Celeste Justice
Clinton,OK
Summary
Eager and self motivated Registered Nurse and Healthcare Administrator with 15 years of experience in administration, leadership, long-term care and skilled nursing. Possess extensive knowledge in working independently, operational management and healthcare regulations.
Overview
9
9
years of professional experience
1
1
Certification
Work History
Legal Nurse Consultant
Self Employed Contractor
01.2024 - Current
- Review medical charts, deposition records and expert witness documents through strong organization and attention to detail resulting in daily work product on more than 5 cases at a time
- Utilize records to create chronology, facts summaries and important documents related to all of the above
- Assist with obtaining medical records, deposition preparation by drafting questions and locating exhibits and trial preparation in multiple cases at a time by using expert prioritization and following protocol to optimize efficiency and meet all deadlines
- Enhanced attorney understanding of complex medical issues by creating clear and concise reports detailing case analysis findings.
- Provided valuable input during pre-trial conferences based on a deep understanding of both medical terminology and legal processes.
- Reduced workload for legal team members by taking on tasks such as conducting medical literature reviews
Physician Clinic Administrator
Great Plains Regional Medical Center
04.2023 - 09.2024
- Responsible for overseeing daily operations of 19 hospital employed physician clinics that included primary care, specialty care and surgical clinics to ensure patients received high quality care
- Supervised physicians, mid-level practitioners and other health care providers and coordinated work and schedules
- Responsible for overseeing outpatient physician billing office. This included revenue cycle reviews.
- ACO representative for participation in ACO. This included detailed medical record reviews for accuracy, completion and metric compliance, attending monthly ACO meetings and reviewing facility compliance
- RHC representative for RHC certification status. This included surveying facilities for compliance.
- Ensured compliance with healthcare regulations through diligent monitoring of policies and procedures, maintaining up-to-date knowledge on industry standards.
- Managed clinic budget, ensuring optimal allocation of resources for maximum operational success and monthly financial meetings
Registered Nurse Consultant
Clinton Therapy & Living Center
11.2019 - 03.2024
- As the Registered Nurse Consultant duties included assisting with quality assurance part time and specialized assistance with survey clearing
- Collaborated with interdisciplinary healthcare teams for optimal patient care and treatment coordination.
- Led initiatives aimed at improving infection control measures within the facility, resulting in decreased rates of healthcare-associated infections.
Director of Nursing Services
Clinton Therapy & Living Center
11.2019 - 03.2024
- Responsible for overseeing all nursing care in the facility to ensure high-quality care delivery for 101 licensed beds and approximately 40 staff members
- Managed budgetary constraints effectively, ensuring optimal resource allocation for high-quality care delivery.
- Championed the use of technology in daily operations, leading to improved documentation accuracy and streamlined workflows.
- Enhanced staff retention and job satisfaction through comprehensive training programs and supportive leadership.
- Developed new nursing policies for increased efficiency and better patient outcomes.
- Evaluated performance metrics regularly, identifying areas for improvement and implementing targeted interventions accordingly.
- Increased compliance with regulatory standards through regular audits and ongoing process improvements.
- Mentored nursing staff in clinical skills development, fostering professional growth and excellence in practice.
- Participated in management team meetings to discuss resident status, census changes, and resident complaints or concerns.
- Performed rounds to observe care and interview staff, residents, and families.
- Built and maintained positive working relationships with physicians and staff to support seamless healthcare operations.
- Established and monitored infection control programs to provide safe, sanitary environment to prevent transmission of disease and infection.
- Established new policies and updated existing policies to improve standard of care for patients.
Administrator
Clinton Therapy & Living Center
11.2019 - 03.2024
- Conducted routine facility inspections, identifying areas needing improvement and eliminating hazards posed to staff and residents for continued compliance with associated regulations.
- Developed and updated policies and procedures, maintaining compliance with guidelines relating to HIPAA, benefits administration and general liability.
- Discussed resident census data and admissions and discharge information in department-head meetings.
- Strengthened partnership with local educational institutions, increasing opportunities for student internships and clinical rotations within the facility.
- Presented financial reports such as income documents, balance sheets and cash flow statement to board of directors.
