Lauren Simpson
Farmington,NM
Summary
Experienced nursing professional with exceptional leadership skills, clinical knowledge and sound judgment. Extensive knowledge of Department of Labor benefits for Energy Workers. History of building team cohesion and long-term success to maximize quality and cost-effectiveness of care. Flexible hard worker ready to learn and contribute to team success.
Overview
26
26
years of professional experience
Work History
Administrative Director of Nursing
Haven Home Health Care
10.2022 - Current
- Implemented successful healthcare program through professionalism, quality of care, medical teaching and patient satisfaction.
- Generated quarterly QAPI reports
- Implementation EOP
- Weekly QA of hundreds of charts
- Evaluated work performance of 90-100 staff members to determine wage increases and implement discipline.
- Responsible for all hiring and termination of employees
- Registered agent for NM Department of Health to conduct background and fingerprint screenings forms
- NM DOH license holder in Farmington NM and Silver City NM
- Write all letters of medical necessity for physician
- Responsible for case management and case conference
- Attend marketing events all over the state.
- Conduct a weekly stand up meeting with different areas of discipline
- Conduct staff meetings quarterly
- Attend all Department of Labor webinars
- Reevaluate each patient and collaborate with physician to add any consequential diagnosis the patient might qualify for.
- Developed strong relationships with community partners to facilitate continuity of care for patients transitioning between healthcare settings.
- Established and monitored infection control programs to provide safe, sanitary environment to prevent transmission of disease and infection.
Administrative Assistant Director of Nursing
Haven Home Health Care
06.2022 - 10.2022
- Case Managed the entire New Mexico census weekly and conducted Case Conference the New Mexico census monthly with physician.
- Write all letters of medical necessity for all New Mexico patients on census after every face to face with the physician.
- Fill out all necessary patient information required by The Department of Labor that is required every six months to receive certification and payment from the DOL.
- Liaised with other healthcare professionals to develop comprehensive patient care plans and provide highest quality of care.
- Established strong relationships with community partners to expand access to healthcare services.
- Created customized care plans, working with staff and families to assess and meet individual needs.
- Participated in management team meetings to discuss patient status, census changes, and patient complaints or concerns.
- Developed and updated policies and procedures, maintaining compliance with guidelines relating to HIPAA, benefits administration and general liability.
- Served as a role model for nursing staff by demonstrating exceptional clinical skills, ethical behavior, and commitment to continuous learning.
- Implemented successful healthcare program through professionalism, quality of care, medical teaching and patient satisfaction.
- Evaluated staff performance regularly, providing feedback and guidance for improvement when necessary.
- Built and maintained positive working relationships with physicians and staff to support seamless healthcare operations.
- Mentored new nurses in clinical practice and procedures, fostering a supportive learning environment.
- Established new policies and updated existing policies to improve standard of care for patients.
- Case Managed the entire New Mexico census weekly and conducted Case Conference the New Mexico census monthly with physician.
- Write all letters of medical necessity for all New Mexico patients on census after every face to face with the physician.
- Fill out all necessary patient information required by The Department of Labor that is required every six months to receive certification and payment from the DOL.
RN, Clinical Supervisor
Haven Home Health Care
10.2021 - 06.2022
- Trained all staff, providing direct supervision, ongoing staff development and continuing education to employees.
- Utilized various outcome measures in order to evaluate the effectiveness of interventions and adjust treatment plans as necessary.
- Responded to crisis situations with calm and professional approach to optimize support.
- Facilitated the implementation of new evidence-based practices within the therapeutic team, resulting in improved treatment outcomes.
- Case Managed 12 patients weekly and conducted Case Conference with physician monthly.
- Attended any marketing opportunities locally
- Maintain up to date trainings with the Department of Labor to understand all benefits under the Energy Workers Program.
- Established strong referral networks with local healthcare providers that facilitated seamless coordination between services.
- Ensured compliance with regulatory standards by conducting regular audits of clinical records and procedures.
- Enhanced team collaboration through regular staff meetings, case conferences, and training sessions.
RN House Supervisor (MRN)
San Juan Regional Medical Center
01.2020 - 11.2021
- Completed daily rounds of nursing department to verify nursing service personnel performance alignment acceptable nursing standards.
- Directed emergency response and crisis interventions.
- Maintained correct number of staffers to meet budget parameters while promoting high levels of patient care.
- Communicated conditions, changes and care updates between clinical staff and physicians.
- Answered questions and addressed concerns from employees promptly through email, phone and in person.
- Called upon staff members to discuss patient care and treatment.
