Sheila Joyce
San Diego,CA
Summary
- Kind and diligent Registered Nurse with over 30 years of excellence in the delivery of prescribed medical, health and wellness strategies, techniques, and support services in palliative, hospice, remote telephone care, and OB/GYN environments.
- Strong abilities in patient assessment, patient and family education, and patient communications and advocacy.
- Experienced liaison providing referrals for other professionals and support service, compliance assurances, integrated care communications and the methodology to ensure success.
- Record of excellence in administration and implementation of medical strategies, techniques and services including total health care management, program compliance, medicine administration and delivery, palliative care, and resource management.
- Successful working with a diverse patient population including working with difficult, non-compliant, and critical patients with co-morbidities.
- Excellent interpersonal skills with proven successes working in diverse multicultural patients attentive to cultural diversity and patients' physical and emotional needs.
- Strong sense of priorities, a keen eye for detail, and a valued reputation for integrity.
Overview
34
34
years of professional experience
Work History
San Diego PACE
04.2022 - Current
- Conducts initial Home/RN assessments at participant's home or virtually (dependent on clinical need) during the initial enrollment process
- Assessment consists of a head to toe evaluation to evaluate medical comorbidities and impact on activities of daily living on the senior population interested in joining PACE
- In collaboration with the Enrollment Team completes and submits LOC for review within 24 hours of original assessment date
- Collects medical records as needed to complete LOC
- If medical records can't be accessed, complete LOC with other relevant information (i.e
- Hospital discharge information, medications, etc)
- Maintains an up to date active list of all LOC's submitted to include date submitted, decision, follow up, etc
- Follows up on all deferred Prospective Enrollees as needed and resubmits required information to DHCS to request approval
- Participates in weekly enrollment team meetings as well as IDT and HHC meetings as needed
- Identifies safety and health issues in potential enrollees that could be grounds for an enrollment denial under CMS guidelines
- Works with the Admission RN Supervisor to identify issues and assists in presenting issues to IDT for a potential enrollment denial
- Communicates and interacts with patient, caregivers and/or family members as needed
- Provides RN clinical coverage in the PACE clinic as needed.
ComForCare, Allonehealth (per diem job)
06.2020 - Current
- Manage Orientation schedule and admissions
field nurse
Bridge Hospice
09.2021 - 04.2022
- Act as primary liaison with attending physicians, patient, and other family members
- Deliver timely integrated communications with patient, family members, attending physicians and other health care team members as required
- Deliver prescribed plan of care, provide pain management, and control, and provide wound, tracheotomy, colostomy, and catheter care
- Provide initial and ongoing assessment of patients
- Provide complete charting and action documentation in Net Smart e-charting environment
- Attend to patient and family members physical and emotional needs
- Advocate for both patient and family.
CVS-Covid Vaccination administration/UNI HC recruiters
02.2020 - 07.2020
- Administering Covid-19 vaccination (Moderna, Pfizer)
Scripps Home Based Healthcare
02.2020 - 05.2020
- RN visit nurse to patients in place of residence
- Provided admissions, discharges, recertifications based on insurance
- Provided care to patients with medical needs: wound care, IV's, blood draws
- Provided care using nursing assessments, plans of care, interventions, evaluation
- On-going communication with managers, CM's, physicians, vendors
- Provided education to patient and families using effective communication.
Clinic Nursing Supervisor RN
FamilyHealth-Center for Older Adults
04.2019 - 08.2019
- Oversee LVN's, Medical Assistance in caring for the elderly/frail
- Worked directly with Medical Director MD to assure safe participant care
- Submitted documents directly to CMS for approval of participant admission.
TELECARE
VITAS INNOVATIVE
11.2017 - 10.2018
- Respond to off-hour telephone calls for 12 regions in the western United States in call center providing critical telephonic health services for up to 3,000 patients
- Registered Nurse for leading provider of hospice and palliative patient services
- Acted both as a Charge Nurse and Telecare Nurse.
