Tisha Guier
Eatonville,WA
Summary
With a robust background in nursing and healthcare management, including a pivotal role at Crescent Convalescent, I excel in care coordination and patient advocacy. Leveraging skills in EMR systems and case management, I've significantly enhanced patient outcomes and streamlined care processes. My leadership in diverse settings underscores my ability to adapt and drive quality healthcare delivery.
Overview
13
13
years of professional experience
Work History
RN Case Manager- RCM
Crescent Convelescent
Yakima, WA
02.2023 - 08.2023
- Managed a caseload of 35 patients, coordinating and overseeing their healthcare needs from admission to discharge or long term care transitioning
- Coordinated care conferences
- Communicated with providers and created plan of care for rehabilitation of residents with traumatic injuries, post CVAs, Heart attacks, or other life altering sudden health care events
- Coordinated discharge planning to ensure continuity of care post-hospitalization.
- Collaborated with physicians, nurses, and other healthcare professionals to ensure optimal patient outcomes.
- Monitored diet, physical activity, behaviors and other patient factors to assess conditions and adjust treatment plans.
- Communicated regularly with family members regarding patient care needs and progress toward goals.
- Helped patients and families feel comfortable during challenging and stressful situations, promoting recovery and reducing compliance issues.
- Identified high-risk cases requiring intensive monitoring or specialized interventions.
- Assessed patient's physical, mental, and psychosocial health status to develop individualized care plans.
RN RCM for Acute Long Term Rehab
Landmark Care and Rehabilitation Center
Yakima, WA
01.2021 - 05.2023
- I worked at a floor nurse to start, then moved on to charge nurse, and then moved to RCM and trained some for ADON
- Managed a caseload of 25 patients, coordinating and overseeing their healthcare needs from admission to discharge
- Collaborated with interdisciplinary team members, including physicians, social workers, and therapists, to develop comprehensive care plans for patients.
- Provided education and support to patients and their families regarding treatment options, medication management, and self-care techniques
- Advocated for patients' rights and ensured that they received appropriate medical services timely
- Demonstrated proficiency in electronic health record systems (EHR), accurately documenting, used epic and PCC
- Served as a resource for staff members regarding best practices in nursing skills and staff education relating to proper care of medically fragile patients
- Participated in multidisciplinary meetings to discuss complex cases, share knowledge, and collaborate on effective interventions
- Demonstrated strong interpersonal skills when working with diverse patient populations and families with complex medical and social needs
- Developed and maintained relationships with community resources for continuity of care when transitioning home at discharge
- Completed MDS timely
- Conducted Care Conferences timely and as needed
- Helped to facilitate accurate Medicare charting for payment to the facility, by floor nurses, and assisted with completion when floor nurses were too busy to complete full assessments
- Updated charts throughout shifts with current, accurate information to maintain strict recordkeeping standards.
- Attended continuing education courses to stay up-to-date on current trends in nursing practice.
- Assessed patient needs, prioritized treatment, maintained patient flows and assisted physicians with non-invasive procedures.
- Ensured compliance with infection control policies and procedures.
- Maintained thorough, accurate and confidential documentation in electronic medical records.
- Conducted specified laboratory tests to help detect conditions and determine diagnosis.
- Performed physical examinations and assessments of patients' medical histories.
- Responded quickly to life-threatening situations by providing appropriate interventions.
- Monitored vital signs, such as blood pressure, temperature, respiration rate, pulse rate and weight.
- Interpreted and evaluated diagnostic tests to identify and assess patient's condition.
