Nichole MacMillan
San Tan Valley,Arizona
Summary
Focused Clinical Director with a background spent overseeing budget, personnel and regulatory concerns. A highly collaborative leader with skills in assigning caseloads, participating in meetings with clinical staff and ensuring that company policies and regulatory compliance are observed. Offering exemplary communication and organizational skills.
Overview
15
15
years of professional experience
Work History
Clinical Director
Hospice Of The West - Mesa
07.2023 - 02.2024
- Led a team of Nurses and CNA's as they cared for terminally ill Hospice patients and supervised day-to-day operations of Clinical Staff.
- Mentored staff members through professional development opportunities, fostering a culture of continuous learning and growth.
- Conducted regular performance evaluations for clinical staff, identifying areas for improvement and providing constructive feedback for growth.
- Managed budgets and resources effectively, resulting in cost savings without sacrifice to quality of care.
- Worked to reduce pharmacy medication costs from $50,000 / month down to approximately $30,000 / month by educating clinical staff, Nurse Practitioner and Medical Directors on safer and more cost efficient treatments of symptoms of the dying patient.
- Developed and maintained strong interdisciplinary team collaboration to ensure optimal patient outcomes.
- Provided education on individual disease processes to entire IDT in order for each discipline to better know which symptoms to report to RN Case Manager.
- Performed chart audits ensuring compliance and accuracy, that CMS Guidelines were met and the clinical narrative clearly addressed LCD Guidelines for terminal diagnosis.
- Ensured all policies set forth by local and federal governing agencies were adhered to by all clinical staff.
- Maintained CNA schedules and provided oversight to Skilled Nursing schedules based on Visit Frequencies set forth in the Plan of Care.
- Collaborated with all entities involved in the patients care to ensure continuity is maintained; including Primary Care Providers, Assisted Living Facilities, Group Homes, etc.
- Supported Community Liaisons and visited facility to help further grown the company.
Director of Health Services
Pruitt Health Hospice
03.2022 - 06.2023
- Learned and trained clinical team during launch of new EMR system – MatrixCare.
- Directed the overall operation of clinical services for Hospice division.
- Maintained compliance and regulatory requirements with local and federal governing agencies.
- Ran necessary reports that show adequate billing and validation to avoid bill holds.
- Maintained all month end, quarterly and year end reporting.
- Utilized data analytics tools to monitor key performance indicators, driving informed decision-making in resource allocation strategies.
- Stayed up to date on new or evolving industry trends for better patient care.
- Maintained solid working relationships where each team member feels valued and appreciated for the contributions.
- Provided necessary training to ensure all clinical staff are current in necessary skills and knowledge of their clinical position.
- Provided oversight coordinating referrals with internal and external referral sources.
- Coordinated care with Skilled Nursing Facilities, Assisted Living Facilities or other entities involved in patient care.
- Recruited, hired and trained all staff, providing direct supervision, ongoing staff development and continuing education to employees.
- Assisted in establishing sales plan to further grown census, effectively tripling the census within a year.
- Educated Primary Care Providers and Specialty doctors in hospice services and how their patients can benefit.
RN Case Manager /Nurse Preceptor
Amedisys Hospice
04.2016 - 01.2022
- Managed complex cases involving multiple comorbidities, requiring close monitoring and coordination of various healthcare services.
- Promoted adherence to treatment plans by conducting regular follow-up visits and providing ongoing support to patients.
- Streamlined discharge planning processes, ensuring a smoother transition for patients back to their homes or other facilities.
- Coordinated care conferences with interdisciplinary team members, ensuring all perspectives were considered in the development of comprehensive treatment plans.
- Organized and scheduled each patient so they and their families know when to expect RN and all other disciplines involved.
- Provided care and comfort for the patient and family throughout the dying process physically, emotionally and spiritually.
- Collaborated with all other disciplines as necessary to ensure all patients needs were being met.
- Worked closely with Hospice Medical Directors and Primary Care Physicians in order to provide the patients with appropriate level of care.
- Provided support and resources for the entire nursing team.
- Abided by all Medicare, CMS, Federal and Local guidelines for care.
- Trained new RN Case Managers and mentored them throughout their tenure, including thoroughly teaching HomeCare-HomeBase documentation.
- Educated incoming staff on Medicare and Medicaid Hospice Guidelines.
- Reviewed charting and documentation of new nurses to ensure all guidelines are met and documentation is complete.
Registered Nurse - Weekend Oncall
Kindred/Gentiva - Hopsice Of Charleston
05.2012 - 04.2016
- Provided skilled, timely and level-headed emergency response to critically-ill patients.
- Implemented care plans for patient treatment after assessing physician medical regimens.
- Maintained quality care and comfort for patients with heart failure, pulmonary hypertension, cancer, dementia and other conditions.
- Used first-hand knowledge and clinical expertise to advocate for patients under care and enacted prescribed treatment strategies.
- Organized weekend schedules and staff to ensure all patients on the schedule are seen while still leaving adequate resources available for crisis management.
- Acted as a resource for other on call staff.
- Made nursing visits to patients in crisis and provided the appropriate care for the immediate needs, including physical, psychosocial and spiritual needs.
- Collaborated with core IDT members to provide the best care that meets the patients needs.
- Worked closely with Medical Directors to ensure patients are receiving the best care that meets their needs.
- Ensure patient care is consistent with Medicare and Medicaid guidelines.
- Coordinated care for patients from hospital discharge to admission to IPU or home.
Registered Nurse, Medical-Surgical Unit
Summerville Medical Center
01.2009 - 04.2013
- Assessed patients, planned interventions and care according to standards of care, acuity and disease processes.
- Educated patients and families on all aspects of care.
- Collaborated with physicians, therapists and other disciplines for patient care needs.
- Carried out physician orders in a timely manner.
- Acted as an advocate for all patients under my care.
- Meticulously recorded patient information in an appropriate charts locations.
- Performed emergency medical procedures such as BLS, ACLS and other condition stabilizing interventions.
- Managed patient pain relief by providing non-pharmacological and pharmacological interventions.
- Provided skilled, timely and level-headed emergency response to critically-ill patients.
Education
Associate of Applied Science - Registered Nurse
Medical Careers Institute
Virginia Beach, VA01.2007
Skills
- Budget Oversight
- Data Analysis
- Staff Development
- Process Implementation
- Process Improvement
- Clinical Quality Improvement
- Schedule Management
- Case Management
- Employee Training Program
- Employee Supervision
- Performance Metrics
- Regulatory Requirements
Timeline
Clinical Director
Hospice Of The West - Mesa
07.2023 - 02.2024
Director of Health Services
Pruitt Health Hospice
03.2022 - 06.2023
RN Case Manager /Nurse Preceptor
Amedisys Hospice
04.2016 - 01.2022
Registered Nurse - Weekend Oncall
Kindred/Gentiva - Hopsice Of Charleston
05.2012 - 04.2016
Registered Nurse, Medical-Surgical Unit
Summerville Medical Center
01.2009 - 04.2013
Associate of Applied Science - Registered Nurse
Medical Careers Institute
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