Benita Sue Ollis
Warrensville
Summary
Dynamic healthcare professional with extensive experience in case management and MDS. Proven track record in regulatory compliance, enhancing team performance, and improving client outcomes. Skilled in MDS assessment and coding, fostering interdepartmental collaboration to drive quality improvement initiatives and ensure high standards of patient care. Accomplished Case Manager adept at handling high caseloads without sacrificing quality of care. Operates exceptionally well in high-pressure environments. Recommends best resources and courses of action to benefit patient needs and return each to optimal quality of life.
Overview
21
21
years of professional experience
Work History
Regional Remote Case Manager
Aston Health
Tampa
08.2021 - Current
- Maintained accurate documentation on all cases, ensuring compliance with regulations and confidentiality requirements.
- Conducted thorough assessments of clients' situations, identifying issues, goals, and necessary interventions.
- Monitored ongoing cases closely, adjusting case management strategies as needed based on evolving circumstances or new information.
- Educated clients on available programs, benefits, and services, empowering them to make informed decisions about their care needs.
- Supervision of 13 regional case managers.
- Served as assistant to director of case management
- Scheduling case manager assignments
- Monthly bill review
- Conducted potential new hire interviews
- Enhanced communication between clients and providers through consistent follow-ups and progress updates.
- Advocated for client rights when interacting with external agencies or institutions, ensuring fair treatment at all times.
- Achieved positive client outcomes by developing and implementing comprehensive case management plans.
- Lead weekly utilization review meetings
- Improved client satisfaction by efficiently addressing concerns or grievances in a timely manner.
- Trained new case managers, raising team's overall competency and service delivery standards.
- Enhanced team collaboration by leading regular case review meetings, promoting unified approach to client care.
Director of MDS Services
Citadel Care/Aston Health
Ft. Pierce
01.2015 - 08.2021
- Developed strong interdepartmental relationships, fostering a collaborative work environment.
- Established successful partnerships with key stakeholders to drive collaboration and strategic alignment.
- Enhanced staff performance by providing ongoing training and development opportunities.
- Led change management efforts, successfully navigating the organization through periods of rapid growth and transformation.
- Ensured regulatory compliance by staying current on industry standards and best practices.
- Implemented innovative solutions to address unique challenges within MDS services.
- Set schedules for staff to start and complete MDS assessments and care plan meetings.
- Verified prompt and accurate completion of MDS activities for billing.
- Assessed electronic medical record for required documentation to support MDS coding.
- Completed minimum data set assessments with strong collaboration across business, provider and clinical disciplines.
- Led weekly utilization review to go over recent clinical activities.
- Trained staff in correct techniques for completing and signing MDS assessments.
- Reviewed missing assessment reports and analyzed issues for leadership team.
- Complied with federal and state regulations for completion and coordination of RAI process.
- Established and maintained effective communication with staff, physicians and community organizations to promote high quality patient care.
- Communicated with patients, ensuring that medical information was kept private.
- Liaised with other healthcare professionals to develop comprehensive patient care plans and provide highest quality of care.
- Conducted routine facility inspections, identifying areas needing improvement and eliminating hazards posed to staff and residents for continued compliance with associated regulations.
- Managed quality measures to ensure highest outcomes.
- Held the highest PDPM reimbursement rates consistently for the region.
- Created customized care plans, working with hospital staff and families to assess and meet individual needs.
- Ensured timely completion of all MDS assessments, maintaining full compliance with federal and state regulations.
- Maintained up-to-date knowledge on CMS guidelines and changes to ensure accuracy in reporting and reimbursement processes.
- Completed assessments for residents admitted under skilled and services with average of 25-30 patients.
Lead MDS Coordinator
Glenbridge Health And Rehabilitation
Boone
01.2005 - 10.2014
- Ensured timely completion of all MDS assessments, maintaining full compliance with federal and state regulations.
- Maintained up-to-date knowledge on CMS guidelines and changes to ensure accuracy in reporting and reimbursement processes.
- Collaborated with nursing staff to provide accurate and timely clinical assessments for each resident, leading to improved overall care.
- Collaborated closely with therapy departments to accurately capture rehabilitation needs within MDS documentation, supporting appropriate resource allocation for residents' needs.
- Enhanced patient care quality by implementing comprehensive MDS assessments and care plans.
- Provided ongoing education for nursing staff regarding MDS best practices, contributing to a knowledgeable and skilled workforce.
- Monitored changing regulations related to RAI/MDS requirements, keeping staff informed about updates that impact their daily work routines.
- Implemented interdisciplinary meetings focused on individualized care plan development, resulting in more targeted interventions and improved resident outcomes.
- Developed a comprehensive system for tracking MDS completion deadlines, ensuring timely submissions and minimizing the risk of financial penalties.
- Developed strong relationships with interdisciplinary team members to facilitate efficient collaboration on resident care planning.
- Reduced errors in data collection by streamlining the MDS process and improving communication among interdisciplinary teams.
- Conducted audits of current MDS records to identify discrepancies and improve record accuracy, enhancing reimbursement rates for the facility.
- Supported facility-wide initiatives aimed at reducing hospital readmissions by closely monitoring MDS data for trends and potential areas of concern.
- Identified areas of improvement in the facility's quality measures through thorough analysis of MDS data, resulting in targeted interventions and better outcomes for residents.
- Reduced hospital readmissions with proactive monitoring and intervention for residents at high risk.
- Ensured compliance with federal and state regulations by meticulously reviewing and updating resident care plans.
- Supported resident families with clear communication, providing updates on care plans and answering questions about MDS process.
- Facilitated smooth transitions of care by collaborating with external healthcare providers, ensuring continuity of care for residents.
- Completed assessments for residents admitted under assessments requiring up to 30 skilled.
Education
No Degree - Nursing LPN
Mayland Community College
Spruce Pine, NCSkills
- Utilization review and case management
- Documentation and reporting
- Effective communication strategies
- Discharge planning and care coordination
- Task management proficiency
- Client assessment and care planning
- Regulatory compliance expertise
- Staff training and development
- Interdepartmental collaboration
- Quality improvement initiatives
- Conflict resolution techniques
- Team leadership skills
- Time management and organization
- EMR / EHR proficiency
- Health history documentation
- MDS assessment and coding
- Medicare reimbursement knowledge
- Geriatric nursing expertise
- Care plan development and implementation
- Interdisciplinary team collaboration
- Quality assurance and HIPAA compliance
Timeline
Regional Remote Case Manager
Aston Health
08.2021 - Current
Director of MDS Services
Citadel Care/Aston Health
01.2015 - 08.2021
Lead MDS Coordinator
Glenbridge Health And Rehabilitation
01.2005 - 10.2014
No Degree - Nursing LPN
Mayland Community College
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