Maritza Pascarella
Director of Nursing
San Diego,CA
Summary
Goal-driven Nursing Administration professional well-versed in recruiting, training and managing patient care to provide exceptional resident services. Highly organized and hardworking with excellent planning and program management skills. Licensed in New York and California.
RN experience ranging from, Adult, Pediatric and Psychiatric Emergency room, Hospice, Traumatic brain injury, substance abuse, rehabilitation, OB/GYN, case management, medical business development, Nursing house supervisor and administrative roles as a Director of Nursing and Director of Patient Care Services.
Overview
31
31
years of professional experience
Work History
Director of Patient Care Services
Lorian Health Hospice
San Diego, CA
03.2022 - 08.2022
- Developed and Implemented Company's Hospice program that led to successful CHAP accreditation in July 2022.
- Supervised team of LPNs/LVNs, Social Workers, Chaplains, Aides and Administrative assistants
- Developed and updated policies and procedures, maintaining compliance with statutory, regulatory and local, state and federal guidelines relating to HIPAA, benefits administration and general liability.
- Implemented successful hospice program through professionalism, quality of care, medical teaching and patient satisfaction.
- Evaluate and coordinate all Patient Care Services provided by IDT by supervising bimonthly meetings of Inter Disciplinary Team
- Scheduled, attended and lead Quarterly QAPI meetings
- Daily patient chart review and QA of all EMR notes by Hospice Team and mandatory forms required by governing agencies
- Developed and updated policies and procedures, maintaining compliance with statutory, regulatory and local, state and federal guidelines relating to HIPAA, benefits administration, general liability and to improve standard of care for our patients
- Responsible for managing and directing nursing services and in-service training
- Evaluated staff performance and prepare accurate reports of staff performance evaluations
- Developed and recognized employees to maximize potential and retention with emphasis on employee appreciation and satisfaction
- Understand and apply Medicare coverage determination/guideline Hospice criteria regarding prognosis in all aspects of patient care
- Monitor schedules to ensure LPNs/LVNs and Hospice aides work under direct supervision of RN
- Serve as liaison between hospice staff, patients, and their families.
- Recruited, hired and trained all staff, providing direct supervision, ongoing staff development and continuing education to employees.
Director of Nursing and Patient
Services Passion and Love Hospice
Whittier, California
07.2020 - 01.2021
- Collaborated with Medical Director, staff, management and external groups to coordinate patient care.
- Established new policies and updated existing policies to improve standard of care for patients.
- Prepared and reviewed infection control surveillance reports to identify trends and develop effective actions to control and prevent infections.
- Developed positive employee relations, incentives and recognition programs to promote teamwork and mutual respect.
- Recruited, hired and trained all Hospice staff, providing direct supervision, ongoing staff development and continuing education to employees.
- Led bi-monthly IDG team meetings to discuss patient, caregivers and family status and decline for continued Hospice eligibility requirements, census changes and resident complaints or concerns.
- Identified department issues to recommend corrective actions.
- Developed and updated policies and procedures, maintaining compliance with statutory, regulatory and local, state and federal guidelines relating to HIPAA, benefits administration and general liability.
- Fostered excellence by example by "setting pace" and being hands on mentor to clinical staff.
- Established and monitored infection control programs to provide safe, sanitary environment to prevent transmission of disease and infection.
- Evaluated work performance of 20 nursing personnel to determine wage increases and implement discipline.
- Created customized care plans, working with hospital staff and families to assess and meet individual needs.
- Planned and assigned workload to nursing, Chaplain, Social work, staff to direct patient care.
Director
Nursing Revolution Psychiatric and Addiction Treatment
Mercer Island, WA
01.2019 - 06.2020
- Report directly to owner/ Medical Director
- Managed and lead all nursing operations
- Hired and directed team to achieve daily and long-term goals for nursing department, operations and business goals.
- Managed and monitored administration of IV NAD infusions for patients with addictions, neuro-degenerative diseases, and neuro-psychiatric disorders
- Monitored success and efficacy of IV NAD infusions including follow-up with discharged patients
- Established new policies and update existing policies to improve standard of care for patients
- Strong focus on developing new customers and markets. Assisted with creation of marketing strategy and advertising initiatives used to promote company to community members.
