Consultant to Nurse Practitioners and Primary Care Physicians in PACE Program serving adults 55 and over including the chronically mentally ill and the medically frail with the goal of keeping participants healthy and independent so they can remain in the community
Provide consultation to multidisciplinary team regarding the pharmacological and behavioral management of dementia related problems, and evaluation and treatment of a variety of psychiatric issues / problems including depression and other major mental illnesses in the context of multiple medical co morbidities.
Prescription writing
Psychiatric Clinical Nurse Specialist
Erickson Communities Brooksby Village- Erickson Health Medical Group
08.2007 - 08.2013
Consultant to Nurse Practitioners and Primary Care Physicians in a Continuing Care Retirement Community serving over 1800 residents in independent, assisted living ( including specialized dementia assisted living ), sub acute rehab and skilled nursing facility settings.
Provided consultation to the multidisciplinary team regarding the pharmacologic and behavioral management of dementia related problems, and evaluation and treatment of a variety of psychiatric issues / problems including depression and other major mental illnesses in the context of multiple medical co morbidities.
Provided individual and family supportive psychotherapy, crisis intervention and other mental health services as needed in an outpatient medical practice and through the continuum of care.
Psychiatric Clinical Nurse Specialist
Evercare
03.2000 - 08.2007
Consultant to over 50 Nurse Practitioners and Primary Care Physicians in over 50 nursing homes.
Provided clinical support to the primary care team and oversight of the mental health care provided to Evercare members.
Provided consultation to and mentoring of Evercare NP's regarding the pharmacologic and behavioral management of dementia related problems, and evaluation and treatment of a variety of psychiatric issues / problems including depression and other major mental illnesses in the context of multiple medical co morbidities.
Worked with nursing home facility staff to support the Evercare model of treatment in place by providing emergency evaluation, crisis intervention, follow-up and helped identify and address facility education needs around individual cases with goal toward patient centered care.
Assessed and addressed broader facility specific educational needs through inservice education programs to improve quality of care.
Psychiatric Clinical Nurse Specialist
Massachusetts General Hospital
01.1998 - 01.2000
Coordinated care for all patients that the psychiatry department had delegated medical management for and worked to ensure that the mental health care provided was coordinated, efficient and cost - effective.
Contributed to the patient's understanding of the clinical process of care.
Provided clinical resource management for all patient's through the continuum of care.
Assisted in triage and consultation re. level of care decisions and maintained longitudinal oversight and follow-up for all high risk cases.
Consultant
Harvard Community / Harvard Pilgrim Health Care
01.1991 - 01.1998
Assisted in development of centralized psychiatric emergency service for HCHP at the Arbour Hospital in Jamaica Plain.
Coordinated emergency evaluation and triage of members in crisis.
Provided emergency services to members and consulted to Arbour Hospital Crisis Service clinicians in managing difficult / problematic cases.
Assisted in level of care decisions, decreasing medically unnecessary inpatient stays.
Coordinated services with utilization management, center based mental health departments, primary and specialty care departments.
Assisted in evaluation of the Arbour Crisis Service program and quality and outcome measurement.
Assisted in the development of home based services.
Provided consultation to subacute and long term care facilities regarding psychopharmacologic and behavioral management of First Seniority patients.
Managed Care Consultant
Assured Health Systems
01.1988 - 01.1990
Consultation to inpatient treatment providers in effort to expedite treatment and discharge planning to control psychiatric and substance abuse utilization.
Performed concurrent review; served as liaison between health care providers and third party payers.
Recommended redesign of third party benefits to insurer for clinically appropriate, cost effective treatment alternatives.
Psychiatric Clinical Nurse Specialist
Lahey Clinic Medical Center
01.1987 - 01.1988
Coordinated emergency evaluation and triage of HMO members in crisis, provided emergency service and short-term outpatient psychiatric care to a variety of patients.
Provided follow-up case management services to patients who were considered at risk, in an effort to control psychiatric and substance abuse utilization.
Monitored and expedited inpatient treatment and coordinated aftercare of HMO patients who required psychiatric hospitalization.
Participated in inpatient treatment planning meetings at affiliated hospitals acting as liaison.
Developed utilization review policies, procedures and systems.
Provided on call services and consultation to the hospital ER.
Psychiatric Clinical Nurse Specialist
The Erich Lindemann Mental Health Center
01.1986 - 01.1987
50 bed crisis oriented inpatient unit, MGH affiliate, training site for Harvard Medical School residents.
Responsible for treatment of 7-10 inpatients under supervision of an attending psychiatrist.
Completion of initial evaluation, diagnostic formulation and treatment plan development.
Treatment team leader and clinical supervisor to nursing staff.
Psychiatric Clinical Nurse Specialist
Metropolitan Hospital Center
01.1983 - 01.1985
Education
Master of Science - Psychiatric Community Mental Health Nursing
Columbia University
New York, New York
1983
Bachelor of Science - Nursing
Downstate Medical Center College of Nursing
Brooklyn, New York
1978
Certification
Selected by the Substance Abuse and Mental Health Services Administration - U.S.Department of Health and Human Services- Provided service in Louisiana on the Katrina Assistance Team to disaster victims in the aftermath of Hurricane Katrina- October 2006.Worked with and provided support to the American Red Cross, provided crisis intervention, evaluation / treatment and case management services as part of a multidisciplinary mental health team, addressing the needs of older adults.
Mass Pro- 2006-2007 : Assisted in the development of a state wide Quality Improvement Program for CMS- :"A Systems Approach to Quality Improvement in Long Term Care- Depression Screening and Treatment "- 75 Identified Nursing Home Participants
Columbia University- Undergraduate Nursing Program- 1983- taught in BSN program while a graduate student at Columbia working towards a minor in education.
Completed Fellowship in Geriatric Psychiatry for Advanced Practice Nurses -Specialized Health Management , Newton, Mass. 1997-1998.
Research
Participation in Epidemiologic Research Study: " Recent Patterns of Medication Use in the Ambulatory Adult Population of the US: The Slone Survey: acknowledgement in jama.ama- assn.org/cgi/content/full/287/3/337.
Timeline
Psychiatric Clinical Nurse Specialist
East Boston Neighborhood Health Center
08.2013 - 08.2020
Psychiatric Clinical Nurse Specialist
Erickson Communities Brooksby Village- Erickson Health Medical Group
08.2007 - 08.2013
Psychiatric Clinical Nurse Specialist
Evercare
03.2000 - 08.2007
Psychiatric Clinical Nurse Specialist
Massachusetts General Hospital
01.1998 - 01.2000
Consultant
Harvard Community / Harvard Pilgrim Health Care
01.1991 - 01.1998
Managed Care Consultant
Assured Health Systems
01.1988 - 01.1990
Psychiatric Clinical Nurse Specialist
Lahey Clinic Medical Center
01.1987 - 01.1988
Psychiatric Clinical Nurse Specialist
The Erich Lindemann Mental Health Center
01.1986 - 01.1987
Psychiatric Clinical Nurse Specialist
Metropolitan Hospital Center
01.1983 - 01.1985
Master of Science - Psychiatric Community Mental Health Nursing