Julie Barr

Performed skilled Intermittent visits for home health patients per MD orders and medicare guidelines. wound management, Wound Vac, ostomy mgmt and pleurx drain, nephrostomy tube are my specialties. Medication management, disease process teaching, Suprapubic and foley catheter, trach care, diabetes mgmt and insulin administration, sub cutaneous and IM injections. Teaching family members and patient on care and needs. collaborating with all members of the team to produce best outcomes. contacting physicians for MD orders, change of condition, advocating for patient. Reporting to case manager and supervisor when appropriate.

Performed Skilled intermittent visits per MD orders and medicare guidelines. wound care, ostomy, drain care, pleurx , trach, sub cutaneous and IM injections, suprapubic and foley catheter, disease process teaching, diabetes mgmt, CHF management. Teaching family and patient. collaborate with all disciplines involved with pt care. Instructed other nursing staff on wound management, ostomy and pleurx, joint visits with nursing staff for teaching

Responsible to assist with daily operations, maintaining and acquiring new managed care contracts. On call visits and troubleshooting after hours calls. Design and Implementing CHF protocol for patients under home health. Train field staff in wound care, ostomy, pleurx, trach care as well as inservic on new procedures and changes in medicare and state guidelines. Provided direct contact for physicians and hospital case managers to contact me for any concerns or patients requiring immediate assistance. Liaison at major hosp to facilitate smooth transition for home health including IV therapy set up. Attended community collaboratives at several hospitals agency was involved with to provide better patient outcomes. Responsible for maintaining capitated account of 4 medical groups to include 5 thousand lives, set up services and provided internal authorization for patients in that group

Met with field staff on long term patients to provide needs of patients. Provided wound care to all pts that met stage three or stage four requirements.

Pre LVN license, I was the office and Billing manager, Contract negotiation, assisted with daily opperations of agency, filled in all positions as needed including scheduling and administration as needed.