Summary
Overview
Work History
Education
Skills
Accomplishments
Nursing Licenses
Personal Information
Training
Timeline
Generic

Erin Bruner

Eugene

Summary

Dedicated registered nurse with 17 years of experience in patient care and leadership, specializing in hospice and palliative care. Known for exceptional flexibility, adaptability, and commitment to patient advocacy, while effectively mentoring colleagues and direct reports. Proven track record of promoting interdisciplinary collaboration and fostering positive relationships with external partners to ensure seamless care delivery for patients, caregivers, and families. Committed to enhancing the quality of life for patients through compassionate and coordinated care.

Overview

17
17
years of professional experience

Work History

Hospice RN Case Manager

PeaceHealth Sacred Heart Hospice
07.2024 - Current
  • Managed caseload of terminally ill patients.
  • Completed head-to-toe assessments of patients with chronic, terminal disease.
  • Planned and implemented interventions to relieve unwanted symptoms based on best practices and patient goals.
  • Reevaluated patient condition to determine success of intervention.
  • Created personalized plans-of-care based on patient goals and coordinated care plans with facility resident care managers.
  • Collaboration with interdisciplinary team, facility staff, hospice administrative staff, etc.
  • Responsible for understanding and following Medicare guidelines for hospice services.
  • Documented visits per policy and regulation.
  • Updated plan of care and medication list as needed.
  • Ensured all orders were entered in the chart and signed by a provider.

Hospice Clinical Manager

AdventHealth Hospice Care Porter
10.2023 - 05.2024
  • Clinical management of hospice program through change of corporate affiliation.
  • Oversight of 17 bed Hospice Inpatient Unit and rebuild of home hospice services.
  • Building trust with long-term employees while implementing new processes to make hospice financially viable.
  • Training clinical and administrative staff on new technology in preparation for electronic medical record conversion.
  • Coaching and counseling employees.
  • Hiring, onboarding and orienting new staff.
  • Collaborating with AdventHealth hospice leadership in Florida to ensure corporate policies and procedures are uniform across regions.
  • Partnering with Inpatient Palliative Care and Care Coordination in the four AdventHealth hospitals within service area to provide support and seamless care transitions for patients.
  • Assisting in direct care of patients when the need arises.
  • Providing emotional support to patients, family members and hospice staff.

Neurology Nurse Navigator

Rocky Mountain Regional VA
02.2023 - 09.2023
  • Triage of neurology patient phone calls and direct messages.
  • Educates patients regarding disease process, medication, treatment, etc.
  • Collaborates with partners within the VA to ensure continuity of care and quality.
  • Maintains database of veterans with Multiple Sclerosis receiving disease modifying therapy and performs outreach to keep these patients on schedule with provider visits, labs, imaging and infusions.
  • Communication with 13 neurology providers and rotating residents regarding patient needs.
  • Request records from medical facilities nationwide for continuity of care.
  • Assists with scheduling patients at appropriate intervals with a neurology provider that specializes in their condition.
  • Enters consults for lodging, equipment, travel/relocation, and other needs.
  • Coordination with other departments to synchronize scheduling for distant patients traveling to the medical center.

Hospice Patient Care Manager

Presbyterian Hospice of Northern New Mexico
01.2021 - 01.2023
  • Managed interdisciplinary hospice team, including nurses, hospice aides, social workers, chaplains, and bereavement services.
  • Coordinated transitions of care for patients discharging from the hospital to hospice.
  • Collaborated with hospice leadership across the health system to make policy, improve processes and roll out changes.
  • Educated team about hospice regulation and philosophy.
  • Ran team meetings and provided feedback regarding eligibility of patients and plan of care.
  • Evaluated performance of employees including conducting supervisory visits for quality and regulatory adherence.
  • Coached for success, implemented performance improvement plans and instituted disciplinary action as needed.
  • Managed resources including staffing, adherence to medication formulary, medical equipment, supplies, etc.
  • Marketed services to internal and external customers.
  • Increased census from 8 to 50 in two years.
  • Conducted goals-of-care conversations with hospitalized patients and presented hospice services as needed.
  • Participated in Administrator On-Call rotation with other Presbyterian Hospice Managers in Albuquerque and Santa Fe which entailed 24-hour availability to address staff and patient needs for 7 days at a time.
  • Hired staff, planned and oversaw orientation.
  • Conducted nursing meetings.
  • Coordinated annual skills fair and provided other education.

