Susan Leonard
Spokane,WA
Summary
Compassionate Nurse Case Manager offering 30 years of experience working with patients and families to facilitate smooth transitions following discharge from medical facilities. Committed to working collaboratively with health plan, leadership and department coordinators to achieve highest quality of patient satisfaction. Well-versed in developing individualized care plans and advocating patient welfare.
Overview
40
40
years of professional experience
Work History
Nursing Case Manager
Rockwood Home Health
Spokane, WA
Director of Health Care Services
Interim HealthCare
Spokane, WA
05.2021 - Current
- Recruited, hired and trained all staff, providing direct supervision, ongoing staff development and continuing education to employees.
- Developed and updated policies and procedures, maintaining compliance with statutory, regulatory and local, state and federal guidelines relating to HIPAA, benefits administration and general liability.
- Communicated with patients, ensuring that medical information was kept private.
- Direct day-to-day administrative and operational functions,
- Created customized care plans, working with facility staff and families to assess and meet individual needs.
Patient Care Manager
Kindred Hospice
Liberty Lake, WA
03.2020 - 05.2021
- Educated and evaluated clinical and support staff regarding care quality management regulations and standards of care.
- Interpreted regulations to identify patient care requirement criteria to be monitored and establish systems to achieve compliance.
- Recruited, hired and trained all staff, providing direct supervision, ongoing staff development and continuing education to employees.
- Developed and updated policies and procedures, maintaining compliance with statutory, regulatory and local, state and federal guidelines relating to HIPAA, benefits administration and general liability.
- Created customized care plans, working with Agency staff and families to assess and meet individual needs.
Patient Care Manager
LHC Group
Spokane, WA
11.2018 - 10.2019
- Educated and evaluated clinical and support staff regarding care quality management regulations and standards of care.
- Interpreted regulations to identify patient care requirement criteria to be monitored and establish systems to achieve compliance.
- Coordinated referrals to specialists, hospitalizations, ER visits, ancillary testing and other enabling services for patients.
- Arranged transportation and documented details of discharge transition plans.
- Analyzed key performance indicators to assess and manage risk, evaluating patient care and creating procedural changes to increase efficiency.
- Fostered excellence by example by "setting pace" and being hands on mentor to clinical staff.
- Created customized care plans, working with hospital staff and families to assess and meet individual needs.
- Defined visit protocols, quality assurance initiatives and clinic policies and procedures.
- Organized and facilitated Clinical Care meetings weekly, discussing current census, admissions and discharges.
- Motivated and supervised 25 Nurses, Physical, Occupational and Speech Therapists, and Social Workers in delivering quality patient care.
Clinical Nursing Supervisor
Rockwood Home Health
Spokane, WA
03.2016 - 11.2018
- Organized and constituted Wound care program, boosting recovery rates and decreasing re-hospitalization rates.
- Collaborated with physicians and interdisciplinary teams to devise and manage individualized plans of care.
- Sought opportunities to improve patient care, outcomes and nursing staff performance.
- Evaluated nursing staff's performance and developed education programs and professional development opportunities to improve individual and team competencies, clinical knowledge and delivery of care.
- Interacted effectively with department managers to promptly correct problems and improve services.
- Oversaw training, staffing and education of all nurses and staff.
- Reviewed charts weekly to complete quality control checks.
- Supervised professional and paraprofessional nursing staff and delegated tasks to maintain continuum of care.
- Administered performance evaluations and probationary reviews to assess nursing personnel.
Staff Educator
Riverview Care Center
Spokane , WA
08.2015 - 03.2016
- Developed and delivered new hire training programs and continuous professional development.
- Created and managed continuous improvement classes and training programs targeted to new employees.
- Performed reviews of employee work performance to check for areas in need of additional training.
- Monitored employee performance to look for areas in need of improvement.
- Maintained employee records for 50 Nurses, Paraprofessional, dietary and maintenance staff for Annual safety information.
- Worked with managers to identify internal talent and plan development pathways.
- Trained and mentored [Number] new personnel hired to fulfill various roles.
- Coordinated workshops for employees to better understand company mission, streamlining daily activities and aligning worker and company priorities.
Nursing Case Manager
Rockwood Home Health
Spokane, WA
09.2014 - 03.2015
- Developed and modified patient care plans and assisted interdisciplinary team in identifying client needs and goals to determine priorities of care.
