Self-motivated, detail-oriented and driven professional healthcare manager and educator, dedicated to partnering with a team to provide the highest standards of patient care, incorporating the ICARE VALUES.
Overview
26
26
years of professional experience
Work History
Educator/Auditor Care Management
Catholic Health Physician Partners
10.2016 - 08.2023
Supported all educational needs for 35 Professional and paraprofessional staff of the ACO and in support of Catholic Healthcare Enterprise.
Created, planned, directed, designed and implemented all Workflows for Transitions of Care, CM, CCM and Medicare Fee For Service Programs.
Developed curriculum and content for classes, lectures, conferences or other educational materials for executive leaders and staff
Auditor evaluated professionals' competencies through structured audits using EPIC medical records to identify proper workflow, navigation,, productivity and care management.
Utilized as management relief. Attended payer meetings, analytic systems meetings and supported staff daily day to day operation.
Worked closely with population health department as a team member in EPIC, to design care management platform.
Designed and created analytic reports with weekly analysis for executive leaders.
Collaborated, trained and audited all third party vendors at start up and ongoing.
Legal Nurse Consultant
Patient Advogator Corp
07.2013 - 12.2017
Provided legal Nurse support to Law Firms on variety of cases; medical malpractice, nursing home abuse, personal injury, insurance fraud.
Extensive review and analysis of medical chart and court documents with creation of supporting reports for findings in healthcare.
Expert Witness in Court
Nursing Instructor
Eastern Suffolk Boces
08.2013 - 10.2016
Educator of Nursing Theory for NYS accredited Licensed Practical Nurse program.
Clinical instructor mentoring and coaching student nurses in the clinical settings of hospitals, clinics and rehab centers.
Created all lesson plans and educational materials for didactic presentation with incorporation of various learning styles.
Analyzed and evaluated nursing students' clinical knowledge and skills in the lab and various clinical settings.
Prepared students for NYS licensing boards. Use of ATI.
Served on NYS Board of Education for LPN Programs structure and curriculum changes.
Registered Nurse Care Manager
Patient Advogator Corp
07.2013 - 10.2016
Navigated patients and their families through the healthcare system to facilitate health care management with optimal benefit utilization and cost containment.
Educator for disease process, management, lifestyle
Audited charts and reviewed clinical documents for accuracy and future collaboration with providers.
Evaluated healthcare needs, goals for treatment, and available resources of each patient and connected to optimal providers and care.
Advocated for patient
Assisted with Utilization of Benefits, reimbursement and appeals
Medication adherence
Director of Nursing (17 Years With Facility)
East Neck Nursing & Rehabilitation Center
07.2010 - 07.2013
Provided nursing leadership and management to the skilled nursing operations of a three hundred bed nursing rehabilitation center, in accordance with federal, state and local standards.
Implements and monitors systems that ensure consistent delivery of quality of care and services.
Managed PPS care management team to promote clinical and revenue maximum reimbursement and benefit usage.
Department of Health Survey Leader for CMS audits. Developed and implemented corrective actions plan for concerns identified by DOH to keep facility in good standing.
Performs clinical chart audits, prepares reports for legal case review and insurance compliance.
Medicare Appeals for non- approved medications, DME, procedures.
Recruitment, hiring and management of 225+ staff members.
Nurse Educator/Inservice Coordinator
East Neck Nursing And Rehabilitation
03.2007 - 07.2010
Assessed, planned, organized, coordinated and evaluated facility needs and activities necessary for implementing an effective staff development program.
RN Home Care Case Manager
Gentiva Home Care
12.2008 - 01.2010
RN case management of homebound patient.
Assessing (Oasis),planning, teaching, referring, evaluating and supervising nursing care and physical therapy.
Performed skilled care, IV's wound, medication administration.
RN Supervisor
East Neck Nursing And Rehabilitation
07.2006 - 03.2007
Clinical leader for nursing staff in providing high standard of resident care in safe environment.
MDS Coordinator/ Charge Nurse
East Neck Nursing And Rehabilitation
02.1998 - 07.2006
Complied with federal and state regulations for completion and coordination of RAI process.
Led weekly utilization review to go over recent clinical activities.
Managed 60 bed sub acute unit providing quality of care.
Education
Bachelor of Science - Nursing
Chamberlain College of Nursing
Associate of Science - Nursing
Farmingdale State University
LPN
Western Suffolk Boces
Skills
Clinical expert in acute, rehab, LTC and home care nursing
Experienced with Utilization Management, Reimbursement and Appeals
Excellent Care Manager
Professional Educator and Staff Manager
Legal Nurse Consultant and Expert Witness
Expert in Regulatory Compliance with Federal and State regulations
Leader in Quality Assurance, Risk Management and Corporate Compliance
Superior critical thinking, problem resolution and communication skills
EMR Collaborative Software Designer, implementer and instructor
Super User for EPIC, Midas, Point Click Care, Teledoc, MedSys, Net Smart
Float Registered Nurse, Urology and Pain Medicine at Catholic Health Physician PracticeFloat Registered Nurse, Urology and Pain Medicine at Catholic Health Physician Practice
Retail Cashier and Customer Service Specialist at Schwartz's Bagels and Backyard BurgersRetail Cashier and Customer Service Specialist at Schwartz's Bagels and Backyard Burgers