Highly motivated LPN with 20 years experience in a robust variety of nursing roles and settings, with interest in a position that focuses on providing knowlege and enhancement to both the provider and consumer experience within the ever-changing healthcare system.
*Knowlege and understanding of CMS regulations governing healthcare delivery
*Strong computer skills
*Resourcefullness in obtaining information and accomplishing objectives
*Courage and creativity to think 'outside the box' when appropriate
*Ability to elicit cooperation and lead effectively
*Ability to think quickly and react productively in adverse situations
*Confidence in speaking/comunicating both interpersonally and publicly
*Ability to learn and retain information quickly for practical and logical application
*Ability to problem solve with consideration to all perspectives for well-rounded solutions
*Ability to work autonomously, with self regulation of efficiency and effectiveness
*Passion for teaching and ability to articulate information to align with a given population/individual's learning needs
*Adaptable to change
*Desire to learn new skills and develop competencies
*Review submitted clinical information against CMS and/or MCG to determine appropriateness of level of care provided
*Corroborate with both facility and internal case managers to facilitate safe discharge plans and outcomes for plan members
*Participate in both virtual and off-site initiatives to develop pilot programs and process enhancements
*Held appointed position of SME(Subject Matter Expert) within my role, providing assistance to leadership with managing reports, process changes and serving as a resource to my peers and preceptor to new hires
*Created and proposed ideas and tools that were subsequently adopted by my regional team to improve efficiency in tasks and communication with constituents
*Maintained an active role in my region's engagement committee, facilitating virtual and live activities to boost and sustain cohesiveness and morale
*Received both a regional STAR award by my immediate leader, as well as a nomination by Senior leadership for a national SUMMIT award for explemplory performance in ensuring member safety
*Utilization review of acute inpatient, skilled nursing facility, acute rehabilitation, and Long Term Acute Care cases.
*Proactive discharge planning to and from afore noted levels of care.
*Successfully adapted to multiple sudden and involuntary role changes within the company, with limited training
*Achieved score of 100% on most internal case audits Attained exemplary performance reviews and subsequent incentive rewards
*Received accolades from colleagues and constituents in the form of team "e.thank you's" within and via email/telephone calls to my leadership
*Maintained knowledge of policies, procedures and products through completion of technology based and instructor training courses
*Sought out by co-workers in varying roles as a resource for information and assistance with technology, as well as efficient work flow practices
*Complete medical, emotional andsocial maintenance of children with ventilator dependency, tracheotomy and gastric tube care, enteral feeding needs, physical and mental developmental challenges within a group home setting.
*Administered and monitored medication and maintained appropriate and accurate documentation
*Provided education and support to family members and therapists
*Promoted peer interaction and age appropriate activities for social development
*Maintained equipment and supplies to optimize function and promote an aseptic environment
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