TERRY WINOKER
Loveland
Summary
Psychiatric Mental Health Nurse Practitioner and Registered Nurse with over 30 years' experience, possessing the skills necessary to prioritize clinical and operational tasks in a multitude of healthcare settings including direct care, corporate health, and operations management. Clinically as a Psychiatric Mental Health Nurse Practitioner after completing Mental Health Nurse Practitioner Residency and as a practicing provider with the Cincinnati VA Medical Center.
Overview
38
38
years of professional experience
1
1
Certification
Work History
OUTPATIENT MENTAL HEALTH CLINIC / STAFF PSYCHIATRIC MENTAL HEALTH NURSE PRACTITIONER
Cincinnati VA Medical Center
08.2023 - Current
- Provider of mental health services for United States Military Veterans from a wide range of backgrounds with variety of mental health conditions including post traumatic stress disorder, depression, anxiety, and psychosis of varying complexity and severity
- Patient care included psychiatric assessment and evaluation, psychotherapy and medication management
- Active member of BHIP (Behavioral Health Interdisciplinary Program) team to provide collaborative comprehensive care approach for all veterans assigned
APRN RESIDENT / PSYCHIATRIC MENTAL HEALTH NURSE PRACTITIONER RESIDENCY PROGRAM
Cincinnati VA Medical Center
08.2022 - 08.2023
- Clinical competence achieved in the following areas:
- Inpatient psychiatry - 225 hours
- Substance use - 180 hours
- Outpatient psychiatry - 600 hours
- Didactic- 400 hours
- Behavioral health disorder diagnosis and plan of care development and management
- Motivational interviewing and other psychotherapy methods
- Medication management of behavioral health conditions
- Documentation proficiency of patient engagements via electronic medical record system CPRS
- Evidence Based Practice Improvement Project- Best Practice Approach to Reduce Missed Appointments for Outpatient Mental Health Care Line; Extensive literature review and composed practice recommendations for community-based outpatient clinics based on current evidence.
CLINICAL ADMINISTRATIVE NURSE LIAISON
UnitedHealthcare
11.2011 - 08.2022
- Customer Focused:
- Functioned as a dedicated resource for customer’s employee and insured families focused on the following objectives:
- Analysis of medical claims and member health status to determine areas of need.
- Careful observation of workplace culture to identify opportunities to establish workplace programs to foster optimal worker health
- Individual and group engagements with employees and their families to encourage the adoption of better health care and lifestyle choices.
- Strategic planning and implementation of health and wellness programs based on customer and member needs.
- Employer Focused:
- Customer Analytical Solutions team member
- Leader for professional development workgroup
- Participant of customer communications workgroup
- Support of market sales team for promotion of program for prospective and new clients.
STAFF NURSE, PSYCHIATRIC SPECIALTY RESOURCE UNIT (PART TIME)
Cincinnati Children’s Division of Child and Adolescent Psychiatry, Inpatient
02.2021 - 02.2022
- Part-time position for Psychiatric Resource Unit responsible for relief RN staffing
- Administered direct care for pediatric patients of inpatient psychiatric facility, ranked number 3 in the by U.S. News & World Report Best Children's Hospitals.
- Sharpened skills in pediatric psychiatry in the following subspecialties: early childhood, school-age, adolescent, pediatric eating disorder, and pediatric residential care.
- Trained Therapeutic Crisis Intervention (TCI) provider
RESEARCH NURSE, NURSE MANAGER
Oncology Hematology Care of Cincinnati OH
09.2010 - 11.2011
- Clinical Research Nurse, Research Clinical Staff Manager.
- While in this role became efficient reviewer of patients pathological, surgical, and radiological data for the purpose of oncological clinical research
- As a research nurse responsibility included conducting participant scheduled exams. data collection and maintenance of collected date and frequent reporting and interaction with principal investigators and study sponsors.
- As a working manager for research clinical staff, duties included management of clinical research staff, reviewed department performance, including staff evaluations, recruitment and interview of new staff and oversight of staffing needs for seven research sites.
