Summary
Overview
Work History
Education
Skills
Summaryofqualifications
References
Timeline
Generic

Karen Fier

Taunton,MN

Summary

Seasoned nursing professional offering proven clinical knowledge, natural interpersonal strengths and technical abilities. Knowledgeable about EMR charting, medication administration and interdisciplinary collaboration focused on optimizing patient care and support. Quality-focused and efficiency-driven leader.

Overview

11
11
years of professional experience

Work History

QAPI and Regulatory Compliance RN

Moments Hospice LLC
04.2023 - Current
  • Monitored and performed QAPI presentations for 20 branches
  • Developed new QAPI program to be completed at branch level
  • Continued to oversee branch leadership to ensure compliance with QAPI program
  • Developed and created spreadsheets, resources and training guides for a more efficient monitoring of trends and implementation of interventions for quality improvement
  • Trained branch leadership on how to utilize root cause analysis and interpret the data they were discovering at their branch
  • Monitored and guided PIP development for areas of deficits for each branch
  • Completed comprehensive audits for current branch census, along with new branches recently opened paying close attention to regulatory compliance
  • Monitor charts to ensure CMS guidelines are followed, along with documentation to support LCD guidelines are being followed.
  • Worked effectively in fast-paced environments.
  • Self-motivated, with a strong sense of personal responsibility.
  • Skilled at working independently and collaboratively in a team environment.
  • Proven ability to learn quickly and adapt to new situations.
  • Excellent communication skills, both verbal and written.
  • Worked well in a team setting, providing support and guidance.
  • Assisted with day-to-day operations, working efficiently and productively with all team members.
  • Passionate about learning and committed to continual improvement.

RN Quality Specialist

Optum Serve Health Services
08.2020 - 04.2023
  • Perform routine audits for review, and phone queue ensuring best practices and quality standards are followed
  • Reviewed returned exams and looked for trends, pulled SQL reports and updated spreadsheets to analyze data to problem solve with root cause analysis and come up with ideas to improve resources and policies
  • Distribute workload monthly for the phone queue
  • Resource for clinical operations staff, work in collaboration with Clinical Operations management team to develop best practices and perform calibrations to ensure common consensus among staff.
  • Streamlined documentation processes to ensure accurate record-keeping and compliance with regulatory standards.

COVID 19 Call Center RN Supervisor, Clinical Operations

LHI(Optum Serve Health Services) via Remedy Intelligent Staffing
06.2020 - 08.2020
  • Supervises Clinical Operations staff to ensure productivity and quality standards are met, runs queries and analyze data to determine best utilization of departmental staff resources in relation to work volume and skill sets of staff, communicates productivity status and departmental concerns to manager and provides input for recommended changes, resource to clinical operations staff.
  • Managed critical situations calmly and efficiently, providing guidance to the nursing team during emergencies.
  • Served as an approachable leader who consistently addressed concerns raised by both nursing staff and families regarding patient care issues or operational challenges within the unit effectively resolving them promptly whenever possible.
  • Improved patient satisfaction scores by fostering a collaborative and supportive team environment.
  • Consistently acted as a strong advocate for patients and their families, ensuring that their needs were met while navigating complex healthcare systems.

Care Coordinator/Staff Development RN

Minneota Manor and Healthcare
11.2019 - 03.2020
  • Monitor residents care plans and update as necessary, monitor residents medications and lab draws and schedule them as needed, Audit residents charts to ensure compliance with State regulations, assist in education for staff, review skin and fall events, participate in IDT meetings, attend care conferences and make recommendations, assist floor staff with resident assessments manage residents discharge, work with physicians to manage resident care, work with all Nursing Home staff to ensure residents receive patient centered care.
  • Used company software and databases to maintain records of services performed and patient conditions.
  • Managed patient caseloads effectively, ensuring timely follow-up and appropriate interventions.
  • Developed strong relationships with community partners, facilitating referrals and collaboration on behalf of patients.
  • Conducted regular evaluations of care plan effectiveness, making necessary adjustments based on feedback from patients and providers.
  • Built strong relationships with clients to deliver emotional support and companionship.
  • Maintained accurate and up-to-date documentation of patient records in accordance with HIPAA regulations.
  • Assessed patient needs and connected them with appropriate resources to ensure optimal health outcomes.
  • Monitored progress towards patient goals, adjusting care plans as needed to achieve desired results.
  • Enhanced patient care by developing and implementing comprehensive care plans.
  • Advocated for patients'' rights within the healthcare system, working diligently to address concerns or barriers to care.
  • Coordinated discharge planning, ensuring a smooth transition from hospital to home or other facilities.
  • Provided emotional support for patients and families during difficult times, fostering resilience and coping skills.
  • Determined need for special assessment activities for complex cases, effectively handling care plans.
  • Implemented evidence-based interventions that improved overall patient satisfaction with the care process.

