinator September, 2000-June, 2001
LPN Charge Nurse July, 2000-September, 2000
CNA January 1993-July, 2000
Licenses:
RN-New York
RN-Rhode Island
Education:
Bachelor’s of Science in Nursing (Hawaii Pacific University, Kaneohe, Hawaii)
Certifications:
RAC-CT
PRI/Screen
CRRN (Certified Rehab Registered Nurse)
Legal Nurse Consultant (former)
References:
Available upon request
Contact this candidate