Joan Hinton
Hampstead,MD
Summary
Registered Nurse with 25+ years of experience in various medical settings. Patient-focused professional equipped with administrative and customer service expertise. Helps keep healthcare services proceeding smoothly by coordinating communications, referrals, and policy enforcement. Talented in finding balanced solutions and resolving conflicts.
Overview
43
43
years of professional experience
1
1
Certification
Work History
Professional Care Manager
UPMC Memorial Hospital
York, PA
10.2021 - Current
- Primary role is to discharge patients safely to next level of appropriate care as soon as possible.
- Participate in interdisciplinary meetings twice daily to prevent delays in service and anticipate needed studies for plan of care.
- Participate in Leadership meetings twice daily to reduce bottlenecking in the ED or OR.
- Attend monthly throughput meetings with leadership to discuss common barriers to discharge and brainstorm to alleviate those barriers and improve outcomes.
- Educate staff, providers, patients and their families on requirements to meet certain levels of care.
- Collaborate with all therapies to determine patients disposition.
- Reduce re-admission rates by having follow up appointments in place. Price check and Pre-authorize medications as needed.
RN Case Manager
Compassionate Care Hospice
Harrisburg, PA
03.2021 - 10.2021
- Provide end of life care to patients in a variety of settings
- Collaborate with facility staff to ensure patient's needs were met and family communication were maintained
- Completed admissions following Medicare guidelines
- Participated in Biweekly interdisciplinary meetings presenting assigned patient group
- Recommended discharges for those patients who achieved stability and no longer met hospice criteria due to prolonged prognosis
- Completed legal forms with patients and their family members
- Educated on end of life issues and supported patients and family with the difficult decisions they are faced with
- Provided opportunity for life review and discussions regarding grief through active listening and atmosphere of presence
- Pronounced patients and assisted families in communicating with funeral directors
- All activities were provided under the direction of the patient's PCP and orders.
Admission RN
Hospice of Central PA
Harrisburg, PA
07.2020 - 02.2021
- Evaluate potential candidates and educate regarding hospice philosophy
- Admit to hospice services if criteria are met and patient/family elect services
- Review consents and have conversations regarding patient focused end of life choices
- Communicate with physicians, palliative care team, nurses, social workers and case managers for safe discharge plans and continuity of care
- Collaborate with Hospice Medical Director, pharmacies and DME companies to provide for patient's needs
- Document admission in hospice computer program and notify IDT of admission.
RN Case Manager
Compassionate Care Hospice, An Amedisys Company
Camp Hill, PA
06.2018 - 06.2020
- Provide end of life care to pts in a variety of settings
- Collaborated with facility staff to ensure patient's needs were met and family communication were maintained
- Completed admissions following Medicare guidelines
- Participated in Biweekly interdisciplinary meetings presenting assigned patient group
- Recommended discharges for those patients who achieved stability and no longer met hospice criteria
- Completed legal forms to patients and their family members
- Educated on end of life issues and supported patients and family with the difficult decisions they are faced with
- Provided opportunity for life review and discussions regarding grief through active listening and atmosphere of presence
- Pronounced patients and assisted families in communicating with funeral directors
- All activities were provided under the direction of the patient's PCP and orders.
Case Manager
Memorial Hospital
York, PA
12.2013 - 08.2015
- Utilization Review of patients in a community hospital primarily on a Medical/Surgical unit
- Covering other units as needed
- Completing reviews on Morrissey program and faxing via internet to payors for review
- Completing documents in accordance with Medicare guidelines to insure payment
- Working with patients and their families to discharge them to the next level of care in an effort to guarantee a positive outcome for the patient and reduce readmission rates
- Fostering a positive relationship with all members of the care team as well as liaisons who provide the continuum of care to our patients
- Consulting the Physician Advisor on cases that don't meet criteria
- Request peer to peer from physicians who have cases denied
- Write appeal letters for cases where denials are upheld
- Act as a member in round table discussions with other case managers to solve issues of problematic cases.
Wound Team Leader/Staff Registered Nurse
Select Specialty Hospital-York Campus
York, PA
03.2004 - 10.2004
- Directed, initiated, and implemented patient care plans in a long-term acute care environment, focusing on rehabilitation to maintain their activities of daily living (ADLs)
- Documented, photographed, and noted wound stages, including: size, depth, thickness, color, and drainage
- Debrided or assisted with debridement of wounds
- Supervised Registered Nurses, Licensed Practical Nurses, and Certified Nursing Assistants
- Provided staff in-service training.
