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Hi, I’m
Ruth Thomas
Registered Nurse
Palm Beach Gardens ,FL
If you really look closely, most overnight successes took a long time.
Steve Jobs
Summary
Experienced medical professional with 15+ years in Home Health Care and Outpatient Clinic settings. Specializing in remote care management and leadership, with a passion for innovation. Proficient in OASIS assessment, adept at identifying opportunities for technological enhancements. Demonstrated success in leadership roles, known for delivering high-quality care and training staff. Committed to providing cost-effective, preventative care for patients in home or skilled facility settings.
Overview
16
years of professional experience
1
Certification
Work History
Conviva Care Solutions
RN Care Navigator
01.2024 - Current
Job overview
- Conduct Transitions of Care Management for a subset of the patient population, including ER and hospital follow ups
- Provide triage guidance and supportive consultation to other team members, handling escalated complex cases
- Develop care plans leveraging 5Ms Geriatric best practice framework to meet health goals
- Develop a holistic view of patient needs related to Social Determinants of Health
- Identify existing barriers to engagement with necessary resources and supports
- Provide education around maintenance of chronic health conditions, as well as available options for behavioral care and social support
- Serve as liaison between the patient and the direct care providers, assisting in navigating both internal and external systems
- Initiate care planning and subsequent action steps for high-risk members, coordinating with interdisciplinary team
- Provide assistance and Refer patient to necessary services and supports such as transportation, food insecurity, navigation of and application for benefits including, Medicaid, HCBS, working to reduce costs associated with prescription medications, organizing schedules of follow up appointments, alleviating social isolation
- Lead Interdisciplinary Team Meetings
- Participate in creation and facilitation of team training content
TotalMed-Centene Corp.
RN Care Manager
01.2023 - 01.2024
Job overview
- Contract Nurse performed care management duties to assess, plan and coordinate all aspects of medical and supporting services across the continuum of care for select members to promote quality, cost effective care
- Develop, assess and adjust, as necessary, the care plan and promote desired outcome
- Assess the member's current health status, resource utilization, past and present treatment plan and services, prognosis, short and long term goals, treatment and provider options
- Coordinate services between Primary Care Physician (PCP), specialist’s medical providers, and non-medical staff as necessary to meet the complete medical socio economic needs of clients
- Provide patient and provider education and facilitate member access to community based services
- Monitor referrals made to community based organizations, medical care and other services to support the members’ overall care management plan
- Enter and maintain assessments, authorizations, and pertinent clinical information into various medical management systems
DaVita Dialysis
Region Home Program Manager
01.2022 - 01.2023
Job overview
- Effectively lead all direct report nurses through mentoring, staffing, and scheduling according to patient load.
- Develop strategic plans to overcome root cause analysis outcomes for losses, and maintain hospital partnerships.
- Foster physician and surgeon relationships, while overseeing home physician engagement for the region, ensuring that Home Modality is increased.
- Partner with in-center teams to deliver quality modality education for patients, supporting patient conversions and transitions to home dialysis.
- Partner with leadership in developing plans of correction for any clinical quality issues, including auditing clinics, driving corrective plans locally, and reporting progress to leadership teams.
- Facilitate finance operations including the reporting of financial and operational statuses up to regional leadership, assisting in the creation of region-level budgets as applicable to Home Modalities.
- Strategically collaborate with Regional Operations Director and Facility Administrators to manage labor among clinic-level Home teammates.
Open Systems Healthcare
Director of Nursing
01.2017 - 01.2022
Job overview
- Partnered with HR by initiating new staff hiring, helping to recruit high-quality candidates, and conducting various processes such as new hire orientation, performing skills validations, and termination processes.
- Developed and coordinated consumer care plans to ensure quality care delivery and appropriate case management within the Agency’s scope of services according to state, federal, and local regulations.
- Provided organizational growth by offering patient and staff education for safe medication administration, crisis intervention strategies, and transition care to ensure quality control.
- Conducted chart reviews, and reviewed OASIS documentation and coding for patients, all while remaining current on regulations relevant to coding and OASIS.
- Established policies and procedures that remained consistent with the Centers for Disease Control (CDC) and Occupational Safety and Health Agency (OSHA) guidelines for safety, universal precautions, and infection control procedures.
Just For Kids
Case Manager
01.2016 - 01.2017
Job overview
- Maintained accurate documentation and prepared necessary reports for all collaborating agencies.
- Established, led, and retained community partnerships, while managing work plans along with timelines.
- Safeguarded all enrollment activities by adhering to established procedures of accountability and confidentiality according to contracts and regulatory entities.
- Completed Start of Care, Recertification visits, Supervisory Homes visits, created and maintained Plans Of Care compliant to Physician orders.
