Talented Program Director skilled in handling administrative, operational and outreach program functions. Wears many hats to accomplish dynamic objectives. Ready to apply 12 years of experience to new professional challenges with growth-oriented organization.
Hi, I’m
Arielle Balducci
Hospice Program Director
Summary
Overview
12
years of professional experience
1
Certification
Work History
Bristol Home Care & Hospice AgencyBristol, CT
Hospice Program Director & Nurse Manager
04.2021 - Current
Job overview
- Oversees hospice program, manages clinical and non-clinical staff members including the hospice medical director
- Expert in Medicare & Medicaid Hospice regulations
- Facilitates weekly IDT meetings
- Supervises the maintenance of a balanced caseload and organizes the flow of work, utilizing clinical staff and makes field assessments as needed
- Ensure criteria is met for patient admissions and re-certifications based on Medicare requirements
- Audits and maintains quarterly clinical record review
- NCQA/CAHPS
- Quality assurance and performance improvement
- Claims review and audits
- Claims appeals and denials
- Targeted Probe & Educate
- Understanding of criteria and interventions for individualized patient level of care
- Utilization management
- Policy writing
- EMR development and improvement
- Conflict management, service recovery
- Provide annual education to agency staff and at contracted facilities
- Supervisory visits, annual competencies
- Meditech, Home Run, Netsmart, Allscripts.
Bristol Home Care & Hospice AgencyBristol, CT
Hospice Registered Nurse On Call
03.2017 - 04.2021
Job overview
- Triage after hours and weekend calls, referrals and requests for assistance, complete admissions into care and make follow up visits
- Communicate significant findings and recommendations to ordering provider, clinical manager and members of interdisciplinary team
- Provide education and support to patients and caregivers regarding hospice plan of care
- Utilize hospice pharmacy as intended and arrange for local fills when appropriate
- Maintain compliance with Medicare/Medicaid/OASIS guidelines and protocols
- Maintain accurate and timely clinical documentation to ensure optimum patient outcomes.
Bristol Home Care & Hospice AgencyBristol, CT
Hospice Registered Nurse Case Manager
10.2013 - 03.2017
Job overview
- Assess homecare needs, being aware of the physical, emotional and spiritual aspects and gather data on social, economic and cultural factors which may influence health and quality of life
- Provide direct care and education to patients/families as prescribed in the interdisciplinary plan of care to maintain highest quality of life
- Assume responsibility for case management, monitoring of homebound status and discharge planning
- Evaluate and perform ongoing assessment and revise initial plan of care with interdisciplinary collaboration weekly or and as the needs of the patient/family change
- Maintain compliance with Medicare/Medicaid/OASIS guidelines and protocols
- Maintain accurate and timely clinical documentation to ensure optimum patient outcomes.
St. Francis HospitalHartford, CT
Staff RN- Medical Oncology/Hematology 8-1
07.2011 - 10.2013
Job overview
- Complex patient assignments with exceptional experience in CVC devices, wounds, ostomy care, pain management, patient education, medication administration and several other clinical skills and knowledge
- Exceptional intrapersonal skills with patients and family members to provide superior patient centered care for all patients including hospice and end of life care
- Continuous precision of care by collaborating with the medical and interdisciplinary team
- Provide direct patient care and emotional support, advocating, chemotherapy and biotherapy administration, delegation.
Education
University of Rhode IslandSouth Kingstown, RI
BSN
01.2021
University Overview
Goodwin CollegeEast Hartford, CT
ADN
01.2011
University Overview
Skills
- Nursing Leadership
- Strategic Leadership
- Clinical Record Review
- Case Management
- Education & Coaching
- Medicare/Medicaid
- Kaizen/QAPI
- Appeals & Denials
- Claims Auditing
- Utilization Management
Certification
- CPR, 08/2024
- Certified Hospice and Palliative Care (CHPN ANCC), 03/2024
- Registered Nurse, 101245, Connecticut
Timeline
Hospice Program Director & Nurse Manager
Bristol Home Care & Hospice Agency
04.2021 - Current
Hospice Registered Nurse On Call
Bristol Home Care & Hospice Agency
03.2017 - 04.2021
Hospice Registered Nurse Case Manager
Bristol Home Care & Hospice Agency
10.2013 - 03.2017
Staff RN- Medical Oncology/Hematology 8-1
St. Francis Hospital
07.2011 - 10.2013
University of Rhode Island
BSN
Goodwin College
ADN
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