22+ years of experience, 5+ years in leadership roles, Comprehensive clinical background, Situational leadership style, Articulate communicator& team-builder, Proactive & analytical thinker, Detail & outcome oriented, Person-centered professional with strong integrity, Self-sufficient in any work environment, Strive for growth and development opportunities.
Work History
Assistant Director of Nursing
Lutheran Home At Kane CCRC
Kane, PA
09.2020 - 07.2022
Succession in improving nursing home quality measures from 3 to 5 star ratings.
Directed and participated in quality assurance initiatives (e.g. fall prevention, psychotropic and opioid reduction) to achieve high quality standards that aligned with CoP CMS requirements and strategically improved market ratings.
Participated in daily IDT leadership meetings to discuss resident status, census changes, safety issues, and resident/employee complaints or concerns.
Collaborated with administrative team for staff emergency, contingency, crisis, & regulatory survey preparedness.
As OSHA co-coordinator, conducted routine facility inspections, identified areas needing improvement, educated staff, and eliminated hazards posed to staff and residents to reduce safety risk and stay in compliance with regulatory entities.
As risk management team member, assisted with developing short-term goals and long-term strategic plans to improve risk control and mitigation.
Developed and updated new policies and procedures to maintain regulatory compliance and improve standard of care for residents and employees.
Performed incident investigations with timely reporting to department of health and CMS.
Established physician visit schedules according to payor sources, needs of residents, and to maintain regulatory compliance. Including, telehealth visits.
Developed positive employee relations to promote teamwork and mutual respect. Participated in union meetings as requested.
Assisted with budgeting, payroll & scheduling,nursing vendor supply inventory, instrumentation, and equipment management.
Completed Teepa Snow training.
Infection Prevention-Wound Nurse
Lutheran Home At Kane CCRC
Kane, PA
09.2020 - 07.2022
Infection Preventionist
Led, developed, and implemented infection prevention and control program designed to prevent, identify, report, investigate, & control communicable disease & transmission of infections associated with long term care setting.
Facilitated continuous education to employees, residents, community about wounds, infectious and communicable disease, transmission, and prevention.
Coordinated action plans for rapidly changing COVID-19 regulations, reporting, testing, treatment, and vaccine accessibility.
Established distinguished antibiotic stewardship program in accordance with CDC guidelines and CoP CMS requirements.
Developed & participated in quality assurance process improvement (QAPI) initiatives for IPC and wounds.
Authored monthly, quarterly, annual reports to identify strengths and challenges. As well as, recommended corrective changes for future investigations.
Reported infections and vaccine adverse reactions in accordance with McGreer's, PA-PSRS and VAERS criteria.
Occupational health liaison for employees which included pre-employment physical and drug screenings, immunizations, health concerns, education, return to work coordination.
Wound Nurse
Monitored community vs. nosocomial acquired wounds, treatment focus on pressure ulcers, diabetic ulcers, vascular, and surgical wounds.
Rounded weekly with wound specialist; implemented new treatment orders; effectively communicated changes to residents, family, PCP, provided on going education; and documented progress thoroughly.
Collaborated with IDT, resident, and families in care plan meetings to establish holistic interventions for wound healing and skin breakdown prevention.
Shared oversight of wound supplies, pharmaceuticals, and specialized mattresses.
Registered Nurse Assessment Coordinator
Kinzua Healthcare And Rehabilitation Center SNF
Warren, PA
10.2017 - 07.2018
Established foundation in RAI, MDS 3.0, CMI, QM, RUG, PDPM tools.
Interviewed residents, collected, reviewed, analyzed data for appropriate care level needs.
Completed MDS scheduling, assessments in Point Click Care database; verified prompt, accurate completion of MDS activities from all departments for billing
Educated staff of all new regulatory expectations (RAI, Casper, QM reports),
Analyzed QM data in conjunction with IDT to identify correct trends of CMI to optimize reimbursement rates from third party payor sources.
Case Management-Utilization Review Supervisor
Kinzua Healthcare And Rehabilitation Center SNF
Warren, PA
10.2017 - 07.2018
Case Management
Upon admission, reviewed medical records, interviewed residents and families, completed psychosocial, POLST, DNR assessments to determine individual baseline care plan needs.
Developed, implemented, revised, and monitored treatment plans including preventative, therapeutic, rehabilitative, psychosocial, and clinical interventions to ensure continuity of care.