Per Diem Case Manager
Select Specialty Hospital-York Campus
York, PA
12.2003 - 03.2004
- Reviewed Medicare directives, coordinated discharge planning, and conducted family meetings as assigned by full-time Case Manager.
Agency Nurse
Allcare Home & Health Care, Inc.
Lutherville, MD
09.2001 - 03.2004
- Provided nursing care in a variety of settings, according to assignment, most often in general hospitals in the Baltimore area
- Obtained ACLS certification and primarily worked on telemetry units
- Completed a 12-week contract at Good Samaritan Hospital Progressive Care Unit.
Case Manager
CoreSource
Lancaster, PA
07.2003 - 12.2003
- Authorized care to acute hospitals, rehabilitation hospitals, skilled nursing facilities, hospices and home health care
- Received initial and concurrent reviews
- Recommended alternative case setting and patient criteria
- Referred cases for physician review when established criteria not met
- Negotiate service rates in all health care settings
- Monitored specific patients with catastrophic illnesses.
Clinical Nurse II
Good Samaritan Hospital
Baltimore, MD
07.2002 - 12.2003
- Expedited admissions as admission nurse working between Emergency Department and Progressive Care Unit
- Directed, initiated, and implemented patient care plans in a busy Telemetry unit, including working all shifts
- Provided primary care to patients with potential or known cardiac events
- Oriented new nurses to unit policies and procedures.
Case Manager
Hanover Hospital
Hanover, PA
03.2001 - 02.2002
- Determined medical necessity and appropriateness of care by reviewing documentation
- Reviewed all continued stays prior to expiration of initially assigned length of stay
- Worked effectively with attending physicians when review did not meet insurance criteria
- Referred cases to Physician Advisor when unable to resolve situations
- Attended Utilization Management Committee weekly meetings and biweekly Multidisciplinary meetings.
Staff Nurse
Various general hospitals in the Baltimore, MD, area
09.1997 - 03.2001
- Will provide details as needed
Psychiatric Registered Nurse
Department of Health & Mental Hygiene
Westminster, MD
04.1995 - 05.1997
- Treated patients in detoxification and withdrawal conditions
- Assisted psychiatrist with Dual-Diagnosis patients
- Triaged accidents and general complaints of illnesses
- Provided crisis intervention
- Supervised ancillary staff
- Integral member of Interdisciplinary Treatment Team.
Medical Specialist
U.S Army/ Army Reserves
10.1981 - 09.1988
- Ambulance Driver
- Clinic Attendant
- Nurse technician - pediatric unit
- Lifeguard
- Drill Corporal
- Honorably Discharged.
Education
Associate of Science Degree in Nursing -
Community College of Baltimore - Catonsville
Catonsville, MD01.1994
Skills
- Referral management
- Workflow Coordination
- Healthcare knowledge
- Patient Education
- Discharge Planning
- Policy Adherence
- Patient transfers and transitions
- Utilization Management
- Home Health Care
- Palliative Care
- Inpatient Care
- Interdisciplinary Collaboration
- Pain Control
- Emotional Support
- Family Education
- Hospice Care
- Physician communication
- EMR Updating
- Family Support
- Active Listening
License
PA RN License RN357202L
References
References upon request
Certification
- BLS
- PA RN Licensure
- Applied for MD RN Licensure
References
References available upon request.
Timeline
Professional Care Manager
UPMC Memorial Hospital
10.2021 - Current
RN Case Manager
Compassionate Care Hospice
03.2021 - 10.2021
Admission RN
Hospice of Central PA
07.2020 - 02.2021
RN Case Manager
Compassionate Care Hospice, An Amedisys Company
06.2018 - 06.2020
Case Manager
Memorial Hospital
12.2013 - 08.2015
Wound Team Leader/Staff Registered Nurse
Select Specialty Hospital-York Campus
03.2004 - 10.2004
Per Diem Case Manager
Select Specialty Hospital-York Campus
12.2003 - 03.2004
Case Manager
CoreSource
07.2003 - 12.2003
Clinical Nurse II
Good Samaritan Hospital
07.2002 - 12.2003
Agency Nurse
Allcare Home & Health Care, Inc.
09.2001 - 03.2004
Case Manager
Hanover Hospital
03.2001 - 02.2002
Staff Nurse
Various general hospitals in the Baltimore, MD, area
09.1997 - 03.2001
Psychiatric Registered Nurse
Department of Health & Mental Hygiene
04.1995 - 05.1997
Medical Specialist
U.S Army/ Army Reserves
10.1981 - 09.1988
Associate of Science Degree in Nursing -
Community College of Baltimore - Catonsville