Dedicated and accomplished registered nurse with 20 years of extensive experience in delivering exceptional patient care. A passion for embracing new challenges drives continuous skill and knowledge enhancement, fostering growth as a progressive leader in the healthcare field. Committed to maintaining high standards of quality and compassion while effectively collaborating with multidisciplinary teams to achieve optimal patient outcomes. Proven ability to adapt to dynamic environments, ensuring the delivery of innovative solutions in patient care.
Experienced with identifying and assessing potential risks to organization. Utilizes advanced risk mitigation techniques and strategic planning to safeguard assets. Track record of maintaining regulatory compliance and fostering culture of continuous improvement.
Overview
18
18
years of professional experience
1
1
Certification
Work History
Risk Manager
Black Hills Health Care System
08.2021 - 06.2024
I am the Tort Claims coordinator at this facility and as such, coordinate the notification of providers, procure documents/statements related to claims, assist the US Attorney’s office during torts/lawsuits, and review records to give leadership “heads up” notification of potential risk
I facilitate the organization’s Peer Review program and run the monthly meetings both face to face and virtually; this encompasses two hospitals and multiple CBOC’s; this past year, I have increased our reviews by 500% meeting OIG requirements for the first time in over 2 years
I have expanded the provider base on whom reviews are completed by 100% in the peer review program
I am the Mortality coordinator and as such, review 100% of deaths with the Chief of Staff monthly and discuss any risks found in practice and documentation; this has resulted in the implementation of two small work groups
I am the coordinator for all adverse events and institutional disclosures and have increased reporting by 200%.
I review all occurrence reports as they come in and have implemented a new process for enabling real time reviewing of deaths and suicides/attempts allowing for more timely notification to our leadership team.
I complete risk assessments for the organization to assist with decision making. The RA process calls together an interdisciplinary team to look at any given situation from a 360 view. Once completed, these assessments are sent to leadership within the facility, and to VISN when necessary.
I have given documentation presentations from a medical/legal aspect, to the nursing staff and to the MD/DO and LIP providers in an effort to improve skills and capture all care given.
Whole Health Coordinator
Black Hills Health Care System
02.2020 - 08.2021
New position at this organization; I have taken the program from 1.47% unique population to over 14% in the past year
Provided oversight and management of a program budget of over $70,000 this past year; grown from the previous year of $15,000 which has assisted other departments in engaging and expanding their Whole Health care delivery
I have successfully forged new relationships with all internal and external stakeholders of the organization to garner assistance with the Whole Health program, resulting in meeting and exceeding metrics for the program throughout the past year
I’ve brought our Self-Assessment Tool (SAT) for implementation of Whole Health further than any other facility in the VISN over the past 12 months
I’ve successfully brought the Whole Health concepts to our PACT teams with many participating in Whole Health training
I’ve participated in Whole Health Coaching training and will be nationally certified in October of this year when the exam is offered
I have procured 5 Whole Health coach positions, and they have been nationally certified; they are currently engaged in coaching clinics
I have assisted in combining the Whole Health and Healthy Living committees and charters allowing for more comprehensive coordination between all Veteran and employee education departments
I co-chair the above-mentioned committee and report in the Employee Wellness committee, the Outreach committee, the Veteran Experience Council, and the Health Care Delivery Council
I assisted in the Tele-Neurology pilot program
I work closely with VISN and National Office of Patient Centered Care to ensure success of the Whole Health Program
I am trained in the use of IPEC, Pyramid Analytics, and other VA data bases used to evaluate impacts to Veterans and successful implementation and evaluation of facility programs
I have implemented Whole Health experiential and TMS training for all staff and specifically for provider staff
I’ve created and presented training for all staff and for executive leadership staff for Whole Health and for HRO
ER/ICU/UC Nurse Manager
Black Hills Health Care System-Ft. Meade VA campus
03.2015 - 02.2020
I supervise 27 critical care nursing staff members
I am responsible for the day to day functions of all critical care in the facility
I have done annual, specific training for all staff as well as finding specific training modules for STEMI, stroke, cardiac arrhythmias, and tele-health.
I co-chair the Critical Care Committee
I track all STEMI, Stroke, Rapid Response, Ventilator, and Code Blue incidents and record data-this data is used to ensure process improvements if needed
I work closely with the education department to implement the RQI program and to organize facility-wide training for new critical care equipment
I participate in Medical Advisory Opinion investigations and make recommendations based on chart reviews
I am a representative on our Quality, Value, and Safety board, reporting any trending issues found during monthly chart auditing in critical care; this includes issues found with care given by outside entities
I am responsible for updating all current critical care policy as well as the introduction of new policy when needed
I am responsible for all training and ongoing education of the RN staff in critical care.
I perform chart audits and compile data to engage in rapid action small teams to fix issues in real-time
I assist in transferring patients to the appropriate level of care working closely with case management and utilization management
I was part of the team that brought Tele-Stroke to the facility with 95% success rate of recovery in patients who participate
Current team member of tele-medicine bringing specialists to rural facilities who otherwise would not have access
Infectious Disease Specialist
South Dakota Department of Health
12.2013 - 03.2015
I actively track individuals within the state who have been diagnosed with all infectious diseases from onset to the return of good health.
