ANGELA RAYNOR-SUSCOVICH
Robbinsville,NJ
Summary
Highly competent SMQT certified Registered Nurse with a passion for coordinating quality care for the client. Offering 34 years of medical experience with 21 years in nursing roles. Able to communicate conscientiously with efficiency. Works well as team player and is able to conduct meetings such as Quality Assurance Committee, Shared Governance committee, wound care committee and infection prevention committee in the acute care setting. Exemplary interpersonal skills and organizational skills. Skilled at improving processes, analyzing systems to identify concerns and optimize performance. Maximizing quality and time with the client in mind. Talented Case Manager adept at handling high caseloads without sacrificing quality of care. Operates in high-pressure environments while recommending best resources and courses of action to benefit patient needs and return each to optimal quality of life. Conscientious professional with extensive experience advocating for social and economic well-being of individuals and families. Skilled at providing guidance, support and assistance. Strong communication and management skills and committed to inspiring community service. Dedicated and compassionate Registered Nurse (RN) with progressive career history in direct patient care, triage and care coordination in fast-paced environment. Proven to remain calm under pressure and skillfully handle difficult patients and high-stress situations. Consistently developing strong relationships with patients and families through empathetic communication, respectful attitude and excellent customer service. Seasoned nursing professional offering proven clinical knowledge, natural interpersonal strengths and technical abilities. Knowledgeable about EMR charting, medication administration and interdisciplinary collaboration focused on optimizing patient care and support. Quality-focused and efficiency-driven leader. Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy.
Overview
21
21
years of professional experience
1
1
Certification
Work History
SMQT Certified, Registered Nurse Surveyor
Of Health
07.2021 - Current
- Work with medical teams, residents, and families to survey the facility is providing resident centered treatment plans according to Patient Rights and CMS guidelines
- Conduct observation, interviews, and chart reviews to evaluate comprehensive quality of medical care, dignity, and daily living of services provided by facility to resident
- Noting results in documenting deficient practices
- Cite facilities for not following CMS guidelines for resident centered approach or errors in their documentation process and billing/ notification procedures to CMS
- Special Focus Surveys, i.e..
- Focused Infection Control or Complaints
- Survey for Focused tasks; Kitchen, Sufficient and Competent Nursing Staffing, Infection Control, Abuse, Medication Administration and Storage, QAPI, Resident Council, Beneficiary Protection, Emergency Preparedness Plan
- Review to approve or deny Plan of Corrections (POC) provided by the facility for their deficient practices.
Registered Nurse Case Manager
Horizon NJ Health BCBS
11.2014 - 05.2021
- Reduced care costs without sacrificing quality through effective service coordination and multidisciplinary collaboration
- Consult with clinicians to devise and manage effective ongoing care plans for at-risk patients
- Identified care needs of individual patients and coordinated responses based on physician advice, insurance limitations and procedural costs
- Conducted regular re-evaluations to address changes in needs and conditions, introducing revisions to care plans as needed
- Evaluated healthcare needs, goals for treatment and available resources of each patient and connected to optimal providers and care
- Created individualized care plans based on nursing diagnosis and incorporated appropriate nursing methods to achieve positive outcomes
- Managed and streamlined referral queues of up to 45 by efficiently prioritizing patients and clearing insurance obstacles.
Med-Surgical Nurse
Robert Wood Johnson University Hospital Hamilton
05.2004 - 11.2014
- Provided high quality care to approximately 6-8 patients per day on 42 bed unit
- Performed Charge Nurse Responsibilities
- Assessed medical status of patients pre- and post-operation by checking vital parameters and supervising food intake
- Directed patient care by initiating and following through with plan of care, continuing care and discharge instructions
- Connected with patients and families from variety of cultural and economic backgrounds to establish and maintain open communication for improved patient outcomes and contribute to teaching process
- Communicated medical information and discharge instructions to patients and families to reduce return visits
- Participated in Performance Improvement, Shared Governance, Wound Prevention, and Infection Control policy committee to discuss policies, propose revisions and implement changes
- Assisted families by answering questions, supplying general information, and providing frequent updates on patient progress.
Education
Associate of Science - Nursing
Mercer County Community College
West Windsor, NJSkills
- Skilled in State and Private Facility
- SMQT (Surveyor Minimum Qualifications Test) certified
- NJDOH Complaint Surveyor
- Centers for Medicare and Medicaid Services
- ACO
- ASEQ
- CMS Guidelines
- MCG guidelines
- Joint Commission
- HIPAA Compliance
- CPT codes
- Infection Control
- Quality Improvement
- Customer service
- Windows
- Apple products
- Android products
- Highly organized
- Independent with tasks
- Multi-tasking
- Client oriented
- Retail associate
- Surgical Scheduler
- Cashier in retail setting
- Utilization Review
- Regulatory Compliance
- Records Management
- Discharge Planning
- Health History Documentation
- Case Management
- Patient Support
- Client Advocacy
- Referral Coordination
- Care Coordination
- Data Entry and Analysis
- Shared Governance
- Onsite Facility Tours
- Clinical Judgment
Accomplishments
ADDITIONAL INFORMATION
- Quality Assurance - Ensured and enforced medical office compliance with HIPAA, OSHA and CLIA regulations for maximum quality and control.
- Valid NJ Nursing License
- SMQT Certified
- Valid NJ Driving License
- Respirator and PPE fitted
- Cashier in retail and grocery setting 1986-2002
Certification
- Certified [Job Title], [Company Name] - [Timeframe]
- Licensed [Job Title] - [Timeframe]
Timeline
SMQT Certified, Registered Nurse Surveyor
Of Health
07.2021 - Current
Registered Nurse Case Manager
Horizon NJ Health BCBS
11.2014 - 05.2021
Med-Surgical Nurse
Robert Wood Johnson University Hospital Hamilton
05.2004 - 11.2014
Associate of Science - Nursing
Mercer County Community College