STAFF RN
Oncology Hematology Care of Cincinnati - OH
02.2006 - 09.2010
- Infusion services, Oncology Hematology Care of Cincinnati - OH
- Developed clinical expertise as a patient educator regarding chemotherapy and infusion therapy (self-care)
- Skilled intravenous infusion nurse including peripherally inserted central catheter insertion.
- Active role in nursing care quality assurance including clinical documentation expertise.
- Highly skilled infusion nurse responsible for the administration of oncology (chemotherapy and others) medications via oral, IV and intramuscular injections, in outpatient and in-home setting
UNIT MANAGER
Mercy Health Solutions
01.2005 - 02.2006
- Unit leadership and management of nursing staff for urgent care center.
- Coordinated with the healthcare delivery team to create treatments and recovery plans to achieve objectives.
STAFF RN
Emergency Services Baptist Memorial Hospital
12.2000 - 10.2004
- Staff Nurse, Unit Charge Nurse, Level 3 Trauma Unit.
- Skilled in Triage, Trauma, and Fast track
- Proficient Trauma Team Member
STAFF NURSE
Hospital & Home Care, North Mississippi Medical Center
10.1998 - 10.2000
- Positioned held; Pediatric inpatient, home health care
- Registered Nurse, Pediatric Medical Unit
- Developed skills necessary to care for pediatric patients with various health conditions. Developed exemplary clinical skills including pediatric intravenous access, medication administration, respiratory care, and other medical services for patients from birth to 18 years old
- Registered Nurse , Homecare Division- patient monitoring, education and nursing care in the home for patients across the lifespan.
STAFF RN
Hospital & Home Care, North Sunflower County Hospital
08.1987 - 09.1998
- Positioned held; staff Licensed Practical Nurse, staff Registered Nurse, Director of Nursing, Staff Nurse Home Care division.
- As a nurse in a rural medical center developed clinical skills needed to provide high quality care for patients in many settings including medical, surgical, geriatrics, emergency, and adult home care
- Developed leadership skills through direct supervision of nursing staff and financial management of nursing units.
Education
Post-MSN Certificate - Psychiatric Mental Health Nurse Practitioner
Northern Kentucky University
Highland Heights, KY07.2022
Master of Science - Nursing Leadership and Administration
Capella University
Minneapolis, MN12.2019
Bachelor of Science - Nursing
Capella University
Minneapolis, MN06.2015
Associate of Science - Nursing
Mississippi Delta Community College
Moorhead, MS05.1993
Practical Nursing - Nursing
Mississippi Delta Community College
Moorhead, MS08.1987
Skills
- Psychiatric evaluation
- Outpatient mental health services
- Clinical documentation
- Multidisciplinary collaboration
- Suicide risk assessment
- Psychotherapy techniques
- Geriatric mental health
- Patient health education
- Psychopharmacology expertise
- Inpatient psychiatric care
- Veterans mental health
- Individualized treatment planning
- Clinical quality improvement
- Family systems therapy
- Psychiatric and mental health care
- Teamwork and collaboration
- Problem-solving
- Reliability
- Organizational skills
- Professional ethics
Certification
- MAT: Medications for addiction treatment/substance use disorders, 16.0-hour training, The American Psychiatric Nurses Association, March 2023
- MAT: Medications for addiction treatment 8-hour training, The American Psychiatric Nurses Association, February 2023
- Motivational Interviewing, Cincinnati VAMC, September 2022
- Crucial Conversations, Cincinnati VAMC, September 2022
- Psychiatric -Mental Health Nurse (Across the Lifespan), American Nurses Credentialing Center ANCC, August 31, 2022
- Certified Registered Nurse Infusion (CRNI) Infusion Nurses Society, August 2008
- Oncology Certified Nurse (OCN) Oncology Nursing Certification Corporation, December 2006- 2015
