I have been a nurse since 1997. I was a floor nurse up to the time I trained to be a MDS nurse, in 2004. I trained to assist with MDS then was promoted to MDS Coordinator at my facility because of how accurate the assessments were done while maximizing reimbursement. I learned to play the case mixing game with the MDS 2.0 and when CMS changed to the 3.0 I learned the new rules and adjusted to ensure I continued to play the case mix game. I have worked with both skilled and non-skilled residents. I maximize opportunities to reach appropriate reimbursement for care and services provided. In February 2020 I was transferred to my sister facility to organize the MDS department. I raised the case mix while tightening the MDS process and cleaning up the care planning for the facility. I worked during the pandemic full time. I would work the floor during covid crisis while working on my caseload.