Healthcare professional with Registered Nurse and Adult Gerontology Primary Care Nurse Practitioner licenses with a strong background in patient care and medical support. Dedicated, efficient and detail oriented team player with excellent interpersonal skills, compassion and commitment towards collaboratively maintained treatment plans. Skilled in triaging, prioritizing care, developing comprehensive care plans, assessing for changes in health status, and medications. Knowledgeable and proficient with Epic, Cerner and Meditech electronic charting systems as well as Nuance and 3M 360 coding systems.
Overview
22
22
years of professional experience
1
1
Certification
Work History
Registered Nurse - Staff, Staff-Flex, Travel RN
AdventHealth
10.2021 - Current
Direct postoperative patient care after various spine, knee, hip, elbow and shoulder orthopedic surgeries, following strict protocols in compliance with Orthopedic and Spine Center of Excellence accreditation guidelines
Direct postoperative ICU level patient care after extensive head/neck cancer flap surgeries including new airway/tracheostomy/laryngectomy’s
Extensive experience with artificial airways and tracheostomy suctioning, surgical wound and drain care, feeding tubes, assessments and detecting complications
Provided high quality nursing care by being prompt, courteous, competent and professional to a wide range of patients and their individual healthcare needs with diagnoses such as CVA, MI, GI bleed, DVT’s, COPD exacerbations, COVID, Head and Neck cancers/complications, post-operative complications/infections, osteoarthritis, RA, etc
Assisted in the training and mentorship of 10+ new graduate and experienced nurses contributing to a positive work environment and high-quality patient care.
Educated patients and caregivers of proper surgical and postoperative management, discharge plan objectives, safe medication use, and disease management.
Conducted thorough patient assessments and utilized critical thinking to prioritize and identify changes in condition, acuity and individualized patient needs, promptly notifying physicians and initiating appropriate interventions when necessary.
Performed same duties as CDI role as well as oversaw a unit of 18 CDI employees and collaborated daily with a multidisciplinary team consisting of medical, clinical, health information and medical record personnel.
Managed shifts, workflow efficiency, project timelines and productivity
Evaluated staff performance and provided coaching to address inefficiencies.
Played an integral role in the teaching of staff and successful implementation of new 3M 360 Encompass software, providing valuable input during system design phases and facilitating seamless transition periods for all involved parties.
Clinical Documentation Integrity Specialist (CDI)
University Of Miami Hospital And Clinics
11.2017 - 12.2020
Facilitated interdisciplinary collaboration between physicians, nurses, case managers, coders, and other relevant stakeholders regarding the appropriate representation of patient severity levels within EHRs.
Analyzed data from audits to identify areas for improvement in clinical documentation processes, implementing targeted interventions for positive change.
Questioned physicians regarding missing or unclear health record documentation and requested further information for clarification purposes and expedited accurate clinical documentation completion by promptly responding to queries from healthcare providers and support staff, offering timely guidance.
Knowledge of and experience with Nuance and 3M 360 Encompass ICD-10 coding system.
Educated healthcare staff on the importance of proper clinical documentation, fostering a culture of accuracy and accountability.
Improved clinical documentation quality by conducting thorough reviews and providing feedback to healthcare providers.
Maintained strong knowledge of medical terminology, diseases and conditions and procedures.
Registered Nurse
University of Miami Hospital
08.2011 - 10.2017
Conducted thorough patient assessments to identify changes in condition, promptly notifying physicians and initiating appropriate interventions when necessary.
Utilized critical thinking skills to prioritize nursing interventions based on patients'' acuity levels and individual needs.
Provide education to new/existing patients and families in regards to general health, illness prevention, and discharge instructions
Maintain patient medical records, work effectively with patient care teams, obtain patient vital signs, and act as Charge Nurse which requires supervising nursing staff members
5+ years of charge nurse experience.
Administered medications safely according to established guidelines while closely monitoring for side effects or adverse reactions requiring intervention.
Collaborated with interdisciplinary and the Epileptic Monitoring Unit team to develop comprehensive treatment plans for complex patients and the weaning of epileptic medications and inducing seizures to assess candidacy for surgery.
Improved patient outcomes by implementing evidence-based nursing interventions and individualized care plans.
Secretary
PGRA, INC.
01.2003 - 12.2008
Performed routine clerical and administrative functions such as answering multi-line phone calls, returning emails, organizing and maintaining paperwork and files.
Provided clerical support to company employees by copying, faxing, and filing documents.
Handled sensitive information discreetly, maintaining confidentiality when managing personnel files or financial data.
Managed executive calendars, scheduling appointments and meetings to optimize time management.
Managed and arranged business trips. Scheduled appointments and conducted follow-up calls to clients.
Frequent inventory checks of office equipment and supplies.
Entered data into system and updated customer contacts with information to keep records current.
Prepared professional correspondence, including memos, letters, and emails, ensuring accuracy and timeliness.