Dawn Simonds
Palmetto,Florida
Summary
Experienced Registered Nurse with valid State RN License. Solid clinical, utilization review, and case management experience within a managed care environment.
Overview
40
40
years of professional experience
Work History
Home Health Registered Nurse Case Manager
Southwest Florida Homecare
04.2022 - Current
- Enhanced overall quality of life for patients suffering from chronic illnesses using a holistic approach that addressed physical, emotional, psychological, social wellbeing.
- Streamlined documentation processes to ensure accuracy and timely completion of required paperwork.
- Conducted comprehensive assessments of patients'' physical, emotional, social, and environmental needs to develop individualized care plans.
- Collaborated with interdisciplinary team members for comprehensive patient assessments, resulting in tailored care strategies.
- Traveled to patients homes to perform Home Health SOC/Recert/Discharge Oasis assessments.
- Familiar with Kinnser/AI, HCHB, Axxess electronic documentation software
Home Health Registered Nurse Case Manager
Southwest Florida Homecare
01.2020 - 03.2022
- Worked PRN during this time to accommodate my family member's illness and care.
- Traveled to patients homes to perform Home Health SOC/Recert/Discharge Oasis assessments.
- Managed and coordinated care for patients in the home setting.
- Instructed patients on home safety, fall prevention, medications and disease management.
- Performed wound care and IV therapy as needed.
- Supervised LPN staff.
- Participated in weekly case conferences.
Case Manager
Trilogy Home Health Care
01.2019 - 11.2020
- Consulted with clinicians to devise and manage effective ongoing care plans for at-risk patients
- Evaluated treatment plans against individual goals and healthcare standards
- Helped patients receive appropriate, high-quality care with reasonable results
- Took active role in patient and family planning process, detailing instructions and responding appropriately and effectively to questions and concerns regarding plan of care
- Completed Medicare OASIS assessments
Telephonic Care Manager
Humana at Home
01.2017 - 05.2018
- Managed members in their home, partnering with them to achieve individual health goals
- Instructed on medication management and assisted with reducing overall drug costs
- Worked toward improving their quality of life, and assisted with navigating the health care system and community resources
- Performed comprehensive health assessments, Mdat, and Hedis surveys, Diabetic Foot Surveys, Discharge and ER assessments
- Made referrals to Social Services for financial and resource assistance
Clinical Manager/Case Manager/QA
Gulf City/Encompass Home Care
01.2014 - 01.2017
- Managed field staff- Advised and assisted field staff with providing home care services to patients in the home setting, advised on case management practices, provided clinical updates to insurance companies, processed physician orders, ordered DME, contacted physician offices regarding patient status/lab results, ordered home care supplies, and coordinated transfer of patient care to rehab/Hospice services as warranted
- Moved into role of QA nurse, and audited patient charts, reviewed documentation for patient discharges, processed/exported DC Oasis', as well as performed start of care visits and back up coverage
Care Coordination Manager
Premier Healthcare, Inc
01.2013 - 01.2014
- Worked remotely for a large ACO physician group practice
- Coordinated the delivery of cost effective healthcare services across the continuum of care through the daily management of the ACO program
- Facilitated the execution of the patient's comprehensive care plan either directly or in collaboration with the Care Coordinators, Physicians and others involved in the patients care
- Assessed medical necessity of hospital admissions, readmissions, ER visits, diagnostic procedures and therapies to provide feedback and guidance to staff
Home Health Nurse/Case Manager
Gem City Home Care
01.2007 - 01.2013
- Worked as a Home Health nurse in Warren County area
- Performed assessments and managed patients in the home setting and provided nursing care as ordered by physicians
- Supervised Home care aides and coordinated patient care with Physical/Occupational/Speech therapists and consulted with Medical Social Workers, if situation warranted
- Performed various tasks in the field such as wound assessments, dressing changes, wound vac management, staple removal, infusions and lab draws
- Chosen by physician group to be part of Ortho Team, providing specialized care to their Total Joint patients, and further enhanced my education by obtaining an Orthopedic Nurse Certification