- Created strong relationships with clients and referring physicians and other patient referral sources
- Set up meetings with outside referral sources to obtain admissions
- Planned and implemented admission, nursing, and patient care processes
- Responded to any nursing and patient related issues in effective and timely manner
- Coordinated with Medical Director to ensure facility efficiency
- Overseeing of all patient information and record keeping processes and ensure that all documents are accurate and up to date
- Responsible for hiring, managing and directing nursing services and in-service training
- Evaluated staff performance and prepare accurate reports of staff performance evaluations
- Lead staff by example
- Strongly adhered to excellent standards of practice in patient care delivery
- Fostered a positive working environment for the staff, the patients, and their families.
Director of Nursing
Schick Shadel Hospital
Seattle, WA
11.2017 - 12.2018
- Member of Hospital's management team, reporting to CEO
- Participated in developing and planning policy and administrative decision making on functions and operations of hospital's nursing services
- Performed rounds to observe care and interview staff, residents and families.
- Identified department issues to recommend corrective actions.
- Recruited, hired and trained over 35 employees, providing direct supervision, ongoing staff development and continuing education to employees.
- Responsible for managing and directing Nursing services and in-service training
- Define and maintain standards of practice within hospital
- Participated daily management team meetings to discuss resident status, census changes and resident complaints or concerns
- Developed positive employee relations, incentives and recognition programs to promote teamwork and mutual respect.
- Evaluated work performance of nursing personnel to determine wage increases and implement discipline.
- Collaborate with other departments and other agencies regarding resources and services for improved patient care, performance improvement and staff development
- Participated in daily management team meetings to discuss resident status, census changes and resident complaints or concerns.
- Performed all evaluations of Nursing employees
- Prepared and reviewed infection control surveillance reports to identify trends and develop effective actions to control and prevent infections.
- Developed and updated policies and procedures, maintaining compliance with statutory, regulatory and local, state and federal guidelines relating to HIPAA, benefits administration and general liability.
- Recruited and developed quality individuals to develop accountable top quality staff.
- Fostered excellence by example by "setting pace" and being hands on mentor to clinical staff.
RN Supervisor
Elant Skilled Nursing Facility
Newburgh, NY
04.2016 - 10.2017
- Supervised day-to-day nursing activities of 190 bedded facility during evening and night shifts
- Develop work assignments and/or assist staff nurses in completing and performing such tasks
- Performed weekly and daily audits.
- Oversaw delivery of care for patients on dementia, rehabilitation and long-term patient units, delegating nursing assignments, and supervising team comprised of nurses, LPNs, RN's and Nursing Aides
- Audited charts and reviewed clinical documents to verify accuracy.
- Met with residents and/or family members as necessary
- Trained new nurses in proper techniques, care standards, operational procedures and safety protocols.
- Assist with daily staffing coordination.
- Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
- Secured controlled narcotics and distributed medication on schedule to meet patient needs and minimize misuse opportunities.
Hospice Care Planner
Hospice, MJHS St. Luke's/Mt Sinai Hospital
New York City, NY
12.2013 - 09.2015
- Strong focus on developing new customers and markets
- Identify and cultivate referral sources within hospital and in community, such as social workers, case managers and physicians who recommend or refer patients to MJHS hospice and/or palliative care services
- Evaluate patients for hospice eligibility following Hospice conditions of participation according to state and federal regulations
- Met with potential patients and their significant others to provide comfort, inform them on end-of-life diagnosis, and benefits of comfort and palliative care, with goal of obtaining securing Hospice Election of Benefits
- Communicated and interpreted agency admission and reimbursement criteria and policies to patient and/or their significant others
- Education of referring physicians and discharge planners regarding effective symptom management while awaiting discharge
- Provided flexibility in position to support agency's business goals.
- Handled over 50 calls per day to address customer inquiries and concerns
- Increased sales by 22%
Clinical specialist/Case Manager
Alpine Home Health Agency
New York City, NY
12.2012 - 12.2013
- Coordination and organization of resources and services for assigned case load of 80 to 110 adult Certified Home Health patients
- Supervision of 22 community nurses and developing and evaluation of patient plan of care
- Complied with applicable program research and evaluation procedures.
