Carole Nathanson
Encino,CA
Summary
Results-driven healthcare leader offering 25 years of clinical, administrative and patient care experience. Gifted in building and implementing approaches to increase quality and streamline procedures. Significant leadership background directing multidisciplinary healthcare teams to achieve care objectives and outperform business targets.
Overview
26
26
years of professional experience
Work History
Clinical Manager- Complex CM and Palliative Care
Centene- HealthNet
10.2018 - Current
- Identified opportunities to improve clinical practices, devised strategies and implemented plans to increase patient care standards and enhance operational procedures.
- Communicated effectively with staff members, physicians, and patients, employing active listening and interpersonal skills.
- Regularly evaluated employee performance and provided feedback.
- Promoted high morale and staff retention through dynamic communication, prompt problem resolution, proactive supervisory practices and facilitation of positive work environment.
- Implemented new policies and educated staff on changes.
- Selected, promoted and terminated staff members.
- Delegated tasks to staff members, monitored completion of all duties and provided support to enhance performance.
- Facilitate hiring of qualified [Department Name] personnel by interview applicants and making recommendations for employment.
- Delivered effective onboarding and training to new and existing employees and cross-trained staff members in other job roles to maximize coverage.
- Participated in nursing research and evidence-based clinical audits and leveraged data to improve research-based methodologies within clinical areas.
- Implemented ongoing learning strategies such as tutorials, instructional modules, and supervised hands-on sessions to help nurses and staff improve understanding of medical equipment and care best practices.
- Reviewed financial resources and prepared reports showing resource allocations.
- Reviewed operational policies and recommended solutions and change to medical director.
Patient Care Administrator
Vitas Innovative Hospice Care
03.2014 - 08.2018
- Assisted clients with daily living needs to maintain self-esteem and general wellness.
- Responded to emergency situations and provided support to promote client safety and wellbeing.
- Communicated with healthcare providers to facilitate continuity of care.
- Participated in team meetings and trainings to stay updated on best practices and new developments in care management.
- Maintained detailed records in compliance with agency standards and regulations.
- Established and maintained relationships with clients, families and community partners to coordinate services to meet client's needs.
- Educated clients and families on community resources, treatment options and health care services to better manage conditions.
- Consulted with supervisors to assess cases and plan strategies for enhancing care.
- Developed and implemented training programs for care staff to enhance skills and knowledge.
- Maintained network of community resources to provide most comprehensive support services possible to clients.
- Established and maintained effective communication with staff, physicians and community organizations to promote high quality patient care.
- Recruited, hired and trained all staff, providing direct supervision, ongoing staff development and continuing education to employees.
- Developed and updated policies and procedures, maintaining compliance with guidelines relating to HIPAA, benefits administration and general liability.
- Conducted routine facility inspections, identifying areas needing improvement and eliminating hazards posed to staff and residents for continued compliance with associated regulations.
- Implemented successful healthcare program through professionalism, quality of care, medical teaching and patient satisfaction.
- Designed and introduced leadership development, coaching and team management model, resulting in promotion of employees into increased levels of responsibility.
- Monitored and inspected staff processes to eliminate hazards posed for both residents and staff while ensuring continuous compliance with regulations.
- Defined testing protocols, quality assurance initiatives and clinic policies and procedures.
- Spearheaded and implemented new projects to expand scope of engagement.
- Developed policies and procedures for effective pharmacy management.
- Communicated with healthcare providers to facilitate continuity of care
- Participated in team meetings and trainings to stay updated on best practices and new developments in care management
Team Manager
Vitas Innovative Hospice Care
09.2005 - 03.2014
- Coordinated team collaboration to share ideas and build best practices.
- Evaluated employee performance and coached and trained team members, increasing quality of work and employee motivation.
- Led employee relations through effective communication, coaching, training, and development.
- Delivered regular team meetings for aligned work towards common goals.
- Analyzed team performance data to provide meaningful insights, enabling informed decision-making.
- Cultivated positive, productive team environments, resolving conflicts quickly.
- Drove performance of staff by creating incentives and positive work atmosphere and administering recognition and rewards programs.
- Established and maintained performance, quality and service standards for professional customer care.
- Recruited and trained high-performing team members, maintaining optimized customer service.
