Diana Prevail
Washington,DC
Summary
Dedicated, seasoned RN and Customer Service Associate. Empathetic listener who excels in one to one encounters and problem solving. Articulate communicator who values kindness and humor. Talent for providing emotional support and accurate information.
Overview
24
24
years of professional experience
Work History
Customer Service Associate
American Plant Food Inc.
10.2017 - 03.2020
- Successful sales associate with greenhouse plants
- Knowledgeable in plant care and requirements
- Effective communicator and problem solver
- Creative plant and orchid arranger
Nurse Monitor
Candid Home Health Services
10.2015 - 10.2016
- Successful nurse monitor for Montgomery County, MD Home and Community Based Waiver program
- First nurse monitor for company
- Assisted with program start up
- Performed home visits to client incorporating health and service assessments, advocacy for clients
- Tracked and documented in EMR
- Mentored new nurses to program
- Collaborated closely with county program administrators.
Clinical Assessment and Eligibility Nurse
Boston Senior Home Care
10.2014 - 05.2015
- Provided all clinical eligibility determinations for all MassHealth (Medicaid) patient nursing facility stays
- Performed onsite assessments, client interviews, clinical record review, coordination and communication with nursing facility social work and discharge planning staff
- Participated in client care conference and discharge planning meetings
- Provided community resource identification and advice for clients and families wishing to return to community
- Completed timely and accurate computer documentation and tracking as required by Medicaid program.
Transition Coordinator for Money Follows the Person Program
Boston Senior Home Care
07.2014 - 03.2015
- Provided outreach and education about MFP program to nursing and rehab facilities
- Communicated and coordinated with other CAE nurses concerning potential candidates for MFP program
- Coordinated all aspects of consumer transition from nursing and rehab facilities to community
- Educated ASAP and nursing facility staff on program eligibility and features.
- Achieved growth of program from 6 clients to average of 23 clients.
Performance Improvement and Quality Assurance Specialist
Parmenter Community Health Care
04.2012 - 09.2014
- Provided timely OASIS review and medical coding for nursing home health documentation submitted to Medicare and other insurances
- Collected data and provided identification of agency quality improvement needs
- Monitored compliance with agency policies
- Provided staff training on identified quality improvement needs
- Provided timely, accurate computer documentation and computerized transmission of information to CMS
- Provided ongoing staff training on case management skills.
RN Case Manager
Visiting Nurse and Community Health
04.2011 - 04.2012
- Provided excellent nursing case management of 25 to 35 home care patients, including nursing procedures, assessment, monitoring, and teaching
- Provided timely HHA care plan development, supervision, and training
- Provided care coordination with interdisciplinary team
- Provided timely, accurate, detailed computer documentation
- OASIS-C proficient.
Coordination of Care RN
Springwell, Inc.
01.2006 - 01.2010
- Provided Medicaid eligibility screenings and determinations for nursing facility admission and stays, Home and Community Based Waiver, and State Home Care programs
- Performed eligibility screenings and determinations of Medicaid recipients in 11 nursing facilities, both short and long term
- Interviewed and assessed Medicaid nursing facility recipients who expressed desire to return to community for program appropriateness
- Coordinated with nursing facility and aging services staff to implement safe discharge
- Developed personal care plans for state home care clients, performed timely reviews and updates
- Successfully implemented Personal Care Attendant program
- Mentored new employees
- Served as resource for case management
- Provided timely and accurate computer documentation.
Housing Care Coordinator
Springwell, Inc.
01.2004 - 01.2006
- Provided in house coordination of homemaking, personal care, chore service needs of residents of 150 apt senior housing site
- Provided state home care case management for eligible residents in building as well as clients in other community settings
- Effectively assisted all residents with initial enrollment in Medicare D program
- Coordinated closely with residence staff to ensure safety for residents
- Provided timely and accurate computer documentation
- Proficient in knowledge of programs offered by ASAP and their eligibility requirements.
Community Health Nurse
Visiting Nurse Association of Boston
10.1995 - 10.2002
- Provided nursing case management of urban populations, 35 patients per week
- Performed nursing treatments and procedures, health assessment and monitoring, HHA personal care plan development and supervision, patient and family education
- Coordinated with interdisciplinary team
- Maintained written documentation record, then was involved in implementation of CMR
- Precepted new employees.
Education
BS Nursing -
Columbia University
New YorkBS French -
Georgetown University
Skills
- Customer Support
- Problem Resolution
- Team Collaboration
- Customer Complaint Resolution
- Product Knowledge
Timeline
Customer Service Associate
American Plant Food Inc.
10.2017 - 03.2020
Nurse Monitor
Candid Home Health Services
10.2015 - 10.2016
Clinical Assessment and Eligibility Nurse
Boston Senior Home Care
10.2014 - 05.2015
Transition Coordinator for Money Follows the Person Program
Boston Senior Home Care
07.2014 - 03.2015
Performance Improvement and Quality Assurance Specialist
Parmenter Community Health Care
04.2012 - 09.2014
RN Case Manager
Visiting Nurse and Community Health
04.2011 - 04.2012
Coordination of Care RN
Springwell, Inc.
01.2006 - 01.2010
Housing Care Coordinator
Springwell, Inc.
01.2004 - 01.2006
Community Health Nurse
Visiting Nurse Association of Boston
10.1995 - 10.2002
BS Nursing -
Columbia University
BS French -
Georgetown University
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