Care Giving Reimbursement Specialist
Resume:
STACI RACOBS RN BSN RAC-CT
Hudson, FL 34667
adu45e@r.postjobfree.com
Executive Summary: A passionate RN with excellent resident advocacy skills, and a passion for service excellence applied to employee, patient and physician satisfaction. A strong track record for accomplishing organizational goals through relationships and team building. Very strong on monitoring QM’s, QRP, Case Mix and other reports through the year.
Professional Experience: Experienced Regional Clinical Reimbursement Specialist with a demonstrated history of working in the health wellness industry. Working with MDS coordinators on making sure their assessments are accurate, that their care plans are focused on the residents, that they are trained and proficient on PDPM. Monitoring QM’s and QRP scores. My focus as a nurse is the patient comes first, to be their advocate and care giving in the capacity they each need, also want to work with caring staff. Have been in nursing for 31 years and MDS for 20 years. Skilled in Nursing, planning Clinical surveys, customer service, MDS, Care planning professional. Bachelor’s degree focused on RN BSN from University of Phoenix.
Work Experience
6/2022- Present Madison Creek Partners- MDS Resource. Review MDS’s for accuracy and Care plans for compliance, Mock surveys for clinical. Worked with MDS coordinators on accuracy of their MDS’s, on making sure their care plans were focused on the residents, financial quarterly reviews on MDS’s, helped during annual survey support the team. Trained new MDS coordinators. Trained each year with changing going into effect for Oct 1. Work with MDS and IDT team on QM’s and Star ratings, also on case mix. Monitoring QRP each quarter.
1/2022-5/2022 Vivage Healthcare Clinical Reimbursement Coordinator PRN Worked out of the corporate office helping in any building that needed a MDSC keeping their MDS’s, and care plans up to date until they could hire a new MDSC.
8/2021-12/2021 Peaks Healthcare Director of Reimbursement in Wyoming Worked with 3 troubled buildings helping both MDS and Clinical resource, 1 building was a focus building. Our team helped put in place systems for all aspects of the building for their team to be successful in business and for the residents. Trained new MDS coordinators, helped train PDPM and case mix. Was a resource for this company until they could find a resource MDS in state.
10/2017- 8/2021 Life Care of America Reimbursement Specialist for 16 buildings (CO, HI) Work with MDS coordinators on accuracy of their MDS’s, on making sure their care plans were focused on the residents, financial quarterly reviews on MDS’s, helped during annual surveys support the team. Trained new MDS coordinators. Monitored MDS coordinators for all compliance issues related to MDS. Education with each year’s changes going into effect Oct 1. Oversight of the RAI process for accuracy, help train on case mix, monitor monthly/ quarterly reports from CMS. Monitor QRP’s Quarterly and Annually, monitor QM’s and work on bringing up any 4 STAR or below QM’s and monitor the score of 5 STAR building to make sure they don’t drop below.
2016- 2017 Gateway (Ensign Subsidiary) Iowa Clinical and MDS Resource Review MDS and Care plans for compliance, Mock surveys for clinical. Worked with MDS coordinators on accuracy of their MDS’s, on making sure their care plans were focused on the residents, financial quarterly reviews on MDS’s, helped during annual survey support the team. Trained new MDS coordinators. Trained each year with changed going into effect
Oct 1. 2014-2016 JULIA TEMPLE HEALTHCARE ADON/MDS/RAC-CT, WCC 8/2016 Zero deficiency MDS Focus Survey Successfully managed a nursing organization consisting of 110+ nursing service staff at a 128-bed acute and long-term care facility with a full complement of services. MDS Coordinator of 40 bed skilled and 88 long term care with MDS and care plans completion. Decreased contract labor hours when census is low, development of enhanced reporting for effective management of productivity. Assist DON with management responsibilities. AANAC Certified
2012 -2014 AMBERWOOD COURT SDC/HR/ADON • Successfully managed a nursing organization consisting of 80+ nursing service staff at a 75-bed acute and long-term care facility with a full complement of services. • Engaged with Stroke Teams resulting in successful accreditation as a Primary Stroke Center, all skilled nurses are stroke certified making this the first long term care center in Denver to be Stroke certified. • Restructured nursing in the building that had been all long-term care now has 25 skilled beds and trained nurses to handle post op rehab clients. Decreased contract labor hours when census is low, development of enhanced reporting for effective management of productivity. • Transitioned leadership culture to focus on team visibility, accessibility, accountability, and follow-through with physicians, resulting in improved physician, patient and staff relationships. • Facilitated implementation of Facility Scheduler to improve staffing practices. • Increased nursing competency training through implementation of “Back-to Basics” classroom and clinical training for current staff and revisions to nursing orientation. • Implemented retention initiatives including a nursing retention team, promoting reward and recognition, career paths/career development, improved selection and hiring process, customer service, and implementation of the Retention Response Team. • Partnered with local nursing school administrators and nursing students during clinical rotations to enhance nurse recruitment programs.
2001-2014 CHERRELYN HEALTH RN UNIT MANAGER FOR 10 YEARS COMBINED WITH MDS FOR 13 YEARS • Worked with nurses and CNA to improve life on neighborhood for elderly clients • MDS’s completed within state/federal guidelines and submitted. • Care plans updated and individualized for each client. • Designed and implemented an improved communication forum at Nurse Team meetings. • Facilitated development of nursing skills competency.
EDUCATION:
RAC-CT
UNIVERSITY OF PHOENIX LONE TREE CO RN BSN 2011
COMMUNITY COLLEGE OF DENVER. DENVER, CO LPN 1996
References: Leanna Reeves: VP Clinical Reimbursement Maestro Consulting Services 928-***-****
Jason Folbigg: NHA Center of Lowry 303-***-****
Wendy Power: Compliance Officer Ensign 720-***-****
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