Joshua Charge Nurse Harrington-Vargas Educator
Miami,FL
Summary
Organized Clinical Coordinator with excellent scheduling, coordination and documentation talents as part of clinical teams. Skilled at admitting patients, managing patient services, providing thorough reports and ensuring patient satisfaction. Detail and patient-oriented with proficiency in handling emergency situations.
Overview
27
27
years of professional experience
Work History
Clinical Coordinator
Dialyze Direct
Miami, FL
05.2020 - Current
- Manage the nursing care for all patients in the dialysis unit during your shift
- Delegate the shift's tasks to all of the nurses in the unit and coordinate with physicians who might need assistance
- Recognize changes in patients' condition and respond appropriately
- Supervise PCT's as they complete their assigned tasks and point out any changes or improvements that need to be made
- Detect any issues that could result in injuries or other difficulties for patients or staff members
- Inform physicians of any changes in patients' progress, condition, or medicinal need
Dialysis Charge Nurse - RN
DaVita Dialysis Chronic
Tampa, FL
02.2018 - Current
- Provide nursing care for chronic & acute hemodialysis patients, teamwork, good assessment skills, technical skills, therapeutic communication, collaborative skills, documentation skills, good attention to detail, and leadership qualities
- Charge nurse of opening & closing of shift, patient assessment, anticoagulant therapy, monitor critical labs and provide SBAR to HCP
- Check and record patient's v/ s before, during, and after treatment
- Prepare and update nursing care, promptly notified HCP of any problems during treatment, make appointments for vascular evaluation and treatment
- Ability to set-up and operate Fresenius Machines
- Proven experience working as a Dialysis Charge Nurse.
Case Manager
LTC, Sunshine Health / Centene Corporation
Tampa, FL
11.2013 - 02.2018
- Conducts intake, completes comprehensive evaluation of each client's life situation, problems and needs, and with client's participation and consent, prepares a detailed plan of care
- Responsible for service coordination by assisting clients in implementing their plan of care by facilitating access to and providing community resource linkage and managing the process to include monitoring effectiveness of support services including both client and provider participation
- Provides professional support to clients by maintaining regular contact such as through client home visits to provide personal support, consultation, confrontation and intervention, as necessary, including guidance and instruction
- Maintains daily record of work activities completing daily service progress notes and billing forms per Company and government standards and in compliance with Medicare/Medicaid requirements and program requirements related to responsible, ethical, and collaborative care management
- Conduct outreach, provide information and referral services to persons who do not require or qualify for case management services
- Maintain and ensures HIPAA, ethical standards and professional boundaries with all staff and clients
- Provide temporary intervention to ex-clients on an as needed basis
- Develop and maintain professional working relationships with agencies and service providers
- Participates in management, staff and client meetings and training activities as required
- Consistently meets monthly Productivity Requirements, documentation standards and filing deadlines
- Arrange for transportation for clients to accommodate community relationships.
Director of Medicare Compliance
Jacaranda Manor
Saint Petersburg, FL
03.2013 - 11.2013
- Trained all IDT staff on Medicare policies and procedures
- Perform in service training regarding Medicare & Medicaid proper documentation
- Manage weekly Medicare review documentation with IDT to ensure compliance with the CMS
- Accomplishments
- Effectively trained a nursing staff of 40 on the policies of Medicare & Medicaid, Company directives, and procedural compliance
- Participate with senior management in the establishment or revision of internal control procedures to ensure that adequate protection of the Company is maintained
- Completes regulatory compliance audits to ensure that functional activities are conducted in accordance with Company plans, policies, procedures and applicable Federal and State regulations
- Perform special projects and analyses as directed by the Audit Committee, Executive Management and the Compliance Officer
- Directed the preparation of audit reports and recommendations to management departments in order to evaluate the functions and business units for appropriate action
- Present reports to the management for review prior to release and conduct correspondence for clarification, negotiation, and follow-up as may be requested.
