PAMELA MALPHURS
Jacksonville,FL
Summary
ORGANIZED AND QUALITY DRIVEN REGISTERED NURSE WITH CLINCAL EXPERTISE, LEADERSHIP SKILLS, AND TECHNICAL KNOWLEDGE. COORDINATES WITH MULTIDISCIPLINARY TEAMS TO OPTIMIZE PATIENT CARE. EFFICIENT WITH STRONG INTERPERSONAL ABILITIES. HIGHLY MOTIVATED EMPLOYEE WITH DESIRE TO TAKE ON NEW CHALLENGES. STRONG WORK ETHIC, ADAPTABILITY, AND CULTURE SENSITIVITY. ADEPT AT WORKING EFFECTIVELY UNSUPERVISED AND QUICKLY MASTERING NEW SKILLS.
Overview
9
9
years of professional experience
Work History
NURSE LIAISON
CareCentrix
JACKSONVILLE, FL
06.2023 - Current
- COLLABORATE WITH HOSPITAL CASE MANAGERS AND PHYSICIANS TO DETERINE OPTIMAL SIGHT OF POST-ACUTE CARE
- MANAGE/INFLUENCE TRANSITION OF ASSIGNED POST-ACUTE CARE FACILITIES; SNF, IRF, AND LTACH
- FACILITATE REFERRALS AT DISCHARGE FOR HOME SERVICES
- PARTNER WITH PAC MEDICAL DIRECTOR IN REVIEWING PATIENT RECORDS FOR AUTH REQUESTS
- ENGAGE/COACH PATIENTS/CAREGIVERS, PERFORM ASSESSMENTS, CARE PLANS, AND INTERVENTIONS TO MEET GUIDELINES
- EXPERT IN RESOURCE MANAGEMENT
- PROFICIENT IN UTILIZATION REVIEW
- MANAGE CASE LOAD AT ACUTE AND POST-ACUTE FACILITIES
- COLLABORATE WITH CASE MANAGERS AND PHYSICIANS TO DEVELOP DISCHARGE PLAN
- COORDINATE POST-ACUTE CARE SERVICES
- STRIVE TO REDUCE HOSPITAL RE-ADMITS
RN TRANSITIONAL CARE MANAGER
BAPTIST HOME HEALTH CARE BY BAYADA
JACKSONVILLE, FL
03.2021 - 06.2023
- SELLS HOME HEALTH SERVICES THROUGH RELATIONSHIPS WITH REFERRAL SOURCES, PHYSICIANS, AND OTHER HEALTH CARE PROFESSIONALS
- EDUCATE PATIENTS, FAMILIES, AND HEALTH CARE PROFESSIONALS ABOUT HH SERVICES ELIGIBILITY AND EXPECTATIONS.
- NAVIGATE REFERRAL FROM INTAKE TO TRANSITION TO HOME
- PROFICIENT IN CLINICAL AND REGULATING HOME CARE ELIGIBILITY CRITERIA
- REVEIW/COMPILE REQUIRED DOCUMENTATION TO TRANSITION FROM ACUTE CARE/SUB ACUTE CARE TO HOME
- PARTICIPATE IN AGENCY STRATEGIC PLANNING AND MARKET ANALYSIS TO ACHIEVE GROWTH GOALS
- COLLABORATE WITH MARKETING MANAGERS, DIRECTOR OF SALES, AND AGENCY DIRECTOR ON SHARED ACCOUNTS
RN. QUALITY MANAGER
Baptist Home Health Care
JACKSONVILLE, FL
11.2019 - 03.2021
- COORDINATE/INTEGRATE UTILIZATION MANAGEMENT AND PERFORMANCE IMPROVEMENT FUNCTIONS
- ASSIST WITH ORIENTATION AND ONGOING EDUCATION REGARDING PERFORMANCE IMPROVEMENT PLAN
- PARTICIPATE IN POLICY /PROCEDURE COMMITTEE
- COORDINATE MONTHLY MONITORING OF PERFORMANCE REVIEWS
- REVIEWE ALL PLANS OF CARE FOR ACCURACY OF INFORMATION, APPROPRIATENESS OF AMOUNT, FREQUENCY, DURATION, AND LEVEL OF CARE AUTHORIZED FOR MEDICARE PATIENTS AND OTHER CRITERIA FOR OASIS INFO AND CMS GUIDELINES
