Hardworking, highly motivated and reliable seasoned professional with 28 years of nursing experience in diverse areas of nursing. Excelled in team collaboration and effective communication, significantly enhancing patient care. Knowledge of ambulatory/critical care, case management, and patient relations.
Equipped with strong problem-solving abilities, willingness to learn and poised to contribute to team success and achieve positive results. Ready to tackle new challenges and advance organizational objectives with dedication and enthusiasm.
Overview
28
28
years of professional experience
1
1
Certification
Work History
ICU Registered Nurse
ARH Whitesburg
05.2019 - Current
Manage 2-3 patients daily recovering from medical or surgical procedures.
Maintained confidentiality standards according to HIPAA regulations at all times.
Provide skilled, timely, and level-headed emergency response to critically ill patients.
Utilize critical thinking skills to prioritize nursing interventions based on patients'' acuity levels and individual needs.
Oversee various aspects of telemetry by administering pa catheters and arterials, vasoactive drugs, titration, thrombolytic therapy, dysrhythmia interpretation, ventilators, and chest tubes.
Conduct thorough patient assessments to identify changes in condition, promptly notifying physicians and initiating appropriate interventions when necessary.
Administer medications safely according to established guidelines while closely monitoring for side effects or adverse reactions requiring intervention.
Maintain accurate documentation of patient interactions in EHRs while ensuring compliance with HIPAA regulations.
Contribute to daily interdisciplinary team meetings by presenting relevant clinical data about patients' progress toward reaching established goals of care.
Manage multiple priorities simultaneously while maintaining focus on providing exceptional patient-centered care within a fast-paced critical care environment.
Guide patients, caregivers, and family members on plans of treatment and helpful resources available locally to support care.
Coordinate with virtual telehealth staff to devise, carry out, and manage personalized care to benefit patient health and recovery. Virtual teamwork via telemonitor, Zoom, and instant messaging through Honeywell device.
Reduce hospital readmission rates through thorough discharge planning and patient education on self-care management strategies.
Home Health Oasis/Insurance Registered Nurse
Home Nursing Company and Hospice
05.2018 - 05.2019
Proficiency in using computer systems, including electronic health records and insurance portals.
Gathered relevant documentation, such as medical records, treatment plans, and diagnostic test results, to support authorization requests.
Maintained confidentiality standards according to HIPAA regulations at all times.
Communicated with Medicare/Medicaid and private insurance providers to obtain necessary authorizations for continuation of Home Health services.
A strong understanding of medical terminology, anatomy, physiology, and disease processes required for selecting the correct ICD-10 diagnosis codes.
Used clinical expertise to ensure that authorization requests meet national standards, contractual requirements, and promote the delivery of quality and cost-effective patient care.
Applied appropriate ICD-10 diagnosis codes to prior authorization requests, claims, and medical documentation.
Collaborated with interdisciplinary teams to develop comprehensive treatment plans for complex patients with multiple comorbidities.
Followed CMS Guidelines for Home Health and Hospice documentation within the appropriate times allowed.
Maintained accurate documentation of patient interactions in EHRs while ensuring compliance with HIPAA regulations.
Performed duties per agency policies, procedures, and standards of nursing practice; maintained compliance with state, federal regulations at all times.
Reviewed physician orders for accuracy and completeness before implementation of care plans, demonstrating strong organizational abilities.
Evaluated patient's benefits eligibility using various databases and tools such as web portals, claims systems.
Developed knowledge of ICD-10 codes and CPT codes to accurately code diagnoses and treatments for all patients.
Reviewed complex medical documentation to ensure accuracy prior to assigning appropriate codes.
Maintained comprehensive knowledge of insurance provider policies, procedures, and regulations.
Demonstrated ability to accurately assess and interpret medical records for prior authorization approval.
Long Term Care Staff Nurse
Heritage Hall
10.2017 - 05.2018
Maintained accurate documentation of 35 patient interactions daily in EHRs while ensuring compliance with HIPAA regulations.
Performed duties following agency policies, procedures, and standards of nursing practice; maintained compliance with state and federal regulations at all times.
Reviewed physician orders for accuracy and completeness prior to implementation of care plans, demonstrating strong organizational abilities.
Developed collaborative relationships with physicians, social workers, therapists, and other members of the interdisciplinary team.
Maintained confidentiality standards according to HIPAA regulations at all times.
Assessed the resident's physical condition, including skin integrity, nutrition status, hydration status, pain level, mobility status, and mental and emotional status.
Maintained a safe environment for all patients by following safety protocols.
Collaborated closely with interdisciplinary teams to develop effective treatment plans for each patient's individual needs.
Monitored vital signs and reported any changes to the physician or nurse manager promptly.
Performed wound dressing changes while observing infection control standards.
Administered medications and treatments according to physician orders, ensuring accuracy and timeliness of delivery.
Registered Nurse, Hospice Manager/Director
Dickenson County Home Health and Hospice
04.2016 - 10.2017
Managed the daily financial aspects of the 25 hospice patients, including budgeting, billing, and reimbursement processes.
Maintained communication between governing boards, medical staff, and department heads by attending board meetings and coordinating interdepartmental functioning.