- Collaborated with healthcare leaders and physicians to support and offer resources in performance of duties to maintain high-quality and efficient patient care.
- Gathered and recorded patient health information and data to assess, identify and manage characteristics that affect care outcome.
- Educated patients and caregivers on healthcare protocols and processes.
- Implemented aspects of patient care under physician orders and sought clarification when needed to promote safety, quality and cost-efficient care.
- Managed support services and fostered communication among social workers, therapists, hospital staff and patients.
MDS Coordinator
Riverview Care Center
Spokane, WA
10.2012 - 03.2015
- Verified prompt and accurate completion of MDS activities for billing.
- Trained staff in correct techniques for completing and signing MDS assessments.
- Complied with federal and state regulations for completion and coordination of RAI process.
- Assessed electronic medical record for required documentation to support MDS coding.
- Followed up on outstanding clinical items within established timelines for optimal care delivery.
- Set schedules for staff to start and complete MDS assessments and care plan meetings.
- Led weekly utilization review to go over recent clinical activities.
- Completed minimum data set assessments with strong collaboration across business, provider and clinical disciplines.
Nursing Supervisor
Riverview Care Center
Spokane, WA
10.2004 - 10.2012
- Supervised staff of 10 registered nurses, 5 licensed practical nurses and 15 certified nursing assistants.
- Delegated tasks and provided leadership for 30 nurses and support personnel.
- Investigated and reported all incidents per hospital policies.
- Maintained proper staff levels within budget parameters to deliver high levels of care to every patient.
- Provided direct nursing care to patients when personnel was short-staffed.
- Confidently directed overall operation of nursing services and patient care.
- Updated patient charts with data such as medications to keep records current and support accurate treatments.
- Discussed patient care and treatment with care team members to optimize intervention plans and care delivery.
- Coordinated nursing care for patients and participated in patient and family education.
- Trained new nurses in proper techniques, care standards, operational procedures and safety protocols.
- Administered medications via oral, IV and intramuscular injections and monitored responses.
- Followed all HIPAA rules and regulations regarding patient confidentiality.
- Assessed patients to determine individual needs and develop care plans in coordination with multidisciplinary healthcare professionals.
Clinical Research Assistant
The Oregon Clinic
Portland , OR
04.1997 - 09.2003
- Educated patients regarding all facets of clinical study participation.
- Managed updates and input for patient information database.
- Assisted with research protocol development.
- Demonstrated advanced knowledge of federal regulatory compliance guidelines.
- Collected data and followed research protocols, operations manuals and case report form requirements.
- Screened patient records, databases and physician referrals to identify prospective candidates for research studies.
- Worked with principal investigator and sponsors to facilitate daily trial activities and comply with research protocols.
- Maintained compliance with protocols covering patient care and clinical trial operations.
- Followed informed consent processes and maintained records.
- Participated in initiation visits and investigator meetings, implementing trials in accordance with study timelines and budgets.
- Gathered, processed and shipped lab specimens.
- Coordinated clinical trials focused on disorders such as Septic Shock, COPD, Community Acquired Pneumonia, Asthma and ARDS.
- Taught patients about medications, procedures and care plan instructions.
- Prepared lab specimens for diagnostic evaluation.
- Measured patient spirometry.
- Collected pertinent data and calculations to aid physician in interpreting results.
Clinical Research Manager
Arthritis Northwest
Spokane, WA
09.2002 - 06.2003
- Worked with principal investigator and sponsors to facilitate daily trial activities and comply with research protocols.
- Maintained compliance with protocols covering patient care and clinical trial operations.
- Collected data and followed research protocols, operations manuals and case report form requirements.
- Followed informed consent processes and maintained records.
- Participated in initiation visits and investigator meetings, implementing trials in accordance with study timelines and budgets.
- Screened patient records, databases and physician referrals to identify prospective candidates for research studies.
- Gathered, processed and shipped lab specimens.
- Worked flexible hours; night, weekend, and holiday shifts.
- Used critical thinking to break down problems, evaluate solutions and make decisions.
- Proved successful working within tight deadlines and fast-paced atmosphere.
Staff Nurse, Intensive Care Unit
Providence Portland Medical Center
Portland, OR
09.1989 - 02.1997
- Assisted physicians in procedures by keeping instruments sterilized and maintaining inventory.
