Regina Spears

• Set schedules for staff to start and complete MDS assessments and care plan meetings.
• 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.
• Enhanced patient care quality by implementing comprehensive MDS assessments and care plans.
• 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.
• Verified prompt and accurate completion of MDS activities for billing.
• Assessed electronic medical record for required documentation to support MDS coding.
• 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.
• Completed minimum data set assessments with strong collaboration across business, provider and clinical disciplines.
• Implemented interdisciplinary meetings focused on individualized care plan development, resulting in more targeted interventions and improved resident outcomes.
• Led weekly utilization review to go over recent clinical activities.
• Conducted audits of current MDS records to identify discrepancies and improve record accuracy, enhancing reimbursement rates for the facility.
• Complied with federal and state regulations for completion and coordination of RAI process.
• Participated in quality assurance reviews to verify accuracy and reliability of data.

I have been a Registered Nurse for 29 years. I have worked in a variety of settings including private duty, geriatric inpatient psychiatric unit, home health and long-term care. I have also done social work for a charity organization and customer service for a mortgage company.