Home Health RN
Memorial Home Health and Hospice
Yakima, WA
12.2020 - 01.2021
- Completed Oasis routinely assessments
- Provided skilled nursing care to patients in their homes, assessing and monitoring their health status
- Collaborated with interdisciplinary healthcare team members to develop and implement individualized care plans
- Educated patients and their families on disease management, medication administration, and self-care techniques
- Performed comprehensive assessments of patients' physical, emotional, and psychosocial needs
- Ensured accurate documentation of patient assessments, interventions, outcomes, and progress notes in electronic medical records (EMR)
- Coordinated with other healthcare providers to ensure continuity of care for patients transitioning between different settings
- Responded promptly to changes in patients' conditions or emergencies during home visits
- Advocated for the needs of patients within the healthcare system while respecting their autonomy and preferences
- Collaborated with community resources to facilitate access to additional support services for patients as needed
- Maintained compliance with all applicable laws, regulations, policies, procedures, and standards of practice related to home health nursing
- Implemented evidence-based practices into daily nursing interventions to optimize patient outcomes
- Assisted physicians during home visits by providing necessary information about the patient's condition
- Evaluated effectiveness of treatment plans through ongoing assessment of patient responses
- Managed wound care including dressing changes, pressure ulcer prevention strategies, and infection control measures
- Counseled patients on lifestyle modifications such as diet, exercise, and medication adherence for chronic disease management
- Assessed the need for durable medical equipment (DME) and facilitated its provision to enhance patient comfort and mobility
- Participated in interdisciplinary team meetings to discuss complex cases and develop comprehensive care plans
Resident Care Manager
Brookdale Senior Living
Yakima, WA
08.2019 - 01.2020
- Educated patients and families about procedures and care options.
- Coordinated referrals for physical therapy, occupational therapy, speech language pathology services when needed.
- Maintained accurate records of resident progress notes and care plans.
- Built work schedules and staff assignments, taking workload, space and equipment availability into consideration.
- Performed rounds to evaluate patient conditions and update care plans.
- Created plan of care to assist patients in reducing problems or barriers to achieve optimal level of health.
- Facilitated communication between staff members, residents, families, physicians, and other healthcare professionals.
- Advocated for clients, serving as a liaison between individuals, families, and healthcare professionals.
- Managed patient discharge planning.
Telephone Triage Nurse, and Pediatric Nurse
Woodcreek Provider Services
Puyallup, WA
02.2016 - 08.2019
- I worked as a telephone triage nurse, I worked in convenience care and roomed and assessed pediatric patients for the pediatricians in a busy pediatric clinic, attached to the Urgent Care and when they needed help on the floor I moved out there
- Provided telephone triage services to patients, assessing their symptoms and providing appropriate medical advice
- Effectively communicated with patients over the phone, demonstrating empathy and active listening skills
- Utilized clinical judgment to determine the urgency of patient needs and directed them to appropriate healthcare resources
- Assessed patient's medical history, current medications, and allergies to provide accurate recommendations for treatment
- Collaborated with physicians and other healthcare professionals to ensure timely and appropriate care for patients
- Documented all interactions with patients in electronic health records (EHR) system accurately and efficiently
- Identified potential emergencies or urgent situations through effective questioning techniques during phone assessments
- Managed a high volume of calls while maintaining professionalism, efficiency, and accuracy in decision-making process
- Provided clear instructions regarding medication administration, dosage adjustments, or follow-up appointments as needed
- Responded promptly to incoming calls from patients seeking medical advice or assistance outside regular clinic hours
- Participated in ongoing training programs related to telephone triage protocols, new medications/treatments etc
- Prioritized tasks effectively based on severity level of each call received
- Maintained a calm and professional demeanor in high-stress situations
- Ensured accurate documentation of all calls, including patient demographics, symptoms, advice given, and follow-up instructions
Healthcare Director
Highgate Senior Living
Yakima, WA
12.2018 - 01.2019
- Assisted Living Healthcare director, with a dementia specialty, guided and trained medication assistance in proper administration of medications to residents with challenging behaviors and deceased cognitive functioning
- Overseen all medications brought in for residents, delegated medication administration to med assistants, completed nursing assessments at appropriate intervals, collaborated with other providers and staff, managed all appointments, scheduled staff, and a multitude of different tasks as the Director of Nursing.
- Recruited, hired and trained new medical and facility staff.
- Coordinated with clinical personnel to ensure appropriate staffing levels for each department.
- Oversaw all administrative functions associated with the daily operation of the healthcare facility.
- Enforced procedures to maintain overall data integrity.
- Conducted regular staff meetings to discuss safety protocols and quality assurance initiatives.
- Ensured compliance with federal, state, and local regulations related to healthcare operations.
- Maintained a safe environment by enforcing infection control standards throughout the facility.
- Evaluated employee performance on an ongoing basis and provided feedback as needed.
