Gena Reed-Roberson
San Antonio,TX
Summary
Highly skilled and enthusiastic professional Registered Nurse with more than 22 years of experience managing operations in patient-centric acute and post-acute facilities. Successfully oversee human resources, budgeting, supply management and patient services. Develop and lead productive and efficient office staff. Contribute to high-volume medical practices by providing exceptional customer service. Healthcare Administrator with proven to deliver exemplary level of healthcare service delivery to patients. Coordinate admission and discharge of patients. Plan and implement strategies for developing improved health care management. Proven problem solver and excellent communicator. Strong organizational skills, superb understanding of data collection and performance metrics. Recognized for staff development leading to high performing teams.
Overview
22
22
years of professional experience
1
1
Certification
Work History
Care Transitions Coordinator
Amedisys Home Health
03.2023 - Current
- Established and maintained effective communication with staff, physicians and community organizations to promote high quality patient care.
- Recruited, hired and trained all staff, providing direct supervision, ongoing staff development and continuing education to employees.
- Communicated with patients, ensuring that medical information was kept private.
- Liaised with other healthcare professionals to develop comprehensive patient care plans and provide highest quality of care.
- Discussed medical histories with patients in effort to provide most effective medical advice.
Lead Clinical Liaison/Certified Case Manager
Kindred Acute Rehabilitation/TVMC Hospital
03.2022 - 03.2023
- Assisted with outreach and engagement services to engage clients and maintain working relationships.
- 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.
- Participated as member of multi-disciplinary team providing on-going case management services to adults with severe and persistent mental illnesses.
- Provided crisis intervention and risk assessments.
- Collaborated with an interdisciplinary team to determine timely delivery of services.
- Developed comprehensive discharge plans to transition clients to appropriate service providers in community.
- Identified care needs of individual patients and coordinated responses based on physician advice, insurance limitations, and procedural costs.
- Liaised with social worker to expedite financial assistance not covered by insurance.
- Maintained detailed records of patient progress, documentation of services and case notes.
- Collaborated with healthcare providers to drive continuity of care.
- Managed caseload to satisfy multiple patients with diverse needs.
- Worked with medical teams, patients and families to implement effective treatment plans.
- Assessed risk factors of patients and made referrals for further services.
- Provided patient and family education on available resources and self-care strategies.
- Facilitated family meetings to discuss patient care plans.
- Developed partnerships with community organizations to expand services and referrals.
- Coordinated patient discharge planning and follow-up care.
- Coordinated individualized discharge plans to manage safe transition back into community and home environments.
Clinical Rehabilitation Specialist/Lead Clinical Liaison/Certified Case Manager
Methodist Healthcare/HCA
08.2019 - 05.2022
- Assisted with outreach and engagement services to engage clients and maintain working relationships.
- 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.
- Participated as member of multi-disciplinary team providing on-going case management services to adults with severe and persistent mental illnesses.
- Provided crisis intervention and risk assessments.
- Monitored clients' progress and tracked client services to provide crisis interventions.
- Collaborated with an interdisciplinary team to determine timely delivery of services.
- Developed comprehensive discharge plans to transition clients to appropriate service providers in community.
- Identified care needs of individual patients and coordinated responses based on physician advice, insurance limitations, and procedural costs.
- Liaised with social worker to expedite financial assistance not covered by insurance.
- Maintained detailed records of patient progress, documentation of services and case notes.
- Collaborated with healthcare providers to drive continuity of care.
- Managed caseload to satisfy multiple patients with diverse needs.
- Worked with medical teams, patients and families to implement effective treatment plans.
- Assessed risk factors of patients and made referrals for further services.
- Provided patient and family education on available resources and self-care strategies.
- Facilitated family meetings to discuss patient care plans.
- Participated in clinical supervision to maintain professional development.
- Coordinated patient discharge planning and follow-up care.
