Joanna Carpenter
Registered Nurse
Alvin,TX
Summary
Dedicated and compassionate Registered Nurse 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
19
19
years of professional experience
Work History
Regional Administrator, RN
Enhabit Health Home Health, Formerly Encompass
Houston, Texas
07.2021 - Current
- Compile and analyze statistical data from performance markers for each branch to evaluate productivity, cost analysis, and quality care delivery
- Utilize Encompass Health tools to monitor daily financial, operational, and clinical outcomes as they relate to the branch budgets within each assigned provider
- Provide oversight and management of all branch expenses, in all providers
- Ensure deficiencies related to internal audit findings are addressed and corrected per action plan
- Participate in continuing education rollouts for clinical licensed professionals as directed by the regional and home office leadership
- Ensure the development and implementation of general and job-specific orientation, safety training, compliance education, and appropriate in-services for the local staff
- Ensure branch meets federal, state, and local laws regarding certification and licensure process
- Execute daily operations in compliance with conditions of participation in Medicare and Medicaid, and ensure compliance with job descriptions through utilization of the operation plan procedures
- Conduct quality assessment and performance improvement (QAPI) quarterly committee meetings to follow up on internal audit reviews, negative patient satisfaction surveys, and referral source issues; ensure timely follow-up
- Conduct quality improvement visits in the field with clients, families, referral sources, and other entities receiving services to monitor program effectiveness and enhance delivery of client care.
Administrator, RN
Encompass Health Home Health
Houston, Texas
06.2020 - 07.2021
- Supervise the day to day office and clinical operations while implementing agency policy and procedures
- Ensure that the client’s plan of care is individualized and appropriate, executed as written and reassessed by the appropriate health care professional when there is a significant health status change in the client’s condition, at the physician’s request and after hospital discharge
- Ensure appropriate documentation is completed for all patients transferred to an inpatient facility
- Maintain multidisciplinary standards of patient care
- Complete review of evaluation packets, OASIS and 485s
- Review both the data submitted via the Mobile Device and via paper to ensure accuracy and follow up on any documentation that requires correction
- Process the OASIS and 485, verify the correct start of care date and episode date range in HCHB
- Process any unlisted supplies, medications, activity, functional limitations, allergies, etc
- That appear on the action screen
- Follow up on OASIS Assessments that cannot be processed due to Licensed Professional documentation deficiencies
- Follow up on all referrals, through admission and billing processes
- Hold weekly Case Conferences to discuss client issues
- Determine if clients that are planned for discharge meet the requirements for Management and Evaluation or any other skilled service
- Assist and oversee process of internal transfer of clients to a new branch office
- Approve weekly schedules and ensure productivity standards are met for fulltime employees
- Review and approve bi-weekly payroll transmittal
- Review Infection Control reports for all clients & employees as needed
- Review Occurrence Reports and provide follow-up to patient and/or physician
- Provision of monthly Aide in-services, general staff meetings and monthly Case Manager Meetings
- Perform Chart Audits and other activities of data collection
- Perform field visits to collect Oasis Data as well as Supervisory Visits as needed for field staff relief
Branch Director, RN
Encompass Health Home Health
Houston, TX
05.2015 - 06.2020
- Supervise the day to day office and clinical operations while implementing agency policy and procedures
- Ensure that the client’s plan of care is individualized and appropriate, executed as written and reassessed by the appropriate health care professional when there is a significant health status change in the client’s condition, at the physician’s request and after hospital discharge
- Ensure appropriate documentation is completed for all patients transferred to an inpatient facility
- Maintain multidisciplinary standards of patient care
- Complete review of evaluation packets, OASIS and 485s
- Review both the data submitted via the Mobile Device and via paper to ensure accuracy and follow up on any documentation that requires correction
- Process the OASIS and 485, verify the correct start of care date and episode date range in HCHB
- Process any unlisted supplies, medications, activity, functional limitations, allergies, etc
- That appear on the action screen
- Follow up on OASIS Assessments that cannot be processed due to Licensed Professional documentation deficiencies
- Follow up on all referrals, through admission and billing processes
- Hold weekly Case Conferences to discuss client issues
- Determine if clients that are planned for discharge meet the requirements for Management and Evaluation or any other skilled service
- Assist and oversee process of internal transfer of clients to a new branch office
- Approve weekly schedules and ensure productivity standards are met for fulltime employees
- Review Infection Control reports for all clients & employees as needed
- Review Occurrence Reports and provide follow-up to patient and/or physician
- Provision of monthly Aide in-services, general staff meetings and monthly Case Manager meetings
- ADR and Denial review, preparation and submission per established protocols
- Perform Chart Audits and other activities of data collection
- Perform field visits to collect Oasis Data as well as Supervisory Visits as needed for field staff relief
Case Manager, RN
Heart To Heart Hospice
Houston, TX
07.2014 - 04.2015
- Receives requests for services and assists in decisions regarding patient eligibility and suitability for home care services
- Performs documentation to include supervision of other staff members as well as Oasis data collection, SOC, Recertification, Physician Orders, Infection Control Reports, Incidence /Occurrence Reports
- Provides services requiring substantial and specialized nursing skill, in accordance with the plan of care signed by the physician
- Identifies and assigns appropriate clinical pathways, implementation of the Plan of Care and Physicians Orders for patients assigned
- Educates, Supervises, and Counsels the patient and family regarding home nursing procedures and other care needs as appropriate to the patient’s condition.
