Holly Brewer
Perryville,MO
Summary
Proven leader in healthcare management, adept at fostering interdisciplinary collaboration and driving quality improvement initiatives. At Independence Health System, I enhanced patient care transitions and significantly reduced readmission rates. Skilled in clinical leadership and effective multitasking, my strategic approach consistently delivers high-quality outcomes and operational excellence.
Overview
30
30
years of professional experience
Work History
ADON
Independence Health System
01.2023 - 03.2024
- Established strong partnerships with community resources including hospice providers, home health agencies, and outpatient rehabilitation centers to enhance patient care transitions and discharge planning.
- Managed staffing needs effectively, ensuring appropriate nurse-to-resident ratios during all shifts.
- Mentored new nursing staff, fostering professional growth and development while maintaining high standards of patient
- Streamlined communication between nursing departments for efficient workflow and patient care coordination.
- Assisted in developing policies and procedures that were in compliance with state regulations, maintaining accreditation standards for the facility.
- Collaborated with interdisciplinary teams to develop individualized care plans for residents, ensuring optimal health outcomes.
- Facilitated open communication among team members, promoting a positive work environment conducive to collaboration and problemsolving.
- Assisted in the recruitment, hiring, and retention of top nursing talent by conducting interviews, and providing mentorship to new hires.
- Participated in regulatory surveys conducted by external agencies, demonstrating compliance with established standards of practice and delivering high-quality resident care services consistently across all aspects of operations.
- Planned and assigned workload to -nursing staff to direct patient care.
- Collaborated with staff, management, and external groups to coordinate patient care.
- Participated in management team meetings to discuss resident status, census changes, and resident complaints or concerns.
- Performed rounds to observe care and interview staff, residents, and families.
- Worked closely with administration to develop and implement best practices to improve patient outcomes.
- Identified department issues to recommend corrective actions.
- Implemented successful healthcare program through professionalism, quality of care, medical teaching and patient satisfaction.
- Responsible for reviewing new resident referrals; collaborating with physicians for acceptance; coordinating with families
- Responsible for weekly/monthly rounding with physicians and coordinating care; best practices for residents
MDS Coordinator/Charge Nurse
Independence Health System
05.2019 - 01.2023
- Set schedules for staff to start and complete MDS assessments and care plan meetings.
- Ensured timely completion of all MDS assessments, maintaining full compliance with federal and state regulations.
- Maintained up-to-date knowledge on CMS guidelines and changes to ensure accuracy in reporting and reimbursement processes.
- Verified prompt and accurate completion of MDS activities for billing.
- Collaborated with nursing staff to provide accurate and timely clinical assessments for each resident, leading to improved overall care.
- Assessed electronic medical record for required documentation to support MDS coding.
- Collaborated closely with therapy departments to accurately capture rehabilitation needs within MDS documentation, supporting appropriate resource allocation for residents'' needs.
- Enhanced patient care quality by implementing comprehensive MDS assessments and care plans.
- Provided ongoing education for nursing staff regarding MDS best practices, contributing to a knowledgeable and skilled workforce.
- Monitored changing regulations related to RAI/MDS requirements, keeping staff informed about updates that impact their daily work routines.
- Implemented interdisciplinary meetings focused on individualized care plan development, resulting in more targeted interventions and improved resident outcomes.
- Completed minimum data set assessments with strong collaboration across business, provider and clinical disciplines.
- Developed strong relationships with interdisciplinary team members to facilitate efficient collaboration on resident care planning.
- Assist in performing staff nurse role as needed
Hospice Case Manager
Crown Hospice
04.2018 - 05.2019
- Maintained compliance with all relevant regulations and accreditation standards by staying up-to-date on industry trends and policy changes.
- Collaborated with interdisciplinary team members for optimal patient outcomes in end-of-life care.
- Conducted thorough assessments of new hospice referrals to determine eligibility for services, facilitating efficient patient admission processes.
- Streamlined communication among healthcare providers, ensuring timely implementation of treatment modifications for better symptom management.
- Managed caseloads efficiently by prioritizing tasks according to urgency and complexity, ensuring all patients received appropriate attention.
- Provided regular updates to attending physicians regarding patient status changes, enabling timely interventions when necessary.
- Coordinated seamless transitions between different levels of care by collaborating with hospital staff, nursing home personnel, or private caregivers as needed.
- Facilitated family meetings to address concerns or conflicts surrounding end-of-life decisions, promoting open dialogue among loved ones during challenging times.
- Mentored new hospice case managers, sharing insights and best practices to ensure high-quality care delivery.
- Developed individualized patient care plans, addressing physical, emotional, and spiritual needs of patients and families.