- PEER REVIEWS
- INFECTION CONTROL DATA/REPORTS
- COLLABORATE WITH HEALTH SYSTEM PERSONNEL AND PAYERS IN COORDINATION OF UTILIZATION MANAGEMENT
- REVIEW RECORDS TO ENSURE PHHYSICIAN INTERVENTION (MOD ORDERS) ARE OBTAINED AND DOCUMENTED
- PROJECTS FOR IMPROVEMENT OF PATIENT CAREAND ORGANIZATIONAL FUNCTIONS
Home Health RN Case Manager
Baptist Home Health Care
JACKSONVILLE, FL
12.2017 - 11.2019
- PATIENT ADVOCATE PROVIDING EXCELLENT CLINICAL, ADMINISTRATIVE, AND ORGANNIZATIONAL SKILLS
- MANAGED THE CONTINUITY AND PROVISIONS OF CARE
- CASE MANAGEMENT SERVICES INCLUDING, INTAKE, START OF CARES, ASSESSMENTS, CRISIS INTERVENTION, ADVOCACY, REFERRAL AND MONITORING, DISCHARGES
- MAINTAIN UP TO DATE CASE RECORDS/PLAN OF CARES
- REFER TO SOCIAL SERVICES, HEALTH CARE PROVIDERS, AND GOVERMENTAL AGENCIES
- MAINTAIN ELECTRONIC MEDICAL RECORDS
- PERFORM WOUND CARE, OSTOMY MANAGEMENT, POST OP CARE, IV INFUSIONS, LABS, AND DISEASE/MED MANAGEMENT
Emergency Room Registered Nurse
Baptist Medical Center
JACKSONVILLE, FL
03.2015 - 12.2017
- USE OF PROFESSIONAL JUDGEMENT AND CRITICAL THINKING SKILLS
- ASSESS, EVALUATE, PLAN, AND PRIORITIZE PATIENT CARE NEEDS BASED ON LEVEL OF ACUITY
- COLLECT LAB SPECIMENS, ORDERING AND INTERPRETING DIAGNOSTIC TETS AND LABS
- INFECTION CONTROL
- ACCURATE AND CONFIDENTIAL EMR DOCUMEMNTATION
- ADMINSTER MEDS, TRACK DOSAGES, AND PATIENT RESPONSE
- TRAIN/MENTOR NEW RNS ON BEST PRACTICES, HOSPITAL POLICIES, STANDARDS OF CARE, AND TEAM NURSING PROCESS
- HEALTH EDUCATION, PATIENT ADVOCACY, PREVENTION AND WELLNESS
- DISCHARGE PLANNING AND PREVENTION OF RE-ADMISSIONS
Education
Associate of Science - Nursing
FLORIDA STATE COLLEGE OF JACKSONVILLE
Jacksonville, OR12-2012
Skills
- EFFECTIVE VERBAL/WRITTEN COMMUNICATION
- ASSESSMENTS/MONITORING
- PATIENT RELATIONS/SATISFACTION
- CRITICAL THINKING
- CREATIVE PROBLEM SOLVING
- ATTENTION TO DETAIL
- QUALITY/RISK MANAGEMENT
- UTILIZATION MANAGEMENT
- CASE MANAGEMENT
- COORDINATE HEALTH CARE REFERRALS
- EPIC/CERNER EMRS
- CULTURALLY SENSITIVE
References
References available upon request.
Timeline
NURSE LIAISON
CareCentrix
06.2023 - Current
RN TRANSITIONAL CARE MANAGER
BAPTIST HOME HEALTH CARE BY BAYADA
03.2021 - 06.2023
RN. QUALITY MANAGER
Baptist Home Health Care
11.2019 - 03.2021
Home Health RN Case Manager
Baptist Home Health Care
12.2017 - 11.2019
Emergency Room Registered Nurse
Baptist Medical Center
03.2015 - 12.2017
Associate of Science - Nursing
FLORIDA STATE COLLEGE OF JACKSONVILLE
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