Rebecca Rogers
Lincoln,TX
Summary
To seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills.
Overview
15
15
years of professional experience
Work History
Lead RN Inpatient Case Manager
WellMed Medical Management
01.2019 - Current
- Processes prior authorizations for ARU/LTAC, SNF, DME and Home Health services; determines whether services are medically necessary before admission.
- Engage patient, family and caregiver to ensure a well coordinate action plan is established and continually to assess health status
- Provide member education to assist with self-management goals
- Identify pts needs, close health care gaps, develop action plan and prioritize goals
- Utilizing evidenced-based practice, develop interventions while considering member barriers independently
- Conducts a transition discharge assessment onsite and/or telephonically to identify member needs at time of transition to a lower level of care
- Independently serves as the clinical liaison with skilled nursing facilities, clinical and administrative staff as well as performs a review for clinical authorizations for inpatient care utilizing evidenced-based criteria within our documentation system for discharge planning and/or next site of care needs
- In partnership with care team triad, make referrals to community sources and programs identified for patients
- Independently confers with UM Medical Directors and/ or Market Medical Directors on a regular basis regarding inpatient cases and participates in departmental huddles
- Review medical records weekly to ensure skilled services are met and issue discharge notifications (NOMNCS) as indicated.
- Improved patient outcomes by providing high-quality nursing care and implementing evidence-based practices.
- Trained new nurses in proper techniques, care standards, operational procedures, and safety protocols.
Packet Review/ Quality Improvement Nurse
Encompass Home Health
06.2016 - 01.2019
- Complete review of evaluation packets, oasis and 485s
- Ensures service utilization correlates with assessment data
- Assist the Branch Director with conducting oasis and documentation portions of the job specific orientation; assist the BD with identification of individuals whom need additional training on oasis documentation
- Provides ongoing education during staff meetings or case conference on negative/positive trends noted during oasis review
- Works closely with the coding department to ensure oasis scoring is correctly coded with ICD10 codes
- Enhanced patient care by implementing evidence-based nursing practices and protocols.
- Collaborated with interdisciplinary teams for optimized patient treatment plans and outcomes.
- Perform patient visits as needed in the field PRN
- Rotates in administrator on call rotation every 4-6 weeks
- Assist in Clinical Field Staff duties such as processing orders and referrals, verify benefits and obtain authorization on non-Medicare patients, triage patient calls in office.
RN Case Manager
Encompass Home Health
06.2013 - 06.2016
- Lead RN for Golden Age ALF in Lockhart and Argent Court ALF in Bastrop and surrounding cities
- Performed in-home visits with clients/facility patients, completion of Medicare oasis, building plans of care, oversight of LVNs, obtaining vital signs, head to toe assessments, implementing wound care treatments, obtaining labs, sterile dressing changes for central/picc lines, management of ostomies, reporting abnormalities to MD, coordination of care with therapy, nursing and physician staff, providing education on co-morbid conditions, inserting Foley/suprapubic catheters, completing case conference notes, RN on-call every 4-5 weeks.
- Enhanced patient care by developing comprehensive care plans and coordinating with interdisciplinary healthcare teams.
- Reduced hospital readmission rates through effective case management and patient education on self-care techniques.
- Collaborated closely with physicians to develop individualized treatment plans, supporting optimal patient outcomes.
- Mentored new nursing staff, facilitating a faster learning curve and increased overall team efficiency.
- Promoted adherence to treatment plans by conducting regular follow-up visits and providing ongoing support to patients.
LVN – Patient Service Coordinator/Payroll Coordinator/Mobile Equipment Specialist
Encompass Home Health Care
03.2011 - 05.2012
- Processing missed, rescheduled or declined visit request, reviewing therapy and nursing schedules and assigning clients to staff accordingly, processed payroll with Branch Director, troubleshooting of mobile devices and installing company programs.
- Mentored new LVN hires through the orientation process, sharing expertise to support their integration into the team successfully.
LVN – Field Nurse
Girling Home Health Care
07.2010 - 02.2011
- Performed in home visits with clients, conducting head to toe assessment and reporting abnormalities to MD.
- Gathered lab specimens, ordered testing, and interpreted results to diagnose patients.
- Educated patients and caregivers on medical diagnoses, treatment options, chronic disease self-management and wound management.
- Monitored patient health conditions to report changes to assigned physician.
- Collaborated with interdisciplinary healthcare teams to develop comprehensive care plans tailored to patients'' needs.
- Provided high-quality wound care, reducing the risk of infection and promoting timely healing.
- Managed patient care through closely monitoring respiration, blood pressure, and blood glucose levels.
- Performed routine evaluations of each patient's status, needs, and preferences.
LVN - Emergency Department
Scott and White Hospital
06.2009 - 06.2010
- Facilitated efficient patient admissions, transfers, and discharges while maintaining clear communication with all parties involved.
- Maintained thorough knowledge of emergency procedures, effectively responding to urgent situations when required.
- Demonstrated strong clinical judgment by assessing symptoms quickly and prioritizing appropriate interventions accordingly.
- Coordinated with healthcare providers to schedule diagnostic tests for patients, expediting care plans as necessary.
- Obtained patient vital signs and input/output measurements from inpatients.
- Administered controlled narcotics, inserted IVs, and performed catheterizations.
- Managed patient care through closely monitoring respiration, blood pressure, and blood glucose levels.
- Supported diagnoses by taking blood samples from patients for laboratory testing.
- Performed IV therapy treatments safely and accurately, administering fluids and medications as ordered by physicians.
Education
Associates Degree in Nursing -
Temple College
05.2013
Licensed Vocational Nurse -
Temple College
05.2009
Skills
- Attention to Detail
- Clinical Judgment
- Patient Education
- Geriatric Care
- Quality Improvement
- Outstanding punctuality and dependability
- Critical Thinking
- Case Management
- Time Management
- Precepting
- Chronic Disease Management
- Adaptability and Flexibility
Timeline
Lead RN Inpatient Case Manager
WellMed Medical Management
01.2019 - Current
Packet Review/ Quality Improvement Nurse
Encompass Home Health
06.2016 - 01.2019
RN Case Manager
Encompass Home Health
06.2013 - 06.2016
LVN – Patient Service Coordinator/Payroll Coordinator/Mobile Equipment Specialist
Encompass Home Health Care
03.2011 - 05.2012
LVN – Field Nurse
Girling Home Health Care
07.2010 - 02.2011
LVN - Emergency Department
Scott and White Hospital
06.2009 - 06.2010
Associates Degree in Nursing -
Temple College
Licensed Vocational Nurse -
Temple College
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