Hospice & Palliative Care Practice Manager

Partners in Care
12.2019 - 12.2020
  • Restructured Hospice and Palliative Care medical staff to increase efficiency and maximize provider billing.
  • Researched and implemented telehealth during pandemic response.
  • Introduced new scheduling system for providers.
  • Set visit expectations with nurse practitioners and monitored their productivity.
  • Interviewed physician candidates, hired hospice doctor and assisting with orientation scheduling.
  • Participated in organizational Covid-19 response by teaching the leadership to use Microsoft Teams and facilitate office personnel working remotely.
  • Involved with ensuring providers understood rapidly changing Covid procedures and had appropriate personal protective equipment.
  • Assisted with organization’s application for and implementation planning of Medicare Value Based Insurance Design Palliative Care pilot.
  • Management and strategy for growing Palliative Care program.
  • Embedding Palliative Care clinicians in Skilled Nursing facility.
  • Meeting with payers regarding value-based contracting.
  • Approaching similar organizations about partnership to increase negotiating power with payers.

Palliative Care Manager

Kaiser Permanente Northwest Region
04.2017 - 11.2019
  • Direct supervision of up to 15 represented Palliative Care staff in Inpatient, Skilled Nursing, Clinic and Home-Based Palliative Care.
  • Involved in integration and development of Palliative Care programs throughout Kaiser Permanente Northwest.
  • Co-lead Unit Based Team tasked with process improvement in partnership with labor.
  • Hiring and onboarding new staff and development of new roles.
  • Doubled Home-Based Palliative Care census within one year.
  • Partnered with research team and Kaiser facilities in California to study patient satisfaction using telehealth in Palliative Care.
  • Managed relationship with contracted Palliative Care programs in outlying areas to ensure equitable care for Kaiser members across the service area.
  • Presented Palliative Care in many venues including Nursing Classes at University of Portland and the Oregon State Hospice & Palliative Care conference in 2019.

Hospice and Home-Based Palliative Care Manager

Kaiser Permanente Northwest Region
04.2016 - 04.2017
  • Direct supervision of up to 12 represented staff, including Registered Nurses, Licensed Practical Nurses and Certified Nursing Assistants.
  • Hiring and onboarding new staff.
  • Co-lead Unit Based Team tasked with process improvement in partnership with labor.
  • Involved in implementing significant changes to agency practices to meet regulatory requirements.
  • Moved into Palliative Care Manager role in restructure at the request of department leadership.

Clinical Manager

Providence Sound Home Care and Hospice
07.2014 - 03.2016
  • Direct supervision of up to 33 represented staff, including Registered Nurses, Medical Social Workers and Certified Nursing Assistants.
  • Participation on team that implemented new Cardiac Hospice Program.
  • Infection Control Leader responsible for compliance, reporting and education.
  • Collaboration with leaders at Providence Hospices in Seattle and Everett, WA.
  • Hiring and onboarding new staff.
  • Clinical resource for field staff.
  • Cost control to meet budgetary goals.
  • Ensured compliance with Medicare Hospice Conditions of Participation.

Nurse Quality Supervisor

Providence Medical Group
10.2013 - 07.2014
  • Supervised clinical skills of 15 Medical Assistants.
  • Involved in implementation of Medical Home Model within the clinic.
  • Assistance to 14 Primary Care Providers including Family Practice and Internal Medicine Physicians and Physician Assistants.
  • Tasked with defining new nursing role in established clinic.
  • Employed clinical skills such as IV hydration, telephone triage, wound care and disease management.

Hospice RN Case Manager

Providence Hospice
10.2010 - 10.2013
  • Managed caseload of up to 17 end-of-life patients in skilled nursing facilities, assisted living, adult foster homes and in their own home.
  • Completed head-to-toe assessments of patients with chronic, terminal disease.
  • Planned and implemented interventions to relieve unwanted symptoms based on best practices and patient goals.
  • Reevaluated patient condition to determine success of intervention.
  • Educated facility staff, patients and family members about hospice philosophy and regulations.
  • Monitored facility quality of care and adherence to regulations.
  • Created personalized plans-of-care based on patient goals and coordinated care plans with facility resident care managers.
  • Provided symptom management, caregiving training and support to facility staff, patients and families.
  • Evaluated well-being of patients and family, and worked as a team with social workers and chaplains to address psychosocial needs.
  • Determined eligibility for Medicare Hospice Benefit at admission and at all times while the patient was receiving hospice care.
  • Recertified patients as required by documenting ongoing eligibility.
  • Coordinated discharges from hospice when patients were no longer eligible.
  • Reconciled medications every visit and ensured facility staff and family caregivers understood indication and administration of medications.
  • Collaborated with facility, community and hospice pharmacies on correct and timely delivery of medication.
  • Collaboration with interdisciplinary team, community physicians, contractors, facility staff, etc.
  • Responsible for understanding and following Medicare guidelines for hospice services.
  • Took on leadership roles in committee work and as interim supervisor.
  • Documented visits per policy and regulation.
  • Updated plan of care and medication list as needed.
  • Ensured all orders were entered in the chart and signed by a provider.