- PICC Insertion Certification PICC Excellence Inc., August 2007
- ONS/ONCC Chemotherapy Immunotherapy Certification Course Oncology Nursing Society, March 2006
- Ohio Board of Nursing: Registered Nurse, Valid Until: Oct 2023-MultiState
- Ohio Board of Nursing: APRN, Valid Until: Oct. 2023
- Kentucky Board of Nursing, APRN, Valid Until: Oct. 2024
- NPI : 1649919994
- DEA: MW8065600 Exp. May 31, 2026
Awards
Graduation with Distinction Capella University 2019, Sigma Theta Tau Capella University 2018, Summa Cum Laude Capella University 2015, Johnny Russell Scholarship Recipient Mississippi Delta Community College 1993, Achievement for Academic Excellence Mississippi Delta Community College 1987
Community Service
- Crossroad Hospice, Pet Therapy Volunteer, 2016, 2019
- Project Linus, Volunteer, Columbus, Ohio, 2017, Present
Affiliations
- American Psychiatric Nurses Association, 2023-Present
- ENP Network, 2022-Present
UNITEDHEALTHCARE PROGRAMS IN DETAIL
- Health Promotion activities while employed as clinical administrative nurse consultant with UnitedHealthcare for clients - the following programs occurred with Rumpke
- Implementation and Promotion of annual onsite health exams-
- Employee participation rates of 85-90% annually until the onset of the pandemic in 2020. The client was so encouraged by response rate that this benefit was extended to employee spouses, and again we saw participation rates of 80% in this group.
- Health Promotion activity to address obesity
- BMI challenge from 2015 through 2019. The program allowed employees to earn incentive cash bonuses for maintaining or reducing body mass index measured yearly during the onsite health exams. Each year more than two-thirds of the 3500 employees received the cash incentive and were able to maintain or reduce their body mass index scores each year the program was in operation.
- Primary care access initiative- based on high ER use and low PCP engagement- incentive program was developed that offered a cash incentive to any employee who completed an annual physical exam. Employees received $150 cash bonus for obtaining annual PCP preventive care exam- average 60 % of total insured employees participated 2019 – 2022
- I cannot share proprietary information, but I can report that this employer has remained a client of UnitedHealthcare for over ten years, and the impact of the nurse liaison was frequently at the top of the list of considerations for their choice during renewal.
Timeline
OUTPATIENT MENTAL HEALTH CLINIC / STAFF PSYCHIATRIC MENTAL HEALTH NURSE PRACTITIONER
Cincinnati VA Medical Center
08.2023 - Current
APRN RESIDENT / PSYCHIATRIC MENTAL HEALTH NURSE PRACTITIONER RESIDENCY PROGRAM
Cincinnati VA Medical Center
08.2022 - 08.2023
STAFF NURSE, PSYCHIATRIC SPECIALTY RESOURCE UNIT (PART TIME)
Cincinnati Children’s Division of Child and Adolescent Psychiatry, Inpatient
02.2021 - 02.2022
CLINICAL ADMINISTRATIVE NURSE LIAISON
UnitedHealthcare
11.2011 - 08.2022
RESEARCH NURSE, NURSE MANAGER
Oncology Hematology Care of Cincinnati OH
09.2010 - 11.2011
STAFF RN
Oncology Hematology Care of Cincinnati - OH
02.2006 - 09.2010
UNIT MANAGER
Mercy Health Solutions
01.2005 - 02.2006
STAFF RN
Emergency Services Baptist Memorial Hospital
12.2000 - 10.2004
STAFF NURSE
Hospital & Home Care, North Mississippi Medical Center
10.1998 - 10.2000
STAFF RN
Hospital & Home Care, North Sunflower County Hospital
08.1987 - 09.1998
Post-MSN Certificate - Psychiatric Mental Health Nurse Practitioner
Northern Kentucky University
Master of Science - Nursing Leadership and Administration
Capella University
Bachelor of Science - Nursing
Capella University
Associate of Science - Nursing
Mississippi Delta Community College
Practical Nursing - Nursing
Mississippi Delta Community College
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