IRIS GONZALEZ RN
RN
Hollywood,FL
Summary
Problem-solving Clinical Director qualified to manage health regulations, perform patient care and further motivate talented staff. Enthusiastic professional with background affecting positive patient outcomes, finding creative solutions to administrative issues and interacting with diverse personalities.
Overview
33
33
years of professional experience
1
1
Certification
Work History
DIRECTOR OF CLINICAL SERVICES/ADMINISTRATOR
HOMECAIRE/ DBA NURSING CONCEPTS INC.
08.2022 - Current
- Overseeing all clinical and administrative operations of a census ranging from 10-165+
- Managing a staff of over 78 employees
- Approving the admissions of all patients, documentation of all patient charts, marketing, and interviewing potential personnel candidates
- Billing, coding, reviewing charts and preparing company for surveys and audits; holding weekly and monthly meetings with internal and field staff and providing education opportunities as needed
- Presented innovative ideas to establish company growth to increase census
- Successfully increased census from 10 to 165+ from August 2022 to present
- Executed new process of marketing and admissions which created quicker admissions and signed orders
- Also Implemented staff policy, allowing them to follow their own patients if wished; which resulted in less turnover within the staff and continuity of care with the patients as seen and practiced in previous agency
- Admitting patients as needed, especially in the Spanish community
- Specialized in Med Surg and Wound care
- Implemented bonus structure if OASIS was submitted within 24 hours which resulted in expedited billing time.
DIRECTOR OF CLINICAL SERVICES/ADMINISTRATOR
INDIGO HOME HEALTH SERVICES
08.2019 - 05.2022
- Overseeing all clinical and administrative operations of a census ranging from 25-150+
- Managing a staff of over 65 employees
- Billing, coding, reviewing charts and preparing company for surveys and audits; holding weekly and monthly meetings with internal and field staff and providing education opportunities as needed
- Presented innovative ideas to establish company growth to increase census
- Successfully increased census from 27 to 82 from August 2019 to December 2019
- January to March 2020, census grew to 147 and began to decline due to Covid-19 related issues
- Executed new process of follow up calls post patient discharge at 2 weeks, 1 month and 3 months.
DIRECTOR OF NURSING
INIFINITY HOME CARE
01.2012 - 01.2014
- Reviewed patient assessments, verifying all needs were being properly met as per documentation and patient diagnosis
- Assignment of proper ICD code as per MD order and DX
- Plan of Care sent to assigned physician
- Active role in QI/PI committee, holding weekly in-services with staff members identifying department's strengths and opportunities
- Supervise 30+ practitioners and employees: leading recruiting and hiring and employee reviews
- Ensure all state and federal regulations are 100% compliant
- Developed and maintained quality care system standards, creating, and improving medical protocol and guidelines
- Active participant in unit-based Quality Assurance Program
- Managed unit budget, ensuring financial objectives were being met
- Accountable for case load of 75 clients, providing education, treatments, IV therapy, venipuncture and wound care
- Maintained caseload of 80+ patients and responsible for verifying and qualifying that all patient needs were being met through their care
- Continued to ensure proper patient care upon discharge, including preventative actions ensuring the patient can be stable at home, disease free and not readmitted for treatment.
- Participated in management team meetings to discuss resident status, census changes, and resident complaints or concerns.
- Oversaw and approved recruitment, hiring and orientation of new nursing staff.
- Ensured regulatory compliance by staying current on industry standards and updating policies accordingly.
- 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.
- Performed rounds to observe care and interview staff, residents, and families.
- Collaborated with interdisciplinary teams to develop comprehensive care plans for patients with complex needs.
- Established and monitored infection control programs to provide safe, sanitary environment to prevent transmission of disease and infection.
- Enhanced staff performance by conducting regular evaluations, providing constructive feedback, and offering tailored professional development opportunities.
- Promoted a culture of safety by enforcing compliance with infection control policies and procedures.
- Managed budgets effectively, identifying cost-saving measures while maintaining high-quality patient care standards.
- Led quality improvement projects aimed at enhancing clinical outcomes through data-driven analysis and targeted interventions.
- Established new policies and updated existing policies to improve standard of care for patients.
- Championed initiatives focused on improving workplace diversity to foster an inclusive environment that respects the cultural backgrounds of staff members and patients alike.
- Increased patient satisfaction scores by fostering a compassionate and supportive environment within the nursing department.
- Developed and updated policies and procedures, maintaining compliance with guidelines relating to HIPAA, benefits administration and general liability.