RN, Access Team (Hospice & Palliative Care)
SHARP HEALTHCARE
01.2010 - 01.2017
- Provide palliative and hospice care for end-of-life patients as member of the Access Team for adult patients throughout San Diego County in home, hospice, skilled nursing, and hospital environments
- Act as primary liaison with attending physicians, patient, and other family members
- Deliver timely integrated communications with patient, family members, attending physicians and other health care team members as required
- Deliver prescribed plan of care, provide pain management, and control, and provide wound, tracheotomy, colostomy, and catheter care
- Provide initial and ongoing assessment of patients
- Provide complete charting and action documentation in Net Smart e-charting environment
- Attend to patient and family members physical and emotional needs
- Advocate for both patient and family.
Telecare RN
VITAS INNOVATIVE
01.2005 - 01.2010
- Registered Nurse for leading provider of hospice and palliative patient services
- Acted both as a Charge Nurse and Telecare Nurse
- Respond to off-hour telephone calls for 12 regions in the western United States in call center providing critical telephonic health services for up to 3,000 patients.
SCRIPPS HOSPITAL
01.1990 - 01.2004
- Fourteen years of progressive excellence as a RN, Charge Nurse and Circulating Nurse in OB, Labor & Delivery environments
- Assignments include: Charge RN, Mother & Baby Unit, Scripps Hospital, La Jolla 2000 to 2004
- Charge RN, Mother & Baby Unit Scripps Hospital, Encinitas 1995 to 2000
- Labor & Delivery, Scripps Hospital Chula Vista 1990 to 1995
- Provided complete patient care for diverse patient population in labor and delivery including difficult and complex deliveries, patient and baby care, patient education, and complete charting
- Performed ongoing assessment of both mother and baby
- Identified and delivered integrated strategies for those with postpartum difficulties
- Provided patients with plans and strategies in baby and mother health and wellness, and improved management of health and health-related problems.
Education
Diploma of Nursing, Registered Nurse -
ELLIS HOSPITAL SCHOOL OF NURSING
Skills
- REGISTERED NURSE
- PALLIATIVE, HOSPICE & CHRONIC CARE
- HEALTH, WELLNESS & PREVENTION
- TOTAL CARE MANAGEMENT
- INTEGRATED PATIENT COMMUNICATIONS
- SUPPORT SERVICES REFERRAL & LIAISON
- CHARTING & DOCUMENTATION
- PATIENT EDUCATION & COMPLIANCE
- CHARGE NURSE & PATIENT ADVOCACY
Productivity Charting Tools
- NetSmart
- Proprietary charting solutions
Licensure Certifications
- 1989, Present, STATE OF CALIFORNIA, Registered Nurse License #437067, 11/30/2020
- 2016, ON-LINE CLASS, Certified Hospice & Palliative Care Nurse (CHPN), 2020
- 1989, Present, AMERICA RED CROSS, Basic Life Saving (BLS) for Healthcare Provider, 2020
Professional Highlights
- Perform telephone triage and manage patient services including coordinating care services, vendors, physicians, pharmacies, and family support programs.
- Managed up to six RNs and LVNs.
- Deliver integrated crisis communications with patients, family members, and other health professionals.
- Provide remote patient assessment, deliver prescribed plan of care, and dispatch on-call nurses, social workers, and counselors as necessary.
- Ensure compliance to all program standards and best practices.
- Provide complete and accurate documentation for all actions and communications, electronically.
Timeline
San Diego PACE
04.2022 - Current
field nurse
Bridge Hospice
09.2021 - 04.2022
ComForCare, Allonehealth (per diem job)
06.2020 - Current
CVS-Covid Vaccination administration/UNI HC recruiters
02.2020 - 07.2020
Scripps Home Based Healthcare
02.2020 - 05.2020
Clinic Nursing Supervisor RN
FamilyHealth-Center for Older Adults
04.2019 - 08.2019
TELECARE
VITAS INNOVATIVE
11.2017 - 10.2018
RN, Access Team (Hospice & Palliative Care)
SHARP HEALTHCARE
01.2010 - 01.2017
Telecare RN
VITAS INNOVATIVE
01.2005 - 01.2010
SCRIPPS HOSPITAL
01.1990 - 01.2004
Diploma of Nursing, Registered Nurse -
ELLIS HOSPITAL SCHOOL OF NURSING
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