- Addressed delays in discharge, postponed procedures and discharge equipment unavailability.
- Worked with patient, family, physician, community health/field nurses to ensure that patient receives services necessary to promote health
- Helped patients receive appropriate, high-quality care with reasonable results.
- Coordinated and organized resources and services for assigned patient case load
- Consulted with clinicians to devise and manage ongoing care plans for at-risk patients.
- Reconciled patient's medications and documented accordingly.
- Evaluated treatment plans against individual goals and healthcare standards.
Staff/Charge Nurse
St. John's Riverside Hospital
Yonkers, NY
03.2010 - 03.2012
- Provided care for trauma, geriatric, adult, pediatric, OB/GYN, psychiatric, critical, and emergent acute patients 30 bed ER supporting fellow nurses in excellent patient care delivery
- Provided skilled, timely and level-headed emergency response to critically ill patients.
- Performed triage on incoming patients and determined severity of injuries and illnesses.
- Delivered high level of quality care to diverse populations while overseeing patient admission and triaging based on acuity and appropriate department admission.
- Trained new nurses on hospital policies and procedures, patient care protocols, medical procedures and patient interventions.
- Quickly responded to situations impacting safety and security to unit, actualizing crisis prevention interventions to control and de-escalate situations.
- Assumed charge role, served as preceptor to new nurses to meet ED standards of care
- Delegated staff assignments
- Educated family members and caregivers on patient care instructions.
- Ensured effective communication and decision-making with colleagues, patients, and their significant others during emergency situations.
Staff/Charge Nurse
Emergency Room Mt Vernon Hospital
Mount Vernon, NY
08.2008 - 12.2010
- Cared for patients in 40-bed emergency Room
- Managed and prioritized care to maintain effective flow of cases through ED
- Evaluated patient histories, complaints and current symptoms.
- Served as preceptor to new nurses to meet Emergency Department standards of care
- Accurately documented treatment, medications and IVs administered, discharge instructions and follow-up care.
- Delegated all staff assignments, ensured effective communication and decision-making during all emergency situations
- Provided skilled, timely and level-headed emergency response to critically ill patients.
- Performed triage on incoming patients and determined severity of injuries and illnesses.
- Assisted in inventory of supplies and medications.
- Delivered high level of quality care to diverse populations while overseeing patient admission and triaging based on acuity and appropriate department admission.
Staff/Charge Nurse
Emergency Room Orange Regional Medical Center
Middletown, NY
09.2004 - 07.2008
- Cared for patients in 28-bed ER supporting fellow nurses in delivery of excellent patient care
- Trained new nurses on hospital policies and procedures, patient care protocols, medical procedures and patient interventions.
- Educated family members and caregivers on patient care instructions.
- Advocated for and strived to protect health, safety and rights of patient.
- Evaluated patient histories, complaints and current symptoms.
- Provided skilled, timely and level-headed emergency response to critically ill patients.
- Accurately documented treatment, medications and IVs administered, discharge instructions and follow-up care.
- Offered exceptional care and support to individuals recovering from acute incidents and dealing with chronic conditions.
- Quickly responded to situations impacting safety and security to unit, actualizing crisis prevention interventions to control and de-escalate situations.
Staff RN/Charge Nurse
Emergency Room Our Lady of Mercy Medical Center
Bronx, NY
09.1994 - 09.2004
- Performed trauma and emergency interventions involving serious head injuries, gunshot wounds and thoracic trauma.
- Cared for patients in 23-bed ER supporting fellow nurses in delivery of excellent patient care
- Coordinated nursing care on unit through staff assignments, assisting and rounding with physicians, monitoring patient orders and communicating with ancillary departments.
- Implemented quality patient care techniques to align with safety, health and organizational regulations.
- Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
- Built rapport with patients and family members to deliver exceptional care.
- Trained new nurses in proper techniques, care standards, operational procedures and safety protocols.
- Triaged patients to determine needs and prioritize care.
