Marissa Adolfo
Las Vegas,NV
Summary
Focused and self- directed professional with strong and diverse clinical background seeking an opportunity to provide home based high quality healthcare to Adult/Geriatric patients as a Primary Care NP and Advance Wound Care NP.
Overview
36
36
years of professional experience
1
1
Certification
Work History
Wound Care Specialist -Field Clinician NP
Woundtech
04.2018 - Current
- Provided advance wound care management to patients with acute and chronic non healing wounds like diabetic foot ulcers, chronic venous insufficiency, surgical wounds, arterial wounds, pressure injury ulcers, trauma wounds, malignant wound, MASD/IAD.
- Performed mechanical,sharp,enzymatic and autolytic excisional debridements.
- Ordered diagnostic tests and send referrals to appropriate services.
- Educated patient and family on wound healing healing principles and management of co-morbid conditions affecting wound healing.
- Developed treatment plans according to current wound care protocols.
- Identified nutritional deficiencies and coordinated with personnel to solve nutrition problems.
- Prescribe medications and antibiotics as needed.
- Interdisciplinary collaboration and other stakeholders to improve wound healing.
- Attended wound care education programs to gain knowledge on most recent techniques and procedures available.
Health Risk Assessment NP
Quest Diagnostics/MedXM
03.2022 - 12.2022
- Conducted in-home HRA examinations to Medicare Blue Cross/Blue Shield Health Plan beneficiaries to ensure beneficiaries are getting timely and appropriate care .
- Identified health status,gaps in care,high-risk individuals in order to provide management of care and development of care plans.
- Communicated with Case Management and PCP high risk patients.
Internal Medicine NP
Seven Hills Behavioral Health Hospital
08.2021 - 03.2022
- Evaluated patient histories, complaints, and current symptoms.
- Monitored patients' conditions and progress to reevaluate treatments.
- Referred patients to medical specialists for other needed interventions.
- Discussed potential conditions, treatment plans and healthy lifestyle choice recommendations with patients.
- Ordered and interpreted tests and analyzed records, reports and examination information to diagnose patient condition.
- Placed orders for laboratory tests and interpreted results for accurate decision-making.
- Prescribed or administered treatment, therapy and medication to treat or prevent illness, disease or injury.
- Admitted and treated patients as part of hospital's 24-hour on-call services.
- Conducted physical assessments of relevant body areas and performed standardized tests to check responses.
- Collected, recorded and maintained patient information, medical history and examination results.
- Thoroughly examined patients and elicited medical history data to use in assessing health and identifying conditions.
- Administered high level of care to patients using active listening and open-ended questioning.
- Ordered and executed various tests, analyses, and diagnostic images to provide information on patient condition.
- Directed patients on medication use and lifestyle modifications to improve health.
- Conducted rounds to monitor patient progress and recovery.
Clinical Documentation Specialist
HCA Mountainview Hospital
05.2018 - 04.2021
- Performed concurrent reviews of patient's records to ensure physician documentation adhered to standards of legibility, precision, clarity, specificity, completeness and accuracy.
- Educated medical providers the gold standard of documentation.
- Generated monthly reports for the CFO and Case Management to measure program success.
- Collaborated significantly with Quality and HIM to help improve the overall quality of patient care.
- Questioned physicians regarding missing or unclear health record documentation and requested further information for clarification purposes.
- Maintained strong knowledge of medical terminology, diseases and conditions and procedures.
- Verified accuracy and overall completeness of medical records by auditing and reviewing patient information.
Transfer Center Coordinator
HCA Farwest Division
04.2016 - 05.2018
- Facilitate critical and timely interfacility and interstate transfers for patients requiring higher level of care in the outpatient and inpatient hospital setting under the guidance of EMTALA regulations and insurance requirements.
- Managed over 50 customer calls per day.
Division CDI Manager
HCA Farwest Division
01.2013 - 01.2015
- Oversaw and managed daily operations of clinical documentation programs throughout 8 hospitals in Nevada and California market.
- Established daily workflows, plan and implement effective controls, and e successful Standards of Practice and Expectations.
- Supervised and trained a team of 20+ CDI professionals while enforcing quality customer service standards. Developed orientation checklists, assist with processing audits, and develop executive dashboard reports.
