Donna Pollat

• Continued the development of the Case Management Department. The department consisted of two Registered Nurses and one social worker. Currently my department has grown to 3 Registered Nurses, 4 1/2 Fulltime Social Workers, and one Insurance Specialist with solid workflows. Leader index of 100, Tier one Leader 2 years in a running, with high engagement results of 4.93 for Case Management. Two additional departments added since taking over Case Management with engagement results of 4.83.
• Implemented Clinical High-Risk meeting to monitor, track and evaluate long stay patients as a means of identifying areas for potential practice change.
• Implemented a Denials Analyst position, to track and trend denials for potential lost revenue.
• Designed and implemented the insurance specialist position to ensure insurance was correct on the front end to ensure preventative steps are taken, as early as possible, to ensure a much less expensive approach.
• Implemented a program to bridge the gap between prior authorization at the clinic and the hospital to make less room for error and provide a more cohesive process.
• Created a track and trend system to follow our peer to peer denials and provide feedback. Help providers decide between accepting observation or appealing inpatient admission.
• Implemented the two-midnight rule and assisted with updating providers templates. Provided documentation education to physicians if a patient is inpatient, but is not going to stay the extra day.
• Implemented a coding book (arranged by body systems) to assist physicians and nurses in picking the correct CPT codes to get authorized.
• Continued the oversight of workflow when changing from Meditech to EPIC. Developed a streamline approach to the workflow from scheduling to pre-op coding, and prior authorization.
• Developed joint class and assisted with education.
• Developed a follow up phone call program for patients that had been discharged to meet CMS and quality requirements.
• Assisted in revising Grand Rounds to help increase effective communication between departments. Communicate a clear plan of care and reduce late dismissals to decrease sub-optimal through put of patient and get beds available sooner for surgical patients.
• Plan and evaluate department policies and procedures
• Set performance goals
• Maintain staff by recruiting, onboarding, training, assessing and promoting employees within the department
• Plan, organize and provide direct guidance to employees to accomplish all tasks within the department to maintain and achieve our main objective.

Nebraska certified to instruct and Educate Certified Nursing Classes and Medication Aide classes.

Nebraska certified to state test Certified Nursing Assistants and Medication aides.

Educates on in-depth nursing knowledge, teaching expertise, and interpersonal communication. Current passing rate of 98%

• Duties include reviewing patients that have been admitted during the last twenty-four hours and determining if they meet Medicare guidelines to be inpatient or observation
• Documenting findings and then notifying all insurance companies and obtaining an authorization number
• Ensure that all Medicare guidelines are met and followed
• Patient is then assessed along with their living situation to ensure all their discharge needs are met
• Communication with the disciplinary team is key to ensure the patient is set up for success.

• Supervision of Medication aides and caregivers in providing exceptional care
• Developing detailed care planning for each resident
• Performing monthly health assessments and reporting any concerns to family and physicians
• Responsible for education to both Medication Aides and caregivers
• Instructing Medication aide classes as needed.

• Supervising the quality care of all residents at our facility
• Ensuring that policies and procedures are in place and being followed by direct care staff
• Observe, monitor and evaluate care in the facility
• Educate staff, residents, and family of compliance with regulatory requirements
• Identify problem areas, and act promptly on writing an appropriate action plan
• Planning and organizing staff and scheduling.

• Utilizing the Nursing Process, to meet the health care needs of team members
• Assigning and supervising activities performed by Licensed Practice Nurses
• Provide nursing care for occupational and non-occupational conditions based upon the clinical conditions guidelines and standing medical orders
• Provide emergency care/stabilization for injured/ill team members and secure appropriate transportation as required
• Provide first aid treatment for minor injuries and illnesses
• Determine the need for referral to outside health care agencies
• Collaborate with operations management, human resources and ergonomics to determine appropriate jobs which may be performed with team member’s work restrictions
• Maintain Occupational Health Services records and reporting systems according to OSHA, State, Company and legal requirements.

• Supervising Certified Nurses assistants, and medication aides
• Performing assessment, and providing general care to residents on an Alzheimer’s Unit
• Keeping precise documentation on all residents and staff, according to facility policy
• Collaborated with staff, residents and physicians in meeting goals of the Nursing Process.

• Delivering all new and used vehicle inventories
• Obtaining rebate reimbursement
• Accurately completing all new and used vehicle sale paperwork, including GMAC leases and finance paperwork
• Obtained credit applications, pre-approved and obtained approval for all financed/leased vehicles
• Placing and approving advertisement
• Selling vehicles, finance contracts, Credit Life and disability Insurance, GAP protection, and Service contracts
• Managed a detailed Customer Satisfaction program.