Staff Nurse, Diabetic/Renal Unit

Providence Portland Medical Center
08.2008 - 10.2010
  • Managed care of complex medical patients while hospitalized.
  • Appropriate care and discharge planning.
  • Employed outstanding clinical skills and best practice.
  • Enjoyed caring for population with diverse cultural and socioeconomic backgrounds.
  • Performed peritoneal dialysis, and pre and post hemodialysis care.
  • Titration of insulin pumps and administration of subcutaneous insulin on sliding scale.
  • Dressing changes for a variety of surgical and non-surgical wounds.
  • Initial assessments and discharge teaching.
  • Administration of IV medication and monitoring IV sites.
  • Assisting with ADLs and ambulation.
  • Timely, accurate and thorough documentation.

Education

Graduate Certificate - Healthcare Management

Oregon Health and Science University
Portland, OR
06.2016

Bachelor of Science - Nursing

University of Portland
Portland, OR
08.2008

Bachelor of Arts - Visual Communications

Western Washington University
Bellingham, WA
06.1993

Skills

  • Hospice and Palliative Care best practices
  • Case management
  • Leadership
  • Multidisciplinary approach
  • Home visits
  • Patient education
  • Interpersonal communication
  • Mentorship of nursing professionals

Accomplishments

  • Presented Home-Based Palliative Care design at the Oregon Hospice and Palliative Care Association 2019 Professional Practice Exchange.
  • Implemented the restructure of the Home-Based Palliative Care program at Kaiser Permanente Northwest Hospice resulting in doubling the census within one year, a 70% reduction in hospitalizations for patients served by the program and increasing hospice referrals and hospice length-of-stay.
  • Improved adherence to oxygen documentation policy with Presbyterian hospice nurses from 50% to 100% in 4 months using rapid improvement model.
  • Improved wound photo documentation with Presbyterian hospice nurses from 0%-60% by reeducating about policy and process, and auditing data monthly.
  • Led process improvement initiative with Kaiser Permanente Home-Based Palliative Care team to improve communication of patient goals with the triage nurses and achieved >90% adherence.
  • Assisted in implementation of research project studying patient satisfaction with video visits in Home-Based Palliative Care when managing this program at Kaiser Permanente Northwest.
  • Participated on a multi-region Kaiser committee to revamp the care plan template for Home-Based Palliative Care in Epic.

Nursing Licenses

  • Oregon, 200842476RN, 2025-09-02
  • Washington, RN60188957, 2025-09-02
  • Colorado, RN.1670787, Expired
  • New Mexico, RN 62260, Expired

Personal Information

  • ID Type: Oregon Registered Nurse License
  • ID Number: 200842476RN

Training

  • Multiple Hospice and Palliative Care conferences in Oregon and Washington. Some national conferences attended online.
  • Online coursework through the National Hospice and Palliative Care Organization and Center to Advance Palliative Care including 30+ hours in 2022 related to pain management, substance use disorder, advanced care planning and dementia.
  • One-on-one provider billing education for hospice and palliative care provided by Dr. Janet Bull, MD FAAHPM.

Timeline

Hospice RN Case Manager

PeaceHealth Sacred Heart Hospice
07.2024 - Current

Hospice Clinical Manager

AdventHealth Hospice Care Porter
10.2023 - 05.2024

Neurology Nurse Navigator

Rocky Mountain Regional VA
02.2023 - 09.2023

Hospice Patient Care Manager

Presbyterian Hospice of Northern New Mexico
01.2021 - 01.2023

Hospice & Palliative Care Practice Manager

Partners in Care
12.2019 - 12.2020

Palliative Care Manager

Kaiser Permanente Northwest Region
04.2017 - 11.2019

Hospice and Home-Based Palliative Care Manager

Kaiser Permanente Northwest Region
04.2016 - 04.2017

Clinical Manager

Providence Sound Home Care and Hospice
07.2014 - 03.2016

Nurse Quality Supervisor

Providence Medical Group
10.2013 - 07.2014

Hospice RN Case Manager

Providence Hospice
10.2010 - 10.2013

Staff Nurse, Diabetic/Renal Unit

Providence Portland Medical Center
08.2008 - 10.2010

Bachelor of Science - Nursing

University of Portland

Bachelor of Arts - Visual Communications

Western Washington University

Graduate Certificate - Healthcare Management

Oregon Health and Science University

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