- Mentored new CDI associates and interact with cross functional teams to help ensure fluidity of interdepartmental communications.
- Compiled metrics to aide with organizational assessments and collaborate with CFO's, Case Manager Directors and other senior executives to develop action plans.
- Recouped an average of $1.2-1.4 M/month through documentation improvement.
Clinical Documentation Specialist
HCA Mountainview Hospital
03.2010 - 01.2015
- Performed 24-30 charts a day of concurrent reviews of patient's records to ensure the physician documentation adhered to standards of legibility, precision, clarity, specificity, completeness, and accuracy.
- Queried physicians if documentation was not meeting standards and provided HIM department with quality records to code for reporting and billing.
- Proactively educated clinical staff members on the gold standard of documentation.
- Collaborated significantly with Quality and HIM to help improve the overall quality of patient care.
- Orient new hired CDI staff.
Revenue Integrity In-house Nurse Auditor
Advocate Illinois Masonic Medical Center
04.2002 - 06.2006
- Performed 24-30 account reviews a day to ensure revenue integrity utilizing clinical experience, utilization review, Medical coding and billing guidelines, MCR and third party payor source.
- Recouped lost revenue charges.
- Monitored various hospital departments for billing and charging compliance.
- Conducted third party payor audits.
- Clinical support for HIM department.
- Communicated effectively with staff, patients, and insurance companies by email and telephone.
- Maintained accuracy, completeness, and security for medical records and health information.
- Researched and resolved medical record discrepancies.
Staff Registered Nurse, ICU
Advocate Illinois Masonic Medical Center
10.1987 - 09.1995
- Delivered compassionate Critical Care Nursing in various acute care settings: Telemetry, MICU, CCU, SICU, Trauma/Neuro & CVT.
- Provided patient and family education pre and post open heart surgery. Assisted physicians with bedside procedures.
- Monitored critical patients after major surgeries. Hemodynamic monitoring. Initiation of vasopressors, vasodilators and other pharmacological critical lifesaving agents.
- Charge nurse role and preceptor new employees.
- Monitored patients' conditions and reported changes in physical presentation, appearance, and behavior to discuss treatment with physicians.
- Assessed physical, psychological, physiologic, and cognitive status of patients.
- Developed and implemented individualized patient care plans for optimal outcomes.
- Managed elements of patient care from admission to discharge or transfer to other units.
Education
Master of Science - Adult Gerontology Primary Care NP
University of Cincinnati
Cincinnati, OH04.2017
Bachelor of Science - Nursing
Cebu Doctors College of Nursing
Cebu, Philippines03.1985
Skills
- Critical Care Nursing
- Healthcare Reimbursement , Auditing and Compliance
- Clinical Documentation Improvement Specialist
- Management
- Physician Relations
- Risk Mitigation
- Process Improvement
- Advance Wound care
- Transfer Coordination
- Adult Primary Care Home based
- Treatment Plan Development
- Patient Record Analysis
Certification
- Adult Gerontology Primary Care NP certification
- Academy of Physicians in Wound Healing Certification
Timeline
Health Risk Assessment NP
Quest Diagnostics/MedXM
03.2022 - 12.2022
Internal Medicine NP
Seven Hills Behavioral Health Hospital
08.2021 - 03.2022
Clinical Documentation Specialist
HCA Mountainview Hospital
05.2018 - 04.2021
Wound Care Specialist -Field Clinician NP
Woundtech
04.2018 - Current
Transfer Center Coordinator
HCA Farwest Division
04.2016 - 05.2018
Division CDI Manager
HCA Farwest Division
01.2013 - 01.2015
Clinical Documentation Specialist
HCA Mountainview Hospital
03.2010 - 01.2015
Revenue Integrity In-house Nurse Auditor
Advocate Illinois Masonic Medical Center
04.2002 - 06.2006
Staff Registered Nurse, ICU
Advocate Illinois Masonic Medical Center
10.1987 - 09.1995
Master of Science - Adult Gerontology Primary Care NP
University of Cincinnati
Bachelor of Science - Nursing
Cebu Doctors College of Nursing
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