I gather information and analyze it to track the disease itself to determine its origin and stop its advance to others in the population.
I ensure the privacy and dignity of everyone and provide education directed toward specific needs.
I interface with area clinics, hospitals, urgent care sites, and private physician’s offices to educate, treat, and track infectious diseases and the patients affected by them.
I participate in the CDC VFC program through audits of the facilities that provide these vaccines to ensure compliance with the program.
I participate in environmental and chemical disaster preparedness through coordination of an area POD.
I am a member of the state-run HIV planning and preparedness group.
Director of Nursing Services
Golden Living
06.2012 - 12.2014
I actively managed the 80+ nursing staff in a 99-bed skilled nursing facility
I worked to ensure resident rehab through ongoing therapy to assist in patient return to home where appropriate.
I helped to provide holistic patient care with nutrition, therapeutic, and hospice care where necessary.
I assisted in maintaining ongoing education to ensure best practice procedures were in use and the staff was prepared for any number of situations that may arise.
I used root-cause analysis and continuous quality improvement to ensure appropriate systems were in place and functioning.
I helped to teach critical thinking skills to the nursing staff allowing them to problem solve effectively and grow professionally.
I ensured compliance with CMS and managed care through appropriate documentation of service for reimbursement.
I actively sought and cultivated positive interdepartmental relationships for continuity of care throughout the resident’s stay.
I worked closely with area acute stay facilities to ensure residents were transferred back to long term care when appropriate and according to CMS recommendations
Remote Coder and Data Review Coordinator
MedAssurant
10.2010 - 06.2012
I performed efficient chart review ensuring appropriate notation of treatment was present.
I became an efficient HEDIS reviewer with above average productivity.
I possess a good working knowledge of ICD-9/10 coding for HCC with high productivity and accuracy.
I possess competent claims integrity reviewing stopping fraud, waste and abuse.
I was recognized as a Star Performer twice in 8 months.
I use data analysis for trending to circumvent problems.
RN
Brookings Health Systems
10.2007 - 10.2010
I supervised Med/Surg./SDS floor personnel working with facility supervisor to ensure patient care given in a timely and compassionate manner.
I communicated updates on floor census to keep nurse/patient ratios safe and efficient.
I frequently floated between all areas of facility to fill in where needed (Med/Surg ICU/Telemetry, SDS, OB, ED, PACU, NICU, Case Management).
I educated families and patients regarding medication, treatment and prevention.
I have orientated many new staff members and preceptored several pre-graduate nurses.
I participated in ongoing education necessary to maintain knowledge and certification in all areas of the facility.
I have completed training in computerized medical charting systems, specialized procedures (PICC placement) and Medicare/Medicaid case management.
I perform meticulous charting/reporting for proper utilization both for physicians and for insurance/Medicare.
RN
Avera Marshall
05.2006 - 10.2007
I was an OB floor nurse assisting in labor, delivery, recovery, and post-partum.
I provided surgical assistance with cesarean section deliveries.
I taught patients and their families as a Certified OB Nurse Educator.
I floated to Med/Surg. when needed.
I provided excellent care for patients and families from delivery through recovery.
I developed excellent listening skills essential for good patient/caregiver communication.
I am skilled in the understanding and delivery of care to patients of varied cultural/religious backgrounds.
I developed essential critical thinking skills to present quality of health care in stressful situations.
Education
Bachelor of Science - nursing
National American University
01.2013
RN - undefined
Minnesota West Community College
01.2006
LPN - undefined
Minnesota West Community College
01.2005
Skills
Possess excellent written and verbal communication skills
Good team player with a positive attitude
Possess good logical and critical thinking skills
Flexible, with the ability to adapt quickly to new working environment and work schedules
Research minded with diverse knowledge of evidence-based practice journals that keep me up to date
Experience with Medical Advisory Opinions (VA legal review process) that requires the creation of a timeline along with each care givers’ behavior over months and years
Ability to understand and meet the needs and concerns of consumers
In-depth knowledge of procedures and principles of nursing administration
Possess knowledge of general and mental health treatment and conditions
Aggressively pursue quality improvement ideals which allow communication and understanding to merge administrative goals with employee capabilities
Outstanding professional organizational skills
Ability to work independently with little supervision
Productive leadership that embodies individual and team growth through assessment and accountability
Program Management
I am a trainer in HRO principles
I am a Mentor trainer
I was an original member of the Interdisciplinary mortality work group
Claim reviews
Counterparty risk management
Internal controls
Equity risk management
Certification
BLS, TNCC, PICC placement
Timeline
Risk Manager
Black Hills Health Care System
08.2021 - 06.2024
Whole Health Coordinator
Black Hills Health Care System
02.2020 - 08.2021
ER/ICU/UC Nurse Manager
Black Hills Health Care System-Ft. Meade VA campus
Medical Administrative Assistant/Administrative Officer of the Day (MAA/AOD) at Department of Veteran Affairs - VA Black Hills Health Care SystemMedical Administrative Assistant/Administrative Officer of the Day (MAA/AOD) at Department of Veteran Affairs - VA Black Hills Health Care System