Registered Nurse Clinical Liaison
Select Rehabilitation Hospital Of San Antonio
04.2018 - 08.2019
- Collected data about patient care problems and prepared reports.
- Verified insurance coverage for patients and worked with clinic to schedule doctor visits and therapy sessions.
- Responded to and investigated complaints and concerns of patients.
- Evaluated patient satisfaction and made suggestions for changes or improvements.
- Evaluated patient histories, complaints, and current symptoms.
- Communicated with healthcare team members to plan, implement and enhance treatment strategies.
- Educated family members and caregivers on patient care instructions.
- Documented treatments delivered, medications and IVs administered, discharge instructions, and follow-up care.
- Followed all personal and health data procedures to effectively comply with HIPAA laws and prevent information breaches.
- Managed patients recovering from medical or surgical procedures.
- Used first-hand knowledge and clinical expertise to advocate for patients under care and enacted prescribed treatment strategies.
- Conducted ongoing monitoring and evaluations of behaviors and conditions, and updated clinical supervisors with current information.
- Delivered high level of quality care to diverse populations while overseeing patient admission and triaging based on acuity and appropriate department admission.
- Recorded details regarding therapies to keep patient charts updated.
- Promoted patient and family comfort during challenging recoveries to enhance healing and eliminate non-compliance problems.
- Equipped patients with tools and knowledge needed for speedy and sustained recovery.
- Conveyed treatment options, diagnosis information and home care techniques to patients and caregivers to continue care consistency.
- Leveraged feedback and process improvement opportunities to create safer and healthier environment and increase patient satisfaction.
Certified Case Manager
Humana
07.2017 - 05.2018
- Coordinated services with other agencies, community-based organizations, and healthcare professionals to provide useful benefits to clients.
- Developed and implemented comprehensive case management plans to address client needs and goals.
- Assisted clients in navigating housing, legal services and public benefits to gain access to valuable resources.
- Monitored clients' progress and tracked client services to provide crisis interventions.
- 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.
- Collaborated with an interdisciplinary team to determine timely delivery of services.
- Developed comprehensive discharge plans to transition clients to appropriate service providers in community.
- Identified care needs of individual patients and coordinated responses based on physician advice, insurance limitations, and procedural costs.
- Provided evidence-based therapeutic interventions and crisis management to clients to lessen negative on physical, mental and emotional wellbeing.
- Evaluated treatment plans against individual goals and healthcare standards.
- Provided education on health and nutrition for patients to maintain healthy habits and wellbeing.
- Referred clients to appropriate team members, community agencies and organizations to meet treatment needs.
- Monitored program performance and outcomes for successful delivery of services.
- Coordinated individual referrals to obtain community services, advocate for client needs and resolve roadblocks.
Registered Nurse Field Case Manager
Home Nursing & Therapy Services
08.2010 - 05.2018
- Documented treatments delivered, medications and IVs administered, discharge instructions, and follow-up care.
- Evaluated patient histories, complaints, and current symptoms.
- Observed and documented patient factors such as diets, physical activity levels and behaviors to understand conditions and effectively modify treatment plans.
- Implemented care plans for patient treatment after assessing physician medical regimens.
- Used first-hand knowledge and clinical expertise to advocate for patients under care and enacted prescribed treatment strategies.
- Conducted ongoing monitoring and evaluations of behaviors and conditions, and updated clinical supervisors with current information.
- Promoted patient and family comfort during challenging recoveries to enhance healing and eliminate non-compliance problems.
- Provided exceptional care to high-acute patients needing complex care such as ventilator management, extensive wound care and rehabilitation.
- Participated in evidence-based practice project implementation, nursing competency development and nursing simulation activities.
- Equipped patients with tools and knowledge needed for speedy and sustained recovery.
- Educated family members and caregivers on patient care instructions.
- Explained course of care and medication side effects to patients and caregivers in easy-to-understand terms.
- Followed all personal and health data procedures to effectively comply with HIPAA laws and prevent information breaches.