- Reduced staff turnover by fostering a positive work environment through open communication and proactive problem solving.
- Controlled accounts payable, accounts receivable, billing and claims processes to obtain maximum reimbursement from Medicare, Medicaid and other insurance providers.
- Utilized data analysis techniques to identify trends in patient outcomes and inform strategic decision-making processes.
- Managed operations at 101-bed facility.
- Maintained accurate documentation of all relevant information, including licensure renewals, annual surveys, and corrective action plans, to ensure ongoing compliance with state regulations.
- Managed financial performance, ensuring budget compliance and maximizing revenue generation through accurate billing and reimbursement practices.
- Evaluated vendor contracts for cost-effectiveness, negotiating favorable terms for supplies and equipment purchases that reduced overall expenses.
- Developed strong relationships with local healthcare providers, increasing referral rates and strengthening the facility''s reputation within the community.
Admissions Consultant
Bridges Health
03.2017 - 10.2019
- Helped with interview process, orientation program and implementation of admissions policies
- Responsible for overseeing admission coordinators at 14 facilities across the state
Admissions Coordinator
Grace Living Center Clinton-Bridges Health
09.2016 - 02.2017
- Maintained a high level of customer service with patients, families, and visitors by consistently displaying empathy, professionalism, and excellence in communication skills.
- Reviewed all pre-admissions clinically and financially for admission criteria per facility policy
- Improved accuracy in documentation by diligently reviewing and verifying patient insurance information, demographics, and medical history.
- Confirmed all insurance benefits met standards of admissions as dictated by policy.
- Assisted with medical coding and billing tasks.
- Met monthly quota requirement of 10 skilled admissions per month
MDS Coordinator
Grace Living Center Clinton-Bridges Health
01.2016 - 09.2016
- Ensured timely completion of all MDS assessments, maintaining full compliance with federal and state regulations for approximately 45 long term care residents .
- Maintained up-to-date knowledge on CMS guidelines and changes to ensure accuracy in reporting and reimbursement processes.
- Collaborated closely with therapy departments to accurately capture rehabilitation needs within MDS documentation, supporting appropriate resource allocation for residents'' needs.
- Assessed electronic medical record for required documentation to support MDS coding.
- Enhanced patient care quality by implementing comprehensive MDS assessments and care plans.
- Implemented interdisciplinary meetings focused on individualized care plan development, resulting in more targeted interventions and improved resident outcomes.
- Developed a comprehensive system for tracking MDS completion deadlines, ensuring timely submissions and minimizing the risk of financial penalties.
- Identified areas of improvement in the facility''s quality measures through thorough analysis of MDS data, resulting in targeted interventions and better outcomes for residents.
- Ensured compliance with federal and state regulations by meticulously reviewing and updating resident care plans.
Education
Master of Arts - Legal Studies in Healthcare
University of Oklahoma
Norman, OK05.2024
Bachelors of Science - Nursing
Southwestern Oklahoma State University
Weatherford, Oklahoma05.2013
Skills
- Risk evaluation
- Clinical expertise
- Ethics and confidentiality
- Oral communication
- Healthcare regulations
- Case review
- Medical record analysis
- Problem-solving
Certification
- Licensed Registered Nurse
- Licensed Nursing Home Administrator
Timeline
Legal Nurse Consultant
Self Employed Contractor
01.2024 - Current
Physician Clinic Administrator
Great Plains Regional Medical Center
04.2023 - 09.2024
Registered Nurse Consultant
Clinton Therapy & Living Center
11.2019 - 03.2024
Director of Nursing Services
Clinton Therapy & Living Center
11.2019 - 03.2024
Administrator
Clinton Therapy & Living Center
11.2019 - 03.2024
Admissions Consultant
Bridges Health
03.2017 - 10.2019
Admissions Coordinator
Grace Living Center Clinton-Bridges Health
09.2016 - 02.2017
MDS Coordinator
Grace Living Center Clinton-Bridges Health
01.2016 - 09.2016
Master of Arts - Legal Studies in Healthcare
University of Oklahoma
Bachelors of Science - Nursing
Southwestern Oklahoma State University
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