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performance improvement rn resume example with 19+ years of experience

Jessica Claire
Montgomery Street, San Francisco, CA 94105 609 Johnson Ave., 49204, Tulsa, OK
Home: (555) 432-1000 - Cell: - resumesample@example.com - : - -
Professional Summary
  • To continue to thrive in the Performance Improvement Department for Seaport Scripps Home Health PROFESSIONAL SUMMARY
  • Highly skilled career professional with more than 25+ years practical experience in hospital, home health, and primary care environments.
  • Established Performance Improvement RN which includes review and approval of all aspects of documentation, including the 485 orders, clinician documentation for SOC's, ROC's, Recerts, Discharges and Transfers. Quality Improvement, clinical resource for Field and office staff, PCM's. Reviewing insurance claims. OASIS certified.
  • Experienced RN Case manager which includes the oversight and coordination of the total care of multiple home health patients, including clinical and financial outcomes, from admission through discharge.
  • Serves as a resource to staff, manages and performs patient visits, assessments, education, scheduling, implementation and documentation of care plan for diagnosis, and administration of treatment procedures.
  • Works collaboratively with all members of the patient care team to ensure optimal patient outcomes.
  • Experienced RN Weekend Coordinator which includes coordination of patient care activity with all disciplines. Responsible for oversight of patient care, safety of patients and staff on the weekends and holidays.
  • Works collaboratively with the clinical staff to ensure optimal and timely patient care. Triages patient related phone calls, facilitates communication with internal and external customers.
  • Serves as a clinical resource for clinicians, responsible for oversight of weekend office staff.
  • Excellent Computer skills, member of the MYSIS core team which implemented the new documentation for clinical staff and also continued education with staff to ensure accurate and efficient use of the computer.
  • Strong ability to manage multiple schedules involving patients and staff to ensure continuity of patient care.
  • Highly proficient in telephone triage skills with clinicians, patients and Doctors.
  • Excellent understanding of patient referral process.
  • Highly proficient in all documentation/record maintenance and paperwork to ensure accuracy and patient confidentiality.
  • Experience in Performance Improvement; reviewing charts, Face to face, doctors' orders, and working with clinicians to help improve documentation skills.

Experienced Performance Improvement RN with over 5 years of successful experience in Reviewing all aspects of SOC's, ROC,' Recerts, Transfers and DC's, MD orders, development of 485 MD order. Good computer skills, able to use HCBC with minimal issues. Recognized consistently for performance excellence and contributions to success in the home health industry. Strengths in reviewing, auditing charts backed by training in RN Case Management, documentation, communication skills.

