Summary
Overview
Work History
Education
Skills
Affiliations
Timeline
Generic

Heather Pfeifer

Campbellsport,WI

Summary

Registered Nurse with 17 + years’ experience including Director of Clinical Operations, Assistant Director of Hospice, Case Manager for Hospice and on a Medical/Surgical hospital floor caring for geriatric patients and acute cardiac patients.


Dedicated and compassionate Registered Nurse (RN) with progressive career history in direct patient care, triage and care coordination in fast-paced environment. Proven to remain calm under pressure and skillfully handle difficult patients and high-stress situations. Consistently developing strong relationships with patients and families through empathetic communication, respectful attitude and excellent customer service.

Overview

10
10
years of professional experience

Work History

RN Cardiac Med/Surg

St Agnes Hospital
01.2023 - Current
  • Contact Number: 920-929-2300
  • Patient load of 4-5 patients, some complicated cardiac cases including CABG post op, monitoring after LHC, monitoring cardiac drips, and chest tube maintenance
  • Some straight Med/Surg patients who need to be monitored due to cardiac history
  • Med Tele certification

RN PRN Hospice Case Manager

Generations Hospice
07.2022 - 08.2023
  • Contact Number: 920-922-0134
  • Patient load of 13-15 patients; coordinating schedules, medication changes, assessment of change in condition and discussing appropriate treatment with physicians, monitoring effectiveness and need for medications, ordering equipment as needed, updating the plan of care, participating in team meetings to recertify patients, ongoing education, and coordinating with the hospice team, family, and facility care givers
  • Experience with on call of 100+ patients and prioritizing patient visits
  • Extensive experience with admissions, LIVE discharges, death visits and transfers of patients
  • Maintaining patients charts in the home, facility and office
  • Supervision of HHA and LPNs along with verifying patients are receiving ordered care
  • Responsibilities also include writing orders and ensuring patients receive comfort and care while on hospice services

Director of Clinical Operations

Generations Hospice
06.2021 - 07.2022
  • Contact Number: 920-922-0134
  • Leading a team of Interdisciplinary professionals who are taking care of patients at the bedside every day
  • Coach, influence and mentoring of the team to provide excellent patient care
  • Direct the interdisciplinary team to meet the needs of the hospice patient and families
  • Responsibilities include interviewing, hiring, training and terminating (with administrative approval) all interdisciplinary staff; planning, assigning, and directing work; appraising performance; rewarding and disciplining colleagues; addressing complaints and resolving problems
  • Reads and incorporates into practice the requirements of the Hospice Conditions of Participation for Medicare, applicable accreditation standards, and state or other rules and regulations as applicable to the program
  • Oversees the consultative process between the Medical Director and the members of the Interdisciplinary Team (IDT), assists in requesting appropriate care orders and attendance to identified patient needs if patient's attending physician is not available
  • Required documentation is completed during and at the conclusion of the IDT meeting to capture the discussion and outcomes of the meeting
  • Documentation of the patient-centered plan of care and the implementation of interventions for patient care including changes in level of care, medication changes, or changes to visit frequency
  • Models desired behaviors including timeliness, punctuality, attendance, collaboration, open communication, and equitable treatment
  • Actively collaborates regarding QAPI activities and provides feedback and input into Performance Improvement
  • Promotes hospice philosophy Upholds a personal philosophy of integrity and commitment; communicates proactively when schedule changes are needed
  • Analyzes and reports on quality metrics including Hospice Item Set, CAHPS, and symptom management outcomes
  • Ensures maximum utilization of resources
  • Participates in after-hours shifts as needed including primary and back-up on-call
  • Participates in Administrator on call rotation

Patient Care Coordinator

Generations Home care and Hospice
04.2018 - 06.2021
  • Contact Number: 920-922-0134
  • Assistant Director of Hospice for south territory
  • Manage RNs, CNAs, LPNs, SW and Chaplin including disciplinary action, action plans, compass meetings, scheduling, approval of PDO and time off, supervisory visits, and annual performance reviews
  • Coordinating with all modalities to provide excellent patient care with our fragile hospice population
  • Working with NPs and medical directors to determine continued eligibility of hospice patients
  • Determining initial hospice eligibility with ICD-10 coding for hospice pts including coordinating with MDs, RNs, and facility staff to obtain information, and continuing the admission process through scheduling with staff
  • Submission of records to Medicare via computer
  • Approval of medications through a third-party processor and coordinating the delivery of medications in a timely manner to patients
  • Coordination with all hospice staff, MD staff, pharmacy staff, durable equipment company staff, families, patients, and facility staff
  • Interviewing, and helping to determine if prospective employees are hired, orientation of/ staff, scheduling, and monitoring progress of new employees
  • Leading IDT meetings including recertifications
  • Able to complete pre admit conferences, consents for admission, admissions, discharges (LIVE and deaths), skilled nursing visits, recertifications and on-call as needed by the company

Wellness Director

Landmark at Charleston House
09.2017 - 04.2018
  • Contact Number: 920-356-9818
  • Wellness director managing caregivers, scheduling, monitoring resident’s weights, physical assessments of residents and coordinating with EMS
  • Preadmission assessments of prospective new residents

RN Hospice Case Manager

Generations Home care and Hospice
01.2015 - 09.2017
  • Contact Number: 920-922-0134
  • Patient load of 15-20 patients; coordinating schedules, medication changes, assessment of change in condition and discussing appropriate treatment with physicians, monitoring effectiveness and need for medications, ordering equipment as needed, updating the plan of care, participating in team meetings to recertify patients, ongoing education, and coordinating with the hospice team, family, and facility care givers
  • Experience with on call of 100+ patients and prioritizing patient visits
  • Extensive experience with admissions, LIVE discharges, death visits and transfers of patients
  • Maintaining patients charts in the home, facility, and office
  • Supervision of HHA and LPNs along with verifying patients are receiving ordered care
  • Responsibilities also include writing orders and ensuring patients receive comfort and care while on hospice services

Education

Master of Science - FNP

Walden University
Minneapolis, MN
08.2024

Bachelor of Science - Nursing

Marian University
01.2013

Associate of Science - Nursing

Cardinal Stritch University
01.2006

Skills

  • Excellent typing and computer skills, proficient with iCD-10 coding, Excel, Outlook, Epic, Wellsky, PrognoCIS, and Health Care First platforms Experience with Point Click Care and Home Care Home Base Ability to communicate with a variety of people and offer constructive criticism in a managerial platform and offer solutions and troubleshoot issues Strong Leader who leads by example and able to educate staff in a way that is informative and enjoyable BLS and ACLS certifications current
  • Basic Life Support
  • Clinical judgment
  • Compassion and Empathy
  • Discharge Planning
  • Geriatric Care
  • Health Promotion
  • Medication and IV administration
  • Direct Patient Care
  • Patient Assessments
  • Patient education and counseling
  • Strong Clinical Judgment

Affiliations

  • ANA
  • AANP

Timeline

RN Cardiac Med/Surg

St Agnes Hospital
01.2023 - Current

RN PRN Hospice Case Manager

Generations Hospice
07.2022 - 08.2023

Director of Clinical Operations

Generations Hospice
06.2021 - 07.2022

Patient Care Coordinator

Generations Home care and Hospice
04.2018 - 06.2021

Wellness Director

Landmark at Charleston House
09.2017 - 04.2018

RN Hospice Case Manager

Generations Home care and Hospice
01.2015 - 09.2017

Master of Science - FNP

Walden University

Bachelor of Science - Nursing

Marian University

Associate of Science - Nursing

Cardinal Stritch University
Heather Pfeifer