Roxanne Villabeto- Scholz

• Responsible for coordinating hospice care services for managed-care patients which includes establishing and maintaining patient’s plan of care,
• Providing and promoting positive and harmonious relationships with patients, families and caregivers alike.
• Coordinating related-referral sources and negotiating service agreements.
• Assess and evaluate patient for hospice appropriateness and initiate admission process upon MD orders.
• Update comprehensive assessment every 14 days based on hospice guidelines.
• Recommend and plan discharge as necessary based on current and continued healthcare needs/ services

• Responsible for coordinating hospice care services for managed-care patients which includes following and maintaining patient’s established plan of care, providing and promoting positive and harmonious relationships with patients, families and caregivers alike. Coordinating related-referral sources and negotiating service agreements.
• Coordinates client care needs over 30 calls per day
• Maintained excellent attendance record, consistently arriving to work on time.
• Adhered to social distancing protocols and wore mask or face shield.
• Proved successful working within tight deadlines and fast-paced atmosphere.
• Increased customer satisfaction by resolving client issues.
• Participated in continuous improvement by generating suggestions, engaging in problem-solving activities to support teamwork.

• Works under supervision of Clinical Supervisors with staff clinicians to gather and report patient care summary information.
• Promotes harmonious relationships with patients, PCGs and staff as well as third party customers and related referral sources.
• Promotes third party reimbursement through price negotiations with managed care organizations within established financial, credit, and contractual parameters.
• Assists and participates in team communication such as IDT meetings every two weeks to ensure and maintain comprehensive working knowledge of care service contract being delivered in accordance with provisions held by company.
• Answer client and family calls over 20 calls per day and coordinate as needed.
• Actively listened to customers' requests, confirming full understanding before addressing concerns.
• Demonstrated respect, friendliness and willingness to help wherever needed
• Successfully maintain clean, valid driver's license and access to reliable transportation.

• Maintained in-depth understanding of individual patient care plans.
• Maintained patient care by following and adhering to established Plan of Care, in collaboration with other members of healthcare team towards client goals
• Assisted with rehabilitative care ensuring top level nursing that is patient centered with safety and dignity are in focused.
• Reported issues relating to patient care or conditions that might hinder patient well-being.
• Adheres to facility organizational protocol on HIPAA compliance.
• Continually maintained and help improved company's reputation and positive image.
• Cared for patients in 133-bed unit, supporting fellow nurses in delivering outstanding treatment to patients.
• Administer medication
• Performs nursing procedure within scope of LVN practice

• Provides skilled nursing service to patients in their Place of Service.
• Provides skilled nurse visits In-person about 5-6 patient per day
• Demonstrates skillful notes and observation of body systems.
• Records blood glucose, and wound types and report deviation abnormalities to RN Case Manager as needed.
• Helps identify source and level of pain. Provides calm, safe and comfortable environment.
• Communicates closely to Supervisor and Case Managers in regards to patient/ PCG healthcare needs.
• Charts and maintains accurate documentation in computer web- based platform.
• Performs assigned duties in manner consistent with organizational policies and procedures.
• Help and support, resolved problems, improved operations and provided exceptional service.

• Provided direct patient care as defined in State Nurse Practice Act, including specialized duties related to end of life care.
• Completed skillful observation and timely charting and documentation of pain, vitals and measurements, follow up symptoms reported, alteration in status, ADL, mobility, and safety issues.
• Performs skilled nursing care visits 4-5 patients per day In- person
• Maintained communication reports to RN/Clinical Supervisors of patient condition and changes.
• Assisted in peaceful passing of terminally ill patients.
• Participates in personal, professional growth and development. Involved in quality assessment performance improvement and other programs handled by organization.

• Checked over 20 SN visit notes for completeness, accuracy, and adherence to Plan of Care per day.
• Reviewed report contents and make arrangements based on organizations protocol and procedure. Coordinated with SN visiting staff or clinician, and find discrepancies on visit calendars, case conference, and overall visit schedule.
• Assisted in establishing accuracy and timeliness of admission, discharge, and resumption of care and other references for patient demographics and health history etc.
• Made sure all orders from Physicians are properly carried out, signed and update.
• Supported in quality assurance team in order to help satisfy patients claim of health care needs

• Obtained and report vital signs and pertinent information to patient health records in preparation for MD clinic consultation and follow up appointments.
• Directed patients to exam rooms, fielded questions and prepared for physician examinations.
• Assisted in performing non- invasive procedures and diagnostics.
• Helped facilitate positive and productive working environment.
• Assisted on over 30 patient appointments and calls per day.

• Helped in ADL such as bathing, toiling, ambulating, light housekeeping, meal preparation and eating etc as appropriate for patient needs transitioning from hospitalization towards recovery or comfort.
• Encouraged patient independence with personal care and assistance living services.
• Provide safety and comfortable environment for patients.
• Established good working relationships with patient and family by reporting on time and as scheduled.
• Worked flexible hours at 8- 12 hours per day as needed not to exceed 48 hours as week

Operating Room

- As Scrub Nurse-

• Worked in sterile field, responsible for maintaining sterility all throughout operating procedure.
• Prepared operating room to include laying out and organizing instruments.
• Helped in preparing patient. Set up attachments to equipments and monitors.
• Performed standard preoperative skin antisepsis and surgical prep.
• Assisted in passing instruments to surgeons. Monitored patient during procedure.
• Cared over 3 patients per day.

-As Circulating Nurse-

• Completed pre-op checklist, paper works i.e informed consent, insurance data.
• Organized and maintained documentation in patients chart.
• Replenished surgical supplies as needed during procedure.
• Verified instruments count, sponges, needles, and sharps. Completed record on chart on timely manner after procedure.
• Provided patient/ family /PCG instructions and education about procedures, reportable conditions and conveying information to other healthcare workers related to as necessary.
• Cared and covered cases over 3 patients per day.

Post Anesthesia Recovery Unit

• Obtained vital signs, oxygen level, and ECGs. Administered medications, start IVF and follow-up as ordered.
• Assessed for bleeding or hemorrhage.
• Determines when patient is stable enough to be transferred to hospital room or discharged home.
• Cared over 3 patients per day in unit

Labor Room and Delivery

• Provided support for mother during labor. Assisted with inducing labor as needed. Coached mother during delivery.
• Identified complications. Assisted with Cesarean Sections, and various procedures. Monitored fetal heart rate, and mother’s vital signs. Measured strength and timing of contractions.
• Provided education and support to mothers and families after delivery.
• Cared over 3 patients per day
• Covered and cared more than 3 case per day and prepared all documentation related to labor and delivery .

Medical- Surgical Unit

• Developed nursing diagnosis to individualized patient care plans. Instructed patients/ PCG on planned discharge
• Monitored fluid intake and output levels.
• Adheres to infection control procedures.
• Ensured efficacy of treatments through monitoring of signs and symptoms.
• Liaised between patients and physicians to ensure care are provided in safe and effective way
• Managed over 15 patients per day

Nursery Department

• Provided care for newborns and infants.
• Administered treatments, medications, tests, and procedures as ordered by physician.
• Provided patients/ families instructions about proper home and follow-up care for babies.
• Maintained patient health records and documents.
• Worked with Clinical Supervisors to resolve issues.
• Handled over 8 babies per day