Gloria McMillan MSN NP-C PMHNP-BC

Assess, counsel, and treat adult mental health clients. Prescribe medications as appropriate.

Perform annual in home health risk assessments with health plan members As independent contractor travel in Iowa to member"s residence. Interview member to assess optimum utilization of health care resources. Perform brief physical exam. Provide health advice and recommendations.

Coached, counseled, and advised patients in weight management. Collaborated with patients to set goals. Educated on diet and nutritional strategies for health and weight loss. Outlined comprehensive plan including appetite suppressant medication and exercise. Continually assessed patient's progress and response to program and medications.

• Conducted face to face evaluations with prospective hospice patients to determine eligibility for Hospice based on Medicare guidelines. Performed chart review, limited physical exam, and record findings in electronic medical record.

• Facilitated admissions to hospice services by providing information, education and support to families and patients in three county area, including homes, hospitals, and nursing facilities. Assisted patient and family to make decisions regarding hospice care. Provided education and support in symptom control/medications. Perform nursing assessment/ medication review. Collaborated with physicians and community providers to ensure effective care plans. Documented admission in electronic medical record.

• Performed mental health screenings/evaluations with patients experiencing acute mental health and substance abuse conditions. Determined priorities of treatment depending on acuity. Formulated safe dispositions in conjunction with team members and physicians. Provided information and administered psychotropic medications . Collaborated with community providers, police, and family members.

• Provided Hospice case management services to geriatric population in assisted living facilities. Conducted physical assessments and provided symptom management /comfort care as needed. Collaborated with facility staff, and families to ensure optimal understanding of end of life care.