Assessed and charted observations of the patient's condition at each visit
Completed comprehensive skilled evaluation tasks
Knowledge regarding Face to Face and RCD affiliations
Documentation standards for ADR affirmations
Completed and reviewed charting including complex OASIS data and coding and applicable plans of care
Administered Physician-prescribed medication
Performed skills including complex wound care, IVs, catheters, colostomy care.
Provided education to patients and families on diagnosis and medication as well as proper home health care procedures and strategies
Coordinated with physicians, physical therapists, occupational therapists and other individuals in the patient's care plan
Recommended tools or devices that may improve the quality of life for the patient
Supervised LVNS and home health aides
Overview
29
29
years of professional experience
Work History
Home Health RN Case Manager
Intrepid Home Health
Beaumont, TX
09.2020 - 12.2023
Maintained accurate documentation of assessments, treatments, medications, and progress notes in accordance with agency policies.
Knowledge regarding Face to Face and RCD affiliations
Documentation standards for ADR affirmations
Advised families on how best to manage chronic illnesses at home.
Provided emotional support for patients experiencing difficult diagnoses or transitions from hospital to home setting.
Coordinated communication between all members of the healthcare team including primary care providers, specialists, family members, caregivers.
Recognized when a change in condition warrants further evaluation or intervention and took appropriate action.
Ensured compliance with applicable regulatory standards related to home health services.
Developed discharge plans for patients transitioning from home health services to other settings.
Educated patients and families about treatments, medications, and self-care management techniques.
Utilized problem solving skills to assess complex medical situations and formulate appropriate interventions.
Performed case management functions such as referrals to community resources or other healthcare providers as needed.
Participated in interdisciplinary team meetings regarding patient care planning and outcomes assessment.
RN Field Nurse
Intrepid Home Health
Beaumont , TX
05.2001 - 09.2020
Served as the clinical care voice for patient care
Assessed plans and intervened using the nursing process to meet the client’s health care needs
Knowledge regarding Face to Face and RCD affiliations
Documentation standards for ADR affirmations
Observed and reported any signs or symptoms indicative of changes in condition of the client and family situation and documented such reports and observations in the clinical record
Performed assigned nursing procedures, including the administration of treatments and medications in the care of the client, in accordance with the State Nurse Practice Act and the plan of care
Interacted with clients and families to meet individual physical, psychosocial, and spiritual needs
Educated the clients/caregivers appropriate self-care techniques
Consulted the Case Manager/MD in making changes or decisions with the plan of care
Contributed to the effectiveness of case management and coordination of services by open communication
Completed accurate documentation with all clinical data including but not limited to admission through discharge, updates, OASIS, HCFA 485, physician’s orders, skilled nursing visits and changes in conditions legibly and according to agency standards.
Complied with the requirements of state licensure and accreditation by following policy and procedure maintaining competencies and knowledge base
Participates in on-call coverage
Attended case conferences as requested and staff meetings as requested
Assisted with quarterly record reviews as requested
Was punctual for client visits and reports to work as scheduled
Documented only for visits completed and uses highest ethical standards in documentation
Maintained appropriate professional boundaries with clients and families; avoids significant self-disclosure; interacts with clients and families on a professional level
Completed other assignments and duties as requested and assigned to accomplish the goals and objectives of the Company
RN Staff Nurse
Dr. Roger Smith
Beaumont , TX
05.1995 - 03.2001
Conferred with physician to discuss diagnoses and devise well-coordinated treatment approaches.
Performed various nursing interventions such as wound dressing, staple removal, suture removal, vital sign monitoring, fetal heart rates, lab call backs, surgery scheduling and specimen collection.
Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process and management and lifestyle options.
Kept optimal supply levels in treatment rooms to meet typical patient loads.
Updated patient charts with data such as medications to keep records current and support accurate treatments.
Verified patients had information necessary for ongoing care, providing guidance on diagnoses, management of medications and prevention methods.
Delivered medications via intramuscular injections, monitoring responses to address new concerns.
Observed and reported patient condition, progress and medication side effects to accurately document updates.
Identified patient care requirements by establishing personal rapport with patients and families.
Coordinated with physicians to perform bedside procedures such as intramuscular injections, pap smears, cultures.
Collected blood, tissue and other laboratory specimens and prepared for lab testing.
Gathered patient health data through interviews and observation, documenting all data in chart.
Director of Professional Services RN
Intrepid USA
Beaumont , TX
12.2023 - current
Direct responsibility for delivery of quality care that meets specific needs and in compliance with program/payer rules and physician orders
Responsible for efficient and effective utilization management in accordance with client needs, physician orders, and payer requirements.
OASIS review including appropriate coding and documentation and QA
Facilitates communication and coordination of care between clients, families, caregivers, physicians and other service providers as necessary
Assures efficient coordination of caregivers through case conferences and scheduling processes and appropriate utilization of services
Assures current and accurate clinical records in compliance with documentation requirements and program-specific rules for coverage and qualifying criteria.
Assures clinical records are maintained in their original state and not altered or fabricated
Assures all staff receive appropriate training and follow the policies for protected health information
Interviews and screens competent employees
Education
Bachelor of Science - Nursing
Lamar University
Beaumont, TX
12-2017
Associate of Science - Nursing
Lamar University
05-1996
Skills
Operations Management
Staff Management
Face to Face identification
OASIS review and coding
Schedule Management
Budget Management
Process Improvement
Employee Development
Continuous Improvement
Scheduling and Coordinating
Professionalism
Goal Setting
Attention to Detail
Schedule oversight
Decision-Making
Effective Communication
Teamwork and Collaboration
Documentation And Reporting
Active Listening
Good Judgment
Multitasking
Administration and Reporting
Team Development
Staff Training
Accomplishments
High Five Award Winner
Timeline
Director of Professional Services RN
Intrepid USA
12.2023 - current
Home Health RN Case Manager
Intrepid Home Health
09.2020 - 12.2023
RN Field Nurse
Intrepid Home Health
05.2001 - 09.2020
RN Staff Nurse
Dr. Roger Smith
05.1995 - 03.2001
Bachelor of Science - Nursing
Lamar University
Associate of Science - Nursing
Lamar University
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