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Quality Assurance Registered Nurse

Location:
Pittsburg, KS
Posted:
December 26, 2011

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Resume:

Courtney Epperson BSN-RN, RAC-CT, C-NE

*** * **********

Frontenac, KS 66763

620-***-****

k7u6zr@r.postjobfree.com

Education

Bachelor of Science in Nursing May 2005, Pittsburg State University Pittsburg, Kansas 66762, Deans List

AANAC Wichita, Kansas, Minimum Data Set 2.0 September 2005, Certification Class

AANAC Kansas City, Missouri, Certified Nurse Executive March 2009, Certification Class

AANAC Las Vegas, NV Minimum Data Set 3.0 April 2010, Certification Class

Experience

Golden Living July 2011 - Present

Clinical Services Consultant

Provide assistance, training, analysis and advice to three Living Centers, while assisting with eleven in the district. Performs standardized visits to ensure compliance with Federal and State regulations and Company policy and procedures. Monitor, consult and make effective recommendations for modifications to existing processes, systems, policies, and practices which assure efficient, effective, and compliant performance. Develop action plans and assists Living Center management in implementation.

• Identify new educational opportunities. Develop and present identified needed training programs.

• Participates in development and implementation of survey readiness plan.

• Review and monitor information and systems, including scorecard and clinical indicators in order to indentify trends and deviations from expected results and implement action plans. Works in conjunction with District Team to resolve issues.

Pathway Health Services August 2010 – July 2011

Senior Clinical Reimbursement Consultant

Provided education and hands-on mentoring to individual facilities and groups. Education taught on MDS 3.0, Medicare and Medicaid, billing procedures, ICD-9 coding, Pain, Restorative Nursing, documentation, infection control. Performed Mock survey’s of Nursing facilities using both CQA and QIS systems.

• Trained groups of 5-50+ on MDS 3.0 process

• Identified issues, developed plans of correction and implemented plan on both facility and organizational levels.

• Multi-facility and multi-organizational experience

• Performed audits of systems and process in nursing facilities and provided hands on training.

• Provided RAC audits and training to facilities and organizations

Midwest Health Inc. September 2009 – September 2010

Corporate MDS Coordinator

Functioned as Corporate MDS Coordinator over 10 Kansas facilities and 15 MDS Coordinators. Primary focus surrounds evaluating facilities in distress and implementing plans for correction. Provide relief to MDS coordinators with assessment assistance as needed.

• In charge of training administrators on MDS company wide.

• Provide training on computer software

• Developed and implementing MDS 3.0 training company wide

• Updated all nursing assessments and policies to flow with MDS 3.0

• Provide training companywide on RUGs IV

• Developed and Implemented program for increasing Case Mix and RUG rates.

• Increased company’s average case mix from 0.92 to 1.02

• Train new MDS coordinators on MDS 2.0

Americare April 2009 – September 2009

MDS Consultant

Experienced as MDS Consultant with experience assisting up to 4 Kansas facility MDS Coordinators. Primary focus surrounds evaluating distressed facilities and implementing plans for correction. Instructing MDS coordinators as to methods for increasing case mix and RUG rates. Extensive knowledge, education, and experience with federal and state regulations. Proficient in creating solutions to aid MDS coordinators with ongoing compliance.

Angels Care Home Health April 2009 – September 2009

Director of Nursing

Experienced as Director of Nursing for home health agency with 4 branches. Supervise all nursing personnel, and oversee all clinical aspects. Primary tasks include OASIS management for highest reimbursement, training all nursing personnel, working with physician offices to bring highest level of care to patients. Fieldwork included education, lab draws, PAC and PICC flush, wound care and management of patient cares. Monitor all charts to ensure Federal and State regulation compliance.

Stanton County Hospital October 2008 – April 2009

Director of Nursing – Long Term Care Facility

Experienced as director of Nursing for 26- bed long-term care facility, attached to critical access hospital. Supervise all nursing personnel, including activities department, social services, and restorative nursing department. Primary tasks include scheduling of nursing department, RAI process, and care planning for all residents, wound program, weights program, fall prevention program, incontinence program, and risk management program. Monitor charts to assure that records are updated, completed, and in compliance with Federal and State regulations. Compile and review medication profiles monthly. Monitor to assure that new medications are being properly administered. Implement and supervise Long-Term Care Unit Quality Assurance Program Indicators. Maintain and updates policies and procedures for Long-Term Care Unit.

• Wrote grant for Care Tracker System, awarded $11,548.00 for implementation of system in facility.

• Reduced staff PPD while improving resident care.

• Created and implemented new MDS documentation standards, improving accuracy and compliance.

Americare - Quaker Hill Skilled Nursing September 2006 – October 2008

Director of Case Mix

Responsibilities included RAI process for 60-bed facility. Coordinator of Medicare Program for 12+ Medicare A skilled residents per day and 8+ Medicare B skilled residents per day. Team leader responsible for Medicare Compliance Program, Quality Assurance Program, and Care Plan Coordinator. Responsible for Incontinence Program. Accountable for monthly Medicare billing and ICD-9 coding for facility. Assisted with wound care, fall prevention and weight management committees. Proficient with Narrative first person care plan format. Performed level I &II PASAR assessments. Experienced, knowledgeable, and compliant with Federal Regulations.

• Achieved facility growth with increased Case Mix Index from 0.97 ($79.08/day) to 1.29 ($128.00/day) for Medicaid residents from 2006 to 2008

• Achieved facility growth with increased average RUG rate from $315.00 to $365.00 resulting in a net profit of $135.00/day. Rated top achiever in the company.

• Developed and trained Kansas SNF Company wide on Medicare compliance program.

• Assisted team in zero deficiency survey in 2007 and no MDS/Care Plan related deficiencies for 2006 survey.

• Interim Director of nursing 2 months.

• Interim Assistant Director of nursing 3 months.

Medicalodge of Pittsburg North May 2005- August 2006

MDS Coordinator

Responsible for coordinating MDS assessments, coordinating care plan conferences, coordinating the facility’s wound care programs, fall prevention program, and staffing schedules. Responsibilities also included running the Service Enhancement Program, and Quality Assurance Program, which included coordination of issues with every department in the facility.

• Developed/implemented new fall prevention policies and management.

• Coordinated transition of Medicare Part D drug program – facility wide.

• Organized and promoted facility Service Enhancement Program

• Organized and trained Bowel and Bladder program and Incontinence program per regulations facility wide.

Accreditations

Registered Nurse

MDS Certification 3.0 (RAC-CT) April 2010

Nurse Executive Certification – (C-NE) March 2009

Cares Assessor Certification - December 2006, 2008

CPR Certified September 2002 renewed 2004, 2006, 2008

Kansas State Board of Nursing since 2005

MDS Certification – (RAC-CT) September 2005

Red Cross Professional Volunteer received 2005

Additional professional activities

CMS Train the Trainer MDS 3.0 – April 2010

AANAC National Conference – March 2009, April 2010

KHCA Annual Conference – October 2006, 2007, 2008, 2009, 2010, 2011

AANAC Fall Education Workshop – October 2009

KASHA DON Boot camp – November 2008

KASHA Annual conference – November 2008

NACHA Leadership Training Seminars – January 2007 to September 2008

Narrative care plan training March 2008

QIS survey training November 2007

Kansas Health Care Association 2007 Annual Meeting

ICD-9 coding training 2007

Medicare Part D Conference 2006

Kansas Health Care Association 2005 Annual Meeting

Professional memberships

American Association of Nurse Assessment Coordinators

Kansas Health Care Association

Nurse Advisory Committee

Education Committee

National Association of Health Care Associates



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