Summary
Overview
Work History
Education
Skills
Affiliations
Timeline
SalesAssociate
Claire Himmel

Claire Himmel

Registered Nurse
Thibodaux,Louisiana

Summary

Detail-oriented chart review bringing 24 years of experience assessing medical documentation, recommending improvements and maintaining ongoing monitoring. Well-versed in using Meditech and Expanse and implementing analysis techniques. Accomplished in handling dynamic needs with forward-thinking mindset and expert knowledge of chart extraction. I have continued to assist case management with difficult discharge needs. As a patient advocate, I assist patient and family members with resolution of complaints.

I assist our Credentialing Committee with physician Ongoing Professional Practice Evaluations

Dedicated nursing professional with history of meeting company goals utilizing consistent and organized practices. Skilled in working under pressure and adapting to new situations and challenges to best enhance the organizational brand.

Overview

40
40
years of professional experience
6
6
years of post-secondary education

Work History

Risk Manager

Thibodaux Regional Health Systems
Thibodaux, United States
05.1998 - Current

· Develop, coordinate and administer facility-wide systems for risk identification, investigation, and reduction.

· Coordinate and conduct regular environmental rounding to inspect all patient care areas.

· Assist Patient Safety Officer in identifying opportunities to improve patient safety

· Assists in general liability and medical malpractice claim management.

· Assists in maintaining the computerized QM software system involving all departments of the hospital.

· Performs chart abstraction for peer review committees based on the approved Medical Staff guidelines.

· Investigation of patient/customer complaints and maintain accurate records.

· Participates in departmental and hospital wide performance improvement activities.

· Maintains current knowledge of clinical practice, procedures and regulatory changes. Accurate data entry into various systems.

· Compiles accurate/timely reports.

· Member of the Environment of Care Committee, Patient Safety Committee, Transfusion Committee, Surgical Care Review Committee, Quality Medical Review Committee, Perinatal Committee, Pharmacy and Therapeutics Committee, Patient Safety Committee and other committees as assigned.

· Assists with required daily quality measure management

· Assists with required daily infection prevention/employee health activities in absence of both the IP Clinician and Employee Health Clinician.

· Responsible for all other duties or projects as assigned by the Director of Quality Resource Management or Chief Quality Resource Officer.

· Identifies opportunities and recommends methods to improve customer service, work processes and financial performance. Assists in design and implementation of quality improvement initiatives on departmental and organizational levels.

Case Manager

Thibodaux Regional Health Systems
Thibodaux, United States
05.1998 - 09.1999
  • Identified care needs of individual patients and coordinated responses based on physician advice, insurance limitations and procedural costs.
  • Increased referral rates by providing excellent service and building meaningful relationships with patients and caregivers.
  • Participated in professional growth programs to support special education improvement efforts.
  • Consulted with clinicians to devise and manage ongoing care plans for at-risk patients.
  • Partnered with physicians, social workers, activity therapists, nutritionists and case managers to develop and implement individualized care plans and documented patient interactions and interventions in electronic charting systems.
  • Reduced care costs without sacrificing quality through service coordination and multidisciplinary collaboration.
  • Helped patients receive appropriate, high-quality care with reasonable results.
  • Facilitated special education placement process in partnership with parents to provide free appropriate public education for eligible referrals.
  • Managed support services and fostered communication among social workers, therapists, hospital staff and patients.

Director of Nurses

Fersenius Medical Care
Thibodaux, United States
11.1992 - 05.1998
  • Established new policies and updated existing policies to improve standard of care for patients.
  • Collaborated with staff, management and external groups to coordinate patient care.
  • Recruited and developed over quality individuals to develop accountable top quality staff.
  • Maintain department budgets and expenses.
  • Established and monitored infection control programs to provide safe, sanitary environment to prevent transmission of disease and infection.
  • Evaluated work performance of nursing personnel to determine wage increases and implement discipline.
  • Developed positive employee relations, incentives and recognition programs to promote teamwork and mutual respect.
  • Prepared and reviewed infection control surveillance reports to identify trends and develop effective actions to control and prevent infections.
  • Identified department issues to recommend corrective actions.
  • Implemented successful healthcare program through professionalism, quality of care, medical teaching and patient satisfaction.
  • Perform dialysis treatments to outpatients and inpatients
  • Discussed medical histories with patients in effort to provide most effective medical advice.
  • Developed and updated policies and procedures, maintaining compliance with statutory, regulatory and local, state and federal guidelines relating to HIPAA, benefits administration and general liability.
  • Successfully negotiated client contract renewals to create increased revenue.
  • Ordered all pharmacy supplies and kept check on inventory levels.
  • Produced monthly financial reports like income statements, balance sheets and cash flow statements for presentation to board of directors.
  • Recruited, hired and trained all staff, providing direct supervision, ongoing staff development and continuing education to employees.
  • Monitored and inspected staff processes to eliminate hazards posed for both residents and staff while ensuring continuous compliance with regulations.
  • Conducted routine facility inspections, identifying areas needing improvement and eliminating hazards posed to staff and residents for continued compliance with associated regulations.
  • Designed and introduced leadership development, coaching and team management model, resulting in promotion of employees into increased levels of responsibility.
  • Reviewed and evaluated test results to suggest care and treatment options.
  • Communicated with patients, ensuring that medical information was kept private.
  • Created customized care plans, working with hospital staff and families to assess and meet individual needs.
  • Defined testing protocols, quality assurance initiatives and clinic policies and procedures.
  • Scheduled treatments, managed pre-certifications and verified insurance coverage.

