Amanda Meshell

• Liaised between employees with health concerns and supervisors, maintaining medical confidentiality to communicate work status and coordinate return to work accommodations.
• Reduced workplace injuries by conducting thorough risk assessments and recommending appropriate safety measures.
• Maintained detailed records of employee health data, ensuring compliance with privacy regulations and facilitating data-driven decision making on workplace wellness initiatives.
• Enhanced employee productivity by providing prompt and effective medical care for work-related illnesses and injuries.
• Ensured high-quality patient care by establishing and maintaining stringent infection control protocols.

• Utilized critical thinking skills to prioritize nursing interventions based on patients'' acuity levels and individual needs.
• Conducted thorough patient assessments to identify changes in condition, promptly notifying physicians and initiating appropriate interventions when necessary.
• Administered medications safely according to established guidelines while closely monitoring for side effects or adverse reactions requiring intervention.
• Enhanced patient satisfaction by providing compassionate, holistic nursing care that addressed physical, emotional, and spiritual needs.
• Skillfully managed challenging patient situations using de-escalation techniques, crisis intervention strategies, and therapeutic communication skills.

• Developed patient care plans, including assessments, evaluations and nursing diagnoses.
• Provided and managed care for assigned post-operative patients through discharge for 24 bed unit. 
• Trained new hire nurses and other clinical and non-clinical staff members. 
• Participated in unit-based Quality Assurance Program and Discharge Planning. 
• Instructed patients and family members on proper discharge care.

• Supervising & directing all members of team, clinical and non-clinical staff
• Responsible for overall direction and guidance of patient care services
• Responsible for determining benefit eligibility and rehab potential of referred clients
• Managing budget of office
• Ensuring compliance with Medicare, CMS, Joint Commission rules, regulations, guidelines
• Marketing representative and liaison with other health care professionals for program development

• Caring for hospice patients in home and nursing home setting
• Managing caseload of up to 17 active patients independently
• Overseeing and managing all members of team, clinical and non-clinical
• Managing and maintaining Joint Commission Manuals and standards of care
• Organizing and leading Interdisciplinary Team Meetings
• Managing and assigning patient assignments to team members
• Conducting continuing education with staff
• Marketing with hospitals, doctors office and community obtaining numerous referrals

Job Duties:

• Efficiently handled very demanding schedule with high caseloads and random assignments.
• Met daily productivity expectations by completing assigned cases.  
• Maintained HCS-D coding and OASIS certifications
• Review of OASIS assessments, provided coding and data item recommendations based on clinical assessment and coding/OASIS guidelines. Use of multiple reports, auditing tools & programs developed by the company to enhance quality.
• Review of plan of care, utilization of services. Based on clinical assessment and client needs, recommendations made to POC & utilization for the assessing clinician to review.
• Provided OASIS/POC/Coding education to assessing clinicians, as needed, by means of telecommunications, webinars, in-office training.
• Maintained an accurate daily excel spreadsheet record of each OASIS reviewed, including recommendations made and data collection for company reports.
• Performed monthly peer reviews, as required.
• Provided training to new hires.

• Performed audit reviews on large percentage of active and discharge charts monthly.  Produced quarterly reports identifying issues that needed to be addressed and developed plan of action/correction in coordination with clinical team.(Lufkin, Nacogdoches, Livingston branches)
• Participated in weekly case conference and assisted in the development of the plan of treatment for each case discussed.
• Maintained an infection control log and monthly infection reports.  Provided education to employees regarding infection control measures as needed.
• Supervised LVN/CNA visits.  Maintained CNA continuing education log and provided CNA's with the appropriate materials and education required for credit hours. 
• Assisted primary and branch offices in ADR management and reviews.

• Effectively managed team of 100 plus patients.
• Completed Supervisory, SOC, RC, Transfer, ROC and Discharge OASIS per OASIS/CMS guidelines, for all patients on team.
• Performed thorough head-to-toe assessments, wound care, lab tests and treatments as ordered per physician & communicated abnormalities/results effectively.
• Instructed/counseled patients and family members on disease management, health maintenance and discharge care effectively.
• Trained new staff on home health care policy/procedures.

• Acute & chronic patient care in med-surg unit, adeptly handling all aspects of treatment for a number of patients per shift. 
• Effectively managed clinical oversight as charge nurse during weekend shifts for 22 bed unit.
• Properly administered all routes of medications, blood products and chemotherapy.
• Provided orientation to new RN/LVN staff members on the unit.