- Managed patients recovering from medical or surgical procedures.
- Monitored patient reactions after administering medications and IV therapies.
- Provided skilled, timely and level-headed emergency response to critically-ill patients.
- Offered exceptional care and support to individuals recovering from acute incidents and dealing with chronic conditions.
- Delivered high level of quality care to diverse populations while overseeing patient admission and triaging based on acuity and appropriate department admission.
- Conveyed treatment options, diagnosis information and home care techniques to patients and caregivers to continue care consistency.
- Sustained quality standards by performing routine medication audits and upholding internal and industry best practices.
Director of Health Services
Heartis Seniors Living & Autumn Grove Memory Care
12.2015 - 05.2017
- Supervised maintenance of medical and health records to certify security of patient medical information.
- Prioritized high-volume workload, maintaining concentration under time pressures and with minimal supervision.
- Analyzed and modified standard operating procedures and processes to continually improve health office operations.
- Planned projects and events meeting strict budgets and deadlines.
- Made daily rounds throughout health services department to assess care quality.
- Reviewed assessments submitted by nurse managers and provided administrative feedback.
- Coordinated and planned annual influenza vaccination clinics for students and staff during peak seasons.
- Trained staff in gathering essential medical information such as blood pressure and temperatures.
- Oversaw nursing assessments and evaluations of management and supervisory personnel.
- Monitored and completed health policy mandates and program directives.
- Audited inventory of pharmaceuticals and medical supplies to certify adequate and comprehensive stock.
- Identified and followed accreditation standards and federal health care models.
- Delivered recommendations and requests to senior leaders to improve ease and effectiveness of daily health services operations.
- Planned, developed and updated health service policies and procedures to promote safe, standardized care.
- Administrated completion of medical forms, reports and evaluations to identify areas requiring improvement.
- Designed emergency information sheets for staff to encourage quick responses to medical crises.
- Gathered, reviewed and adjudicated complaints and grievances of employees and patients to prevent and resolve workplace inadequacies.
- Established and maintained effective communication with staff, physicians and community organizations to promote high quality patient care.
- Recruited, hired and trained all staff, providing direct supervision, ongoing staff development and continuing education to employees.
- Developed and updated policies and procedures, maintaining compliance with guidelines relating to HIPAA, benefits administration and general liability.
- Conducted routine facility inspections, identifying areas needing improvement and eliminating hazards posed to staff and residents for continued compliance with associated regulations.
- Implemented successful healthcare program through professionalism, quality of care, medical teaching and patient satisfaction.
- Designed and introduced leadership development, coaching and team management model, resulting in promotion of employees into increased levels of responsibility.
- Monitored and inspected staff processes to eliminate hazards posed for both residents and staff while ensuring continuous compliance with regulations.
- Discussed medical histories with patients in effort to provide most effective medical advice.
- Created customized care plans, working with hospital staff and families to assess and meet individual needs.
- Ordered all pharmacy supplies and kept check on inventory levels.
- Defined testing protocols, quality assurance initiatives and clinic policies and procedures.
Utilization Review Registered Nurse/Certified Case Manager
United Healthcare Insurance/Wellmed Medical Group
10.2011 - 12.2015
- Effectively communicated with physicians regarding patient needs, performance, medications and changes.
- Responded promptly and professionally to patient questions and concerns.
- Participated in patient and family planning process, as well as provided instructions and addressed question and concerns.
- Evaluated healthcare needs, goals for treatment, and available resources of each patient and connected to optimal providers and care.
- Performed evaluations on consistent basis to address changes in patient needs, conditions and medications, altering care plans when required.
- Liaised with physicians regarding patient needs, performance and changes.
- Coordinated with interdisciplinary professionals to develop plans of care, administer tests and monitor patient status.
- Advocated for patients by communicating care preferences to practitioners, verifying interventions met treatment goals and identifying insurance coverage limitations.
