Experienced nurse with over 20 years of experience in direct patient care, staff oversight, and department management. Skilled in multitasking, prioritizing patient needs, and daily responsibilities. Specializes in private duty and long-term in-home care, offering a wealth of expertise in various healthcare settings.
Overview
19
19
years of professional experience
1
1
Certification
Work History
Private Duty Registered Nurse
Maxim Healthcare
10.2022 - Current
Prepared visit notes, updated and summarized client records and conferred with health care disciplines in providing coordinated client care.
Fostered strong relationships with clients and families to support comprehensive social, mental and physical care.
Administered prescribed medication and treatment as permitted by state and local regulations in accordance with physician orders.
Assisted in development and implementation of service plans related to nursing and patient health care needs.
Educated clients and families to support wellness activities, self-care techniques and prevention strategies.
Changed out tracheostomies, gastrostomy buttons, and catheters regularly to prevent infection or other problems.
Performed frequent checks on life support equipment and made necessary adjustments to preserve optimal patient conditions.
Documented treatments delivered, medications and IVs administered, discharge instructions, and follow-up care.
Offered exceptional care and support to individuals recovering from acute incidents and dealing with chronic conditions.
Monitored patient reactions after administering medications and IV therapies.
Clinical Care Manager
Home Therapy Of Austin, LLC
10.2019 - 09.2022
Reviewed OASIS, individualized care plans including patient and clinician goals; procures physician orders as needed to execute the plan; coordinates care plan delivery with interdisciplinary team making sure to avoid duplication and gaps in care; oversees the care plan revisions and submissions to the physician, summaries and updates to the patient.
Supported continual patient assessment and review of medical records for appropriate delivery and documentation. Participated in regular formal chart audits.
Assisted with quality assurance and quality improvement activities; served on QAPI Committee as well as Hospitalization and Fall Prevention Committee. Served as a leader at weekly case conference.
Served as the lead nurse on initial and ongoing OASIS training and coding reviews. Assisted with identifying and developing in-service topics as well as required annual training. Participated in on-boarding new nurses and in their ongoing professional development.
Participated in the preparing for and maintaining readiness for state licensing survey and CHAP accreditation.
Assured regulatory and billing compliance by thoroughly reviewing each patient medical record in a timely and complete manner.
Utilization Review Specialist/ Centralized Coder/ Quality Assurance /Manager Of Clinical Practice
Kindred at Home
06.2015 - 08.2019
Kindred at Home Certifications held and maintained in both ICD-10 and OASIS C-2/D.
Provide clinician education on appropriately answering assessment items and thorough documentation.
Advise branch leadership on updates/changes to coding guidelines &/or OASIS recommendations.
Maintain an independent and self-motivated work environment as a remote employee.
Review of Plan of Care with accurate coding based on agency focus as well as coding guidelines.
Collaborated with nursing and therapy staff to plan, develop and implement patient's Plan of Treatment.
Analyzed records data and reports in order to identify health care needs and deliver optimum patient care.
Manager Of Clinical Practice/Quality Assurance Nurse
Gentiva Home Health
01.2009 - 06.2015
Clinical oversight of field nursing and therapy staff.
Knowledge and application of home health medical coding.
Educator of OASIS assessment strategies and completion.
Coordination of patient referrals with physicians and care team.
Strategy development in driving outcomes for performance improvement.
Clinical guidance in nursing standards of care and Medicare guidelines.
Registered Nurse, Medical-Surgical.
Registered Nurse
Travel Nurse Solutions
03.2007 - 01.2009
Completion of four 13-week assignments at St. Vincent's Hospital Birmingham.
Nursing care of GYN, neurology, GI, ENT & plastic surgery patients.
Leader in a team nursing approach.
Patient educator for post-op care before discharge.
Orientation of new nurses to the unit.
Assisting physician in post-op exams and dressing changes.
Documentation of patient physical assessments.
Post-Surgical.
Registered Nurse - Floor Staff
Trinity Medical Center
01.2006 - 03.2007
Nursing care of orthopedic, neurology & GI surgery patients.
Medication and blood products administration.
Surgery preparation and receiving of post-operative patients.
Admission, transfer, and discharge of patients.
Fostering strong nurse-patient relationships.
Charge nurse.
Education
Bachelor of Science -
University of Alabama at Birmingham
Birmingham, AL
12.2005
Skills
Dependable
Documentation and reporting
Organizational Skills
Problem-solving abilities
Customer service
Medication administration
Clinical documentation
Family education
Ventilator monitoring
Oxygen administration
Cardiac care
Infusion Therapy
Accomplishments
Supervised team of 20 staff members.
Achieved rehospitalization prevention by performing proactive care and detailed patient assessments with accuracy and efficiency.
Achieved starting a successful small business through effectively identifying a gap in care and implementing services specified to resolve client needs.
Certification
Prior Home Health Coding Specialist: BMSC HCS-D ICD-10