Monica Day

Experience

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  Madison Memorial Hospital

  Jan 2013 - Jan 2015

  Med surge nurse
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  Teton post acute care and rehab

  Jan 2015 - Mar 2018

  Clinica nurse charge nurse
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  Elite Staffing Inc

  Jan 2018 - Jan 2020

  Travel Nurse

  Work in a constantly changing work environment by traveling to various facilities.• Investigating and putting into effect the necessary procedures and mechanisms required to comply with the applicable safety rules, standards, and regulations of each facility.• 30+ patients/nurse- make them feel comfortable, build trust and meet patient ADL’s.• Order supplies- works with other reps. Keep medication and supply rooms fully stocked.• Do assessments each shift including care plans, wound care, admissions, and discharges.• Delicate to CNA team by collaborating patient needs.• Communicate treatment plans to the patient. Review treatment plans with doctors.• Be proficient in company software consisting SLACK, Microsoft Office EMS charting systems. Mostrar menos

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  Life Care Centers of America

  Jan 2020 - Jan 2021

  Rehabilitation Nurse
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  Thatcher Brook Rehabilitation and Care Center

  Jun 2020 - Oct 2021

  Rehabilitation Nurse
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  CVS/Caremark

  Jun 2021 - Mar 2023

  CVS prior authorization Nurse

  • Call on 20+ clinicians daily to ensure collaboration between CVS Pharmacy and doctor protocols.• Utilize a consultative approach to develop solutions to ensure a win/win solution for all stake holders.• Assigned the most advanced and high case load amongst team members.• Received promotion and recognition for being the top producing nurse within the region.• Follow up frequently on all pending cases to move them through sales pipeline until resolution.• Mentor team members on company software consisting of CRM program, SLACK, Microsoft Office.• Perform comprehensive research of patients’ needs and doctors’ procedures before contact is made.• Ensure team member success by fostering participation in team calls, role plays, and daily meetings.• Maximize time by setting goals, prioritizing needs, developing strategies, and executing plans.• Advocate for the patient to make sure they are getting the best quality of care.• Meet or exceed daily, weekly, and monthly goals, quotas, KPI’s, and deadlines. Mostrar menos

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  South Ogden Post Acute Care and Rehab

  Jan 2022 - Jul 2023

  MDS Coordinator

  Assess and monitor proper treatment for residents in nursing homes. Determine the health status, care plans, and procedures for intake of residents according to state and federal standards. Setting RUG levels for each resident and ensuring the facility is getting accurate, and maximum, reimbursement.

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  Ensign Services

  Jun 2023 - Oct 2023

  Clinical reimbursement nurse (MDS) and ADON

  Job Summary:As a Clinical Reimbursement Nurse, you will be responsible for ensuring accurate and timely reimbursement for healthcare services provided at our clinic. You will collaborate with healthcare providers, insurance companies, and billing staff to navigate the complex reimbursement process. Your primary goal will be to optimize revenue collection while adhering to regulatory guidelines and maintaining compliance with billing and coding standards. Responsibilities:Job Summary:The Assistant Director of Nursing (ADON) is a key leadership role within our healthcare organization. As the ADON, you will support the Director of Nursing in managing and coordinating nursing services, ensuring high-quality patient care, and fostering a positive work environment for nursing staff. You will play a crucial role in promoting effective nursing practices, ensuring regulatory compliance, and maintaining a culture of excellence within the nursing Mostrar menos

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  Pivotal Consulting Services LLC

  Jul 2023 - now

  MDS nurse / PDPM consultant

  An MDS (Minimum Data Set) nurse consult typically involves a nurse who specializes in conducting assessments and consultations based on the MDS framework. During the consultation, the nurse reviews and collects essential medical and clinical information from patients, focusing on their health status, functional abilities, and care needs. This data is then used to create accurate and comprehensive documentation for regulatory compliance, reimbursement purposes, and to develop personalized care plans. The MDS nurse consult plays a crucial role in ensuring that patients receive appropriate care and that healthcare facilities maintain compliance with regulatory requirements. Mostrar menos