- Gathered patient health data through interviews and observation, documenting data in electronic records.
- Ordered, interpreted and evaluated diagnostic tests to identify and assess patient condition.
- Reported patients' status and delegated nurse assignments to achieve optimal outcomes.
- Implemented medication and IV administration, catheter insertion and airway management.
- Performed various nursing interventions such as wound dressing, vital sign monitoring and specimen collection.
- Monitored patients' conditions and reported changes in physical presentation, appearance and behavior to discuss treatment with physicians.
- Precepted student nurses and oriented new hires, providing guidance and mentorship when teaching on hospital policies, emergency procedures and nursing best practices.
- Teamed on trauma and emergency interventions involving serious head injuries, gunshot wounds and thoracic trauma.
- Coordinated with physicians to perform bedside procedures such as intravenous injections, vascular line insertions and bronchoscopies.
Staff Nurse, Intensive Care Unit
Providence Oakland
Oakland , CA
05.1982 - 09.1989
- Ordered, interpreted and evaluated diagnostic tests to identify and assess patient condition.
- Performed various nursing interventions such as wound dressing, vital sign monitoring and specimen collection.
- Reported patients' status and delegated nurse assignments to achieve optimal outcomes.
- Implemented medication and IV administration, catheter insertion and airway management.
- Conferred with physicians to discuss diagnoses and devise well-coordinated treatment approaches.
- Monitored patients' conditions and reported changes in physical presentation, appearance and behavior to discuss treatment with physicians.
- Precepted student nurses and oriented new hires, providing guidance and mentorship when teaching on hospital policies, emergency procedures and nursing best practices.
- Teamed on trauma and emergency interventions involving serious head injuries, gunshot wounds and thoracic trauma.
- Administered medications via oral, IV and intramuscular injections and monitored responses.
- Coordinated with physicians to perform bedside procedures such as intravenous injections, vascular line insertions and bronchoscopies.
- Trained new nurses in proper techniques, care standards, operational procedures and safety protocols.
- Monitored patients' respiratory status and ventilator operation and made adjustments to promote stabilization.
Medical/Medical Surgical Staff Registered Nurse
Providence Oakland
Oakland , CA
09.1981 - 05.1982
- Started intravenous fluids, administered medications and documented patient charts by recording food and fluid output and intake.
- Educated patients and families on medical-surgical procedures, therapeutic regimens and pain management techniques.
- Managed caseload of 24 patients simultaneously by providing bedside care, treatments, IV therapy and wound care.
- Administered medications and treatment to patients and monitored responses while working with healthcare teams to adjust care plans.
- Managed patients' pain by implementing pharmacological and non-pharmacological pain management interventions.
- Recorded and measured patients' weight, temperature, respiration and blood pressure.
- Explained course of care and medication side effects to patients and caregivers in easy-to-understand terms.
- Implemented care plans for patient treatment after assessing physician medical regimens.
Education
Associate of Science - Nursing
Walla Walla Community College
Walla Walla, WA06.1981
Skills
- Mixing Skills
- Compassionate and Caring
- Immunizations and Vaccinations
- Preventive Healthcare
- Nursing Standards
- Referral Generation
- Caregiving Skills
Timeline
Director of Health Care Services
Interim HealthCare
05.2021 - Current
Patient Care Manager
Kindred Hospice
03.2020 - 05.2021
Patient Care Manager
LHC Group
11.2018 - 10.2019
Clinical Nursing Supervisor
Rockwood Home Health
03.2016 - 11.2018
Staff Educator
Riverview Care Center
08.2015 - 03.2016
Nursing Case Manager
Rockwood Home Health
09.2014 - 03.2015
MDS Coordinator
Riverview Care Center
10.2012 - 03.2015
Nursing Supervisor
Riverview Care Center
10.2004 - 10.2012
Clinical Research Manager
Arthritis Northwest
09.2002 - 06.2003
Clinical Research Assistant
The Oregon Clinic
04.1997 - 09.2003
Staff Nurse, Intensive Care Unit
Providence Portland Medical Center
09.1989 - 02.1997
Staff Nurse, Intensive Care Unit
Providence Oakland
05.1982 - 09.1989
Medical/Medical Surgical Staff Registered Nurse
Providence Oakland
09.1981 - 05.1982
Nursing Case Manager
Rockwood Home Health
Associate of Science - Nursing
Walla Walla Community College
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