• Directed complex case management, including coordinating patient care, overseeing services provided, enforcing compliance, authorizing visits, and ensuring high levels of customer service.• Performed extensive home care coding in alignment with quality standards, utilizing Epic software to document accurate codes for adult patients following their admission and OASIS review.• Provided accurate OASIS analysis, reviewing and auditing submitted reports while interfacing with staff to… Show more • Directed complex case management, including coordinating patient care, overseeing services provided, enforcing compliance, authorizing visits, and ensuring high levels of customer service.• Performed extensive home care coding in alignment with quality standards, utilizing Epic software to document accurate codes for adult patients following their admission and OASIS review.• Provided accurate OASIS analysis, reviewing and auditing submitted reports while interfacing with staff to discuss issues or inaccuracies; prevented payment denials through detailed evaluation.• Identified patient needs and provided recommendations for proper home care services, ensuring the provision of high-quality services and equipment in alignment with diagnosis and treatment plan. Show less

• Continuously elevated Quality indicators by reviewing, revising, and developing protocols aimed at maintaining adherence with all regulations applicable to long-term care facilities; additionally, supported preparations for annual Department of Health surveys, bolstering scores.• Frequently analyzed and revamped processes, expenses, and operations to accommodate reduced revenue and a decreased organizational budget while upholding standards for high-quality care.• Directed monthly… Show more • Continuously elevated Quality indicators by reviewing, revising, and developing protocols aimed at maintaining adherence with all regulations applicable to long-term care facilities; additionally, supported preparations for annual Department of Health surveys, bolstering scores.• Frequently analyzed and revamped processes, expenses, and operations to accommodate reduced revenue and a decreased organizational budget while upholding standards for high-quality care.• Directed monthly orientation sessions for groups of new hires, in addition to spearheading monthly training sessions for nurses, and quarterly continuing education seminars.• Established realistic budgets in alignment with revenues while maintaining a focus on the delivery of excellent customer service to both residents and families; also, prioritized employee satisfaction. Show less

• Conducted utilization reviews and completed individual MDS assessments in the development of care plans for a significant caseload; promoted high-quality resident care while maximizing reimbursement.

• Provided direct patient care for Skilled and Hospice patients, in addition to educating patients and caregivers in disease management, medication, and self-care.