- Communicated with patients, ensuring that medical information was kept private.
- Implemented successful healthcare program through professionalism, quality of care, medical teaching and patient satisfaction.
DIRECTOR OF NURSING
OMNI HOME CARE
01.2007 - 01.2012
- Simultaneously served as lead health care provider and Director of Nursing in elite home care agency
- Active Participant in unit-based Quality Assessment Program
- Provider of care within outpatient setting ranging from assessments to development and implementation of care plan of 100+ census
- Ethical and independent decision making with ability consistent within medical protocols
- Provided necessary health education training for patients while coding and creating plan of care according to patient diagnosis.
DIRECTOR OF CASE MANAGEMENT
UNITED HOME CARE
01.1992 - 01.2012
- Case Management Department Supervisor; managing all medical staff, providing training and orientation for new employees with a census of 150+
- Coding and creating patient care plans according to physician orders
- Held case conferences and conducted in-services and consultations on a weekly basis ensuring adherence to state guidelines
- Assess all wound care patients as a field nurse, developing implementing care plans
- Created and implemented wound care protocols.
- Reviewed and developed intake and discharge planning strategies to encourage client engagement and retention.
- Collaborated with multidisciplinary teams to facilitate client care and reduce case management barriers.
- Streamlined, standardized and implemented case management processes and techniques to maximize revenue cycle.
- Created care plans that addressed clinical and financial challenges, family requirements and facilitated patient quality of life.
- Fostered professional networks and relationships with service and resource providers to promote continuity and quality of care for clients.
- Served as corporate resource for compliance and audits to facilitate legal process and appeals.
- Managed and monitored program activities and evaluated quality for improvement recommendations.
- Leveraged case management tools and conflict management techniques to help interdisciplinary teams achieve optimal outcomes.
- Developed and administered budgets, authorized expenditures and monitored financial indicators to improve profitability.
- Guided and supervised CCE programs to promote social work and case management principles.
- Structured standardized case management processes to comply with regulatory agency statutes and standards.
- Devised and implemented cost-control plans to enhance department operations.
- Improved patient satisfaction through the development of personalized care plans and regular followup.
- Increased staff productivity by providing ongoing training, support, and mentorship for case managers and related professionals.
- Enhanced patient care by implementing efficient case management systems and processes.
- Maintained compliance with regulatory requirements through rigorous quality assurance processes and timely reporting mechanisms.
- Leveraged technology solutions for improved communication, documentation, and overall efficiency within the case management department.
- Developed strong relationships with community partners to facilitate comprehensive support services for patients and families.
- Influenced policy decisions at both the organizational level by advocating for improvements in case management practices based on industry trends and emerging evidence.
- Conducted regular performance evaluations to identify strengths, areas for improvement, and opportunities for growth among team members.
- Promoted adherence to evidence-based practices by regularly reviewing current literature and integrating best practices into daily operations.
- Reduced healthcare costs by streamlining case management protocols and maximizing resource utilization.
- Managed budgets effectively, ensuring optimal allocation of resources while reducing waste and inefficiency.
- Implemented data-driven strategies for continuous improvement in case management performance metrics.
- Integrated population health management principles into daily practice, promoting preventative care measures among patients as well as streamlined interventions when needed.
- Established clear objectives for direct reports, fostering an environment that encouraged professional growth while aligning with organizational goals.
- Proactively addressed complex cases or escalated issues, working closely with stakeholders to devise effective resolution strategies.
- Spearheaded initiatives aimed at reducing readmissions, improving discharge planning, and enhancing overall continuity of care.
- Coordinated with external agencies, such as insurance providers and regulatory bodies, to ensure smooth operations within the case management department.
- Collaborated with interdisciplinary teams to optimize patient outcomes and ensure seamless transitions between care settings.
- Championed a culture of teamwork, collaboration, and innovation within the department to drive positive change across the organization.
- Provided leadership, guidance and support to staff members.
- Participated in community events to promote services and engage with public.
- Referred clients to appropriate team members, community agencies and organizations to meet treatment needs.
- Developed strong rapport with patients and families, providing emotional support during challenging situations.
- Addressed patient concerns promptly by investigating issues thoroughly and collaborating with appropriate personnel to resolve problems efficiently.
- Served as a liaison between administration, medical staff, and nursing team for seamless communication and coordination of care efforts.
- Managed staffing schedules, ensuring adequate coverage for all shifts while minimizing overtime costs.
- Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
- Mentored junior nurses in clinical decision-making skills, fostering their professional growth and development.
