Director of Reimbursement and Regulatory Services

• Nov 2022 - Present

Accountable for the development, oversight and support of consultation related to the regulatory processes/solutions in customer settings as well as reimbursement processes, including the resident assessment process, quality measurement and data in accordance with state and federal requirements and oversees products, resources, education and consulting services related to regulatory and reimbursement for our customers. Robin leads the Pathway Health team of subject matter experts in the areas of MDS, CAA, PDPM, PPS, Case Mix, QMs, and the care plan process. In addition, she serves as a regulatory resource/subject matter expert for Pathway Health and consultants in responding to customer regulatory needs as well as product and education development needs, and assists in the marketing of services, coordination of projects, consultant staffing, client development and employee/customer relations as needed. Show less

Clinical Compliance Partner

• Sep 2021 - Oct 2022

Clinical Reimbursement Specialist

• Aug 2020 - Aug 2021

Compliance Auditor & Investigator

• Sep 2019 - Jul 2020

Director of Clinical Reimbursement

• Nov 2018 - Jun 2019

Divisional MDS & Resident Care Manager

• Nov 2008 - Oct 2018

Specialize in support & education of MDS 3.0 for MDS Coordinators including Medicare & Medicaid reimbursement, Case Management. Policy, education & presentation to various audiences (MDS, DON, ED, etc). Software implementation Matrix & PCC. Experience with QMs, Five Star Rating, QRPs. Specialize in support & education of MDS 3.0 for MDS Coordinators including Medicare & Medicaid reimbursement, Case Management. Policy, education & presentation to various audiences (MDS, DON, ED, etc). Software implementation Matrix & PCC. Experience with QMs, Five Star Rating, QRPs.

Director of Nursing

• 2007 - 2008

Regional Nurse

• Oct 2006 - Nov 2007

Supported 6 SNFs in southern AZ Supported 6 SNFs in southern AZ

Nurse Surveyor

• Mar 2006 - Dec 2006

Audit MDS coding in SNFs nationally. Provide education for correct coding of MDS per RAI Manual. Audit MDS coding in SNFs nationally. Provide education for correct coding of MDS per RAI Manual.

Utilization Review Coordinator/MDS

• Mar 2004 - May 2006

MDS Coordinator for Medicare A & Insurance residents. Managed MDS schedule & completion for Medicare A/Insurance. Assisted with improving Medicaid Casemix in facility. MDS Coordinator for Medicare A & Insurance residents. Managed MDS schedule & completion for Medicare A/Insurance. Assisted with improving Medicaid Casemix in facility.