- Created patient assessments and plans for individual home care needs.
- Authored initial assessments of patients and family to develop plans for individual home care needs.
- Worked with suppliers and vendors on provision of medical equipment, items and services.
- Assessed and examined patients and documented history of current and previous conditions, diseases and injuries along with medications currently being taken.
- Prepared clinical notes and updates for review by primary physician.
- Verified legibility of patient clinical notes and updates prior to review by primary physicians.
- Authored clinical notes and updates to be reviewed by patient's primary physician.
- Administered physical examinations and documented history of current and previous conditions, illnesses and injuries.
- Managed and streamlined referral queues of up to 50 by efficiently prioritizing patients and clearing insurance obstacles.
- Conferred with physicians to discuss diagnoses and devise well-coordinated treatment approaches.
- Audited charts and reviewed clinical documents to verify accuracy.
- Followed all personal and health data procedures to effectively comply with HIPAA laws and prevent information breaches.
- Collaborated with leadership to devise initiatives for improving nursing satisfaction, retention and morale.
- Participated in evidence-based practice project implementation, nursing competency development and nursing simulation activities.
- Leveraged feedback and process improvement opportunities to create safer and healthier environment and increase patient satisfaction.
Director of Nursing
Apex Home Health LLC/Signal Home Health Agency
09.2008 - 10.2011
- Monitored and evaluated nursing staff performance, providing feedback and guidance to support standards of care.
- Built and maintained positive working relationships with physicians and staff to support seamless healthcare operations.
- Oversaw and approved recruitment, hiring and orientation of new nursing staff.
- Participated in management team meetings to discuss resident status, census changes, and resident complaints or concerns.
- Worked closely administration to develop and implement best practices to improve patient outcomes.
- Facilitated continuing education and training programs to drive staff competency and professional development.
- Collaborated with staff, management, and external groups to coordinate patient care.
- Established new policies and updated existing policies to improve standard of care for patients.
- Identified department issues to recommend corrective actions.
- Developed positive employee relations, incentives, and recognition programs to promote teamwork and mutual respect.
- Established and monitored infection control programs to provide safe, sanitary environment to prevent transmission of disease and infection.
- Evaluated work performance of 25 nursing personnel to determine wage increases and implement discipline.
- Prepared and reviewed infection control surveillance reports to identify trends and develop effective actions to control and prevent infections.
- Recruited, hired and trained all staff, providing direct supervision, ongoing staff development and continuing education to employees.
- Developed and updated policies and procedures, maintaining compliance with guidelines relating to HIPAA, benefits administration and general liability.
- Monitored and inspected staff processes to eliminate hazards posed for both residents and staff while ensuring continuous compliance with regulations.
- Designed and introduced leadership development, coaching and team management model, resulting in promotion of employees into increased levels of responsibility.
- Defined testing protocols, quality assurance initiatives and clinic policies and procedures.
Assistant Director of Nursing/Director
Air Force Village II Retirement & Rehabilitation
08.2001 - 09.2008
- Monitored and evaluated nursing staff performance, providing feedback and guidance to support standards of care.
- Participated in management team meetings to discuss resident status, census changes, and resident complaints or concerns.
- Worked closely administration to develop and implement best practices to improve patient outcomes.
- Built and maintained positive working relationships with physicians and staff to support seamless healthcare operations.
- Performed rounds to observe care and interview staff, residents, and families.
- Collaborated with staff, management, and external groups to coordinate patient care.
- Identified department issues to recommend corrective actions.
- Oversaw and approved recruitment, hiring and orientation of new nursing staff.
- Established and monitored infection control programs to provide safe, sanitary environment to prevent transmission of disease and infection.
- Established new policies and updated existing policies to improve standard of care for patients.
- Facilitated continuing education and training programs to drive staff competency and professional development.
- Prepared and reviewed infection control surveillance reports to identify trends and develop effective actions to control and prevent infections.