- Educated patients and families on disease progression and available resources, fostering a sense of empowerment and informed decisionmaking.
- Fostered strong relationships with community agencies to provide additional support services to hospice patients and their caregivers.
- Served as an advocate for patients'' rights and preferences throughout the end-of-life care process, promoting dignity and autonomy.
- Enhanced team efficiency through consistent documentation practices that ensured accurate record-keeping for clinical review meetings.
- Implemented creative pain management strategies tailored to individual patient needs, alleviating discomfort while minimizing side effects from medications.
- Maintained detailed records of patient progress, documentation of services and case notes.
- Conducted in-home visits to provide supportive services.
- Managed caseload to satisfy multiple patients with diverse needs.
Payor Relations Specialist
Landmark Hospital
03.2017 - 04.2018
- Using discretion and independent judgement managed the precertification and prior authorizations of referrals scheduled for admission to Landmark
- Obtained timely authorization of patients requiring pervert and accountable for conversion percentage and results
- Developed relationships that increase and stabilize conversion as well as generates referrals-including identifying relationship opportunities within Landmark hospitals to include but not limited to CEO, DBD, CIs, Admissions Coordinator and the CM team
- Encourages and modeled teamwork, communication and collaborations with other departments to ensure continuity in patient care plan
- Reviewed benefits with Admissions Coordinator for possible risk and applies/completes written guidelines as necessary to reduce or manage risk
- Provide outstanding customer service to all customers
- Develop strong relationships with insurance payors for timely precertification and authorizations for timely admissions to Landmark hospitals
- Oversaw daily operations of a busy office environment, ensuring tasks were completed efficiently and accurately.
- Built and managed relationships with key clients and partners to drive growth.
- Enhanced team productivity by streamlining processes and implementing time-saving strategies.
- Reduced costs by identifying inefficiencies in operations and implementing cost-saving measures.
- Maintained current understanding of market conditions, compliance standards and best practices.
Utilization Management Coordinator
Perry County Memorial Hospital
05.2000 - 04.2007
- Reduced hospital readmission rates through thorough assessment of patient needs, developing appropriate post-discharge plans.
- Improved workflow efficiency by collaborating with healthcare providers to ensure timely authorizations and discharge planning.
- Facilitated effective communication between care teams, patients, and insurance companies, resulting in streamlined care coordination.
- Contributed to the development of departmental goals, objectives, and performance improvement initiatives for continuous enhancement of services provided.
- Actively participated in interdisciplinary team meetings to provide input on patient care, discharge planning, and resource utilization.
- Collaborated closely with physicians to identify appropriate levels of care based on medical necessity criteria during admissions process.
- Maintained accurate documentation of all reviews, appeals, and decisions in line with organizational standards and requirements.
- Conducted proactive patient evaluations to anticipate potential barriers in their treatment plan or discharge process.
- Served as a liaison between patients, families, caregivers, providers, payers, and community resources to ensure seamless transitions throughout the continuum of care.
- Supported cost-effective use of services by ensuring that authorization requests met clinical review criteria before approving them.
- Liaised with other healthcare professionals to develop comprehensive patient care plans and provide highest quality of care.
- Manage Oryx Project, Including: Review, Data Entry & Transmission
Medical/Medical Surgical Staff Nurse
Perry County Memorial Hospital
05.2009 - 04.2017
- Educated patients and families on medical-surgical procedures, therapeutic regimens, and pain management techniques.
- Started intravenous fluids, administered medications, and documented patient charts by recording food and fluid output and intake.
- Monitored patients before, during and after surgical operations to evaluate patient care.
- Managed patients' pain by implementing pharmacological and non-pharmacological pain management interventions.
- Educated patients and families on illnesses, medications and treatment plans.
- Recorded and measured patients' weight, temperature, respiration, and blood pressure.
- Collaborated with members of patients' healthcare team to deliver appropriate level of care.
- Assessed patient status during procedures to communicate abnormalities to physicians.
- Effectively communicated with physicians regarding critical lab values or concerning assessment findings initiating prompt intervention.
- Mentored new nurses, providing guidance and support to facilitate their transition into the Medical Surgical unit.
- Demonstrated strong clinical judgment in prioritizing interventions based on patient acuity levels and available resources.
- Improved patient outcomes by collaborating with interdisciplinary healthcare teams to develop individualized care plans.
- Provided compassionate care for patients, addressing both physical and emotional needs during their hospital stay.
- Educated patients and families on disease processes, medical procedures, and discharge instructions to promote understanding and adherence to treatment plans.
- Participated in interdisciplinary rounds, collaborating with healthcare team members to address patient needs holistically.