- Addressed customer complaints promptly in order to maintain positive relationships with stakeholders.
Registered Nurse (RN)
MultiCare Health System- Good Sam
Puyallup, WA
03.2013 - 02.2017
- Med surg, Medical Oncology, inpatient rehab, GI
- Updated charts throughout shifts with current, accurate information to maintain strict recordkeeping standards.
- Conducted intake assessments with patients and relatives to gather case history.
- Stocked clinical workstations and procedure rooms with necessary supplies.
- Collaborated with physicians, nurses, therapists, social workers and other healthcare professionals to develop individualized treatment plans for each patient.
- Assessed and prepared patients for procedures, performing initial and ongoing patient assessments.
- Maintained strict patient data procedures to comply with HIPAA laws and prevent information breaches.
- Provided patient care and education to patients with chronic illnesses.
- Administered oral, IV and intra-muscular medications and monitored patient reactions.
- Interpreted and evaluated diagnostic tests to identify and assess patient's condition.
- Collected lab specimens, ordering and interpreting diagnostic tests and lab results.
- Monitored patients after surgery, answered questions, and provided home care strategies.
- Monitored vital signs, administered injections, and provided assistance with medical procedures.
- Instructed patients on proper self-care techniques at home following discharge from the hospital.
- Responded to emergency situations with speed, expertise and level-headed approaches to provide optimal care, support and life-saving interventions.
Registered Nurse (RN)
Yakima Regional Medical Center
Yakima, WA
04.2010 - 08.2014
- Ortho/Neuro, ACU and inpatient rehab
- Updated charts throughout shifts with current, accurate information to maintain strict recordkeeping standards.
- Conducted intake assessments with patients and relatives to gather case history.
- Ensured compliance with regulatory agencies such as The Joint Commission and Centers for Medicare and Medicaid Services.
- Collaborated with physicians, nurses, therapists, social workers and other healthcare professionals to develop individualized treatment plans for each patient.
- Assessed and prepared patients for procedures, performing initial and ongoing patient assessments.
- Maintained strict patient data procedures to comply with HIPAA laws and prevent information breaches.
- Provided patient care and education to patients with chronic illnesses.
- Administered oral, IV and intra-muscular medications and monitored patient reactions.
- Interpreted and evaluated diagnostic tests to identify and assess patient's condition.
- Coordinated discharge planning to ensure continuity of care post-hospitalization.
- Adhered to infection control procedures to facilitate safe, clean patient environment.
Education
Bachelor of Science - Nursing
Washington State University
Yakima, WA12.2010
Associate of Applied Science - Nursing
Yakima Valley Community College
Yakima, WA06-2008
Skills
- Medication Administration
- Case Management
- Documentation Review
- Hospital Experience
- EMR Systems
- Vital Signs
- Utilization Management
- Hospice Care
- Nurse Management
- Employee Orientation
- Critical Care Experience
- Home Care
- Triage
- Infection Control Training
- Experience Administering Injections
- HIPAA
- Epic
- Medical Records
- Quality Assurance
- Cerner
- Anatomy Knowledge
- Supervising Experience
- MDS
- Document Management
- Dementia Care
- Laboratory Experience
- ICD-10
- Medical Office Experience
- Physical assessment (10 years)
- Medication management
- Chronic disease management
- Care coordination
- IV management
- Diagnostic test evaluations
- Wound care
Timeline
RN Case Manager- RCM
Crescent Convelescent
02.2023 - 08.2023
RN RCM for Acute Long Term Rehab
Landmark Care and Rehabilitation Center
01.2021 - 05.2023
Home Health RN
Memorial Home Health and Hospice
12.2020 - 01.2021
Resident Care Manager
Brookdale Senior Living
08.2019 - 01.2020
Healthcare Director
Highgate Senior Living
12.2018 - 01.2019
Telephone Triage Nurse, and Pediatric Nurse
Woodcreek Provider Services
02.2016 - 08.2019
Registered Nurse (RN)
MultiCare Health System- Good Sam
03.2013 - 02.2017
Registered Nurse (RN)
Yakima Regional Medical Center
04.2010 - 08.2014
Bachelor of Science - Nursing
Washington State University
Associate of Applied Science - Nursing
Yakima Valley Community College
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