- Coordinated with physicians to perform bedside procedures such as intravenous injections, vascular line insertions and bronchoscopies
- Precepted student nurses and oriented new hires, providing guidance and mentorship when teaching on hospital policies, emergency procedures and nursing best practices
Clinical Field Evaluator/ Marketing RN
Greenery Rehabilitation SVCS, NYS
Boston, MA
03.1992 - 08.1994
- Liaison for NYS hospitals, interacting with hospital discharge planners, physicians, staff members and other disciplines to obtain patient referrals for rehabilitation of head- injured patients at Boston facilities
- Performed on-site clinical evaluation of patients at NYC hospitals neurosurgical units, assessing traumatic brain injured patients and determine eligibility for program services in Boston Skilled Nursing facilities
- Created strong relationships with social workers and discharge planners that led to direct access and enrollment
- Established good relationships with key customers at all levels
- Successfully increased number of admissions by 30%
- Carried out day-to-day duties accurately and efficiently
- Worked with customers to understand needs and provide excellent service
- Maintained excellent attendance record, consistently arriving to work on time
Staff Nurse
Lincoln Hospital Trauma Center
Bronx, NY
- Cared for patients in 48-bed Level 1 Trauma center Emergency Room supporting fellow nurses in delivery of expedient, prioritized, excellent patient care
- Managed daily workflow and staff assignments, directing activities of support staff
- Managed and prioritized care to maintain effective flow of cases through ED
- Administered medications via oral, IV and intramuscular injections and monitored responses.
- Served as preceptor to new nurses to meet Emergency Department standards of care
- Delegated all staff assignments, ensured effective communication and decision-making during all emergency situations
- Triaging All patients to sort and prioritize based on their acuity and assigned those patients to appropriate areas.
Staff Nurse
Columbia Presbyterian Medical Center
New York City, NY
06.1986 - 06.1989
- Cared for patients in 26-bed Antepartum supporting fellow nurses in delivery of excellent patient care in High- Risk Antepartum Unit, Mother/Baby Unit, Certified Childbirth Educator. Provided care to high-risk pregnant women with threatening medical problems
- Monitored women and their in-uterus babies; Floated to mother/ baby unit and L&D
- Monitored patient and fetal conditions and reported changes in physical presentation, appearance and behavior to discuss treatment with physicians.
- Certified Childbirth Educator and held classes for expecting couples and breastfeeding moms
Education
Bachelor of Science - Nursing
New York University
New York, NY06.1986
Skills
- Interdepartmental Functions Coordination
- In-Service Programs
- Employee Performance Evaluations
- Service Rates Establishment
- Interdisciplinary Care
- Corrective Action Plans
- Team Meeting Management
- Expenditure Authorization
- Employee Recruitment and Hiring
- Intervention Strategies
- Quality Control Procedures
- Creative Thinking
Languages
English
Native or Bilingual
Spanish
Native or Bilingual
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Quote
There is a powerful driving force inside every human being that, once unleashed, can make any vision, dream, or desire a reality.
Tony Robbins
Timeline
Director of Patient Care Services
Lorian Health Hospice
03.2022 - 08.2022
Director of Nursing and Patient
Services Passion and Love Hospice
07.2020 - 01.2021
Director
Nursing Revolution Psychiatric and Addiction Treatment
01.2019 - 06.2020
Director of Nursing
Schick Shadel Hospital
11.2017 - 12.2018
RN Supervisor
Elant Skilled Nursing Facility
04.2016 - 10.2017
Hospice Care Planner
Hospice, MJHS St. Luke's/Mt Sinai Hospital
12.2013 - 09.2015
Clinical specialist/Case Manager
Alpine Home Health Agency
12.2012 - 12.2013
Staff/Charge Nurse
St. John's Riverside Hospital
03.2010 - 03.2012
Staff/Charge Nurse
Emergency Room Mt Vernon Hospital
08.2008 - 12.2010
Staff/Charge Nurse
Emergency Room Orange Regional Medical Center
09.2004 - 07.2008
Staff RN/Charge Nurse
Emergency Room Our Lady of Mercy Medical Center
09.1994 - 09.2004
Clinical Field Evaluator/ Marketing RN
Greenery Rehabilitation SVCS, NYS
03.1992 - 08.1994
Staff Nurse
Columbia Presbyterian Medical Center
06.1986 - 06.1989
Staff Nurse
Lincoln Hospital Trauma Center
Bachelor of Science - Nursing
New York University
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