Energetic & articulate healthcare professional with 25 years' experience in healthcare. Ability to apply strong communication and people skills, and advocate for patients. Highly skilled in working within collaborative environments, utilizing effective problem-solving techniques, and motivational interviewing & counseling. Demonstrated clinical skills that guide skilled and effective patient interventions. towards achievement of positive outcomes.
Skills
Organization and planning
Relationship and trust building
Maintaining quality assurance standards
Strategic planning & problem resolution ability
Verbal and Written Communication
Interdepartmental Coordination
Epic Systems
Decision Making
Time Management
Critical Thinking
Clinical Issues Understanding
Outcome improvement-based Care Planning
Clinical Quality Program Standards
HIPAA Guidelines
Resource Monitoring
Patient Care Assessment
Community-based support Programs
Experience
04/2021 to Current
Supervisor of Complex Case Management Baptist Health Care – Jay, FL,
Worked with Complex Case Management teams to optimize every aspect of patient care from clinical and administrative perspectives.
Created and implemented case management programs after analyzing quantitative data about patient intake and discharge.
Directed and trained highly qualified staff to manage time effectively while maintaining QI measures
Completed Health Electronic Records documentation and assessments by team members to hold staff members accountable to case management objectives and departmental standards.
Interpreted MOC regulations and policies to establish compliance with operational requirements.
Interpreted CMS & KP GA regulations and policies to establish compliance with operational requirements.
Demonstrated expertise in creating accountable teams which closely followed corporate healthcare strategies.
Collaborated with team members and other departments to identify and accomplish CCM objectives.
09/2013 to 04/2021
Complex Case Management LeadKaiser Permanente, WA Region – City, STATE,
Established relationships with all stakeholders, including patients and their support systems, management, physicians, therapists, in-patient & out-patient behavioral health programs; and community resources.
Determined patient needs through careful and active listening skills and identified appropriate discharge & placement solutions to optimize discharge planning & minimize readmission.
Communicated effectively with medical staff and management regarding patient care deficiency that would negatively impact timely & safe discharge form hospital.
Assessed patient discharge & placement requirements and managed outreach to DSHS & Home & Community Services to facilitate funding for appropriate & safe patient placement.
Entered accurate patient & clinical data into KP utilization review & patient healthcare system using JIVA, Epic KP & Epic CHI. Use Excel, Microsoft Office & Word to produce accurate & timely documentation to all stakeholders, within KP WA quality guidelines.
Trained new team members on various care management duties, including documentation on all software, patient case management, and continue to provide support and mentoring in complex case management skills.
Coordinated aspects of patient care by cultivating, overseeing and managing team of CCMs.
Optimized program resource utilization to promote timely and cost-effective patient treatment.
09/2005 to 08/2013
Clinical Manager of Oncology CHI/Franciscan Healthcare/St Joseph Medical Center – City, STATE,
Organized the department in accordance with corporate administrative guidelines in order to provide specified nursing services to meet the legal, organizational and medical staff guidelines.
Promoted team education, audited services, monitored medications and oversaw nursing care to meet department and facility objectives.
Provided strong leadership and guidance to 100 direct reports, including RN, LPN, HUC, CNA, Social worker, Care Manager, & Clinical support coordinator,
Promoted team education, audited services, monitored & random-surveyed controlled substances and oversaw outcomes of all aspects of clinical care to meet department and facility objectives.
Implemented OSHA and WISHA biohazard safety training and prevention programs for staff. Certified in disaster response, and member of Response Code team.
Established and maintained positive relationships with physicians, hospital staff, other department managers, patients and families.
Pursued opportunities and leveraged expertise to optimize patient care, improve outcomes and optimize the performance of all team members. Served as Chair of Clinical Support Committee for 6 years; & sponsored multiple "LEAN" RPIW & process improvements that impacted entire system.
Earned certification as LEAN Coach, & mentored other departments heads to control inventory of medical equipment on each unit.
Maintained quality care systems, standards and HIPAA confidentiality. Acted with Quality Assurance, Risk Management, & Patient Advocacy departments to ensure safe, transparency & excellence of care.
Conducted probationary and annual performance evaluations of all nursing staff.
Led team in delivering care services that promoted optimal resident health.
Promoted self-advocacy in patients to aid in mitigating family and healthcare-provider relationships throughout complex and challenging care protocols.
Initiated & supported Level 1 research team of nurses to work with specialist physician group.
Mentored and coached nursing staff, listening to concerns and providing counsel.
Attended facility education workshops and programs.
Memorized and responded to crises codes. Acted as first responder to codes on my own unit, & developed a strong team of RN, CNA and HUC responders to unit code situations.
Successfully recruited RNs, LPNs, CNAs, & HUCs in a a highly competitive market. Reduced use of agency nurses from 12 to 0 within 14 months. Actively recruited, hired, mentored, & retained staff. Exceeded corporate turnover targets.
Collaborated with management teams in order to implement and evaluate programs and services.
Collaborated with department managers to correct problems and improve services; & established collaborative inter-rater reliability relationship with fellow unit.
Exceeded initial percentage of board-certified ONS oncology nurses on unit threefold by end of tenure.
05/2000 to 08/2005
Clinical ManagerVAMC VISN XI – City, STATE,
Encouraged high morale and staff retention through effective communication, prompt problem resolution, proactive supervisory practices and facilitation of proactive work environment.
Supervised sixty two staff members and provided periodic performance evaluations.
Employed active listening and interpersonal talents to effectively interact with various individuals, including physicians, resinents, nursing students, patients and fellow employees.
Collaborated with healthcare professionals to deliver high-quality patient care.
Oversaw daily activities and interactions with patients.
Interviewed applicants and made recommendations for new hires.
Managed clinical operations and procedures and enforced adherence to federal and state regulations and healthcare law requirements.
Improve policies and procedures through development, implementation, revision and evaluation of new protocols.
Enforced compliance with local, state, and federal healthcare regulations, including Medicare and Medicaid requirements, HIPAA and OSHA.
Developed and initiated departmental goals, standards of performance, policies and procedures.
Education and Training
Expected in 2002
Master of Science: Nursing Clinical Strategies & Analytics The University of Alabama - Tuscaloosa, AL GPA:
Expected in 2000
Bachelor of Science: Nursing William Carey University - Hattiesburg, MS GPA:
Expected in 2023
Master of Science: Psychiatric Mental Health Nurse Practitioner Purdue University - West Lafayette, IN, GPA:
Accomplishments
Bilingual in English/Spanish
Implementation
Assisted in implementation of new tracking system for HCAHPS scores that resulted in improved patient care-because staff could see the quarterly results of their activities like: AIDET.
Clinical Services:
Developed & sponsored LEAN RPIWs to streamline & improve the supplies inventory & timely availability of time-of-contact equipment.
Established program to support & promote advanced education & board-certification of staff.
Policy Development:
Developed the whiteboard patient communication tool to facilitate thorough communication among patient & their support systems and clinical team.
Total Quality Management:
Rolled out and sustained the AIDET program for staff to enhance patient care experience.
Awarded “Manager Who Is Going Places" by CHI FHS Spirit at Work team
Active Member of Ethics Council at CHI FHS for seven years. Earned Ethics Associates certification in 2010 by completing national 12 month program, & presenting Ethics Project to national audience.
Promoted health and wellness in the community through outreach events like speaking at Annual Memorial Spanokopoulis Golf Tournament at Fircrest Golf Club. At the request of NW Oncology Associates I gave presentations regarding oncology needs in our community; & raised >$56,000.00 for the SJMC Oncology unit.
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