Served as effective intermediary to interpret and educate individual on his/her medications, illness, disability, and adaptation.
Identified and problem solved discharge barriers, completed referrals to appropriate community resources to optimize care level needs for resident to thrive in alternative setting.
Established ongoing strong clinical and professional relationships with residents, their families, healthcare providers, and community resources before, during, and after discharge.
Utilization Review
Performed and confirmed eligibility of services based on admission reviews for medical necessity and therapy specifications.
Participated in IDT resident care conferences to review care level needs, ADL goal achievements & regressions, patient motivation & engagement levels, safety awareness & discharge planning options deemed appropriate to promote person centered care.
Performed and evaluated prior authorization for diverse services and continued stay reviews of managed care payor sources, utilizing InterQual criteria.
Assisted with ICD 9/10 diagnoses coding education and appropriateness to maximize reimbursement for claims.
Issued NOMNCs, submitted appeal cases, facilitated efficient peer- to peer reviews for resolution and approvals.
As quality assurance team member, evaluated outcomes to ensure individualized quality care had been delivered, cost containment was maintained, and readmit rates minimized.
Cultivated productive relationships with effective communication skills to secure business-insurance partnerships.
Clinical Marketing Liasion
HealthSouth Rehabilitation Hospital Of Erie
Erie, PA
08.2015 - 09.2016
Marketing-Communications
Developed effective call plans and CRM strategies to drive volume for inpatient acute rehabilitative services of medically complex conditions.
Analyzed demographic data, market trends, and target audience statistics, to create quarterly marketing plans.
Participated in weekly marketing meetings to analysis DWOR and outcomes to identify barriers and new opportunities.
Engaged in professional networking, educational presentations, and dissemination of marketing materials to physicians, case managers, and other prospective referral sources in community.
Leveraged clinical and sales expertise to strengthened long term relationships to influence profitable partnerships
Planned and participated in health clinics, expos, and fundraisers to promote community wellness, develop public relations, and raise brand awareness.
Acquired foundation of marketing skills and CRM technology platforms. Enhanced interpersonal, communication, and negotiation skills.
Clinical Admissions Coordinator
Analyzed EMR data in Allscripts to determine benefit eligibility, ID potential discharge barriers, and hospital capabilities to meet patient needs and improve outcomes.
Functioned as initial collaborative liaison for external and internal physicians, case managers, discharge planners, and insurance companies.
Traveled to referring entities to complete preliminary face-to-face clinical assessments and perform extensive data collection to confirm appropriateness.
Effectively communicated to patients and families of processes, expectations, and significant for participation to optimize outcomes.
Efficiently completed and submitted detailed electronic pre-admission screeners (ePAS) to promote multidisciplinary admission preparedness.
Obtained pre-authorization from managed care sources to expedite processes. Coordinated transportation to facilitate smooth transition. Both actions to secure referral conversion.
Visited patients within first week of admission to be active listener to questions and concerns, bring forth issues to leadership team for resolution, build trusting relationships and to improve patient engagement, outcomes, and satisfaction.
Obtained FIM certification to better understand disability levels and how status changes impact responses to interventions and outcomes.
Mobile Medication-Case Management RN Supervisor
Beacon Light Behavioral Health
Warren-Forest Counties, PA
03.2012 - 07.2015
Leadership
Managed dual DSM-V diagnosis caseloads in home, office, and community environments.
Displayed sensitivity to LGTBTQIA fulfillment, cultural and linguistic needs of clients and families served.
Monitored and guided daily activities of subordinate team members to meet needs of clients and safety of staff.
Mentored new nursing staff to mobile medication program.
Participated in process improvement initiatives related to new health information system integration.
Clinical
Conducted program intake screenings, gathered medical and psychiatric histories, developed baseline care plans for psychiatric clients.
Performed on-going physical, emotional and psychosocial assessments. Documented findings in EMR, notified physician of any medical or behavioral changes to adjust orders and treatment strategies.
Provided extensive education and tools to clients and families on safe medication management, medical and psychiatric diagnoses. Healthy lifestyle changes and holistic wellness promotion.
Coordinated with social workers, counselors and doctors to develop comprehensive, individualized, strengths-based care plan. Collaboratively, assisted with integration into community to maximize strengths, interests, and abilities.
