Experience

Saba Healthcare

• United States
• Hospitals and Health Care
• 1 - 100 Employee

• Director Of Clinical Reimbursement

  • Jul 2016 - Present

  Oversight of PDPM reimbursement for Medicare, Managed Care, and Medicaid, including management of ADRs and Appeals. Streamlined process development through clinical software configuration and utilization for more effective and efficient time management with a goal to promote better clinical outcomes, effective and structured oversight, and quality documentation support for reimbursement. Provide staff education and support Oversight of PDPM reimbursement for Medicare, Managed Care, and Medicaid, including management of ADRs and Appeals. Streamlined process development through clinical software configuration and utilization for more effective and efficient time management with a goal to promote better clinical outcomes, effective and structured oversight, and quality documentation support for reimbursement. Provide staff education and support



Pathway Health

• ePath Informatics Consultant

  • Aug 2014 - Jan 2019

  Clinical training of Point Click Care software, custom configuration of UDAs, customer troubleshooting on site Clinical training of Point Click Care software, custom configuration of UDAs, customer troubleshooting on site



LEXINGTON HEALTH CARE CENTER

• United States
• Hospitals and Health Care
• 1 - 100 Employee

• MDS Coordinator

  • Sep 2015 - Jul 2016

  Ensuring accurate coding of the MDS and care plan development. Review of case mix for Medicaid reimbursement, clinical support for managed care updates, leading Medicare meetings, and ensuring compliance of MDS related tasks. Ensuring accurate coding of the MDS and care plan development. Review of case mix for Medicaid reimbursement, clinical support for managed care updates, leading Medicare meetings, and ensuring compliance of MDS related tasks.



The Arlington Rehabilitation and Living Center

• Hospitals and Health Care
• 1 - 100 Employee

• Restorative nurse

  • May 2009 - Jun 2012

  Development and management of restorative programs, maintenance of restorative documentation compliance, management of fall prevention programs, oversight of restraint reduction programs, staff education on above programs, MDS/care planning. Liaison between therapy and nursing departments Development and management of restorative programs, maintenance of restorative documentation compliance, management of fall prevention programs, oversight of restraint reduction programs, staff education on above programs, MDS/care planning. Liaison between therapy and nursing departments



Holy Family Nursing and Rehabilitation Center

• Restorative Nurse

  • May 2007 - May 2009

  Responsible for management and oversight of restorative programs, fall risk management, restraint management, auditing documentation compliance, staff training Responsible for management and oversight of restorative programs, fall risk management, restraint management, auditing documentation compliance, staff training