- Helped patients receive appropriate, high-quality care with reasonable results.
- Partnered with physicians, social workers, activity therapists, nutritionists and case managers to develop and implement individualized care plans and documented patient interactions and interventions in electronic charting systems.
Director of Nursing
Stat Home Health, Formerly Amedisys
League City, Texas
12.2013 - 06.2014
- Responsible for implementing and supervising the administrative polices and operations of a home and community support services agency
- Administrative supervision related to provisions of all services to agency clients on a day-to-day basis
- Management of day to day administrative and clinical operations including all staff while maintaining patient satisfaction and clinical excellence
- Train and orient all new branch staff and continue to educate current staff
- Work directly with the sales team on initiatives to grow the Medicare census and continue community involvement
- Assure branch remains in budget and operates at optimal productivity
- Maintain multidisciplinary standards of patient care
- Oversee the staffing, hiring and training of all clinical and administrative staff including Nursing, Therapy and Medical Social Workers as well as contractors
- Daily problem solving with direct reports to maintain clinical excellence and regulatory compliance for a total census of 130 patients
- Responsible for Agency compliance with all regulations, laws, policies and procedures applicable to home health and reimbursement issues
- Educates all staff members about state and federal rules and regulations as well as ACHC, and other regulatory agencies standards
- Oversees the implementation of agency policies and procedures
- Continually monitors clinical episode management and provides direction/redirection as warranted
- Appropriately assigns and directs staff with appropriate skills to perform duties
- Coaches, directs and encourages staff through use of formal and informal means
- Performs chart audits and other activities of data collection
- Performs field visits to collect Oasis Data as well as Supervisory Visits as needed for field staff relief
- Continuous On-Call rotation for weekends / holidays to provide patient care
Director of Nursing
Amedisys Home Health
League City, Texas
09.2013 - 12.2013
- Responsible for implementing and supervising the administrative polices and operations of a home and community support services agency as well as supervising the provision of all services to agency clients on a day-to-day basis
- Management of branch office including day to clinical operations including all staff while maintaining patient satisfaction and clinical excellence including training of all staff
- Work directly with the sales team on initiatives to grow the Medicare census and continue community involvement
- Assure branch remains in budget and operates at optimal productivity while maintaining high level standards of care
- Oversee the staffing, hiring and training of all clinical and administrative staff including Nursing, Therapy and Medical Social Workers as well as contractor staff
- Daily problem solving with direct reports to maintain clinical excellence and regulatory compliance for a total census of 230 patients
- Responsible for Agency compliance with all regulations, laws, policies and procedures applicable to home health and reimbursement issues
- Educates all staff members about state and federal rules and regulations as well as ACHC, and other regulatory agencies standards
- Oversees the implementation of agency policies and procedures as well as chart audits
- Continually monitors clinical episode management and provides direction/redirection as warranted
- Appropriately assigns and directs staff with appropriate skills to perform duties
- Coaches, directs and encourages staff through use of formal and informal means
Clinical Supervisor, RN
Amedisys Home Health
League City, Texas
09.2011 - 09.2013
- Implemented successful healthcare program through professionalism, quality of care, medical teaching and patient satisfaction.
- Monitored and inspected staff processes to eliminate hazards posed for both residents and staff while ensuring continuous compliance with regulations.
- Ordered all pharmacy supplies and kept check on inventory levels.
- Discussed medical histories with patients in effort to provide most effective medical advice.
- Reviewed and evaluated test results to suggest care and treatment options.
Case Manager, RN
Amedisys Home Health
League City, Texas
08.2010 - 09.2011
- Effectively communicated with physicians regarding patient needs, performance, medications and changes.