Cultivated trusting relationships with clients to facilitate self-advocacy in effective communication, active participation, and knowledgeable decision making with healthcare providers.
Administered psychotropic IM medication on as needed basis.
Case Management
Assisted clients with scheduling appointments and transportation for non-emergent services.
Educated client on and offered NAMI and SAMHSA resources to teach sustainable habits, coping mechanisms, and surmount challenges.
Submitted referrals for clients to appropriate IDT members, community agencies, or external organizations to meet needs of client and promote sustainability in community.
CPI Nonviolent Crisis Management
Created individualized safety plans with client to lower risk of crisis.
Engaged in safety observation, monitoring, and treatment responses of client.
Utilized training and critical thinking skills to recognize excelling, thriving, surviving, struggling, and crisis zones.
Intervene when deemed necessary specifically outlined by policy and procedural protocols to keep client and others safe (e.g., de-escalation, hotlines, AMA, mandated reporting, notify authorities, referral to alternative setting)
Gained expertise in behavioral health and crisis management skill sets.
Quickly responded via telephone and in person to adult or adolescent behavioral situations impacting safety and security of clients and staff members of residential home settings.
Provided immediate physical, emotional and psychological assessments of children and adolescents. Evaluated risk to client or others by gathering case history and conducting assessments. Documented accordingly.
Relayed triage information and facilitated communication between provider, client, and family concerning patient disposition.
Monitored effectiveness of staff utilization of crisis management interventions, immediate behavioral reinforcements, emotional support, time-out strategies, and passive restraints. Advised of alternatives tactics when ineffective.
Collaborated with other mental health professionals to provide consistent care plan needs and minimize diversion.
Liaised with parents and caregivers to provide updates on progress and behavior. Actualized crisis prevention interventions to control and de-escalate situations.
Participated in on-going behavioral health crisis management training.
Interm Primary Care RN Supervisor
Beacon Light Behavioral Health
Warren-Forest Counties, PA
03.2012 - 03.2015
Efficiently scheduled appointments, lab draws, and completed referral processes for clients. Adults and Pediatric.
Completed medication insurance pre-authorizations, denials, and appeals. Researched and offered cost-effective alternatives when appropriate.
Handled patient pharmacy needs by phoning in prescriptions to patients' preferred pharmacies.
Provided developmental screenings, obtained client histories, complaints, and assessed symptoms present during office or telehealth visit. Assisted physician with any additional needs during examination.
Assessed client vaccine eligibility, ensured availability, and VFC/CDC compliance. Safely administered immunizations to clients to prevent disease. Monitored for and reported to VAERS any vaccine adverse reactions.
Educated clients on specific medical care, health issues, lab results, administering medications to clients and families in easy-to-understand terms.
Administered IM medications, assessed side effects, successes and failures of new medications.
Encouraged health-promoting and maintenance behaviors to improve client health. Instructed clients on usage and benefits of home equipment. Offered additional community resources.
Performed data collection, medical audits, updated EMR database consistently to support current and accurate treatments. Effectively complied with HIPAA laws to prevent information breaches.
Cleaned and resupplied examination rooms, ordered new stock, and ensured equipment was working properly.
Day-to-day oversight, scheduling, and task delgation of clinical staff.
Peri-Operative Nursing Supervisor
Bradford Regional Medical Center
Bradford, PA
04.2002 - 03.2012
Confidently managed day to day scheduling and flow of diverse routine, complex, inpatient and outpatient surgical content in fast-paced, rapidly changing environment.
Demonstrated highly effective communication, intrapersonal, and organizational skills to coordinate operations with physicians, staff, intradepartmental, CORE, and vendor representatives.
Reassured families by answering questions, supplying general information and providing frequent updates on patient progress.
Fostered excellence through employee trainings, team building, preceptorships, and abilities to delegate and prioritize roles that aligned with staff strengths during emergent situations.
Facilitated conflict resolution between employees by establishing mutual goals and collaborative solutions to optimize patient outcomes.
Engaged in walking rounds to improve communication, hold self and others accountable of actions, and ensure competencies and evidence-based guidelines were followed. (e.g., Time Out).
Reported, investigated, and offered feedback of adverse events promptly to promote transparency, learning, risk reduction, and improve outcomes.
Participated in quality improvement initiatives focused on turn-around times, scheduling, block utilization, hazard elimination, positive patient outcomes, and patient satisfaction while following budgetary guidelines.
