Bernita Chance
Highland Village,TX
Summary
Accomplished Nurse Practitioner with a strong background at Oak Street Health, recognized for exceptional servant leadership and expertise in clinical operations. Successfully led quality improvement initiatives that resulted in a 75% reduction in patient readmissions. Bilingual in Spanish, enhancing communication and care for diverse populations while fostering team development and patient-centered practices. Aiming to leverage clinical skills to further improve healthcare outcomes and enhance community well-being.
Overview
26
26
years of professional experience
1
1
Certification
Work History
Nurse Practitioner
Oak Street Health
Irving, TX
06.2024 - Current
- Assessed patient health conditions, developed individualized care plans in collaboration with patients and their families, and educated them about medical treatments and self-care management techniques.
- Built trust and rapport with patients by listening to concerns, advocating for wellness, and educating them on acute and chronic health issues, with the goal of reducing ER and hospital admissions.
- Delivered primary care for patients and handled diagnosis, treatment, referral for consultation, or specialty services, follow-up care, evening urgent care call and on-call emergency consultation.
- Helped patients and families feel comfortable during challenging and stressful situations, promoting recovery and reducing compliance issues.
- Coordinated with members of multidisciplinary teams to provide integrated services for complex cases. Communicated concerns regarding patients' status, care, and environment to appropriate members of the collaborative care team, including collaborating physicians, lead physicians, nurses, social workers, community health workers, and medical assistants.
- Managed care of critically ill patients with hypertension, diabetes, renal failure, cardiac disease, closed head injuries, strokes, seizures and tumors.
- Advocated for patients to ensure their needs and preferences were addressed.
- Participated in quality improvement projects to enhance patient outcomes.
Clinical Director
Flow Therapy
01.2022 - Current
- Assist an innovative healthcare company with its growth and expansion into its tenth clinic location
- Provide healthcare management leadership, developing and managing the clinical team
- Apply advanced outpatient cardiac enhanced external counter-pulsation therapy, improving high-risk cardiac patient outcomes
- Assist with improvements in patient education and chronic disease management
- Update practice policies to standardize care across 10 clinics
- Assess patients for appropriateness of therapy, collaborate with referring providers, and assist in creation of protocols for application across 10 clinics
National Clinical Director
AllerVie Health
01.2021 - 01.2022
- Assist rapidly growing, national Allergy and Immunology leader develop standardized healthcare processes, EMR utilization, and growth plans
- Create and implement standardized healthcare policies and procedures across 85 clinics nationally
- Identify and implement best practices across 85 clinics nationally
- Assess highest quality patient outcomes to improve shared-outcomes across 85 clinics
- Develop and implement state-of-the-art corporate-wide compliance program
- Use project management, healthcare knowledge, and business practice understanding to streamline care in a fiscally responsible manner
- Complete risk assessments, implement action plans, and monitor gap-to-goal progress to completion
- Create Clinical Operations standards to ensure company success
Division DSRIP Program Coordinator
St. Luke's Health
01.2019 - 01.2021
- Design and orchestrate the implementation of Division project budget, expenses, and revenues for strategic planning and leadership awareness
- Spearhead oversight and communications across multi-disciplinary and leadership teams on Value-based Performance across six hospitals to ensure valuation achievement based on maximized performance, timely and accurate reporting, opportunity identification, and implementation of strategies to meet expected patient outcomes
- Direct multi-channel communication with HHSC and CHI TX Division hospitals
- Identify improvement opportunities across clinical operations
- Create and implement strategic plans for clinical operational improvement
- Leverage team input and enthusiasm to implement change management strategies
- Assess operational risk in clinical settings
- Construct and execute risk management action plans
- Formulate and implement compliance programs across clinical operational settings
- Assist with build, training, and rollout of telehealth services
Telehealth Acute Care Sub-Committee Lead
CommonSpirit Health
01.2019 - 01.2021
- Create and spearhead implementation of hospital-based outpatient policies, procedures, protocols, and informal workflows during COVID-19 rapid-ramp-up
- Develop and submit multiple grant applications to assist in expansion of TeleHealth in the Texas Division
- Lead CommonSpirit National Acute Care Telehealth Tele-Presenter Subcommittee assessment of best-practices and spearheaded development of formalized tele-presenter workflows for implementation across CommonSpirit Health
- Work on formalized tele-presenter standards of practice for implementation across CommonSpirit Health
Program Manager
St. Luke's Health
01.2016 - 01.2021
- Maintain, analyze, and report program data to the Texas Health and Human Services Commission (HHSC) throughout the program's lifespan
- Create internal reports to track and report program metrics, outcomes, and coordinated process improvement efforts to meet program goals
