John Cook, Rn

John Cook, Rn Email and Phone Number

Regional Reimbursement Specialist @ Haven Healthcare
Normal, IL, US
John Cook, Rn's Location
Normal, Illinois, United States, United States
About John Cook, Rn

As a patient-focused, data-centric MDS coordinator-RN, I have over 10 years of experience facilitating diligent care management and auditing within skilled nursing facilities. During this period, I have become proficient in conducting staff training, patient interviews, and risk assessments in accordance with state and federal regulations. Credited as an influential communicator and expert in MDS, I advise and collaborate effectively with multidisciplinary and interdisciplinary (IDT) teams within a wide spectrum of healthcare. Also, I have been recognized by senior management as a nursing leader who delivers keen insight into trends benefiting long-term resident care.Additional processes, tools, and skills of relevance include:• Minimum Data Set (MDS) 3.0• Resident Assessment Instrument (RAI) • Patient-Driven Payment Models (PDPM) • Medical Terminology and Coding• Case Mix Index (CMI) • Medicare and Medicaid Utilization• Bed Management and Length of Stay• Written Care Plan Development • HIPAA Compliance and Confidentiality Software platforms:• Electronic Medical Records (Meditech, Epic, PointClickCare, NetHealth/Optima, Casamba)• Microsoft Office (Excel, Word, Outlook, PowerPoint, SharePoint, Teams)Accreditations: • Licensed Registered Nurse: Illinois (041.402389), Tennessee (RN270376), and Pennsylvania (RN780250)• Basic Life Support (BLS) - Certified• RAC-CT Certification - American Association Nurse Assessment Coordination (AANAC) | Exp Jan 2025• International Classification of Diseases (ICD-10)

John Cook, Rn's Current Company Details
Haven Healthcare

Haven Healthcare

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Regional Reimbursement Specialist
Normal, IL, US
John Cook, Rn Work Experience Details
  • Haven Healthcare
    Regional Reimbursement Specialist
    Haven Healthcare
    Normal, Il, Us
  • Contracted Mds Coordinator / Care Plan Consultant
    Mds Coordinator
    Contracted Mds Coordinator / Care Plan Consultant Jan 2023 - Present
    Illinois, Tennessee, And Pennsylvania
    Contracted by various facilities to provide expertise in formulating MDS and individualized care plans within nursing, therapy, dietary, social services, activities, and restorative nursing programs. Assess current systems to ensure compliance with care planning and identify potential areas of improvement in IDT protocols. Train diverse staff members on improving the documentation of care plan processes and capturing increased reimbursement levels of services and programs implemented.Implement systems and education in CMS, RAI, and IDPH compliance for timely and accurate completion of MDS and individualized care plan development.Skilled health facilities include the following:• Heritage Health / Regency, Springfield and EL Paso, IL• Ascension Living-Heritage Village, Kankakee, IL• Lakeland Nursing, Effingham, IL• The Elms, Macomb, IL• El Paso Health Center, El Paso, IL
  • The Loft Rehabilitation & Nursing
    Mds & Care Plan Coordinator (10/2021 To 01/2023) And (04/2019 To 04/2021)
    The Loft Rehabilitation & Nursing Apr 2019 - Jan 2023
    Bloomington/Normal, Illinois Area
    Led multi-site training for the reorganizing and scheduling of MDS assessments and care plan processes using PointClickCare. Participated in all IDT, care plan, and case management meetings to monitor patient’s progress and promptly identified and addressed issues requiring additional treatment or therapy.Collaborated with case managers representing managed care organizations to facilitate timely and safe discharge plans for length of stay (LOS) patients.Improved Case Mix Index (CMI) adjustments through enhanced documentation for reimbursable services and trained the IDT on a collaborative approach for Patient-Driven Payment Model (PDPM) evaluations.Implemented quality assurance and performance improvement (QAPI) programs to increase acceptable levels of care for falls, pain management, weight loss, and wound treatments.
  • Aetna, A Cvs Health Company
    Rn Case Manager
    Aetna, A Cvs Health Company Apr 2021 - Sep 2021
    United States
    Aligned high-risk plan enrollees with outpatient services and resources that optimized their benefits and minimized unnecessary hospitalizations. Developed strategies that reduced barriers and addressed complex health and social indicators related to care planning and resolving member issues promptly.Proactively created corrective actions that addressed issues impacting short and long-term member outcomes. This involved enhancing care plan guidance, and continuing education.
  • Heritage Health Care & Rehab
    Mds & Care Plan Coordinator / Nurse Manager
    Heritage Health Care & Rehab Jun 2017 - Apr 2019
    Bloomington/Normal, Illinois Area
    Conducted physical assessments on new admissions, set the MDS schedule, and ensured proper forms and eligibilities were valid and present. Updated diagnosis codes (ICD-10) and coded and submitted proper PPS and OBRA assessments.Administered blood draws, IV initiation and medication, wound, and dressing treatments, and EHR charting. Supervised and educated staff and performed on-call duties as nurse manager as needed.Managed program expectations to facilitate the Accountable Care Organization (ACO) and Patient Access Network (PAN) Foundation while maintaining quality standards on stringent timelines.
  • Hcr Manorcare
    Mds Coordinator/Rn
    Hcr Manorcare Mar 2014 - Jun 2017
    Bloomington/Normal, Illinois Area
    Facilitated physical assessments on new patient admissions, established MDS schedules while validating proper forms and eligibilities. Updated diagnosis codes (ICD-10) in addition to coding and submitting OBRA and PPS assessments.Performed essential RN functions (blood draws, IV initiations, medication administration), acute care, and EMR charting. Supervised and coached staff members serving as nurse manager when called.
  • Osf Healthcare
    Registered Nurse
    Osf Healthcare May 2012 - Apr 2014
    Bloomington, Illinois
    Admitted, assessed, and discharged patients, administered medication, performed wound care, and assisted doctors with bedside procedures, IV initiations, and blood transfusions. Collaborated with healthcare teams in various units, including Orthopedic-Neurologic, Comprehensive Care Center (ICU and post-ICU), Family Care Center (general medical), and Transitional Care (skilled nursing and rehabilitation).
  • Osf Healthcare
    Patient Care Technician – Float Department
    Osf Healthcare May 2010 - Aug 2012
    Bloomington, Illinois
    Provided primary patient care and assisted in activities of daily living (ADL), safe ambulation, and transfers. Took vital signs and provided critical support to nurses as needed.
  • Osf Healthcare
    Intern - Ambulatory Care/Operating Room/Post-Anesthesia Care Unit
    Osf Healthcare May 2011 - Aug 2011
    Bloomington, Illinois
    Gained extensive knowledge of pre-procedure assessments and attaining appropriate consents. Facilitated requests from surgeons to the circulating nurse. Monitored patients’ vital signs to determine status for downgrading to the nursing unit.
  • Westminster Village - Martins Health Center
    Certified Nursing Assistant
    Westminster Village - Martins Health Center Jun 2009 - May 2010
    Bloomington, Illinois

John Cook, Rn Education Details

Frequently Asked Questions about John Cook, Rn

What company does John Cook, Rn work for?

John Cook, Rn works for Haven Healthcare

What is John Cook, Rn's role at the current company?

John Cook, Rn's current role is Regional Reimbursement Specialist.

What schools did John Cook, Rn attend?

John Cook, Rn attended Heartland Community College, Illinois State University.

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