Participated in developing and updating policies and procedures to maintain regulatory compliance and accreditation (e.g. TJC, OSHA, HIPAA, benefits administration and general liability).
Provided integral support and direct nursing care to patients by covering employee breaks, vacations, LOA, injuries, and short staffing needs.
Assisted with departmental invoicing, supply control, and physician preference card establishment.
Surgical Services Registered Nurse
Bradford Regional Medical Center
Bradford, PA
03.2002 - 03.2012
Obtained comprehensive expertise in peri-operative duties. Adult, Pediatric, Newborn.
Established cross-trained capabilities to work in same day surgery, post-anesthesia care, scheduling, sterile processing on as needed basis to meet patient and departmental needs.
Created warm, supportive atmosphere to keep patients feeling safe and comfortable immediately before and after surgery.
Reviewed medical histories, consents, and current information to provide accurate information to surgeons. Performed initial and ongoing patient assessments through continuum of care.
Performed universal "time outs" to finalize recapitulation of right patient, allergies, surgical site, and planned procedure.
Maintained sterile surgical environment during all procedures.
Collaborated with surgical team to ensure patient safety (e.g., positioning, prepping, draping, equipment knowledge, counting sponges and needles, dressings, supply management, surgeon preference card updates).
Assisted anesthesia with intubation, vital sign monitoring, medication administration, IV fluids, and blood products.
Monitored responses. Quickly responded to situations impacting patient decline and safety to reduce risk of complications.
Performed telephonically and/or hand off reporting to facilitate communication among healthcare providers to promote continuity of care during patient transition.
Documented procedure plans, surgery notes and progress updates in EMR system. Maintained efficient, confidential, and detailed documentation in MediTech.
Obtained CNOR certification
Assisted with building, integrating, and training of new health information systems (MediTech).
Medical-Surgical Nursing Supervisor
Bradford Regional Medical Center
Bradford, PA
03.2000 - 03.2002
Gained experience in outpatient, ortho, pre& post- op, step down, telemetry, pediatric, urology, OB/GYN oncology, of 202 bed acute hospital.
Unit charge nurse and preceptor to new hires.
Provided direct care assessments, treatments, IV therapy, wound care, pharmacological and non-pharmacological pain interventions.
Conducted rounds with physicians, advising physicians on patients' conditions and assisting in coordinating diagnostic testing and follow up appointments to achieve optimal patient outcomes.
Liaison between physician, patient, and families on change in condition or abnormalities for shared decision making,
Provided skilled, timely and level-headed emergency response to critically-ill patients.
Ensured proper implementation and care plan documentation of medication, clinical orders, discharge instructions, and follow-up care.
Strong patient advocate for diverse cultural and economic backgrounds to establish and maintain open communication to improve patient outcomes.
Provided counseling in health maintenance and disease management to patients and families.
Gained proficiency in health information systems- MediTech, EMAR.
Obtained ACLS & PALS advanced certifications.
Interim Nursing Supervisor
All Places Of Employement
Supervised, directed and motivated high-quality performance from subordinate nursing staff
Provided direct nursing care to diverse client populations in diverse settings, administered medications, provided treatments, and obtained specimens for clients when personnel was short-staffed.
Assessed clients to determine individual needs and develop treatment plans in coordination with IDT.
Investigated and independently resolved complaints from staff, physicians and clients by leveraging clinical judgment and expertise.
Contributed educational and clinical expertise to help optimize training and boost learning.
In all settings, respected privacy, secured information, and maintained HIPPA compliance.
Education
Bachelor of Science - Health Administration
Southern New Hampshire University
Hooksett, NH
05.2019
Associate of Science - Nursing
University of Pittsburgh - Bradford
Bradford, PA
12.1996
Skills
Long Term Care
Regulatory and Statutory Compliance
Policy and Procedural Development
Quality Assurance and Process Improvement
Risk and Safety Management
Strategic Planning and Marketing
Education and Training
Multidisciplinary Collaboration
Communications and Conflict Resolution
Infection Prevent and Control
Assessment, Intervention, Discharge Planning
EMS Systems
Data Analytics
Continuous Improvement Process
Accomplishments
Director of Nursing Leadership- LTC Certification- PA
CDC & CMS Infection Preventionist Certification
John Hopkinās Contact Tracing Certification
Nursing Home Administrator (120 hr) Certification- PA