Educated staff on current trends in hospice care related to symptom management, end-of-life issues, bereavement support, and advance directives.
Developed instructional materials and conducted in-service and community-based educational programs.
Maintained confidentiality standards according to HIPAA regulations at all times.
Developed relationships with community organizations such as churches, nursing homes, and physician offices to increase awareness about hospice services available in the area.
Assisted in coordinating services between multiple agencies, including medical providers, DME companies, Hospice Aides, and Volunteers.
Facilitated regular meetings with family members, caregivers, discussing updates on patient status, treatment plans, goals and available resources within the community.
Facilitated weekly IDT meetings with Medical Director, Social Worker, Chaplin, and Volunteers discussing updates on patient treatment plans and goals.
Participated in Quality Improvement initiatives aimed at improving overall outcomes for patients receiving hospice services.
Established work schedules and assignments for hospice staff, accordingper to workload, space, and equipment availability.
Developed and maintained current policies aligned with the hospice's strategic goals and updated regularly to reflect changes in state and federal regulations, best practices, and community needs.
Evaluated current processes related to healthcare delivery systems, suggesting changes that could enhance effectiveness or reduce costs.
Organized and appropriately handled emergencies and unpredictable situations.
Demonstrated strong leadership skills while managing a large caseload of diverse patient cases.
Developed and implemented comprehensive plans of care for hospice patients in accordance with their individual needs.
Worked closely with medical directors to ensure that all services were provided within the established state and federal protocols and standards of practice.
Monitored compliance with hospice regulations concerning eligibility requirements and reimbursement policies.
Supervised and directed other workers who provided services to clients and patients.,
Home Health and Hospice Nurse
Dickenson County Home Health and Hospice
02.2014 - 04.2016
Maintained accurate documentation according to agency standards, ensuring compliance with local, state and CMS regulations.
Maintained confidentiality standards according to HIPAA regulations at all times.
Provided comprehensive nursing care to homebound individuals with complex medical needs.
Performed accurate physical assessments of patients' conditions, including vital signs and other parameters such as oxygen saturation levels.
Identified potential risks related to a patient's living environment or lifestyle choices that could affect their safety or well being.
Implemented infection control measures throughout the course of treatment while ensuring optimal safety standards are met.
Collected lab samples in home through venipuncture and finger stick, transporting specimens to lab.
Administered medications to patients, carefully monitoring for adverse effects and side effects.
Instructed patients and caregivers on nursing and aide-related care to promote independence and self-care.
Developed strong relationships with patients through compassionate communication techniques.
Consulted and coordinated with healthcare team members to plan, implement, or evaluate patient care plans.
Determined learning needs of patients and families to develop appropriate teaching strategies.
Educated patients on self-care management techniques for chronic illnesses or post-acute recovery periods.
Conducted regular follow up visits with patients after discharge from acute care settings.
Facilitated referrals to specialty services when needed for further evaluation or treatment options.
Ensured compliance with all local, state and federal laws governing home health service delivery.
Developed individualized care plans according to the patient's health condition and physician's orders.
Advised physicians on changes in the patient's condition that may require modification of existing treatment plans.
Maintained detailed documentation of patient progress, treatments, medications administered and any changes in the patient's condition.
Developed strong relationships with patients based on trust, respect and empathy.
Used computers to complete necessary patient charts and documentation on patients' progress.
Provided compassionate and empathetic care to patients and families in a home hospice setting, while advocating for their needs.
Participated in end-of-life discussions with patients and families related to goals of care decisions.
Identified community resources available for assistance such as financial aid, transportation services or respite programs for caregivers.
Hospice Nurse
Total Home Care
06.2012 - 02.2013
Collaborated with other interdisciplinary team members such as social workers, chaplains and volunteers to ensure optimal quality of life for patients and families.
Assessed patient's physical, psychological, spiritual and social needs to develop an individualized plan of care.
Maintained confidentiality standards according to HIPAA regulations at all times.
Managed multiple tasks effectively while demonstrating excellent time management skills.
Utilized critical thinking skills to assess complex situations quickly and accurately while providing appropriate interventions.
Used specific criteria for admissions and re-certifications to hospice care to establish appropriate levels of care and patient eligibility.
Taught primary caregiver skills necessary to care for patient at home.
Communicated openly with family members about end-of-life issues such as palliative care options or hospice benefits available.
Initiated ongoing comprehensive assessments of terminal disease impact on patient's physical, functional and psychological needs.
Coordinated interdisciplinary team meetings and provided feedback regarding plan of care updates.
Informed physician and other personnel of changes in patient needs and outcomes of interventions.
Conducted home visits to provide skilled nursing care within the scope of practice as defined by state laws.
Demonstrated proficiency in administering medications and treatments to hospice patients according to physician orders.
Provided guidance and education on symptom management techniques such as pain relief measures.
Assisted with advance directives such as living wills or do not resuscitate orders when requested by family member or legal guardian.
Ensured compliance with federal regulations related to hospice services such as HIPAA regulations.
Maintained communication with primary physician regarding any changes in patient's condition or treatment plan modifications.