- Managed cases and oversaw nursing care with strong commitment to offering patients optimal treatments, resources and quality care.
- Enforced disease prevention protocols among staff members, patients and visitors.
- Evaluated clinical functions to determine level and quality of care.
- Collaborated with leadership to devise initiatives for improving nursing satisfaction, retention and morale.
- Organized and managed care of patients undergoing various therapies and procedures.
RN Utilization Review
San Juan Regional Medical Center
07.2019 - 11.2021
- Collaborated with providers to obtain required clinical information, supporting prior authorization determinations and individual inquiries.
- Determined medical necessity and cost-effectiveness of services through utilization review processes.
- Applied medical criteria and clinical judgement to researched cases to evaluate and establish determinations.
- Remained up-to-date on various benefit plans, medical policies and state-specific clinical guidelines or criteria.
- Contacted insurance carriers to obtain authorizations for services delivered to patients.
- Worked with insurance companies and patients to determine best courses of action.
- Conducted complex research, review and analysis of medical records, treatment plans and claim information.
- Maintained strict patient data procedures to comply with HIPAA laws and prevent information breaches.
- Advocated for patient needs with interdisciplinary team and implemented outlined treatment plans.
- Coordinated with healthcare team to establish, enact and evaluate patient care plans.
- Utilized computerized Resource and Patient Management System (RPMS) and Electronic Health Record (EHR) system.
- Implemented care plans for patient treatment after assessing physician medical regimens.
- Reported findings to quality departments after conducting routine restraint audits and worked with team to devise corrective actions for deficiencies.
RN
San Juan Regional Medical Center
01.2019 - 11.2021
- Recorded comprehensive patient histories and coordinated treatment plans with multi-disciplinary team members.
- Effectively managed daily charting for each patient.
- Cultivated relationships with patients, discussing ways to help improve overall health while alleviating self-harm practices.
- Documented all medications administered to mental health patients, following instructions from physicians and healthcare providers.
- Monitored patients prescribed psychotropic medications to assess medications' effectiveness and side effects.
- Provided client assessments upon admission and discharge.
- Met patient needs by devising and coordinating highly tailored care plans for each individual.
- Discussed non-medical techniques such as yoga and meditation to help patients alleviate depression and anxiety.
- Consulted with psychiatrists about client medication changes, issues with medicine compliance and efficacy of medications.
- Conducted independent risk assessment for self-directed violence, analyzing risk factors, protective factors, mental status and current triggers.
- Enhanced patient satisfaction through effective communication, empathy, and timely response to their needs.
- Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
- Developed strong relationships with patients'' families, providing emotional support while addressing concerns or questions about care plans.
- Leveraged feedback and process improvement opportunities to create safer and healthier environment and increase patient satisfaction.
Residential Property Manager
Self-employed
09.1998 - Current
- Manage multiple properties and address all tenants' issues.
- Handle resident complaints and expedite maintenance requests.
- Inspected properties regularly to identify deficiencies and schedule repairs.
- Collected monthly assessments, rental fees, deposits and payments.
- Conducted apartment tours for potential tenants and answered questions about property.
- Reviewed completed applications and assessed household information against file history and program regulations.
- Maintained in-depth knowledge of competition through consistent evaluation of market conditions and trends.
- Answered calls and responded to inquiries from various parties, using strong active listening and open-ended questioning skills to resolve problems.
- Managed day-to-day activities involving tenants, subcontractors and property management.
- Verified property compliance with state and federal regulations avoiding discrimination or illegal practices.
- Supervised production of annual rent, operating expense and real estate tax adjustments.
Education
Associate Degree in Nursing -
San Juan College
12.2018
Skills
- Flexible
- Working collaboratively
- Training & Development
- Work ethic
- Organization
- Financial Operations Oversight
- Multidisciplinary team collaboration
- Leadership and Guidance
- Nursing Staff Supervision
- Experienced in Department of Labor benefits for Energy Workers
Timeline
Administrative Director of Nursing
Haven Home Health Care
10.2022 - Current
Administrative Assistant Director of Nursing
Haven Home Health Care
06.2022 - 10.2022
RN, Clinical Supervisor
Haven Home Health Care
10.2021 - 06.2022
RN House Supervisor (MRN)
San Juan Regional Medical Center
01.2020 - 11.2021
RN Utilization Review
San Juan Regional Medical Center
07.2019 - 11.2021
RN
San Juan Regional Medical Center
01.2019 - 11.2021
Residential Property Manager
Self-employed
09.1998 - Current
Associate Degree in Nursing -
San Juan College
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