Dialysis RN

Avera Marshall Reginal Medical Center
10.2018 - 07.2019
  • Relocated and transferred within the Avera system
  • Manage patients care through all specialties
  • Ensure that patients have care needs met and worked around dialysis schedule
  • Place patients on dialysis machines and continuously monitor patient during treatments to ensure no adverse reactions, utilized critical thinking when an adverse event occurred to bring patient back to baseline
  • Manage patients’ prescriptions and obtain refills as needed
  • Ensure that all patient needs are met.
  • Administered medications accurately and safely, reducing medication errors and adverse reactions.
  • Enhanced patient satisfaction through effective communication, empathy, and timely response to their needs.
  • Collaborated with interdisciplinary teams for comprehensive patient care plans, resulting in better health outcomes.
  • Administered medications via oral, IV, and intramuscular injections and monitored responses.
  • Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
  • Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process, and management and lifestyle options.
  • Developed strong relationships with patients'' families, providing emotional support while addressing concerns or questions about care plans.
  • Improved patient outcomes by providing high-quality nursing care and implementing evidence-based practices.
  • Educated patients on disease management and self-care techniques, promoting lifestyle changes for improved health.
  • Served as a liaison between physicians and patients'' families to facilitate clear communication regarding treatment options and progress updates.
  • Provided emotional support to patients during challenging times, fostering a sense of trust and rapport that contributed to better overall wellbeing.
  • Monitored patient reactions to drugs and carefully documented findings.
  • Managed patient caseloads effectively, ensuring timely interventions and thorough follow-ups to mitigate potential complications.
  • Devised individualized care plans tailored to each patient''s unique situation, optimizing clinical outcomes.
  • Implemented infection control measures within the unit, maintaining a safe environment for both patients and staff members.
  • Managed complex cases of critically ill patients, ensuring optimal treatment plans were executed effectively.

Med/Surg and ER Registered Nurse

Avera Holy Family Hospital
05.2017 - 10.2018
  • Managed care for a variety of patients, triaged patients in ER and assessed patients’ conditions are monitored for declines
  • Worked with BHIS facilities and monitored behavioral patients
  • Worked hand in hand with patient’s physicians and on-call doctors to help patients get the most patient centered care possible
  • Worked with fellow nurses and other addition services to work to get patients back to their prior quality of life.
  • Planned, prioritized and provided nursing care by applying advanced specialty clinical nursing knowledge and skills to support comfort and safety of patients and families.
  • Managed multiple tasks simultaneously while maintaining a high level of attention to detail under pressure during busy shifts in the ER department.
  • Increased efficiency within the triage system by prioritizing cases based on severity levels.
  • Developed strong relationships with colleagues across departments, fostering a collaborative work environment that enhanced overall patient care delivery processes.

RN Case Manager

St Croix Hospice
07.2015 - 05.2017
  • Manage patient care, speak with physicians and medical director for medication changes, condition changes and plan of care changes, work with pharmacies to ensure patients have medications that are needed, oversee care of patient and make changes as necessary, working within the team to make sure all patient needs are met, participate in biweekly IDG meetings, ensure patient comfort as they progress in their final stages of life, advocate for patients and help them fulfill any final wishes, update care plans, update patient families and collaborate with them as well as facilities or home health agencies, on-call for patient condition changes, educate families on medications, patient conditions etc, and ensure patient has supplies and equipment that is needed.
  • Provided emotional support to patients coping with chronic illness or end-of-life decisions, fostering resilience during difficult times.
  • Managed complex cases involving multiple comorbidities, requiring close monitoring and coordination of various healthcare services.
  • Collaborated closely with physicians to develop individualized treatment plans, supporting optimal patient outcomes.
  • Educated patients and families on available community resources, facilitating access to necessary support services.
  • Enhanced patient care by developing comprehensive care plans and coordinating with interdisciplinary healthcare teams.
  • Served as a key liaison between patients, families, and healthcare providers, fostering open communication and trust among all parties involved in the care process.
  • Coordinated care conferences with interdisciplinary team members, ensuring all perspectives were considered in the development of comprehensive treatment plans.
  • Managed support services and fostered communication among social workers, therapists, hospital staff, and patients.
  • Implemented evidence-based practices to improve overall clinical performance and patient outcomes.
  • Advocated for patients'' rights and preferences, working diligently to align care with individual values and goals.
  • Conducted thorough assessments of patients'' needs, enabling more accurate diagnoses and targeted interventions.
  • Improved patient satisfaction scores by providing timely follow-ups and addressing concerns promptly.
  • Evaluated the effectiveness of implemented interventions periodically, adjusting treatment plans as needed to promote optimal patient outcomes.
  • Educated patients and caregivers on healthcare protocols and processes.
  • Optimized resource utilization by identifying opportunities for cost containment while maintaining quality of care.
  • Mentored new nursing staff, facilitating a faster learning curve and increased overall team efficiency.
  • Navigated regulatory requirements effectively, ensuring proper documentation and compliance with relevant laws and guidelines.
  • Participated in quality improvement initiatives aimed at enhancing the delivery of nursing care within the organization.
  • Facilitated multidisciplinary team meetings to discuss patient care, fostering collaborative approach to healthcare.

