Master’s prepared Registered Nurse with over 25 years of experience in complex care coordination, managed care case management, community-based care, and home health/hospice care. My goal is help others live their best life in the best health possible.
Committed nurse manager with a history of meeting company needs with consistent and organized practices. Skilled in working under pressure, adhering to ethical practices and adapting to best enhance the organizational brand.
Overview
26
26
years of professional experience
Work History
Health Services Manager
Magellan/Molina Complete Care of Virgini
03.2020 - Current
Supervised and managed a team of 19 employees, consisting of 10 Health educators/Community Connectors, 6 Field-based Community Connectors, 1 LPN Supervisor of FBCC's, and 2 RN Clinical Reviewers.
Developed policies and procedures for the effective delivery of health services.
Monitored the quality of care provided to patients by evaluating medical outcomes.
Implemented strategies to improve operational efficiency and reduce costs while maintaining high-quality patient care standards.
Collaboration within the organization to coordinate interdisciplinary approaches to providing comprehensive care for patients.
Managed changes in integrated health care delivery systems and technological innovations while keeping focus on quality of care.
Lead Care Coordinator
Medallion 4 Program for Magellan Complete Care of Virginia
06.2019 - 02.2020
Responsible for leading the minimal risk care coordination team and the complex conditions care coordination teams
Responsible for assigning members, identifying those complex members requiring a higher level care.
Work closely with the Maternal Child Health/Children and Youth with special healthcare needs manager as well as the Population Health manager
Perform audits and one-to-one evaluations for employees
Serve as back-up for both managers in their absence
Coordinate and develop in-services for employees on the Medallion 4 team
Collaborated with physicians, social workers, and other healthcare providers to provide comprehensive care for patients.
Facilitated referrals to community resources such as housing, transportation, employment opportunities.
Ensured compliance with state regulations related to healthcare service provision.
Senior Care Coordinator
CCC Plus / Medallion 4 Programs for Magellan Complete Care of Virginia
06.2017 - 05.2019
Responsible for the coordination of care/case management for a variety of populations in the community including nursing facility residents, LTSS, SMI, and maternity, children, EDCD, and children/youth with special health care needs.
Completion of health risk assessments (both telephonic and face to face), interdisciplinary care plans per individual, as well as completing interdisciplinary care team meetings for all members
Researched all required elements of the CCC plus program designated in the contract that Magellan is governed by with the Department of Medical Assistance Services,
In May of 2018, switched from CCC plus over to Medallion Program as a senior care coordinator
In early 2019, I served as the interim manager for Maternal Child Health and Children and Youth with Special Healthcare Needs
Duties included assignment of all members to the appropriate care coordinators, facilitating weekly huddles, attending management meetings/work groups, supervision of 6-8 registered nurses, and over all taking care of the day to day running of the team.
Collaborated with physicians and other healthcare providers to ensure proper treatment of clients.
assistance is needed by the client's family.
Managed changes in integrated health care delivery systems and technological innovations while keeping focus on quality of care.
Private Skilled Care Director of Nursing
Brightstar Homecare
11.2016 - 06.2017
Assessed a variety of non-skilled patients for personal care eligibility, completing full health risk assessments
Provided supervisory visits for such patients
Provided skilled IV therapy in a home bound setting for both children and adults
Managed up to 20 Registered Nurses and License Practical Nurses, scheduling for IV therapy, home health visits, supervisory visits
Responsible for leading weekly staff meetings, preparing for state surveys, and complying with all rules and regulations a private agency is governed by.
Skilled and Non- Skilled Home Health
Personal Touch and Intrepid
03.2011 - 09.2015
Providing care to a variety of medical patients with various disease processes
Ensured compliance with state and federal regulations
Provided palliative care in outpatient settings ranging from assessment to development and implementation of care plans
Provided necessary health education training for patients
Provided behavioral/emotional support and supervision for those with dementia and Alzheimer's
Managed caseload of 30 clients, providing education, treatments, IV therapy, and venipuncture and wound car
Accurately documented all elements of nursing assessment, treatments, medications, discharge instructions and follow-up care Utilized strong assessment skills to determine necessary patient care
Coordinated with doctors and nurses to develop care plans for patients.
Supervised 10 other practitioners and employees, led recruiting, and hiring, managed employee review process and ensured compliance with state and federal regulations
Center Nurse/ Baby Care Coordinator/Center Nurse Manager
Eastern Shore Rural Health
Nassawadox, VA
08.1998 - 02.2011
Delivered high-quality and compassionate treatment to indigent and low-income patient community
Supervised 12 other practitioners and employees, led recruiting, and hiring, managed employee review process and ensured compliance with state and federal regulations
Trained 10 staff nurses to provide top-quality patient care
Evaluated patient care needs, prioritized treatment, and maintained patient flow
Utilized strong assessment skills to determine necessary patient care
Prepared for HIPAA and JCAHO reviews, ensuring required brochures and pamphlets were available to patients in all clinics
Interviewed patients to obtain medical information and measure their vital signs, weight, and height
Education
Master of Science in Nursing -
Grand Canyon University
01.2020
Bachelor of Science: Nursing -
Virginia Commonwealth University
01.2005
Associate of Science: Nursing -
ESCC/TCC
01.1998
Skills
Clinical Supervision
Regulatory Affairs
Staff Development
Quality Improvement
Health Information Systems
Analytical Thinking
HIPAA Guidelines
Organizational Goal Development
Healthcare Delivery
Accreditation support
Timeline
Health Services Manager
Magellan/Molina Complete Care of Virgini
03.2020 - Current
Lead Care Coordinator
Medallion 4 Program for Magellan Complete Care of Virginia
06.2019 - 02.2020
Senior Care Coordinator
CCC Plus / Medallion 4 Programs for Magellan Complete Care of Virginia
06.2017 - 05.2019
Private Skilled Care Director of Nursing
Brightstar Homecare
11.2016 - 06.2017
Skilled and Non- Skilled Home Health
Personal Touch and Intrepid
03.2011 - 09.2015
Center Nurse/ Baby Care Coordinator/Center Nurse Manager