Experienced RN with over 36 years of experience in healthcare. Excellent reputation for resolving problems, improving customer satisfaction, and driving overall quality improvements. Consistently maximized reimbursement through assessment, review and management of care.
Skills
Nurse Leadership
Chart Auditing
Collaborative Leadership
Educational leadership
Addiction specialist
Physical assessment
EMR / EHR
ICD-10 Coding
Case management
Strong clinical judgment
Work History
Lead MDS Nurse, 06/2019 - 09/2019 Pruitthealth – Lilburn, GA,
Offered data-driven recommendations aligned with overall company strategies and prioritized process improvement initiatives.
Discussed medical histories with patients in effort to provide most effective medical advice.
Created customized care plans, working with hospital staff and families to assess and meet individual needs.
Consulted with clinicians to devise and manage effective ongoing care plans for at-risk patients.
Conducted regular re-evaluations to address changes in needs and conditions, introducing revisions to care plans as needed.
Reduced care costs without sacrificing quality through effective service coordination and multidisciplinary collaboration.
Examined patients and documented history of current and previous conditions, illnesses, injuries and current medications.
Audited charts and reviewed clinical documents to verify accuracy.
MDS Coordinator/Case Manager Supervisor, 04/2016 - 05/2019 Health Care And Rehab Of Sanford – City, STATE,
Addressed disruptions in patient care, including delays in discharge, postponed procedures and discharge equipment unavailability.
Partnered with physicians, social workers, activity therapists, nutritionists and case managers to develop and implement individualized care plans and documented all patient interactions and interventions in electronic charting systems.
Followed all personal and health data procedures to effectively comply with HIPAA laws and prevent information breaches.
Updated patient charts, using Point Click Care, with data such as medications to keep records current and support accurate treatments.
Audited charts and reviewed clinical documents to verify accuracy.
Improved & maintained quality standards by performing routine chart audits and upholding internal and industry best practices.
ADON/MDS Director, 10/2014 - 02/2016 Bement Healthcare – City, STATE,
Observed and documented patient factors such as diets, physical activity levels and behaviors to understand conditions and effectively modify treatment plans.
Kept optimal supply levels in treatment rooms, triage and other areas to meet typical patient loads.
Trained new nurses in proper techniques, care standards, operational procedures and safety protocols to optimize performance and safety.
Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
Delivered outstanding care to patients with various diagnoses and managed care from treatment initiation through to completion.
Managed care from admission to discharge, including patient assessments, care planning, health educations and discharging support to provide comprehensive care to over 30 patients daily.
Participated in education activities, including evidence-based practice project implementation, nursing competency development and nursing simulation activities.
Oversaw and managed 20 clinical and support staff in patient care activities while maintaining high level of staff morale and professionalism.
Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process and management and lifestyle options.
Registered Nurse Clinical Coordinator, 10/2009 - 06/2014 Kirby Medical Group – City, STATE,
Vaccinated patients to protect individuals from measles, pneumonia, influenza and other illnesses of concern.
Collected blood, tissue and other laboratory specimens and prepared for lab testing.
Resupplied offices and examination rooms, labeled drawers and ordered new stock.
Called patients to share lab results and discuss physician orders.
Educated patients on use and benefits of equipment such as home blood pressure cuffs and glucose meters.
Oversaw and managed 6 clinical and support staff in patient care activities while maintaining high level of staff morale and professionalism.
Followed all personal and health data procedures to effectively comply with HIPAA laws and prevent information breaches.
Explained course of care and medications, including side effects to patients and caregivers in easy-to-understand terms.
Audited charts and reviewed clinical documents to verify accuracy.
Used first-hand knowledge and clinical expertise to advocate for patients under care and enacted prescribed treatment strategies.
Trained new nurses in proper techniques, care standards, operational procedures and safety protocols to optimize performance and safety.
Sustained quality standards by performing routine medication audits and upholding internal and industry best practices.
Education
Associate of Science: Nursing, Expected in 12/2003 - Parkland College - Champaign, IL GPA:
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