Makayla Chalkley, RN BSN
Refugio,TX
Summary
Registered Nurse with extensive experience in post-acute care, focusing on optimal healing and health at home. Demonstrated expertise in conducting comprehensive health assessments, resulting in improved patient outcomes. Committed healthcare leader dedicated to enhancing care quality and safety through effective communication, patient advocacy, and adherence to regulatory standards.
Overview
12
12
years of professional experience
1
1
Certification
Work History
Registered Nurse Clinical Liaison
Paragon Healthcare
Corpus Christi, Texas
06.2022 - Current
- Coordinated complex care transitions for patients with infectious diseases, ensuring safe home initiation of IV antibiotics, TPN, and enteral therapies.
- Conducted clinical assessments, managed referrals, and collaborated with ID physicians, hospitalists, case managers, and discharge planners.
- Educated patients and caregivers on therapies and vascular access, improving adherence.
- Delivered in-services, advocated for resources, and worked with case management and insurers to expedite care.
- Maintained EMR documentation and supported quality initiatives in infection control.
Remote Registered Nurse Case Manager
Optum/United Healthcare
06.2021 - 06.2022
- Managed a diverse caseload of 50 pediatric to geriatric members, addressing complex health needs.
- Educated members on disease prevention and self-management, identified care gaps, and facilitated referrals.
- Collaborated with providers to ensure comprehensive care and advocated for quality healthcare access.
- Active in team meetings and applied critical thinking to improve health outcomes and cost efficiency.
Director of Nursing
Mission Ridge Nursing and Rehab
Refugio, TX
12.2019 - 05.2021
- Led a multidisciplinary team in a 90-bed high-acuity skilled nursing facility with a respiratory wing, overseeing care for residents with Medicare, Medicaid, and managed care plans.
- Directed in-service training on wound care, IV skills, med administration, and infection control.
- Served as Interim DON for sister facility during critical staffing periods, including COVID-19 surges.
- Managed MDS assessments, RUG scoring, and QAPI initiatives.
- Launched an antibiotic stewardship program and served as Infection Preventionist
- Maintained zero deficiencies on state surveys.
- Orchestrated large-scale patient transitions, system implementations, and census growth through strategic marketing and referral engagement.
Clinical Manager/Assistant Director of Nursing
Excel Complete Home Healthcare
Victoria, TX
02.2019 - 12.2019
- Led a multidisciplinary team delivering safe, cost-effective in-home care, supporting patient recovery and aging in place.
- Coordinated case conferences to align care plans, ensured compliance with CMS Conditions of Participation, and monitored quality and patient satisfaction metrics.
- Managed and coordinated referrals and resolved access barriers.
- Trained staff on policies and survey readiness.
- Provided direct care as needed, including assessments, IV infusions, PICC line care, and wound management.
RN Case Manager/Field RN
Excel Complete Home Healthcare
Victoria, TX
01.2017 - 01.2019
- Managed a caseload of 30 patients across 7 counties, conducting in-home assessments and collaborating with PCPs to develop individualized care plans.
- Performed skilled nursing procedures including wound care, PICC line maintenance, IV infusions, and phlebotomy.
- Provided patient and family education to support self-management and reduce hospitalizations.
- Delivered triage support, supervised LVNs, and facilitated in-service training for ALFs and nursing homes to promote best practices and improve outcomes.
Field Registered Nurse Case Manager
Exclusive Home Health
Beeville, TX
01.2014 - 01.2017
- Independently managed 20–30 weekly visits for homebound patients, performing start-of-care, recertification, discharge, and skilled nursing visits.
- Assessed and updated care plans based on acuity, collaborated with physicians and care teams, and coordinated integrated discharge planning.
- Delivered hands-on care including wound care, PICC line maintenance, IV infusions, and phlebotomy.
- Educated patients and families on disease management and maintained accurate clinical documentation to ensure continuity of care.
- Developed strong case management skills across diverse patient conditions
Floor Nurse: Observation Unit
Citizen’s Medical Center
Victoria, TX
06.2013 - 12.2013
- Provided individualized, recovery-focused care in a 25-bed fast-paced observation unit.
- Performed comprehensive assessments, developed care plans, and ensured timely admissions, transfers, or discharges within 24–48 hours.
- Delivered skilled interventions including med administration, IV starts, Foley insertion, telemetry monitoring, and hygiene support for diverse medical-surgical patients.
- Responded to emergencies, documented care thoroughly, and demonstrated strong clinical skills in managing pre/post-op, COPD, CHF, and UTI cases.
Education
Bachelors of Science in Nursing -
University of Texas At Arlington
Arlington, TX05-2017
Associate of Science in Nursing -
Victoria College
Victoria, TX05-2013
Skills
- Hospital and home health experience
- Assisted living facility (ALF) expertise
- Skilled nursing facility (SNF) knowledge
- PICC line troubleshooting and removal
- IV administration skills
- Comprehensive health assessments
- Patient education and advocacy
- Patient safety protocols
- Regulatory compliance expertise
- Case management proficiency
- Wound care management strategies
- Healthcare leadership
Certification
Registered Nurse License, Texas, 837789, Active
References
- Lisa Haertig, LVN, Senior Account Executive, Paragon Healthcare (361) 695-9550
- Kimberly Gonzales, LVN- Exclusive Home Health/Siloe Home Health (361) 212-4233
- Tabetha Garcia, LVN- Mission Ridge Nursing and Rehab/Siloe Home Health, (361) 543-0947
- Kelly Webb, Owner/Marketer, Excel Complete Home Healthcare, (361) 564-4937
Timeline
Registered Nurse Clinical Liaison
Paragon Healthcare
06.2022 - Current
Remote Registered Nurse Case Manager
Optum/United Healthcare
06.2021 - 06.2022
Director of Nursing
Mission Ridge Nursing and Rehab
12.2019 - 05.2021
Clinical Manager/Assistant Director of Nursing
Excel Complete Home Healthcare
02.2019 - 12.2019
RN Case Manager/Field RN
Excel Complete Home Healthcare
01.2017 - 01.2019
Field Registered Nurse Case Manager
Exclusive Home Health
01.2014 - 01.2017
Floor Nurse: Observation Unit
Citizen’s Medical Center
06.2013 - 12.2013
Bachelors of Science in Nursing -
University of Texas At Arlington
Associate of Science in Nursing -
Victoria College
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