Summary
Overview
Work History
Education
Skills
Timeline
ACTIVITIES
Generic

Regina Mitchell

Brooklyn

Summary

Dynamic Clinical Resource Manager with Executive Leadership education and a robust skill set, dedicated to contributing to diverse communities facing medical, social, and economic challenges. Committed to fostering collaboration among healthcare team members to optimize compliance with evidence-based practices and ensure the highest quality patient outcomes. Passionate about leveraging community support and resources to effectively reduce healthcare costs and minimize waste. A proactive approach to problem-solving and strategic planning drives the pursuit of innovative solutions in healthcare delivery.

Overview

27
27
years of professional experience

Work History

Clinical Resource Manager

Interfaith Medical Center
01.2015 - Current
  • I assess new patients with chronic and acute complex medical conditions, including analyzing medical test results.
  • I participated in a coordinated, collaborative approach to patient care, working as part of an interdepartmental team to ensure the delivery of high-quality, effective patient care.
  • Developing a care plan for the patient that considers the best value and the patient's preferences.
  • Coordinating the plan's execution with all relevant stakeholders.
  • Through broad knowledge of clinical care and systems management, my role included predicting, facilitating, and evaluating the patient's movement through the continuum of care and making the necessary adjustment.
  • I coordinated referrals to resources within the community to all interested parties that addressed the patient's medical, mental health, behavioral health, and social needs.
  • Chart review of clinical data through Epic to meet admissions criteria and updates for a continued hospital stay.
  • My responsibilities also include completing PRIs promptly through Careport -extended care system to facilitate discharges in a timely manner.
  • Assist with providing clinical data to HMOs for clinical denials and appeals. Coordinate peer-to-peer with the Medical Director of the HMO and the admitting attendant.
  • Provide length of stay reports utilizing Excel during weekly meetings and clinical updates regarding delays and barriers to discharge planning.

Admission Nurse DSSM/ HHC Nurse Liaison

HHC
07.2007 - 01.2015
  • Worked closely with the finance department in an -in-depth, systematic pre-admission screening to ensure fiscal stability and responsibility.
  • Worked as the liaison case manager with the internal and external case management team to provide a cost-effective plan for patients as indicated.
  • Proactively interacted with managed care/third-party payers to obtain financial certification/authorization and appropriate reimbursement, minimizing reimbursement denials.
  • Reviewed clinical data, for example, labs, History and Physical, assessments, Discharge summary, PRI, and any pertinent clinical information relevant to the admissions process based on the client's skilled care needs to achieve optimal patient outcomes.
  • Provided education to clients, hospital staff, and caregivers and served as a consultant when needed.
  • Advocate for patient-centered care that focused on evidence-based practice for the client's medical issues and the effects of illness on the life of the client and their family to achieve wellness related to the client's beliefs and or costumes for the best possible outcomes.

Psychiatric Nurse

Interfaith Medical Center
07.2005 - 01.2015
  • Mental health evaluation.
  • Crisis intervention.
  • Medication and therapy management.
  • Patient assistance with social skills and activities of daily living.
  • I interacted closely with patients to help them manage their mental illnesses and live a productive, fulfilling life in the community.

MDS/Medicare Nurse

HHC
07.2005 - 07.2007
  • Completion of MDS assessments.
  • Discharge and re-entry tracking forms are entered and encoded in the computer database and transmitted to CMS (State database) in a timely matter.
  • Provided audit reports of non-compliance of the interdisciplinary team members to ensure the accuracy and the completion of patient assessments to their respective Department Heads.
  • Managed care plan meetings with team members, the patient, and their families to discuss goals of care related to short-term stay versus long-term care. Also significant changes in patients status.
  • Provided clinical data to HMO to justify admission and services rendered.
  • Provided non-coverage letters to patients and their families and assisted with discharge planning.

Nursing Supervisor

Cobble Hill Nursing Home
05.2004 - 07.2007
  • Supervised and directed activities of all nursing personnel to ensure quality care in a safe and therapeutic environment related to best practices.
  • Responded to all emergencies within the facility, coordinated the appropriate care, and provided documentation as needed.
  • Assist with CPR, IV insertion., IVPB medicine, and Blood Glucose testing.
  • Enforcing /monitoring compliance with facility policies and mission statements.
  • Ensure medication policies are implemented to reduce errors and harm to patients.
  • Investigate medication errors and implement corrective actions as per the facility policy.
  • Implement Nursing Care Plans, admitting new patients and patients returning from acute care facilities.

Staff Nurse /Charge Nurse

HHC
04.1998 - 07.2005
  • Admitting and discharging patients, administering medication intravenously, orally, respiratory, gastrostomy tube, TPN, PPN, IM.
  • Assisted ancillary staff in respective areas of care.
  • Reinforcing teaching of ancillary staff universal precautions and safety measures.

Nurse 1 Cardiac Thoracic / Telemetry Nurse

07.1998 - 11.2001

Education

Master of Science - Nursing Executive Leadership

Purdue Global
06.2018

Bachelor Science Nursing - undefined

Kaplan University
12.2017

Skills

  • Effective communication
  • Power-point presentation and in-servicing topics to staff members
  • Study current trends, new technology/development teaching methodologies based on evidence-based practice
  • CQI performance improvement activities
  • Hands-on, classroom, and one-and-one teaching environments
  • Transitional leadership skills

Timeline

Clinical Resource Manager

Interfaith Medical Center
01.2015 - Current

Admission Nurse DSSM/ HHC Nurse Liaison

HHC
07.2007 - 01.2015

Psychiatric Nurse

Interfaith Medical Center
07.2005 - 01.2015

MDS/Medicare Nurse

HHC
07.2005 - 07.2007

Nursing Supervisor

Cobble Hill Nursing Home
05.2004 - 07.2007

Nurse 1 Cardiac Thoracic / Telemetry Nurse

07.1998 - 11.2001

Staff Nurse /Charge Nurse

HHC
04.1998 - 07.2005

Bachelor Science Nursing - undefined

Kaplan University

Master of Science - Nursing Executive Leadership

Purdue Global

ACTIVITIES

Skills and training background includes insurance principles, admission, and discharge process, reviewing medical charts, facilitating timely discharges to the community or skilled nursing facilities for the continuum of care. My background skills also include experience with firsthand, classroom, and one-and-one teaching environments. My knowledge includes participating in CQI performance improvement activities to improve overall patient outcomes, staff skills, and performance competency. I am a motivated leader with strong organizational and prioritization abilities. I have accomplished many of my aspirations and I am energetic.

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