- Completed initial assessments of patients and family to determine and address individual home care needs. ·
- Coordinated with interdisciplinary professionals to develop plans of care, administer tests and monitor patient status.
- Advocated for patients by communicating care preferences to practitioners, verifying interventions met treatment goals and identifying insurance coverage limitations.
- Evaluated healthcare needs, goals for treatment and available resources of each patient and connected to optimal providers and care.
- Responded promptly and professionally to patient questions and concerns.
- Created individualized care plans based on nursing diagnosis and incorporated appropriate nursing methods to achieve positive outcomes.
Field Licensed Vocational Nurse
Amedisys Home Health
League City, Texas
08.2008 - 08.2010
- Provides skilled nursing care to patients as directed by the registered nurse in accordance with the Plan of Care and agency policies
- Promotes and maintains patient health through teaching and appropriate rehabilitative measures under the guidance of a registered nurse
- Assists the physician and registered nurse in performing specialized procedures for which competency has been established
- Coordinates the referral process by identifying the appropriate payer source and analyzing patient information for satisfaction of appropriate Medicare and home care guidelines
- Prepares equipment and materials for treatments observing aseptic technique as required
Pre-Operative Coordinator, LVN
United Surgical Partners, Memorial Hermann
Houston, Texas
01.2006 - 07.2008
- Responsible for implementing the Pre-Operative record, nursing care plan and the assimilation of the patient's hospital record
- Responsible for implementing all physician orders, obtaining signatures on consents, and providing for continuity and quality of nursing care for patients
- Assisting the physicians in the procedure rooms with various tasks including conscious sedation
Per Diem LVN
Medical Staffing Network Nashville
Houston, Tennessee, Texas
10.2004 - 01.2006
- Observe patients, charting and reporting changes in patients' conditions, such as adverse reactions to medication or treatment, and taking any necessary action
- Administer prescribed medications including intravenous fluids, maintaining accurate documentation
- Measure and record patients' vital signs, such as height, weight, temperature, blood pressure, pulse and respiration
- Provide patient care and treatments , such as wound care, dressing changes, performing catheterizations
Med-Surg Floor Nurse, LVN
Clear Lake Regional Medical Center
Webster, Texas
05.2003 - 06.2004
- Contributed to the assessment of patients by collecting data for analysis by an RN
- Observes and documents patient status and reports patient condition
- Administers medications and observes patients for adverse reactions to medications and/or treatments
- Wound Care, Personal Care, Preparation for Surgical Intervention or Recovery from Procedure
- Collects specimens, performs routine laboratory tests
- Monitors, records and communicates patient condition as appropriate utilizing computerized documentation systems
- Follows Standard Precautions using personal protective equipment as required.
Education
Bachelor of Science - Nursing
Western Governors University
Salt Lake City, UT05.2023
Associate of Science - Nursing
San Jacinto College District
Pasadena, TX05.2011
Certificate in Vocational Nursing - Vocational Nursing
Alvin Community College
Alvin, TX05.2003
Skills
- Attention to Detail
- Specialized Healthcare Referrals
- Creative Problem Solving
- Care Coordination
- Critical Thinking
- Decision Making
- Nursing Consultation
- Clear Patient Communication
Timeline
Regional Administrator, RN
Enhabit Health Home Health, Formerly Encompass
07.2021 - Current
Administrator, RN
Encompass Health Home Health
06.2020 - 07.2021
Branch Director, RN
Encompass Health Home Health
05.2015 - 06.2020
Case Manager, RN
Heart To Heart Hospice
07.2014 - 04.2015
Director of Nursing
Stat Home Health, Formerly Amedisys
12.2013 - 06.2014
Director of Nursing
Amedisys Home Health
09.2013 - 12.2013
Clinical Supervisor, RN
Amedisys Home Health
09.2011 - 09.2013
Case Manager, RN
Amedisys Home Health
08.2010 - 09.2011
Field Licensed Vocational Nurse
Amedisys Home Health
08.2008 - 08.2010
Pre-Operative Coordinator, LVN
United Surgical Partners, Memorial Hermann
01.2006 - 07.2008
Per Diem LVN
Medical Staffing Network Nashville
10.2004 - 01.2006
Med-Surg Floor Nurse, LVN
Clear Lake Regional Medical Center
05.2003 - 06.2004
Bachelor of Science - Nursing
Western Governors University
Associate of Science - Nursing
San Jacinto College District
Certificate in Vocational Nursing - Vocational Nursing
Alvin Community College
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