Assistant Classes Nurse Consultant
Resume:
DEBORAH GULLEY RN RAC-CT
MILWAUKEE, WI 53226
I have extensive experience in long term care from Unit manager to Assistant Director of nursing, Director of nursing and Nurse Consultant. I worked for Sava Senior care for over 7 years,working as Assistant Director of Nursing for 5 1/2 years at South Pointe and then Director of Nursing at Virginia Highlands for 1 1/2 years after that. I went on to work for the Native American clinic in Milwaukee and learned how to write and budget grants. I missed long term care and went back as a director of nursing and then to become a nurse consultant where I specialized in regulatory compliance, mock surveys and directed plans of care in both long term care and assisted living across the country. A very large part of this position was conducting RAC reviews related to MDS and billing. For the past 7 years I have specialized in MDS and Medicare billing working one on one with insurance case managers and ICD 10 coding as well. I am currently looking for a position that will allow me to stay closer to home with the possibility of
(telecommuting). I am continuously seeking knowledge and I always put myself totally into my work. Dedication and striving for excellence are my key focuses. MDS Supervisor
Alexian Village Milwaukee
August 2022-present
MDS Director
Villa at Bradley Estates
August 2021- July 2022
Signing and submitting of all MDS’s for a facility of 175 beds. Oversite of 2 LPN’s as well as ensuring all departments completion of MDS. Setting of ARD’s according to CMS guidelines. OBRA compliance, reviewing resident status to ensure optimum reimbursement. ICD 10 coding including review of current diagnosis codes and NTA’s for PDPM. Updates for insurance cases. CMI review daily. Work with therapy to screen residents as OBRA assessments are coming up. Update Matrix (802) and 672 daily for compliance purposes. Completion of MDS’s, review and update Care plans and complete Care Area Assessments for continuity of care. Daily, weekly and monthly reports required by corporate compliance.
MDS Director
Edenbrook Lakeside
Aprilt 2021- July2021
Completing,signing and submitting of all MDS’s for a facility of 175 beds as well as ensuring all departments have completed their sections of the MDS. Setting of ARD’s according to CMS guidelines. OBRA compliance, reviewing resident status to ensure optimum reimbursement. ICD 10 coding including review of current diagnosis codes and NTA’s for PDPM. Updates for insurance cases. CMI review daily. Work with therapy to screen residents as OBRA assessments are coming up. Update Matrix (802) and 672 daily for compliance purposes. Completion of MDS’s, review and update Care plans and complete Care Area Assessments for continuity of care. Director of Nursing
Heritage Square Health care center
January 2021- April 2021
All aspects of running a nursing department for a very fast paced rehab facility that is medicare/managed care and private pay SNF. . Average length of stay is 19 days. Scheduling, HPPD monitoring, nursing floor support, on call 24/7. Referral reviews, infection control, falls monitoring, daily audits, weekly reports and corporate calls, monthly reports, care planning and diagnosis/medication confirmation. Director of nursing
St. Francis Health Care center
November 2020-January 2021
Directed and managed nursing department including regulatory compliance, monthly reporting and day to day nursing department responsibilities. Referral reviews, admissions, paper compliance, infection control. Resident safety. Nursing instructor
Wisconsin Department of Health Services
Southern Wisconsin Center
April 2020-November 2020
Nursing instructor. Teaching Certified Nursing Assistant Classes utilizing the Headmaster program/ classroom and clinical training. MDS Director
Ascension
Alexian village/St. Francis Place
February 2015-November 2019
MDS coordination and completion. ICD 10 coding for PPS and PDPM. Worked directly with Case Managers for multiple insurance carriers by submitting required/requested paperwork on a weekly basis or as needed. Medicare/ managed care meeting, wounds,weights and falls meetings and triple check. Oversight of the MDS department, submission of MDS's to CMS, review of validation reports. Modifications completed as needed to ensure maximum payment is received. Setting entry, discharge, OBRA assessments and any other needed MDS's.
Executive Director of Clinical care and Compliance Lake Terrace
February 2014 – January 2015
Clinical compliance as well as regulatory compliance. Clinical Operations Consultant
Boyer and Associates, LLC
April 2012 – February 2014 (1 year 11 months)
I was part of a very special team of nurse consultants that specialized in regulatory compliance, directed plan of care, staff education and training. Wound care consulting, infection control consulting, Medicare and Medicaid compliance audits and RAC reviews as well as Mock surveys for both assisted living and Long term care around the country. Interim Director of Nursing
Wellspring of Milwaukee
August 2011 – February 2012 (7 months) Greater Milwaukee Area All duties that are part of the day to day operation of a nursing department in a long term care facility.
Operations Director
Gerald Ignace Indian Health Center
October 2009 – July 2011 (1 year 10 months) Greater Milwaukee Area Clinical Operations of the Medical clinic and Behavioral Health Clinic. I was responsible for grant writing and budgetary compliance. Human Resources functions and payroll. Director of Nursing
November 2002 – June 2009 (6 years 8 months) Greater Milwaukee Area I worked as an Assistant Director of Nursing at the Greenfield location for 5 1/2 years and was promoted to a Director of Nursing Position At the Germantown location. I did monthly compliance reporting to the regional Directors, as well as all other aspects of clinical care and compliance for long term care.
Education
Milwaukee County School of Nursing
Registered Nurse, Health Sciences
Graduated in May 1997
I graduated with the last graduating class from Milwaukee School of Engineering as they took over the program one year prior.
Please feel free to contact me anytime, by e-mail at **********@*****.*** or by phone at 414-***-****
I look forward to hearing from you and discussing this position. Thank you for your time and consideration,
Deborah Gulley RNNI, RAC-CT
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