- Promoted to an administrative position in the Quality Assurance Department which involves performing case conferences, chart audits and processing documentation submitted to various payor sources
- Orientation Instructor for new hires
Perinatal Outreach Nurse
Help Me Grow
01.2001 - 01.2004
- Worked as a perinatal outreach nurse with the GDAHA program serving impoverished females in the Dayton and Hamilton area who were under 24 years of age, pregnant and in need of parental education
- Performed weekly home visits to assure that clients maintain a healthy pregnancy, educated them on the labor/delivery process, care of their newborns and fetal/child development
- Referred clients to appropriate resources for assistance with transportation, housing, food and finances
- Performed child development assessments, Denver screenings and NCAST feeding / teaching assessments
Home Health Case Manager
Fidelity Health Care
01.1995 - 01.2001
- Worked as a Home Health Nurse performing home visits and managed patient care
- Educated patients on disease processes, medications, and home safety and health management
- Supervised home care aide services and coordinated care with physicians and ancillary services
- Promoted to liaison position in 1998 and worked with Miami Valley Hospital as a Community Educator/Liaison for Fidelity Health Care
- Educated physicians/hospital staff/patients on home care product, verified insurance coverage, completed referral forms, gathered pertinent transfer information from hospital chart, communicated with home office regarding patients specific needs and coordinated final plans of discharge from the hospital with arrangements for admission to home care
- Participated in two MVH task force groups to reorganize care management at MVH
- Worked with United Health Care and Anthem Clinical Coordinators to facilitate patient transfers to home setting in efforts to reduce length of stay and place patients in disease specific management programs to reduce the number of hospital re-admissions
Orthopedic Nurse Clinician
Joint Implant Surgeons, Inc
01.1991 - 01.1993
- Worked in Orthopedic office, performing telephone and office triage, patient education, suture and cast removal
- Scheduled patient tests and hospital admissions
- Documented patient office visits, prescriptions, and treatment plans
- Shared responsibility of coordinating and traveling to outlying clinics on a monthly basis, assisting physicians with clinical duties
Cardio-Thoracic/Heart Transplant Nurse
Ohio State University Hospitals
01.1990 - 01.1991
- Worked on a Cardio-Thoracic/Heart Transplant Step-Down Unit in the Critical Care Department
- Performed Charge Nurse responsibilities, patient education, discharge planning and telemetry monitoring
Regional Pharmacy Auditor
PCS, Inc
01.1989 - 01.1990
- Worked as a Regional Field Auditor, and independently scheduled and performed pharmacy audits throughout Ohio and Michigan
- Contacted corporate office on a weekly basis to brief management on audit status and to report audit information
Staff Nurse
Brigham and Women's Hospital
01.1986 - 01.1988
Education
Master's Degree - Nursing Administration
University of Cincinnati
Cincinnati, Ohio2013
Bachelor of Science - Nursing
Ohio State University
Columbus, OH1985
Skills
- Case management
- Discharge planning
- Thorough documentation
- Home Care Assessments
- Medication management
- Quality Assurance
- Health Management
- Self-motivated
- Extremely organized
- Skilled in Microsoft Word, Excel, Outlook, Powerpoint, GoToMeeting
Licensure
State Board Examination - Ohio
States of Registry: Florida
Timeline
Home Health Registered Nurse Case Manager
Southwest Florida Homecare
04.2022 - Current
Home Health Registered Nurse Case Manager
Southwest Florida Homecare
01.2020 - 03.2022
Case Manager
Trilogy Home Health Care
01.2019 - 11.2020
Telephonic Care Manager
Humana at Home
01.2017 - 05.2018
Clinical Manager/Case Manager/QA
Gulf City/Encompass Home Care
01.2014 - 01.2017
Care Coordination Manager
Premier Healthcare, Inc
01.2013 - 01.2014
Home Health Nurse/Case Manager
Gem City Home Care
01.2007 - 01.2013
Perinatal Outreach Nurse
Help Me Grow
01.2001 - 01.2004
Home Health Case Manager
Fidelity Health Care
01.1995 - 01.2001
Orthopedic Nurse Clinician
Joint Implant Surgeons, Inc
01.1991 - 01.1993
Cardio-Thoracic/Heart Transplant Nurse
Ohio State University Hospitals
01.1990 - 01.1991
Regional Pharmacy Auditor
PCS, Inc
01.1989 - 01.1990
Staff Nurse
Brigham and Women's Hospital
01.1986 - 01.1988
Master's Degree - Nursing Administration
University of Cincinnati
Bachelor of Science - Nursing
Ohio State University