- Developed positive employee relations, incentives, and recognition programs to promote teamwork and mutual respect.
- Evaluated work performance of 55 nursing personnel to determine wage increases and implement discipline.
- Established and maintained effective communication with staff, physicians and community organizations to promote high quality patient care.
- Recruited, hired and trained all staff, providing direct supervision, ongoing staff development and continuing education to employees.
- Communicated with patients, ensuring that medical information was kept private.
- Developed and updated policies and procedures, maintaining compliance with guidelines relating to HIPAA, benefits administration and general liability.
- Conducted routine facility inspections, identifying areas needing improvement and eliminating hazards posed to staff and residents for continued compliance with associated regulations.
- Defined testing protocols, quality assurance initiatives and clinic policies and procedures.
Education
Master of Science - Nursing
University of Arizona
Tucson, AZ12.2015
Bachelor of Science - Nursing
The University of Texas Health Science Center
San Antonio, TX12.2006
Skills
- Employee Recruitment and Hiring
- Employee Performance Evaluations
- Employee Work Scheduling
- Employee Training Program
- Operational Records Maintenance
- Financial Reporting Coordination
- Process Implementation
- Decision-Making
- Risk Management
- Information Systems Development
- Critical Thinking
- Policy and Program Development
- Epic Systems
- Employee Supervision
- Budget Development
- Patient Advocacy
- Staff Scheduling
- Staff Supervision
- Clinical Staff Management
- Patient Safety
- Hiring and Recruitment
- Care Delivery
- Immunizations
- Budget Planning
- Facility Oversight
- Nursing Operations Management
- Patient Relations
- HIPAA Guidelines
- Quality Control
- Rehabilitation Programs
- Staff Management
- Quality Assurance Controls
- Clinical Quality Program Standards
- Healthcare Delivery
- Process Improvement
- Regulatory Requirements
- Occupancy Strategies
- Performance Metrics
- Training and Mentoring
- Medicare Compliance
Certification
Certification in Case Management
Registered Nurse Compact Licensure
Licensed Vocational Nurse
Institute for Healthcare Improvement Certification
Assistant Living Manager Certification by the Texas Department of Aging & Disability Services/Licensing Standards for Assisted Living Facilities
Texas Food Safety Manager Certification
Administrator of Home Health Administration
Symplr Credentialing for Vendor Services
Health Trust Credentialing for Vendor Services
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Work Preference
Work Type
Full TimePart TimeContract WorkWork Location
On-SiteRemoteHybridImportant To Me
Company CultureWork-life balanceCareer advancementHealthcare benefits4-day work weekFlexible work hoursWork from home optionPersonal development programsTimeline
Care Transitions Coordinator
Amedisys Home Health
03.2023 - Current
Lead Clinical Liaison/Certified Case Manager
Kindred Acute Rehabilitation/TVMC Hospital
03.2022 - 03.2023
Clinical Rehabilitation Specialist/Lead Clinical Liaison/Certified Case Manager
Methodist Healthcare/HCA
08.2019 - 05.2022
Registered Nurse Clinical Liaison
Select Rehabilitation Hospital Of San Antonio
04.2018 - 08.2019
Certified Case Manager
Humana
07.2017 - 05.2018
Director of Health Services
Heartis Seniors Living & Autumn Grove Memory Care
12.2015 - 05.2017
Utilization Review Registered Nurse/Certified Case Manager
United Healthcare Insurance/Wellmed Medical Group
10.2011 - 12.2015
Registered Nurse Field Case Manager
Home Nursing & Therapy Services
08.2010 - 05.2018
Director of Nursing
Apex Home Health LLC/Signal Home Health Agency
09.2008 - 10.2011
Assistant Director of Nursing/Director
Air Force Village II Retirement & Rehabilitation
08.2001 - 09.2008
Master of Science - Nursing
University of Arizona
Bachelor of Science - Nursing
The University of Texas Health Science Center
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