Julie Niswonger
Grafton
Summary
Experienced SDPC RN Manager with a strong history at TMG by Molina, recognized for exceptional clinical judgment and compassion in patient care. Demonstrated leadership in managing a team of 9-11 RNs, resulting in enhanced program compliance and integrity. Proficient in nursing informatics and geriatric care, dedicated to improving community health through innovative care plan development.
Overview
17
17
years of professional experience
1
1
Certification
Work History
SDPC RN Manager
TMG by Molina
Madison
07.2017 - Current
- Complete Personal Care Screening Tool and calculate budget for personal care services
- Provide patient and family education on diagnoses, personal cares, and supportive home care needs
- Utilization Management
- Help participants and families formulate a person-centered Plan of Care to meet participant needs
- Maintain participant medical chart with clear, concise documentation
- Maintain collateral contacts and relationships with consultants, Physicians, families, guardians and providers
- Assessments of participant's medical and personal care needs
- Review PowerBI data to ensure compliance with DHS and company policy for visits and documentation
- J Waiver compliance, knowledge of state regulations
- Supervise 9-11 SCPC RNs in completing SDPC RN job duties per policy and DHS contract
- Conduct weekly team meetings, quarterly in-person trainings
- Conduct weekly and bi-weekly 1:1 meetings with team members.
- Attend weekly leadership meetings, and provide input as requested.
- Complete regular audits on team member's work to ensure compliance with DHS and company policy
- Participate in committees and Staff Partner groups
- Complete interviews/hiring process of new RNs
- Serve as liaison to contractors for Self-Directed Personal Care Program
- Work with Quality Services and RNs on program integrity as needed
- Advocated for patients by supporting and respecting basic rights, values, and beliefs.
SDPC RN
TMG
Madison
03.2015 - 06.2017
- Complete Personal Care Screening Tool and calculate budget for personal care services
- Provide patient and family education on diagnoses, personal cares, and supportive home care needs
- Utilization Management
- Help participants and families formulate a person-centered Plan of Care to meet participant needs
- Maintain participant medical chart with accurate and concise charting
- Maintain collateral contacts with consultants, Physicians, families, guardians and providers
- Assessments of participant needs
- J Waiver compliance, knowledge of state regulations
- Assessed patient health and developed individualized care plans accordingly.
RN Case Manager
Community Care Inc.
Mequon
05.2011 - 03.2015
- Provide patient education on diagnoses including CHF, Diabetes, Mental Health, physical disabilities, and intellectual disabilities, and other diagnoses as needed
- Training/mentoring new RN Case Managers
- Supervise PCW and CNA workers hired for self-directed personal cares
- Utilization Management
- Physical Assessment
- Member Centered Care Plans
- Maintenance of medical charts including accurate charting
- Ensure and maintain current immunization records
- Short-term and Long-term placement and assessment
- Rehab referrals
- DME assessment and procurement
- Personal Care and Supportive Home Care Assessments
- Arrangement of skilled nursing care
- Coordination of care, equipment, and medical supplies
- Maintain knowledge of Medicare and Medicaid benefits
- RN Case Management Standards Committee Member
- Company assigned administrator of annual flu vaccinations
RN Case Manager
ANS Home Healthcare
Milwaukee
11.2010 - 05.2011
- Patient education
- Physical Assessment
- Maintain electronic medical records
- Member Centered Care Plans
- Long-term Care Placement Assessment
- DME Assessment
- Supportive Home Care/ Personal Care Assessment
- Supervise member-hired PCW and CNA workers
Registered Nurse
St. Mary's Ozaukee
Mequon
05.2010 - 11.2010
- Assessment
- Patient care
- Telemetry monitoring
- Medication administration
- Patient plan of care
- Supervise cares and delegate tasks to PCA/CNA
Nurse Tech
St. Mary's Ozaukee
Mequon
12.2009 - 05.2010
- Assessment
- Patient care
- Telemetry monitoring
- Medication administration
- All nursing duties, supervised by RN
PCA/CNA
St. Mary's Ozaukee
Mequon
07.2008 - 12.2009
- Complete patient cares
- Bed changing
- Telemetry
- Vital signs
- EKG administration
- Bladder scanning
Education
Bachelor of Science Degree - Nursing
Cardinal Stritch University
Milwaukee, Wisconsin11.2012
Associates of Science Degree - Nursing
Cardinal Stritch University
Milwaukee, Wisconsin05.2010
Bachelor of Science Degree - Hotel and Restaurant Management, Business Minor
Oklahoma State University
Stillwater, Oklahoma05.1992
Skills
- Clinical judgment
- Research utilization
- Health promotion
- Quality improvement
- Community health
- Geriatric care
- Compassion and empathy
- Nursing informatics
- Discharge coordination
- Culturally-sensitive care
- Diabetes management
- Medical assessment
- Nursing staff leadership
- Home visits
- At-risk patient care
- Employee evaluation
- Patient education and counseling
- Care plan development
- Team coordination
- Care planning
Certification
- Board Certified RN Case Manager, American Nurses Association
- Registered Nurse
- American Red Cross CPR
- Telemetry
References
Available upon request
Timeline
SDPC RN Manager
TMG by Molina
07.2017 - Current
SDPC RN
TMG
03.2015 - 06.2017
RN Case Manager
Community Care Inc.
05.2011 - 03.2015
RN Case Manager
ANS Home Healthcare
11.2010 - 05.2011
Registered Nurse
St. Mary's Ozaukee
05.2010 - 11.2010
Nurse Tech
St. Mary's Ozaukee
12.2009 - 05.2010
PCA/CNA
St. Mary's Ozaukee
07.2008 - 12.2009
Bachelor of Science Degree - Nursing
Cardinal Stritch University
Associates of Science Degree - Nursing
Cardinal Stritch University
Bachelor of Science Degree - Hotel and Restaurant Management, Business Minor
Oklahoma State University
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