- Managed complex wound care tasks, promoting healing while minimizing the risk of complications or infection.
- Increased patient satisfaction by consistently delivering high-quality nursing care in a timely manner.
- Maintained accurate electronic medical records for all patients under my care, ensuring timely communication among healthcare team members.
- Reduced medication errors through diligent administration and accurate documentation of medications.
- Assisted physicians during examinations, treatments, and procedures, ensuring optimal patient comfort and safety.
- Served as a preceptor for nursing students and new hires, sharing knowledge and expertise while fostering an environment conducive to learning.
- Enhanced patient care by conducting thorough assessments and developing comprehensive nursing plans.
- Conducted ongoing monitoring of vital signs, laboratory results, diagnostic tests and imaging studies to detect subtle changes in patient status promptly initiating appropriate interventions.
- Developed trusting relationships with patients and families, acting as an advocate for their needs within the healthcare system.
- Managed caseload of 5-7 patients simultaneously by providing bedside care, treatments, IV therapy, and wound care.
- Performed emergency medical procedures such as BLS, ACLS and other condition stabilizing interventions.
Nurse Assistant
Perry County Memorial Hospital
04.2007 - 05.2009
- Checked patient vitals such as temperature, blood pressure, pulse and recorded
- Demonstrated strong teamwork skills when working alongside fellow nurse assistants, nurses, physicians and other healthcare professionals striving towards common goals centered around providing high-quality care tailored specifically towards meeting individual patient needs as they arise throughout course treatment process.
- Maintained accurate documentation of patient records, contributing to efficient communication among healthcare team members.
- Assisted patients with activities of daily living, promoting independence and dignity.
- Improved patient care by assisting nurses with daily tasks and providing compassionate support to patients.
- Assisted with feeding and monitored intake to help patients achieve nutritional objectives.
- Reported unusual or urgent circumstances in patients' condition or environment immediately to nurse supervisor.
- Promoted good oral and personal hygiene by aiding patients with shaving, bathing, and teeth brushing.
- Answered call lights and supported patient comfort and safety by adjusting bed rails and equipment.
- Supported patient mobility by transferring them from bed to chair or other locations using proper lifting techniques, reducing the risk of injury for both patients and staff members alike during such activities.
Cashier
Walmart
01.1996 - 08.1998
- Greeted customers entering store and responded promptly to customer needs.
- Welcomed customers and helped determine their needs.
- Worked flexible schedule and extra shifts to meet business needs.
- Operated cash register for cash, check, and credit card transactions with excellent accuracy levels.
- Maintained a balanced cash drawer, ensuring accurate accounting at the end of each shift.
- Helped customers complete purchases, locate items, and join reward programs.
- Cashier of the Month: April/May 1997
Lumber Stacker
Altenburg Hardwood
01.1994 - 05.1995
- Achieved timely completion of projects by prioritizing tasks according to deadlines while maintaining attention to detail throughout all aspects of the stacking process.
- Improved lumber stacking efficiency by implementing proper techniques and procedures.
- Maintained high-quality standards of stacked lumber, regularly inspecting for defects or damages before storing them.
Education
Associate of Applied Science - RN
Southeast College of Nursing & Health Sciences
Cape Girardeau, Mo05.2009
Associate of Applied Science - Medical Specialist
Metro Business College
Cape Girardeau, MO05.2000
High School Diploma -
Perryville Sr. High School
Perryville, MO05.1997
Skills
- Clinical Leadership
- Quality Improvement
- Care Plan Development
- Healthcare administration
- Interdisciplinary Collaboration
- Multidisciplinary Collaboration
- Chronic Disease Management
- Clinical Resources Management
- Budget Control
- Nurse Education and Training
- Leadership and Guidance
- Strong Work Ethic
- Effective Multitasking
Timeline
ADON
Independence Health System
01.2023 - 03.2024
MDS Coordinator/Charge Nurse
Independence Health System
05.2019 - 01.2023
Hospice Case Manager
Crown Hospice
04.2018 - 05.2019
Payor Relations Specialist
Landmark Hospital
03.2017 - 04.2018
Medical/Medical Surgical Staff Nurse
Perry County Memorial Hospital
05.2009 - 04.2017
Nurse Assistant
Perry County Memorial Hospital
04.2007 - 05.2009
Utilization Management Coordinator
Perry County Memorial Hospital
05.2000 - 04.2007
Cashier
Walmart
01.1996 - 08.1998
Lumber Stacker
Altenburg Hardwood
01.1994 - 05.1995
Associate of Applied Science - RN
Southeast College of Nursing & Health Sciences
Associate of Applied Science - Medical Specialist
Metro Business College
High School Diploma -
Perryville Sr. High School
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