Maintained accurate records of patient progress and reported changes in condition as needed.
Assessed ability of caregiver to meet immediate patient needs upon admission and throughout care.
Implemented, developed and documented plan of care to drive quality and continuity of care.
Determined scope and frequency of service needed based on acuity and patient and family needs.
Prepared clinical and progress notes demonstrating advancement toward established goals.
Applied concepts of infection control and standard precautions to prevent contamination and transmission of disease.
Organized and appropriately handled emergencies and unpredictable situations.
Assessed patient's physical condition, developed care plans and monitored progress towards goals.
Clinical Nurse
Live Well Family Health
10.2010 - 04.2012
Maintained strong working relationships with physicians and ancillary staff, fostering a collaborative approach to patient care delivery.
Conducting initial patient assessments, including taking vital signs (temperature, pulse, respiration, blood pressure), and recording medical and medication history.
Maintained confidentiality standards according to HIPAA regulations at all times.
Assisting the Provider during medical examinations, performing or assisting with minor medical procedures, such as injections, drawing blood, or administering vaccinations.
Administered medications, treatments and vaccinations as prescribed by the Provider.
Managed electronic health records (EHR) and other patient documentation, coordinating patient flow and appointment scheduling, making referrals and scheduling appointments for specialists.
Submitted requests for prior authorizations to Federal/State/Private Insurance companies for medically necessary radiology services and prescribed medications by Provider.
Facilitated patient education on disease management and prevention, empowering individuals with knowledge to take charge of their health.
Contract H1N1 Vaccination Nurse
Dickenson County Health Department
04.2009 - 06.2010
Participated in H1N1 vaccination campaigns, outbreak responses, and public health education efforts.
Coordinated and executed county wide curbside vaccination clinics for H1N1 vaccine administration.
Reviewed patient medical histories, identified any contraindications or precautions, and assessed their suitability for vaccination.
Maintained confidentiality standards according to HIPAA regulations at all times.
Informed patients about the benefits, potential side effects, and aftercare instructions related to the vaccine. Addressed questions and concerns, adapting communication for individuals with diverse backgrounds and needs.
Maintained accurate and detailed documentation of all vaccinations administered, including vaccine type, lot number, date, site, and patient information, adhering to privacy regulations such as HIPAA.
Observed patients for any adverse reactions to the vaccine and provided appropriate care if necessary.
Ensured proper handling, storage, and inventory management of vaccines according to recommended temperature guidelines and protocols.
Registered Nurse, Medical-Surgical Unit
St. Mary's Hospital
01.2002 - 09.2003
Managed patients simultaneously by providing bedside care, treatments, IV therapy, and wound care.
Maintained confidentiality standards according to HIPAA regulations at all times.
Skillfully performed venipuncture, IV insertion, and catheterizations, ensuring proper technique and adherence to infection control standards.
Documented treatments delivered, medications and IVs administered, discharge instructions, and follow-up care.
Managed complex wound care, including dressing changes, monitoring for signs of infection, and collaborating with wound care specialists as needed.
Educated patients and families on medical-surgical procedures, therapeutic regimens, and pain management techniques.
Provided education on disease management strategies to empower patients in self-care activities throughout their recovery journey.
Educated patients and family members on disease processes, treatment options, and self-care techniques.
Registered Nurse, Medical-Surgical Unit
Carilion Roanoke Hospital
01.2000 - 10.2002
Managed caseload of 7 patients simultaneously by providing bedside care, treatments, IV therapy, medication administration and wound care.
Skillfully performed venipuncture, IV insertion, and catheterizations, ensuring proper technique and adherence to infection control standards.
Educated patients and families on medical-surgical procedures, therapeutic regimens, and pain management techniques.
Managed complex wound care, including dressing changes, monitoring for signs of infection, and collaborating with wound care specialists as needed.
Communicated with healthcare team members to plan, implement and enhance treatment strategies.
Documented treatments delivered, medications and IVs administered, discharge instructions, and follow-up care.
Participated in ongoing professional development opportunities to stay current on best practices within the field of medical-surgical nursing.
ICU Clinical Nurse
St. Mary's Hospital
05.1997 - 12.1999
Oversaw various aspects of telemetry by administering pa catheters and arterials, vasoactive drugs, titration, thrombolytic therapy, dysrhythmia interpretation, ventilators and chest tubes.
Assessed and managed various patient treatments for numerous patient diagnoses from sepsis to acute respiratory distress.
Coordinated with healthcare staff from various disciplines to devise, carry out, and manage personalized care plans to benefit patient health and recovery.
Maintained confidentiality standards according to HIPAA regulations at all times.
Maintained high standards of infection control practices to prevent hospital-acquired infections in the ICU setting.
Achieved better pain management for patients through expert titration of medications according to their needs.
Ensured compliance with regulatory requirements by adhering to established policies, procedures, and protocols within the ICU setting.
Exhibited strong leadership skills while serving as charge nurse on assigned shifts, coordinating staff assignments and troubleshooting issues as they arose.
Provided skilled, timely and level-headed emergency response to critically-ill patients.
Recorded details regarding therapies in EMR to keep patient charts updated.