LTC Care Coordinator
Sunshine State Health Plan
Tampa, FL
01.2003 - 11.2013
- Assess members' needs with independent judgment in person through home or community based visits
- Complete appropriate assessments
- Review claims and care management databases
- Develop a Plan of Care (POC)
- Act as members Advocate
- Document in Sunshine Trucare system
- Regularly exercises independent judgment and discretion in assisting members with all aspects
- Assist members with local resources such as housing, pest control, home health services
- Assist members with Primary Care Physician coordination and transportation coordination
- Conduct face to face home visits with members
- Assist members with scheduling appointments with providers, help obtain Rx filled
- Work closely with Utilization department for appropriate Skilled Services
- Effective and culturally sensitive communication skills with individuals and families from diverse ethnic and cultural backgrounds and maintaining member respect and dignity while displaying maturity, empathy, ethics, confidentiality and professionalism
- Knowledge of HEDIS, risk adjustment, medical records review collection and abstraction concepts, quality assurance concepts
- Managed a caseload of 120 long term care members
Nurse Manager
MDS, Avon
Avon, IN
03.2012 - 03.2013
- Completion of the MDS and Care Plan process for a 170 bed Rehabilitation /Long Term Care facility
- Perform in-services regarding correct ADL Coding
- Organize the weekly Medicare Rehabilitation Meeting, supervise/manage weekly Care Plan with IDT, residents and family members
- Collaborate with Rehabilitation Director to identify the appropriate ARD dates in order to obtain the highest reimbursement.
Coordinator Manager
MDS, Consulate Health Care, Term
Altamonte Springs, FL
09.2009 - 02.2012
- Managing the MDS/Care Plan IDT process for a 120-bed Rehabilitation/Long Term Care facility
- Organize the daily Medicare/PPS Rehabilitation Meeting, weekly Triple Check Meeting
- Monitor nursing staff documentation and perform in services regarding correct ADL Coding and skilled nursing documentation per Medicare guidelines
- Collaborate in conjunction with the Director of Rehabilitation to ensure most appropriate ARDS are utilized in order to obtain the highest reimbursement while meeting resident rehabilitation and discharge goals
Unit Manager
Orlando, FL
09.2008 - 09.2009
- Dispensing of Medication, Oxygen Therapy, Tracheostomy Care, Intravenous Therapy
- Insertion of Catheters
- Supervise Caregivers Oversee daily operations Developed Care Plans
- Administer control narcotics assuming full responsibility for possession of keys
- Develop and implement nursing care plans, and supervise patients' admissions and discharge procedures
- Oversee direct patient care requirements within the Nursing Rehabilitation
- Liaison between patients, nurses, and physicians to address problems, requiring resolve
- Train and supervise personnel in all areas of patient care and daily procedures
- Initial assessment of patients upon admission, transcribe physicians' orders
- Instructed patients and family members on proper discharge care.
Education
Associate - Registered Nurse
SPC
Nursing Licenses - undefined
BSN - Registered Nurse
SPC
Skills
- Interdepartmental Functions Coordination
- Perioperative Nursing
- Information Systems Development
- Expenditure Authorization
Additional Information
- Willing to relocate: Anywhere, Authorized to work in the US for any employer
Timeline
Clinical Coordinator
Dialyze Direct
05.2020 - Current
Dialysis Charge Nurse - RN
DaVita Dialysis Chronic
02.2018 - Current
Case Manager
LTC, Sunshine Health / Centene Corporation
11.2013 - 02.2018
Director of Medicare Compliance
Jacaranda Manor
03.2013 - 11.2013
Nurse Manager
MDS, Avon
03.2012 - 03.2013
Coordinator Manager
MDS, Consulate Health Care, Term
09.2009 - 02.2012
Unit Manager
09.2008 - 09.2009
LTC Care Coordinator
Sunshine State Health Plan
01.2003 - 11.2013
Associate - Registered Nurse
SPC
Nursing Licenses - undefined
BSN - Registered Nurse
SPC
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