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Treflyn
Treflc@aol.com
904-742-0065
8002 Foxdale Drive
Jacksonville, FL 32210
MDS Coordinator/Resident Assessment (RN) / OPIS SENIOR SERVICES
29 years experience W2
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36
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Summary

Experience
MDS Coordinator/Resident Assessment (RN) / OPIS SENIOR SERVICES
Aug 2018 - present
Jacksonville, FL
Responsible for coordinating the entire RAI process. Documents patient case information within a database system Performs chart review/audits monthly or as needed Participates in monthly case conferences by providing information pertinent patient's needs/goals in the development and review of the patient's individualized coordination of care plan Ensures that the patients' medical needs are met consults with all interdisciplinary team as needed, coordinating plans of treatment, and advocating for the patient when necessary Promotes understanding of the medical factors affecting the targeted population Identifies and assists patient (s) in accessing entitlements, resources, information, and referrals for psycho- social needs Empowers patients in decision-making for care planning identify and participate in process improvement initiatives that improve the customer experience, enhance workflow, and/or improve the work environment. Oversee the coordination and participate in the completion of the Resident Assessment Instrument (MDS, CAA's and Care Plan) in accordance with current Federal and State Regulations. Assist in completion of the Resident Assessment Instrument with the Interdisciplinary Team.
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Clinical Registered Nurse/ MDS Coordinator/Resident Assessment (RN)
Jan 2017 - Aug 2018
Jacksonville, FL
Triage and assessed patients Provide patient-centered care Administered IV infusion Collaborate with other health care professionals and service providers to ensure optimal patient care. Provide specialized direct and indirect care to inpatients and outpatients within a designated specialty such as geriatrics Observe, interview, and assess patients to identify care needs Monitor or evaluate medical conditions of patients in collaboration with other health care professionals Plan, evaluate, or modify treatment programs based on information gathered by observing and interviewing patients, or by analyzing patient records Manage the MDS process to maximize clinical outcomes for patients.
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Owner/Director
Aug 1999 - Dec 2016
Jacksonville, FL
Responsible for setting the tone for the facility, managing the curriculum, overseeing physical facilities, hiring staff and managing the overall image of the center Ensure compliance with all local and federal laws governing child care, both in regard to the physical environment and the staff, and manage the financial affairs of the child care facility Work with qualified center staff to develop an appropriate curriculum and ensure that it complies with state and federal requirements Knowledgeable of local, state and federal laws regarding safety requirements and inspection and certification procedures, and ensure that the center complies with those requirements. Also evaluates and purchases equipment and supplies for the center or approves requests to purchase materials and equipment Teach classes or courses, or provide direct care to children
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Student Nurse Preceptor
Medical Devices
Jun 2014 - Sep 2015
Jacksonville, FL
Worked under the supervision of an RN providing bedside care, treatment and clinical documentation for patients on cardiac medical-surgical floor Handled medication administration, dressing changes, IVs and all other aspects of nursing care Practices with a high level of independence and decision-making in ambulatory, acute and chronic settings, functioning as a member of a health care team in collaboration with physicians and other professionals
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Enrollment/Claims Specialist
Jun 1998 - Jul 2003
Jacksonville, FL
Provided quality customer services in a fast-paced inbound call center environment Consistently achieved high than standard performance Processed commercial, Medicare HMO, PPO, physician, and facility pclaim daily Assisted with open enrollment on key accounts Review and research claims by navigating multiple computer systems and platforms and accurately capturing the data/information necessary for processing (e.g. verify pricing, prior authorizations, applicable benefits, coding) Communicates extensively with members and providers regarding adjustments to resolve claims errors/ issues, using clear, simple language to ensure understanding Update claim information based on research and communication from member or provider complete necessary adjustments to claims and ensures the proper benefits are
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Customer Service Loan Specialist
Jan 1996 - Jun 1998
Jacksonville, FL
Reviewed and responded to applicants and customer applying for loans Follow-up on automobile and payoff loans to verify customer information Provides administrative and/or operational support within the one or more of the following loan areas processing, closing, servicing, documentation, notes, disbursements, etc. Performs review of loan and collateral documents and loan packages to insure bank's security interest and adherence to established policies and procedures
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Customer Service Representative/Collections
Jan 1992 - Jan 1994
Jacksonville, FL
Arrange for debt repayment or establish repayment schedules, based on customers' financial situations. Advise customers of necessary actions and strategies for debt repayment. Locate and notify customers of delinquent accounts by mail, telephone, or personal visits to solicit payment. Answer customer questions regarding problems with their accounts. Locate and monitor overdue accounts, using computers and a variety of automated systems. Sort and file correspondence, and perform miscellaneous clerical duties such as answering correspondence and writing reports.
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Claims Adjuster
Jan 1992 - Jan 1994
Jacksonville, FL
Communicate with former associates to verify employment record and to obtain background information regarding persons or businesses applying for credit Examine claims form and other records to determine insurance coverage Examine titles to property to determine validity and act as company agent in transactions with property owners Negotiate claim settlements and recommend litigation when settlement cannot be negotiated
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Edit Skills
Non-cloudteam Skill
Education
Nursing
VIRGINIA COLLEGE 2015
SAMUEL W. WOLFSON HIGH SCHOOL 1990
Certifications
RN (Registered nurse
FL Elderly 701-B Form Certification
ICD-10-CM LTC Certification
DCF Child Care Certification CDA Directors Credentials: Child Care
Skills