- Administered monthly and annual reviews to direct reports and set clear and measurable goals, action plans, and follow-up procedures.
- Aligned team goals and objectives with organizational strategy, aiding business growth.
- Developed performance measurement strategies, identifying areas for improvement.
- Established team priorities, maintained schedules and monitored performance.
- Assisted in organizing and overseeing assignments to drive operational excellence.
- Maintained positive customer relations by addressing problems head-on and implementing successful corrective actions.
- Leveraged data and analytics to make informed decisions and drive business improvements.
- Controlled resources and assets for department activities to comply with industry standards and government regulations.
- Successfully managed budgets and allocated resources to maximize productivity and profitability.
- Used industry expertise, customer service skills and analytical nature to resolve customer concerns and promote loyalty.
Prior Authorization Nurse
Health Net
01.2005 - 09.2005
- Evaluated patient histories, complaints, and current symptoms.
- Followed all personal and health data procedures to effectively comply with HIPAA laws and prevent information breaches.
- Led teams in driving successful patient outcomes by prioritizing standard of care and best practices.
- Quickly responded to situations impacting safety and security to unit, actualizing crisis prevention interventions to control and de-escalate situations.
- Recorded details regarding therapies to keep patient charts updated.
- Documented treatments delivered, medications and IVs administered, discharge instructions, and follow-up care.
Assistant Patient Care Administrator - Team Mgr
Roze Room Hospice Of The Valley
11.2001 - 12.2004
- Assisted clients with daily living needs to maintain self-esteem and general wellness.
- Responded to emergency situations and provided support to promote client safety and wellbeing.
- Communicated with healthcare providers to facilitate continuity of care.
- Participated in team meetings and trainings to stay updated on best practices and new developments in care management.
- Maintained detailed records in compliance with agency standards and regulations.
- Established and maintained relationships with clients, families and community partners to coordinate services to meet client's needs.
- Educated clients and families on community resources, treatment options and health care services to better manage conditions.
- Evaluated clients progress and adjusted service plans to address areas of concern.
- Maintained network of community resources to provide most comprehensive support services possible to clients.
- Assessed clients and developed plans to meet needs.
- Developed and implemented individualized care plans and coordinated necessary services to avail quality care for clients.
- Developed and implemented training programs for care staff to enhance skills and knowledge.
- Coordinated referrals to specialists, hospitalizations, ER visits, ancillary testing, and other enabling services for patients.
- Established and maintained effective communication with staff, physicians and community organizations to promote high quality patient care.
- Arranged transportation and documented details of discharge transition plans.
- Communicated with patients, ensuring that medical information was kept private.
- Liaised with other healthcare professionals to develop comprehensive patient care plans and provide highest quality of care.
- Developed and updated policies and procedures, maintaining compliance with guidelines relating to HIPAA, benefits administration and general liability.
- Implemented successful healthcare program through professionalism, quality of care, medical teaching and patient satisfaction.
- Discussed medical histories with patients in effort to provide most effective medical advice.
- Created customized care plans, working with hospital staff and families to assess and meet individual needs.
- Ordered all pharmacy supplies and kept check on inventory levels.
Admission Nurse
Vitas Innovative Hospice Care
11.2000 - 11.2001
- Interacted professionally with families and provided empathetic support and professional guidance.
- Recorded incoming patients' vital signs and current medication details in electronic charts.
- Coordinated patients' tests and treatments with other hospital departments.
- Displayed functional familiarity with Medicare, Medicaid and private insurance coverage protocols.
- Furnished patient treatment information to insurance companies in compliance with established parameters.
- Provided physicians and other medical personnel with patient assessment details and answered patient care-related questions.
- Assessed new patients' care plans and administered prescribed medications and treatments.
- Directed patient admission and discharge tasks while managing patients and coordinating care.
- Attended in-house trainings and continuing education classes.
- Evaluated patient histories, complaints, and current symptoms.
- Communicated with healthcare team members to plan, implement and enhance treatment strategies.
- Explained course of care and medication side effects to patients and caregivers in easy-to-understand terms.
- Educated family members and caregivers on patient care instructions.
- Followed all personal and health data procedures to effectively comply with HIPAA laws and prevent information breaches.
