Wendy Byrd Pauley
Warsaw,VA
Summary
Conscientious professional with extensive experience in multiple nursing settings and roles. Skilled at providing guidance, support and assistance. Strong communication and management skills. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
29
29
years of professional experience
Work History
Case Manager
Molina Healthcare
07.2023 - Current
- Conducted thorough assessments of member's situations, identifying issues, goals, and necessary interventions.
- Collaborated with multidisciplinary teams to address member's needs and formulate tailored support strategies.
- Improved member satisfaction by efficiently addressing concerns or grievances in a timely manner.
- Contributed to team discussions and case conferences actively, sharing insights and expertise with colleagues to optimize client support strategies.
- Educated Member's on available programs, benefits, and services, empowering them to make informed decisions about their care needs.
RN Quality Review
Riverside Health System
07.2022 - 07.2023
- Oasis documentation and Plan of care review on patient medical records for RN, PT, OT and SLP.
- Responsible for auditing documentation accuracy, maintaining quality measures, timeliness of care and functional scoring.
- Facilitated weekly audit discussions with Mcbee consulting firm for 2 offices.
- Auditor for 2 Home Health offices with combined census of 200 + patients and 25 plus staff in addition to agency staff. Audited 40-50 chars per day.
RN Clinical Manager- Home Health
Riverside Health Care Facilities
12.2020 - 07.2022
- Clinical manager - Home Health- Patient census- 100-150. Oversaw staff of 25 to include RN, LPN, HHA, PT, OT and SLP.
- Responsible for Staff daily huddle and weekly case conference.
- Managed all staff daily schedules.
- Monitored clinical dashboard to include timely oasis submission, budget and quality metrix.
- Worked closely with hospital case managers for transition of patients.
- Performed supervisory in home visits for RN and HHA staff.
- Performed in home nursing visits as staff/census dictated.
RN Employee Health - Geographic Manager
Riverside Health System
07.2013 - 12.2020
- Managed 600 + employees in a geographic area to include Wellness, Onboarding, Flu program, TB and Fit test, Workers Compensation program and regulatory compliance and reporting to include OSHA.
- Coordinated Wellness programs for staff to include - Healthy Weigh, Smoking Cessation, Hypertension and Heart Healthy.
- Member of Hospital Hazmat team
- Manage employees in Acute care, Lifelong Health, Outpatient MD practices, Home Health and Hospice.
- Followed all personal and health data procedures to effectively comply with HIPAA laws and prevent breach of information.
Employee Health/ Staff Development Coordinator
Riverside Health System
01.2009 - 07.2013
- Enhanced employee skillsets by developing and implementing comprehensive staff development programs.
- Analyzed effectiveness of training programs at all levels and recommended updates.
- Evaluated success of training programs and recommended improvements to upper management to enhance effectiveness.
- Collaborated with department supervisors to identify talented employees and plan out paths for development and promotion.
- Implemented new learning strategies depending upon employees' skill levels.
- Facilitated open communication channels among employees, fostering a collaborative work environment conducive to growth and learning.
- Evaluated the effectiveness of existing staff development programs using various metrics such as productivity measures or satisfaction surveys, refining approaches when necessary.
- Developed and delivered new hire training programs and continuous professional development.
- Coordinated and prioritized required training courses for MD/ PA/NP, RN and RT to include ACLS, PALS and CPR.
- Coordinated and taught CPR training for all staff.
- Conducted training courses and prepared videos for long-term use.
- Conducted orientation sessions and organized on-the-job training for new hires.
- Managed 300+ employees to Include Wellness, Onboarding, Flu, Fit test, TB.
- Managed Work Compensation program
- Responsible for maintaining and reporting mandatory compliance data to include OSHA.
- Followed all personal and health data procedures to effectively comply with HIPAA laws and prevent breach of information.
RN Clinical Manager/ Staff Nurse/Home Health
Riverside Health System
06.1999 - 12.2008
- Visiting nurse - Home Health-Case Managed 25-30 patients.
- Transitioned to Clinical Manager- Managed approximately 100 patients.
- Responsible for obtaining patient insurance authorization.
- Audited oasis and POC for quality review and utilization review.
- Worked closely with hospital case managers for patient transition of care.
RN- Med Surg/ ICU
Riverside Health System
04.1995 - 06.1999
- Aligned nursing goals with department objectives to enhance overall performance metrics within the healthcare facility.
- Monitored patient condition by interpreting and tracking EKG readings, identifying irregular telemetry readings and updating team members on changes in stability or acuity.
- Monitored patient reactions after administering medications and IV therapies.
- Documented treatments delivered, medications and IVs administered, discharge instructions, and follow-up care.
- Facilitated therapeutic communication, conflict resolution and crisis intervention by redirecting negative behaviors and helping patients regain or improve coping abilities.
- Utilized advanced clinical skills such as wound care management or IV therapy administration, leading to faster recovery times for patients treated under my supervision.
Education
Associate of Science - Registered Nursing
Rappahannock Community College
Saluda, VA05.1995
Associate of Arts - Liberal Arts And General Studies
Rappahannock Community College
Saluda, VA05.1988
Skills
CPR instructor
Timeline
Case Manager
Molina Healthcare
07.2023 - Current
RN Quality Review
Riverside Health System
07.2022 - 07.2023
RN Clinical Manager- Home Health
Riverside Health Care Facilities
12.2020 - 07.2022
RN Employee Health - Geographic Manager
Riverside Health System
07.2013 - 12.2020
Employee Health/ Staff Development Coordinator
Riverside Health System
01.2009 - 07.2013
RN Clinical Manager/ Staff Nurse/Home Health
Riverside Health System
06.1999 - 12.2008
RN- Med Surg/ ICU
Riverside Health System
04.1995 - 06.1999
Associate of Science - Registered Nursing
Rappahannock Community College
Associate of Arts - Liberal Arts And General Studies
Rappahannock Community College
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