Misti Robinson

• Overall, extremely dedicated employee with tremendous knowledge of the Home Health industry with over 15 years' experience in different roles within the same Home Health Agency

• Currently, responsible for oversight, direction, and supervision of entire Home Health Agency, which consists of 6 Clinical Service Supervisors, Clerical Staff, UM Reviewers, totaling 80+ clinical and non-clinical staff

• Responsible for conducting interviews and hiring clinicians, along with disciplinary action and corrections

• Accountable for auditing charts frequently, reviewing clinical documentation, including OASIS, to verify accuracy and completeness along with progress towards clinical indicators to ensure targets are being met

• Responsible for denials from all payors (including TPE audits directly from Medicare and/or Palmetto), reviewing the clinical record with tremendous detail, gathering all needed information from clinicians and/or staff involved in the patient's care, and appealing the denial (if appropriate)

• Immense knowledge of HomeCare HomeBase, both in the back office and in Pointcare; consistently help clinicians with technical support of HCHB and education of the EMR itself; have previously attended training in Dallas, Texas for training on how to master operations of the EMR, including modifying pathways, assessments, and forms within HCHB

• Oversee day to day operations of Home Health Agency

• Work closely with the AVP of Home Health Agency in financial planning, resource allocation, visit volume analysis, and providing direction for the provision of home health services

• Stay abreast of all changes in the Home Health industry, including interpreting/implementing any state or federal regulations, changes/updates to Conditions of Participation and OASIS items; Then, responsible for cascading this information to all clinicians through educational inservices or meetings.

• Have maintained the COS-C (OASIS certification) since 2015

• Excellent written and oral communication skills

• Acts as the Lead for all surveys conducted at agency, including licensure surveys, addressing any deficiencies and the action plan needed to resolve the deficiencies

• Routinely collaborated with department managers to correct problems and improve services
• Closely collaborated with management team to make necessary improvements and satisfy staff needs
• Strategically planned methods to achieve operational goals and targets
• Developed Performance Improvement Projects to improve patient outcomes and care
• Responsible for Infection Prevention monitoring on CLABSI, CAUTI, and Surgical Site Infections
• Department Educator; arranged all educational inservices for staff
• Maintained CPR instructor certification and taught CPR classes on a routine basis
• Responsible for Risk Management activities such a fall rates, employee incidents, adverse patient events, and more
• Completed training for new employees to include classroom orientation upon hire and field training in the field
• Completed clinical record review regularly to ensure OASIS items were being answered accurately and correctly. If issues were identified, independent and specific education would be provided to the employee in an intimate manner
• Transmitted all OASIS assessments to the state
• Acted as a field nurse in times of decreased staffing
• Maintained/updated policies and procedures
• Analyzed patient and family feedback to identify opportunities for staff recognition as well as areas for improvement

• Case Managed a load of 25-35 patients and was responsible for all aspects of patients' care
• Completed admission assessments, recertifications, and discharges
• Frequently precepted nurses to home health
• Proficient with IV starts, lab draws, wound care, central line/PICC/PAC care, post-op surgical patients, administering IV antibiotics/fluids, injections, foley catheter insertion/removal, staple/suture removal, dressing changes, and more.
• Experienced with collaborating amongst different members of the healthcare team in order to provide and ensure excellent patient care and outcomes
• Consulted with clinicians to devise and manage effective ongoing care plans for at-risk patients
• Responded promptly and professionally to patient questions and concerns
• Actively engaged in on-call rotations to deliver continuous quality care to patients
• Thorougly assessed and examined patients and documented history of current and previous conditions, diseases and injuries along with medications currently being taken
• Created individualized care plans based on nursing diagnosis and incorporated appropriate nursing methods to achieve positive outcomes

• Monitored heart rates and rhythms of cardiac patients and informed physician of changes with patients' heart rate or rhythm
• Provided high-quality patient centered-care to all patients
• Acted as relief charge nurse
• Readily developed rapport with patients, families and other members of the healthcare team
• Managed patients with many different disease processes
• Managed numerous intravenous medications
• Worked as a team and readily helped members of our healthcare team
• Prioriized responsibilites and had excellent time management skills
• Provided wound care, lab draws, IV starts, central line/PICC/PAC care, administered IV antibiotics/fluids, injections, foley catheter insertion/removal, staple/suture removal, dressing changes, and more

• Stocked, labeled and inventoried medication to keep accurate records
• Helped pharmacist clear problematic prescriptions and address customer questions to keep pharmacy efficient
• Consulted with insurance company representatives to complete claims processing, resolve concerns and reconcile payments
• Coordinated verification and filling of more than 350 daily prescriptions in high-volume pharmacy environment
• Completed paperwork, entering prescription and insurance or billing information into patient profiles
• Assisted in preparation, distribution, and storage of pharmaceuticals
• Maintained proper drug storage procedures, registries, and records for controlled drugs
• Counted, measured, and compounded medications following standard procedures
• Answered incoming phone calls and addressed questions from customers and healthcare providers
• Performed diversified functions with minimal oversight, including inventory counting, filling prescriptions, and counting prescriptions