Skills
  • Performance improvements
  • Performance improvement strategies
  • Turnaround time improvements
  • Performance learning expertise
  • Operational performance improvement
  • Process and performance improvement
  • Learning improvements
  • Staff performance evaluation
  • Software improvements
  • Learning strategies
  • Quality improvements
  • Performance reviews
  • Continuous improvements
Work History
03/2020 to Current
Performance Improvement RN Legacy Health Services Wickliffe, OH,
  • Quality assurance program, including on-site evaluations, internal audits of SOC's, ROC's, Recerts and Discharges.
  • Reviewed all aspects of SOC's, ROC's, Recerts, Transfers and DC's, MD orders, clinician documentation, collaborating and correcting documentation as needed for consistent documentation and improved patient outcomes.
  • Resolved and able to troubleshoot Netsmart and HCBC problems, improved operations and provided exceptional clinician support.
  • Developed team communications and information for Team meetings.
  • Worked with PCM's to develop improroved financial outcomes.
  • Excellent communication skills to maintain ongoing open communication between co-workers, field staff and managment.
  • Maintained excellent attendance record, consistently arriving to work on time.
01/1999 to 01/2015
RN Case Manager Legacy Health Services Chardon, OH,
  • Provided direct patient care, stabilized patients and determined next course of action.
  • Reported patients' status and delegated nurse assignments to achieve optimal outcomes.
  • Administered medications and treatment to patients and monitored responses while working with healthcare teams to adjust care plans
  • Reviewed and approved of all aspects of documentation, including the 485 orders, clinician documentation for SOC's, ROC's, Recerts, Discharges and Transfers. Quality Improvement, clinical resource for Field and office staff, PCM's. Reviewing insurance claims. OASIS certified.
  • Administered medications and treatment to patients and monitored responses while working with healthcare teams to adjust care plans.
  • Promoted patient and family comfort during challenging recoveries to enhance healing and eliminate non-compliance problems.
  • Observed and documented patient factors such as diets, physical activity levels and behaviors to understand conditions and effectively modify treatment plans.
  • Audited charts and reviewed clinical documents to verify accuracy.
  • Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
  • Accurately documented all elements of nursing assessment, including treatment, medications and IVs administered, discharge instructions and follow-up care.
  • Provided complete care to home health patients, including physical assessments, medication and chronic disease management.
  • Implemented care plans for patient treatment after assessing physician medical regimens.
  • 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.
  • Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process and management and lifestyle options.
  • Collected blood, tissue and other laboratory specimens and prepared for lab testing.
  • Educated patients and answered questions about health condition, prognosis and treatment.
  • Managed patients recovering from medical or surgical procedures, including facilitating wound care, ostomy care, pressure ulcer prevention and pain management.
  • Conducted regular re-evaluations to address changes in needs and conditions, introducing revisions to care plans as needed.
  • Consulted with clinicians to devise and manage effective ongoing care plans for at-risk patients.
01/2007 to 01/2012
RN Weekend Coordinator Scripps Home Health Care City, STATE,
  • Increased customer satisfaction by resolving client related issues.
  • Devoted special emphasis to punctuality and worked to maintain outstanding attendance record, consistently arriving to work ready to start immediately.
  • Resolved conflicts and negotiated mutually beneficial agreements between parties.
  • Saved money by implementing cost-saving initiatives that addressed long-standing problems.
  • Transported supplies as needed to customer locations after working hours.
  • Handled 40+ calls per 8 hours to address customer inquiries and concerns.
  • Resolved Weekend problems, improved operations and provided exceptional client support.
  • Maintained excellent attendance record, consistently arriving to work on time.
  • Promoted patient and family comfort during challenging recoveries to enhance healing and eliminate non-compliance problems.
  • Managed patients recovering from medical or surgical procedures, including facilitating wound care, ostomy care, pressure ulcer prevention and pain management.
  • Reported patients' status and delegated nurse assignments to achieve optimal outcomes.
  • Delivered high level of quality care to diverse populations while overseeing patient admission and triaging based on acuity and appropriate department admission.
  • Provided complete care to home health patients, including physical assessments, medication and chronic disease management.
01/1997 to 01/1999
RN Case Manager Sun Plus Home Care City, STATE,
  • Provided direct patient care, stabilized patients and determined next course of action.
  • Administered medications and treatment to patients and monitored responses while working with healthcare teams to adjust care plans.
  • Promoted patient and family comfort during challenging recoveries to enhance healing and eliminate non-compliance problems.
  • Observed and documented patient factors such as diets, physical activity levels and behaviors to understand conditions and effectively modify treatment plans.
  • Audited charts and reviewed clinical documents to verify accuracy.
  • Accurately documented all elements of nursing assessment, including treatment, medications and IVs administered, discharge instructions and follow-up care.
Education
Expected in 2010 to to
Bachelor Degree: Nursing
Grand Canyon University - ,
GPA:
Expected in 1977 to to
Associate Degree: Nursing
Pacific Union College - Angwin, CA
GPA:
Certifications
OASIS Certification 2015 - present
Additional Information
  • ADDITIONAL ACCOLADES , Scripps Health Quality Award for Medication Reconciliation 2007 Scripps Values in Action Award 2005 Nurse of the Year home health 2005 Nurse Preceptor 1990 – 2015
Accomplishments
  • Documented and resolved OASIS documentation which led to improved financial margins and patient outcomes.

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Resume Overview

School Attended

  • Grand Canyon University
  • Pacific Union College

Job Titles Held:

  • Performance Improvement RN
  • RN Case Manager
  • RN Weekend Coordinator
  • RN Case Manager

Degrees

  • Bachelor Degree
  • Associate Degree

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