Emergency Room Registered Nurse

South Louisiana Medical Center
Houma, LA
09.1989 - 11.1992
  • Administered different therapies and medications in line with physician orders and treatment plan.
  • Kept optimal supply levels in treatment rooms, triage and other areas to meet typical patient loads.
  • Educated patients and answered questions about health condition, prognosis and treatment.
  • Communicated openly and collaboratively with all healthcare staff to organize successful patient care.
  • Teamed on trauma and emergency interventions involving serious head injuries, gunshot wounds and thoracic trauma.
  • Answered codes quickly and orchestrated efficient, skilled medical care.
  • Updated patient charts with data such as medications to keep records current and support accurate treatments.
  • Trained new nurses in proper techniques, care standards, operational procedures and safety protocols.
  • Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
  • Educated family members and caregivers on patient care instructions.
  • Collaborated with law enforcement on criminal cases by quickly reporting injuries and collecting needed evidence.
  • Vaccinated patients to protect individuals from measles, pneumonia, influenza and other illnesses of concern.
  • Evaluated patient histories, complaints and current symptoms.
  • Followed all personal and health data procedures to effectively comply with HIPAA laws and prevent information breaches.
  • Strengthened training and nursing knowledge by taking part in continuing education programs and workshops.
  • Board Certified Emergency Nurse
  • Explained course of care and medication side effects to patients and caregivers in easy-to-understand terms.
  • Led teams in driving successful patient outcomes by prioritizing standard of care and best practices.
  • Administered medications and treatment to patients and monitored responses while working with healthcare teams to adjust care plans.
  • Conducted ongoing monitoring and evaluations of behaviors and conditions, and updated clinical supervisors with current information.
  • Performed triage on incoming patients and determined severity of injuries and illnesses.
  • Accurately documented treatment, medications and IVs administered, discharge instructions and follow-up care.
  • Promoted patient and family comfort during challenging recoveries to enhance healing and eliminate non-compliance problems.
  • Facilitated therapeutic communication, conflict resolution and crisis intervention by redirecting negative behaviors and helping patients regain or improve coping abilities.
  • Advocated for and strived to protect health, safety and rights of patient.
  • Investigated and resolved issues affecting hospital operations and patient care.
  • 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.
  • Managed patients recovering from medical or surgical procedures.
  • Sustained quality standards by performing routine medication audits and upholding internal and industry best practices.
  • Participated in evidence-based practice project implementation, nursing competency development and nursing simulation activities.
  • Collaborated with leadership to devise initiatives for improving nursing satisfaction, retention and morale.
  • Reported findings to quality departments after conducting routine restraint audits and worked with team to devise corrective actions for deficiencies.

Respiratory Therapist

Thibodaux Regional Medical Center
Thibodaux, United States
08.1983 - 05.1989
  • Aided physicians with various procedures such as bronchoscopies, ventilator management and intubations.
  • Provided comprehensive care to improve and strengthen clients' respiratory functions.
  • Monitored patient's physiological responses to therapy such as vital signs, arterial blood gases and blood chemistry changes.
  • Developed system of staff communication to enable quicker implementation of treatment plans and improved comprehensive patient care.
  • Monitored patient reactions to drugs and carefully documented findings.
  • Delivered treatment for patients experiencing chronic and acute respiratory illnesses by conducting assessments and providing diagnoses.
  • Managed and operated mechanical ventilators to deliver airway management.
  • Analyzed patient and family feedback to identify opportunities for staff recognition and areas for improvement.
  • Cooperated and communicated with physicians to deliver patient satisfaction and meet compliance with set standards.
  • Provided antibiotics, bronchodilators and anti-inflammatory medications with hand-held nebulizers, metered-dose inhalers and positive pressure equipment.
  • Maintained patient charts and information, strictly adhering to HIPAA laws and privacy guidelines.
  • Assessed response to planned care through monitoring and recording patient condition.
  • Provided emergency care to patients.
  • Treated patients after conducting assessments and laboratory testing.
  • Educated patient and family on patient's illness and available remedies.
  • Analyzed and ran tests and conveyed results to other staff.
  • Responded to emergency codes and calls during off-hours and immediately initiated treatment.
  • Assessed, diagnosed and treated breathing issues.
  • Conducted tests such as EKGs and drainages.
  • Evaluated care policies using patient records and current research findings to develop better treatment.

Education

Associate of Science - Respiratory Therapy

Nicholls State University
Thibodaux, LA
08.1980 - 08.1983

Associate of Science - Registered Nurse

Nicholls State University
Thibodaux, LA
08.1989 - 05.1992

Skills

Data analysis

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Affiliations

American Society for Healthcare Risk Management

Timeline

Risk Manager

Thibodaux Regional Health Systems
05.1998 - Current

Case Manager

Thibodaux Regional Health Systems
05.1998 - 09.1999

Director of Nurses

Fersenius Medical Care
11.1992 - 05.1998

Emergency Room Registered Nurse

South Louisiana Medical Center
09.1989 - 11.1992

Associate of Science - Registered Nurse

Nicholls State University
08.1989 - 05.1992

Respiratory Therapist

Thibodaux Regional Medical Center
08.1983 - 05.1989

Associate of Science - Respiratory Therapy

Nicholls State University
08.1980 - 08.1983
Claire HimmelRegistered Nurse