- Successfully meet program reporting and goals, afford $46.2M over 7 years
- Develop program evaluations based on ROI, Triple AIM, Logic Models, and action plans for value-based purchasing program sustainability
- Collaborate with Payer Strategists to improve Value-Based Payment contracts
- Report successes and opportunities to executive, operational, physician, and nursing leadership at the local hospital and division-level
- Work on a multi-hospital team to identify Social Determinants of Health measurement and assessment tools and initiatives/programs for improving the outcomes of the most at-risk patients
Nurse Practitioner Team Lead
St. Luke's Health
01.2014 - 01.2021
- Design and manage multiple partnerships, including contractual budgets, with Home Health Agencies and Nurse Practitioner services to ensure patients received support in transiting from inpatient services to home
- Pilot partnership education around disease-specific interventions to improve early identification of post-acute issues, communication of such to the Nurse Practitioner-led team, assisting in reducing readmissions
- Choreograph multiple processes for improving communication and transitions of care from acute, immediate post-acute, primary, and specialty care services
- Transform the program-based model into a system-based model for implementation across the CHI St
- Luke's Health System
- Implement a system-based model across CHI Texas Division hospitals with leadership and operations
- Design and implement an innovative risk assessment and intervention strategy based on the BOOST 8 P's assessment model, Social Determinants of Health assessment models, and Quest 2020 readmission assessment to improve early identification of readmission risks, early intervention strategies, and patient/family/caregiver education around disease-specific processes to reduce readmission rates
- Create a comprehensive readmission assessment to identify barriers of 30-day readmissions to identify opportunities to reduce readmissions
- Develop and implement processes to improve Care Transitions Records by 75%
Nurse Practitioner
Woodlands Internists
01.2006 - 01.2013
- Nurse Practitioner Lead
- Clinical Mentor
- Preceptor
- Provide direct patient care in rapid-paced, suburban internal medicine practice, Provide patient care in outpatient, acute care inpatient, post-acute care inpatient, and long-term care inpatient settings
Nurse Practitioner
Magnolia Healthcare Clinic
01.2004 - 01.2006
- Clinical Mentor
- Preceptor
- Provide direct patient care in a dynamic, rural, outpatient healthcare clinic as well as in a rural acute care inpatient facility
Coronary Intensive Care Unit Nurse
The Methodist Hospital - TX Medical Center
01.1999 - 01.2004
- Bedside Nurse providing direct patient care to 1-3 ICU patients including IABP, Ventilator, CRRT, multi-channel IV drip management, and other required ICU care
- Clinical Mentor
- Research Resource Nurse
- Charge Nurse
- Preceptor
Education
Certificate - Nursing Leadership
Duke University
01.2020
Master of Science - Nursing
University of Texas - Health Science Center
Houston01.2004
Bachelor of Science - Nursing
Texas Woman's University
Houston01.1999
Skills
- Effective Servant Leadership
- Value-based, Patient-centered Care
- Team Development, Leadership, and Coordination
- Clinical Operations Awareness
- Experienced preceptor
- Fluent in Spanish
Websites
Certification
- Family Nurse Practitioner, American Nurses Credentialing Center, 2004-2024
- Registered Nurse, Texas Board of Nursing, 2000-2026
- Advanced Cardiac Life Support, American Heart Association, 2000-2024
- Basic Life Support, American Heart Association, 1997-2024
References
- Nicole Crooks, 419-944-4031, Ncrooks614@gmail.com
- Heather Guarnera, 512-809-6446, hguarnera@allervie.com
- Mark Teresi, 214-766-4458, markteresi@gmail.com
- Kim Waters, 972-369-954, v.org
- Valerie Baron, 832-398-5604, valeriebaron@gmail.com
- Vikki Spencer, 860-682-0318, vspencer@aahmd.com
- Vyki Muir-Locklin, 281-844-6243, vmuirlocklin@stlukeshealth.org
Awards
- Best in Texas - Nurse Practitioners, 2023
- The University of Texas Nurse Traineeship Award, 2003
- The Hamill Scholarship, The Methodist Hospital, 2002
- TWU J.W. Carter Award for Senior Academic and Clinical Excellence, 1999
- Texas Woman's University Perry Scholarship, 1999
Languages
- English
- Spanish
Affiliations
Mother of two teenagers
Active in the PTA, PTA 8th Grade Social Co-Chair
Avid Gardener
Languages
Spanish
Native/ Bilingual
Accomplishments
- Best in Texas Nurse Practitioner, 2023
- University of Texas Nurse Traineeship Award, 2003
- The Hamill Scholarship, The Methodist Hospital, 2002
- TWU J.W. Carter Award for Senior Academic and Clinical Excellence, 1999
- Texas Woman's Perry Scholarship, 1999
References
References available upon request.
Timeline
Nurse Practitioner
Oak Street Health
06.2024 - Current
Clinical Director
Flow Therapy
01.2022 - Current
National Clinical Director
AllerVie Health
01.2021 - 01.2022
Division DSRIP Program Coordinator
St. Luke's Health
01.2019 - 01.2021
Telehealth Acute Care Sub-Committee Lead
CommonSpirit Health
01.2019 - 01.2021
Program Manager
St. Luke's Health
01.2016 - 01.2021
Nurse Practitioner Team Lead
St. Luke's Health
01.2014 - 01.2021
Nurse Practitioner
Woodlands Internists
01.2006 - 01.2013
Nurse Practitioner
Magnolia Healthcare Clinic
01.2004 - 01.2006
Coronary Intensive Care Unit Nurse
The Methodist Hospital - TX Medical Center
01.1999 - 01.2004
Certificate - Nursing Leadership
Duke University
Master of Science - Nursing
University of Texas - Health Science Center
Bachelor of Science - Nursing
Texas Woman's University
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