- Advocated for patient needs within the healthcare organization, working closely with multidisciplinary teams to optimize resource allocation and service delivery.
- Maintained accurate documentation of patient care activities in accordance with regulatory requirements, ensuring timely completion of reports as necessary for compliance purposes.
- Led successful team comprised of RNs, LPNs, and ancillary staff.
- Conferred with physicians to discuss diagnoses and devise well-coordinated treatment approaches.
- Provided direct patient care, stabilized patients, and determined next course of action.
- Managed care from admission to discharge.
- Promoted a safe and healthy work environment through adherence to infection control policies and procedures.
- Enhanced overall staff morale by recognizing individual achievements and fostering a collaborative, supportive work environment.
- Assisted in the onboarding process for new hires, offering guidance and mentorship to help them acclimate quickly to their roles.
- Trained new nurses in proper techniques, care standards, operational procedures, and safety protocols.
- Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process, and management and lifestyle options.
- Evaluated clinical competency of nursing staff through direct observation, feedback sessions, and periodic skills assessments.
- Oversaw quality assurance initiatives to identify areas of improvement within the department and implement corrective action plans accordingly.
- Streamlined patient care processes for increased efficiency and improved quality of care.
- Evaluated healthcare needs, goals for treatment, and available resources of each patient and connected to optimal providers and care.
- Facilitated open communication among team members by conducting regular staff meetings and encouraging feedback from all levels of personnel.
Education
BACHELOR OF SCIENCE, GERIATRIC NURSING -
BARRY UNIVERSITY
NORTH MIAMI BEACH, FL06.1998
ASSOCIATE IN SCIENCE, Registered Nurse -
Miami Dade College
MIAMI, FL01.1993
Skills
- Over 25 years' experience within the geriatric home health field
- Case Management expertise
- Bi-lingual English and Spanish
- Compliance reporting
- Trained and experienced in acute and out-patient care
- ICD-10 Coding
- Administrative responsibilities; payroll, expense reporting
- OASIS Certified (2010-2019)
- Wound Care Specialist
- Triage Care
- Proficient in Kinnser, Well Sky and Access Software
- Physical and Psychological Evaluations
- Customer Service
- Nursing staff management
- Planning and scheduling
- Clinical judgment
- Decision-Making
- Clinical management
- Patient Assessments
- Community Resources
- Medication Administration
- Coaching and Mentoring
- Conflict Resolution
- Quality Improvement
- Medication Management
- Policy updates
- Crisis Management
- Staff Scheduling
- Emergency Response
- Schedule Coordination
- Process Improvements
- Case Reviews
- Community Outreach
- FLUENT IN SPANISH
- Database Management
- Regulatory Compliance
- Physician Collaboration
- Medical Emergency Triage
- Hospital Pre-Screenings
- Patient Chart Review
- Inclusion and Diversity
- Nurse Team Supervision
- Patient Care Assignments
- Prescription Transmission
- Team Collaboration and Motivation
- Program Quality
- Protocols and Procedures
- Chart Audits
- Special Unit Supervision
- Medical and Health Provider Referrals
- Nursing Services Coordination
- Family and Patient Counseling
- Social Services Coordination
- Home Care Visits
- Dosage Interpretation
- Service Plan Development
- Multitasking and Organization
- Patient education and advocacy
- Patient Care
- Staff Coaching and Mentoring
- Critical Thinking
Certification
- Certified Wound Care Specialist (CWS), 07/2022
- Registered Nurse, State of FL3368102
Languages
Spanish
Full Professional
Timeline
DIRECTOR OF CLINICAL SERVICES/ADMINISTRATOR
HOMECAIRE/ DBA NURSING CONCEPTS INC.
08.2022 - Current
DIRECTOR OF CLINICAL SERVICES/ADMINISTRATOR
INDIGO HOME HEALTH SERVICES
08.2019 - 05.2022
DIRECTOR OF NURSING
INIFINITY HOME CARE
01.2012 - 01.2014
DIRECTOR OF NURSING
OMNI HOME CARE
01.2007 - 01.2012
DIRECTOR OF CASE MANAGEMENT
UNITED HOME CARE
01.1992 - 01.2012
BACHELOR OF SCIENCE, GERIATRIC NURSING -
BARRY UNIVERSITY
ASSOCIATE IN SCIENCE, Registered Nurse -
Miami Dade College
- Certified Wound Care Specialist (CWS), 07/2022
- Registered Nurse, State of FL3368102
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