Vicky Nearn
Mountain Home,AR
Summary
BSN RN with a combined 9 years experience in delivering Hospice care in the home and inpatient settings. I have been committed to providing compassionate care to those who have a life limiting diagnosis with a focus on patient and family goals of care. I have a background in case management and administrative leadership.
Overview
15
15
years of professional experience
1
1
Certification
Work History
Registered Nurse Case Manager, Hospice
Hospice Of The Hills
01.2018 - Current
- Collaboration with physician for eligibility and hospice appropriateness
- Informational visit with patients and families to educate on Hospice philosophy and goals of comfort care. Review diagnosis, prognosis, disease process and management of care
- Admission process with emphasis on education and plan of care
- Scheduling/Management of patient weekly visits
- Recertification visits to determine and document continued appropriateness for hospice service
- Manage all aspects of care from admission to discharge/death
- Administered medications and treatments per doctor orders to patients and monitored responses with updating of care plans
- Update patient charts with data such as medications and treatments to keep records current and support accurate treatments
- Advocate for patients by communicating care preferences to practitioners, verifying interventions and met treatment goals
- Secure controlled narcotics and distributed medication on schedule to meet patient needs and minimize misuse opportunities
- Triage patients over phone. On call availability to patients after 430 pm and 24hrs on weekends for emergency calls
- Strong communication skills
- Compassionate and professional bed side manner
- Provide supervision to aides and updating plan of care
- Document aide supervisory visits every 2 weeks
- Work in Hospice House when needed
Registered Nurse, Case Manager
STG International (Mountain Home VA Clinic)
07.2016 - 10.2017
- Case Management roster of 1100 plus veteran clinic patients
- Communication with multiple internal and external providers including Veterans Administration System to establish care plans and goals. Worked closely with veteran on care plan, interventions and goals related to individual needs
- Reviewed, authorized per provider and ordered medications in accordance with established guidelines
- Collaborated with care team members in areas of pharmacy and behavioral health to influence appropriate patient care
- Triaged and prioritized walk in patients for medical provider based on presenting symptoms
Registered Nurse, Case Manager
Baxter Regional Home Health
07.2015 - 07.2016
- Provided individualized skilled nursing care in home environment for Medicaid, Medicare and private insurance patients
- Performed patient health assessment which included evaluation of physical, mental and environmental health status and provided nursing care plan interventions and goals based on assessment needs
- Coordinated health care services provided by ancillary team members including CNA, MSW and other appropriate indicated therapies
- Improved patients understanding of disease process through strong patient education
- Competently recorded patients assessment and condition using EMR and reported and changes to medical provider
- Developed patient discharge care plan
Humana, Remote Telephonic RN Care Manager
Humana
12.2013 - 02.2015
- Independent remote work environment with emphasis on time management, organizational skills and team member communication using Desk Top Tools, Microsoft Outlook, Weekly IDT meetings and Company Intranet
- Proactive telephonic outreach to eligible Humana members and engaged participation in Humana At Home Complex Care Management Program related to chronic disease management of Diabetes, HTN, COPD, Cancer and CAD
- Achieved required % of mandatory daily care plan calls and evaluated for deviations from goals and objectives which would result in escalating need for intervention and education
- Skillful communication with medical providers and behavioral health to assist, guide and overcome barriers to meeting goals and objectives
- Exemplified strong knowledge of clinical guidelines, standards of care management plans, policies, procedures and regulatory standards to ensure appropriate application of benefits
RN Administrator, DON and Case Manager
LHC Group
03.2009 - 11.2012
- Responsible for employee staff of 20 which included nurses, CNAs, Chaplin, administrative staff, LSW, Marketer and volunteers
- Coordinated and oversaw all direct and indirect patient care services by clinical agency employees
- Provided assistance with assessment, implementation and evaluation of patient, family and caregivers to all clinical personnel as indicated
- Assured compliance with all local, state and federal laws regarding licensure and certification of organization personnel and, maintained compliance to CHAP Home Care Standard
- Promoted hospice referrals in health care community
- Assured proper maintenance of clinical records in accordance with local, state and federal laws
- Hired, evaluated and terminated agency personnel
- Assisted with hospice admissions, routine visits, certifications, death visits and on call visits
- Assisted and guiding agency thru first Successful Joint Commission Accreditation
- Active with Medicare audit outcomes and implementation to agency standard of care
Education
Bachelor of Science - Registered Nurse
Cox College
Springfield, MO12.2014
Skills
- Strong Communication
- Attention to details
- Collaboration
- Ability to work independently
- Case Management
- Patient/family education
- Patient Advocacy
- Supervision
Certification
- CPR BLS certified
- Registered Nurse
Timeline
Registered Nurse Case Manager, Hospice
Hospice Of The Hills
01.2018 - Current
Registered Nurse, Case Manager
STG International (Mountain Home VA Clinic)
07.2016 - 10.2017
Registered Nurse, Case Manager
Baxter Regional Home Health
07.2015 - 07.2016
Humana, Remote Telephonic RN Care Manager
Humana
12.2013 - 02.2015
RN Administrator, DON and Case Manager
LHC Group
03.2009 - 11.2012
Bachelor of Science - Registered Nurse
Cox College
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