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Jessica Claire
Montgomery Street, San Francisco, CA 94105
Home: (555) 432-1000 - Cell: - resumesample@example.com - -
Professional Summary

Driven and compassionate healthcare professional with 20 years of experience in long term care, rehab, hospital, and home health settings. My experiences include staff educator, EMR audit/review and information extraction for compliance and quality assurance purposes. Also reviewed EMR for transcription accuracy, appropriate ICD codes for medications and diagnosis, for compliance and accurate billing. Experienced in infection control protocols to include tracking and trending of infections,OSHA guide lines, with ongoing staff training and re-education. Knowledgeable regarding Risk Management compliance and successful grievance investigation and resolution.

Education and Training
Expected in 2014
Associates degree: Health Information Administration
Georgia Perimeter College - Decatur, GA
GPA:

Health Information Administration

Expected in 1994
LPN Bullard Havens Regional vocational technical school -: Practical Nursing
Bullard-Havens RVTS - Bridgeport, CT
GPA:
Skill Highlights
  • Staff training and development
  • In depth knowledge of POINT CLICK CARE EMR system.
  • EMR compliance audit/extraction
  • Strong supervisory and management skills
  • Critical thinking proficiency and problem solving.
  • Patient assessment
  • Effective customer service and grievance resolution.
  • Risk management/ patient and staff safety.
  • Experienced in Infection control compliance.
  • Wound care prevention and treatment.
Professional Experience
07/2014 to Current
float/agency nurse Midwest Health Olathe, KS,
  • LTC charge nurse to assigned facility
  • medication administration per MD order.
  • supervision of assigned cna's
  • patient assessment and appropriate response to findings.
  • communication of changes in condition to MD and family
  • Team member for wellness clinics, performing Biometric assessment and patient education.
2010 to 06/2014
Unit Manager Midwest Health Leavenworth, KS,
  • Daily supervision of nursing staff and residents on rehab unit.
  • Post admission EMR audit for physician order transcription accuracy, and medication/DX code accuracy and compliance.
  • Staff training/education.
  • Resident and care giver teaching r/t discharge or long term plan of care.
  • Abacus assessment for quality improvement.
  • Grievance/conflict resolution through investigation and customer staff education with focus on excellent customer service.
  • Infection control compliance per OSHA, state, and federal guidelines including tracking and trending of infections, prevention and staff training.
  • Focused resident and staff safety/ risk management education and monitoring,including and implementation of appropriate preventive measures.
  • Effective communication with practitioners, care givers and residents.
  • Facilitate weekly IDT meetings to address targeted residents issues, and ensure appropriate intervention and compliance.
  • Supervised Dementia/Alzheimer's unit (18months)
  • Behavior management with emphasis on safety and quality of life.
  • patient specific staff and care giver education.
  • closely monitored eating patterns and weight loss
  • medication management with monthly pharmacy consultant reviews and recommendations per state and federal guidelines.
  • Liaison between resident and psych practitioner to address undesirable behaviors or poor responses to medication regimen.
  • Previously wound care nurse for rehab and Dementia units (1yr)
  • Thorough skin assessment and documentation of findings.
  • Implementation of preventive measures and appropriate wound care treatments per MD orders.
  • Weekly wound assessment and documentation, including changes in wound treatment to promote healing.
  • Completing MDS assessments as scheduled.
  • Constructing patient specific care plans.
  • Collaboration with dietitian and therapy department for interventions to aid in wound healing and pressure relief.
  • Weekly and prn MD and family updates regarding status of wounds.
2006 to 02/2010
Unit Manager Signature Healthcare Of Buckhead City, STATE,
  • Supervisor of Dementia Unit
  • Assigned staff to meet patient care needs and monitor safety measures and standards, while adjusting plan of care as indicated.
  • Conducted monthly chart audits for transcription compliance and proper diagnosis coding.
  • Monthly chart reviews and extraction for Medicare and managed care compliance.
  • Staff education r/t infection control protocol, as well as risk management and compliance per state and federal guidelines.
  • MD and family notification of changes in condition.
  • Family and resident teaching.
05/2003 to 11/2006
Wound care nurse, Unit Manager, MDS nurse Ashtonwood Healthcare Center City, STATE,
  • Wound Care nurse
  • Received extensive wound care training, followed by a comprehensive written exam.
  • Implemented new wound care program
  • staff education r/t prevention, documentation and treatment of wounds.
  • Monitored weekly skin assessments, and implemented wound treatments as indicated.
  • completed risk assessments and implemented preventive measures.
  • weekly wound documentation with MD and family updates.
  • Constructed Skin/wound care plans and completed MDS assessment as scheduled.
  • Provided wound care treatments per MD order.
  • Collaboration with practitioners r/t assessments findings and recommendations for further diagnostic or surgical interntions.
  • Unit Manager of LTC /geriatric unit
  • Provided thorough supervision for day-to-day operations of unit in accordance with set policies and guidelines.
  • Staff, resident and care giver education.
  • Monitor and maintain all safety and infection control protocols.
  • Track, trend and intervene to to break chain of infection through staff education.
  • Evaluated patient care procedural changes for effectiveness.
  • Carefully selected, developed and retained qualified staff, as well as trained new staff routinely.
  • Chart review and extraction for the purpose of ensuring compliance with state and federal guidelines, as well as reimbursement requirements.
  • MDS nurse
  • Completed assessments as scheduled
  • Constructed care plans per cms guidelines
  • Reviewed/extracted medical record documentation to ensure proper ICD9 coding.
  • Collaboration with practitioners for appropriate diagnosis and medication review as indicated to maintain compliance.
  • Scheduled and facilitated care plan meetings with IDT members and families.
Certifications

LPN

AHA certified BLS instructor

Completed Train the trainer certification for cna instructor.


Skills
  • Wound care assessment, documentation and treatment
  • Medical record review and extraction
  • Effective communication and strong customer service

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Resume Overview

School Attended

  • Georgia Perimeter College
  • Bullard-Havens RVTS

Job Titles Held:

  • float/agency nurse
  • Unit Manager
  • Unit Manager
  • Wound care nurse, Unit Manager, MDS nurse

Degrees

  • Associates degree
  • LPN Bullard Havens Regional vocational technical school -

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