Maxim Healthcare Services
RN-Clinical Supervisor
01.2014 - 01.2016
Job overview
- Analyzed and reviewed patient treatment plans to better measure individual progress.
- Administered medications, wound/incision care, and other personalized intervention as needed.
- Mentored CNAs and LPNs to better understand the correct procedures and techniques for resident nursing care.
- Admitted new residents, evaluated physical condition, offered individual attention to residents and counseled families.
- Provided health education, promotion, and counseling to patients, including their families, resulting in the full comprehension of patient needs while in their homes.
- Completed Start of Care, Recertification visits, Supervisory Homes visits, created and maintained Plans Of Care compliant to Physician orders.
Just For Kids Healthcare
Licensed Practical Nurse/RN
01.2012 - 01.2014
Job overview
- Administered food and medication via oral and gastrostomy routes as ordered to prevent any further complications.
- Carefully observed hygiene codes by demonstrating good infection control and hand hygiene tips for all patients and team.
- Tended to ventilator-dependent individuals on continuous care, documenting and reporting major and minor changes in patient status to MDs and emergency contacts.
Maxim Healthcare
Licensed Practical Nurse
01.2010 - 01.2012
Job overview
- Complied with all legal, regulatory, & best practice guidelines, resulting in the best care provided for medically fragile children and adults on ventilators in various settings.
- Provided oral care, hygienic care, gastrointestinal tube care, and tracheostomy care, while also strategically collaborating with healthcare team members and families to assess patient psychosocial and physical needs.
Hospice of Palm Beach County
Licensed Practical Nurse
01.2009 - 01.2010
Job overview
- Completed daily assessments, vital signs, and wound treatments to patients, helping to administer medication, and hygiene care as well.
- Provided continuous palliative care to patients with end-stage life diseases, resulting in the utmost treatment for all individuals and clearly communicating with families regarding their loved ones.
- Assessed, documented, and reported any significant changes to doctors and primary nurses to promote preventive care throughout the duration of treatment.
Education
Academy for Nursing and Health OccupationsWest Palm Beach, FL
Associate of Science from Nursing Degree
01.2013
Bethune-Cookman UniversityDaytona Beach, FL
from Nursing
01.2007
Skills
- Staff development in patient care and equipment use
- Patient & Family Instruction
- Curriculum & Program Development
- Care Coordination & Management
- Documentation compliance audits
- Regulatory Compliance (CDC, OSHA, CMS)
- Cross-functional collaboration
- Basic life support
- Community wellness initiatives
- Experienced with Epic Systems software
- Relationship management skills
- Bilingual in English and Haitian Creole
Accomplishments
- Supervision - Headed onboarding process for new nursing staff.
- Training - Trained team of staff nurses in medical office procedures to ensure consistent quality of care.
- Patient Advocacy - Explained treatment procedures, medication risks, special diets and physician instructions to patients.
- Documentation - Ensured charting accuracy through precise documentation.
- Human Resources - Assisted in new hire process by calling and scheduling appointments with candidates, filling out required paperwork and preparing new hire manuals.
- Developed Excel spreadsheets to accurately and efficiently track patient data, resulting in improved patient outcomes and streamlined workflow.
Awards
- Clinician of the Year Award, 2019, Open Systems Healthcare
- Clinician of the Month, 2015, Maxim Healthcare Services
Certification
AHA BLS Certified Instructor
Interests
Availability
See my work availability
Not Available
Available
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Work Preference
Work Type
Full TimePart TimeWork Location
RemoteHybridImportant To Me
Work-life balanceFlexible work hoursPersonal development programsHealthcare benefitsWork from home optionPaid time offTeam Building / Company RetreatsPaid sick leave401k matchStock Options / Equity / Profit Sharing4-day work weekLanguages
haitian creole
Native or Bilingual
Timeline
RN Care Navigator
Conviva Care Solutions
01.2024 - Current
RN Care Manager
TotalMed-Centene Corp.
01.2023 - 01.2024
Region Home Program Manager
DaVita Dialysis
01.2022 - 01.2023
Director of Nursing
Open Systems Healthcare
01.2017 - 01.2022
Case Manager
Just For Kids
01.2016 - 01.2017
RN-Clinical Supervisor
Maxim Healthcare Services
01.2014 - 01.2016
Licensed Practical Nurse/RN
Just For Kids Healthcare
01.2012 - 01.2014
Licensed Practical Nurse
Maxim Healthcare
01.2010 - 01.2012
Licensed Practical Nurse
Hospice of Palm Beach County
01.2009 - 01.2010
Academy for Nursing and Health Occupations
Associate of Science from Nursing Degree
Bethune-Cookman University
from Nursing
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