Clinic Nurse Manager
Kaiser Permanente
11.1998 - 11.2000
- Exercised exemplary clinical judgment when making care decisions.
- Communicated, updated and advocated care plans to patients and family.
- Built meaningful relationships with patients and families for optimal care.
- Educated patients, families and caregivers about conditions and treatments.
- Observed and assessed patients to identify concerning symptoms.
- Administered medications and topic treatments to address patient symptoms.
- Improved patient well-being by offering advice on preventive health measures.
- Partnered with support technicians, nursing staff and social workers to coordinate services.
- Verified work of subordinates against quality guidelines.
- Delegated patient care responsibilities to nursing assistants and student nurses.
- Evaluated patient histories, complaints, and current symptoms.
- Communicated with healthcare team members to plan, implement and enhance treatment strategies.
- Educated family members and caregivers on patient care instructions.
- Documented treatments delivered, medications and IVs administered, discharge instructions, and follow-up care.
- Explained course of care and medication side effects to patients and caregivers in easy-to-understand terms.
- Followed all personal and health data procedures to effectively comply with HIPAA laws and prevent information breaches.
- Monitored patient reactions after administering medications and IV therapies.
- Used first-hand knowledge and clinical expertise to advocate for patients under care and enacted prescribed treatment strategies.
- Quickly responded to situations impacting safety and security to unit, actualizing crisis prevention interventions to control and de-escalate situations.
- Facilitated therapeutic communication, conflict resolution and crisis intervention by redirecting negative behaviors and helping patients regain or improve coping abilities.
- Conducted ongoing monitoring and evaluations of behaviors and conditions, and updated clinical supervisors with current information.
- Implemented care plans for patient treatment after assessing physician medical regimens.
- Observed and documented patient factors such as diets, physical activity levels and behaviors to understand conditions and effectively modify treatment plans.
- Delivered high level of quality care to diverse populations while overseeing patient admission and triaging based on acuity and appropriate department admission.
- Recorded details regarding therapies to keep patient charts updated.
- Promoted patient and family comfort during challenging recoveries to enhance healing and eliminate non-compliance problems.
- Performed triage on incoming patients and determined severity of injuries and illnesses.
RN Floor Nurse
Methodist Medical Center
11.1997 - 11.1998
- Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
- Administered medications via oral, IV, and intramuscular injections and monitored responses.
- Administered medications and treatment to patients and monitored responses while working with healthcare teams to adjust care plans.
- Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process, and management and lifestyle options.
- Provided direct patient care, stabilized patients, and determined next course of action.
- Managed care from admission to discharge.
- Trained new nurses in proper techniques, care standards, operational procedures, and safety protocols.
- Updated patient charts with data such as medications to keep records current and support accurate treatments.
- Implemented medication and IV administration, catheter insertion, and airway management.
Education
Associate of Science - Nursing
Felician University
Lodi, NJ05.1997
Skills
Marketing
- Quality Assurance Process Optimization
- Managerial Experience
- Emergency Situational Awareness
- HIPAA
- Nursing Protocols
- Direct Patient Care
- Patient Education
- Clinical Operations Planning
- Hospice and palliative care
- Medicare and Medicaid knowledge
- Clinical and billing documentation and reimbursement
- Clinical trials and research
Public Speaker/ Educator on End of Life issues
Participated in multiple opportunities to speak at conferences, hospitals,nursing homes on End of Life choices-
Most recently was part of continuing education videos for the Coalition for Compassionate Care which are now available in their library
Timeline
Clinical Manager- Complex CM and Palliative Care
Centene- HealthNet
10.2018 - Current
Patient Care Administrator
Vitas Innovative Hospice Care
03.2014 - 08.2018
Team Manager
Vitas Innovative Hospice Care
09.2005 - 03.2014
Prior Authorization Nurse
Health Net
01.2005 - 09.2005
Assistant Patient Care Administrator - Team Mgr
Roze Room Hospice Of The Valley
11.2001 - 12.2004
Admission Nurse
Vitas Innovative Hospice Care
11.2000 - 11.2001
Clinic Nurse Manager
Kaiser Permanente
11.1998 - 11.2000
RN Floor Nurse
Methodist Medical Center
11.1997 - 11.1998
Associate of Science - Nursing
Felician University
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