Jayme Plog
Everton,MO
Summary
Compassionate Registered Nurse with background in home health case management and medical quality chart reviewing. Experienced with OASIS and knowledgeable on CMS guidelines. Experienced with multiple EMR systems including Epic, Homecare Hombase, Cerner and Wellsky.
Overview
8
8
years of professional experience
Work History
Patient Care Coordinator/RN Case Manager
Haven Home Health
Ozark, MO
07.2020 - 04.2024
- Evaluate treatment plans against individual goals and healthcare standards.
- Audit charts for CMS compliance and review for medical necessity.
- Utilization review based off of documentation, diagnosis codes, patient's needs and HHRG/HIPPS scores.
- Develop and establish care plans based on nursing diagnosis and incorporate therapeutic, preventive and rehabilitative nursing methods.
- Collaborate with RN case managers from different insurance companies to ensure they are receiving needed documentation and to discuss patient statuses, changes in conditions, concerns and any improvements or recommendations.
- Establish performance improvement and ensure core process measures are being met with each individual patient case
Patient Care Manager (Supervisor)
At Home Healthcare
Tucson, AZ
10.2019 - 06.2020
- Evaluated treatment plans against individual goals and healthcare standards.
- Audited charts for CMS compliance and review for medical necessity.
- Performed Utilization review on charts and made necessary changes to discipline frequencies based off of documentation, diagnosis codes, patient's needs and HHRG/HIPPS scores.
- Oversaw clinical staff consisting of RN, LPN, HHA, PT, OT, ST, PTA, COTA and MSW disciplines.
- Performed weekly employee evaluations and supervisory visits with field clinicians; conduct weekly chart audits and provide constructive criticism and education to field Nurses and Therapists
- Lead Team Case conference meetings weekly, create agendas, power points, establish and organize teaching topics to present
- Managed high volume workflow and tasks daily and in a timely matter, view and update coordination notes, respond to emails and phone calls daily
RN Case Manager
At Home Healthcare
Tucson, AZ
05.2017 - 10.2019
- Performed OASIS admission visits, recertifications, resumption of cares and discharge visits.
- Evaluated patients in their homes, perform home safety assessments, fall risk assessments and determine homebound status.
- Scored patients using OASIS D Functional assessment
- Performed the following skills routinely and independently in patient homes: Wound care including wound vacs, PICC line care, Central line care, IV infusions, TPN administration, IV starts and dc's, Tracheostomy care, Foley catheter care, colostomy/urostomy/illeostomy care, INR checks, Medication management, Disease process education and monitoring for exacerbation
- Managed care from admission to discharge, including patient assessments, care planning, health educations and discharging support to provide comprehensive care
- Closely communicated with therapists, physicians and family to ensure patient is receiving needed care
Pediatric Emergency RN
TMC
Tucson, AZ
02.2016 - 05.2017
- Triage and Assess patients in timely and urgent matter
- Provide care for neonates, infants, toddlers, school aged children and adolescents
- Follow hospital protocols and implement precaution requirements
- Airway management techniques; Work closely with Respiratory Therapy in caring for intubated patients
- Assist MD with patient sedations; responsible for airway management and ensuring vital sings are stable through procedure
- Delivered medications via oral, IV and intramuscular injections, monitoring responses to address new concerns
- Iv starts, lab draws, straight caths, oxygen and medication administration
Education
Bachelor of Science - Nursing
Grand Canyon University
Phoenix, AZ2015
High School Diploma - undefined
Amphitheater High School
Tucson, AZ2007
Skills
- Bachelor of Science in Nursing
- Case Management Experience
- OASIS scoring/reviewing
- Knowledge on CMS requirements
- Care Plan Development
- Experience with geriatric, adult and pediatric population
References
Erika Wood RN - Executive Director At Home Healthcare - 520-256-0275 (1.5 year relationship)
Kristin Valenzuela RN - Patient Care Manager At Home Healthcare - 520-404-5908 (3 year relationship)
Jessica Huskey RN - Clinical Director at Haven Home Health - 417-559-5465
Timeline
Patient Care Coordinator/RN Case Manager
Haven Home Health
07.2020 - 04.2024
Patient Care Manager (Supervisor)
At Home Healthcare
10.2019 - 06.2020
RN Case Manager
At Home Healthcare
05.2017 - 10.2019
Pediatric Emergency RN
TMC
02.2016 - 05.2017
Bachelor of Science - Nursing
Grand Canyon University
High School Diploma - undefined
Amphitheater High School