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Prior Authorization Mds Coordinator

Location:
Belton, TX
Posted:
August 22, 2022

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Resume:

Josephine Tyler-Smith

Temple, Tx *****

254-***-****

E-mail: adr8v2@r.postjobfree.com

OBJECTIVE

I am seeking a management position as a LVN. I am a very energetic, hard worker, great leader and teacher. I have worked as a Charge Nurse, ADON, Wound Care and MDS Coordinator. I am a very dependable nurse, do not call in and I work where I am needed. If given the opportunity I know that I can be a great asset to your company.

WORK EXPERIENCE

Austin Retirement Center (Oasis Healthcare)

MDS/PPS Nurse 04/16/2018-current

Complete MDS in timely manner

Complete LTCMI’s in timely manner(knowledge of not completing LTCMI’s if they will drop your rug rate).

Weekly PPS Meetings

Monthly triple check meetings

Senior Living Properties (Regency Manor)

MDS/PPS coordinator 11/2017-04/16/2018

Complete MDS in timely manner.

Complete all LTCMI’s.

Assist with ADON duties.

Weekly PPS meetings.

Establish prior authorization for HMO residents.

Monthly triple check meeting.

All other duties that are required by MDS Coordinator.

HMG HEALTHCARE SERVICES(Park Manor Bee Caves)

MDS/PPS COORDINATOR 03/2016-09/2016-took leave of absence (major surgery) was asked to come back and do MDS on 4/2017-10/2017

Complete MDS in timely manner.

Complete LTCMI for MCD and MCD pending residents.

Ensure nursing staff document adequately, for reimbursement.

Weekly meeting with Therapy, daily conversations with therapy for residents with decline in status.

Call for prior authorization prior to resident admitting into facility.

Review pending admission medical records for medical necessity.

Attend weekly care plan meetings.

Monthly triple check meeting prior to closing billing.

LVN/ADON (2013-2017)

Daybreak Venture(12/2013-03/2016)

Fundamental(12/2016-04/2017)

Follow up with nursing staff for adequate documentation/care.

Complete infection control logs, complete acute care plans, ensure staff is giving proper care to residents.

Notification of changes to MD and family.

Order medication

Complete monthly change over

Follow-up with Pharmacy recommendation

Regency Integrated Healthcare Services

Southpark Meadows(2012-2013) MDS Coordinator/Case Management

Elgin Nursing and Rehab(2011-2012) LVN Charge Nurse

Pflugerville Nursing and Rehab(2010-2011) ADON/Staffing Coordinator

Heritage Park Nursing and Rehab(2007-2010) LVN Charge Nurse

EDUCATION

Some College Coursework Completed, Vocational Nursing,

January 2004 - December 2006

Austin Community College Austin, TX

I attended Austin Community College, and studied Vocational Nursing, because I have a caring heart and I enjoys working with the elderly. I worked as a CNA in Mississippi prior to coming to Austin. Helping and giving back to the elderly really inspired me and made me feel that I was doing something worthwhile. I have been working in the healthcare industry for 16 yeaars and I have only worked with the elderly, and I wouldn't change that for nothing, nothing makes me more happy than to feel that I am helping someone who really needs my help.

LVN

CPR Certified

IV Certified

Rug Certified



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