Director of Nursing at Sutherland Care Center

Signature Care Centers
05.2013 - 06.2015
  • Oversee resident care to insure that they get quality care, manage all nursing staff to ensure that they follow policy and procedures and give quality care, hire new nursing staff, produce the monthly schedules for staff, implement new policies and procedures to improve care, maintain relationships with family and doctors, complete MDS for residents, screen potential residents for placement, for the residents that are looking to go home I ensure that they have the resources to have a positive experience returning home
  • I also retrieve medical records and make sure they are maintained once the resident is in the facility
  • From August to November I was the D.O.N in the Lake Park Care Center as well as the Sutherland Care Center
  • Participated in management team meetings to discuss resident status, census changes, and resident complaints or concerns.
  • Oversaw and approved recruitment, hiring and orientation of new nursing staff.
  • Ensured regulatory compliance by staying current on industry standards and updating policies accordingly.
  • Monitored and evaluated nursing staff performance, providing feedback and guidance to support standards of care.
  • Built and maintained positive working relationships with physicians and staff to support seamless healthcare operations.
  • Performed rounds to observe care and interview staff, residents, and families.
  • Streamlined nursing operations by optimizing staffing schedules, resource allocation, and workflow processes.
  • Collaborated with staff, management, and external groups to coordinate patient care.
  • Worked closely administration to develop and implement best practices to improve patient outcomes.
  • Established and monitored infection control programs to provide safe, sanitary environment to prevent transmission of disease and infection.
  • Enhanced staff performance by conducting regular evaluations, providing constructive feedback, and offering tailored professional development opportunities.
  • Identified department issues to recommend corrective actions.
  • Promoted a culture of safety by enforcing compliance with infection control policies and procedures.
  • Managed budgets effectively, identifying cost-saving measures while maintaining high-quality patient care standards.
  • Led quality improvement projects aimed at enhancing clinical outcomes through data-driven analysis and targeted interventions.

Education

Associate Degree of Nursing -

Northwest Iowa Community College
05.2013

Skills

  • Clinical judgment
  • Compassion and Empathy
  • Discharge Planning
  • Quality Improvement
  • Geriatric Care
  • Health Promotion
  • Research utilization
  • Nursing Informatics
  • Direct Patient Care
  • Patient Assessment
  • Team Coordination
  • Strong Clinical Judgment
  • Patient Care
  • Staff Supervision
  • Nursing staff leadership
  • Case Management
  • Complex Problem-Solving

Summaryofqualifications

  • IA RN License, 07/01/13
  • MN RN License, 09/01/18
  • SD RN License, 07/01/19
  • IL RN License, 04/01/23
  • WI RN License, 05/01/23
  • FL RN License, 04/01/23

References

References available upon request

Timeline

QAPI and Regulatory Compliance RN

Moments Hospice LLC
04.2023 - Current

RN Quality Specialist

Optum Serve Health Services
08.2020 - 04.2023

COVID 19 Call Center RN Supervisor, Clinical Operations

LHI(Optum Serve Health Services) via Remedy Intelligent Staffing
06.2020 - 08.2020

Care Coordinator/Staff Development RN

Minneota Manor and Healthcare
11.2019 - 03.2020

Dialysis RN

Avera Marshall Reginal Medical Center
10.2018 - 07.2019

Med/Surg and ER Registered Nurse

Avera Holy Family Hospital
05.2017 - 10.2018

RN Case Manager

St Croix Hospice
07.2015 - 05.2017

Director of Nursing at Sutherland Care Center

Signature Care Centers
05.2013 - 06.2015

Associate Degree of Nursing -

Northwest Iowa Community College

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Karen Fier