Determined, Hard working, and Flexible; in accordance to providing excellent patient and client care.
Highly motivated.
Providing competent, dignified, and ethical patient and client care.
Strong documentation and follow-through.
Outstanding interpersonal and communication skills.
Experience in the hospital and home care settings; assisting in medical, physical, emotional, and spiritual care.
Strong familiarity with all aspects of hospital and organizational policy nationwide.
Great working knowledge and experience with all Microsoft Office Processes, as well as many others.
Experience working with, developing, and implementing several EMR interfaces and platforms in both the hospital and home care settings
Essential experience working with all types of Insurance agencies including strong working relationships with CMS, JACHO, MAGNET, and many other accrediting agencies
Proficient and experienced in/with tele-health medicine.
Overview
17
17
years of professional experience
1
1
Certification
Work History
Assistant Nurse Manager
Southern Ohio Medical Center
01.2016 - Current
Duties: Works under the supervision of the Nurse Manager of Hospice Outpatient and Director of Hospice Services
The Assistant Nurse Manager of Hospice Outpatient is responsible for the implementation, delivery, coordination and supervision of hospice services delivered by their respective team that is consistent with department policies and procedures
Performs other duties as assigned
Specific Job Related Duties as they apply for prospective employment:
Head/Lead of JCAHO survey as it pertains to our department
Special attention given to Life Safety and Deemed Status areas
We have received JCAHO accreditation my entire tenure
Head/Lead of CMS survey as it pertains to our department
We have not received a complaint during my tenure
All successful surveys
I have enjoyed working with our CMS surveyors over the years
All have been complimentary of our preparedness and culture of service/quality
Maintain and evaluate contracts with all clinical settings and facilities we engage/service: Assisted living facilities, Skilled Nursing facilities, Long-Term Care Hospital, Independent living facilities, Long-Term Care facilities, Inpatient Hospital facilities, Inpatient Hospice facilities
Maintain and evaluate contracts with all contracted service providers: DME companies, EMS agencies, Infusion agencies, Staffing agencies, etc
Perform annual performance evaluations on all staff
Regularly conduct and review CHAPS surveys
Regularly conduct and review patient/family comments and concerns
50+ Hours/Week
Admissions/Intake Manager
Southern Ohio Medical Center
01.2016 - Current
Duties: Works under the supervision of the Director of Hospice and Home Care services
The Admissions/Intake manager is responsible for the day-to-day operations of the department and oversees both intake and admission teams for both the Hospice and Home Care departments
Direct oversight of billing, authorizations, determinations, grievances, appeals, and utilization reviews
Quality control oversight
Clinical review and documentation review specialist
All pre-certification, authorization, appeal, and denial claims
All coding (ICD-10, CPT, etc)
Extensive experience with all payer sources and major medical plans
Home Care (Acquired September2020)
Palliative Care (Acquired September2020)
Legal Nursing Consultant for Medical Review
Burnside Law LLC.
07.2017 - 12.2022
Duties: Provide contracted consulting services covering areas throughout Indiana, Kentucky, Ohio, and West Virginia
Reason for leaving: The partner who was handling all medical cases has retired from the firm and we do not anticipate many medical review cases moving forward
Contract Employment
Hospice Admissions Nurse
Southern Ohio Medical Center
07.2013 - 01.2016
Duties: Works under the supervision of the Nurse Manager of Hospice Outpatient
The Hospice Admissions RN’s primary job function is the responsibility as a member of the IDT for assigned functions related to providing information about services to potential SOMC Hospice patients and admitting patients to SOMC Hospice’s program
Assists as community liaison RN with admissions, assessment, and planning
Assists with continuity of care and discharge planning in hospitals
Following admission ensures the smooth transition of new patients to the primary RN
Performs other duties as assigned
40+ Hours/Week
Registered Nurse
Southern Ohio Medical Center
06.2012 - 07.2013
Duties: Works under the supervision of the Nurse Manager of Hospice Outpatient
The RN’s primary job function is to identify patient/family needs and provide supportive care in accordance with the attending physician’s order, the Interdisciplinary Plan of Care, and the Hospice concept and philosophy of care by rendering professional skilled nursing care in the home and/or home-like setting
Performs other duties as assigned
Hospice Outpatient
40+ Hours/Week
On Call Nurse
Southern Ohio Medical Center
06.2012 - 07.2013
Duties: Works under the supervision of the Outpatient Nurse Manager
The Hospice On-Call RN’s primary job function is to identify patient/family needs and to provide supportive care in accordance with the attending physician’s orders, the Interdisciplinary Plan of Treatment, and the Hospice concept and philosophy of care by rendering skilled nursing care in the home and/or home-like setting within the after hours on-call program
Performs other duties as assigned
40+ Hours/Week
Registered Nurse
Southern Ohio Medical Center
09.2011 - 06.2012
Duties: Works under the supervision of the Nurse Manager of Hospice Inpatient
The RN’s primary job function is to identify patient/family needs and provide supportive care in accordance with the attending physician’s order, the Interdisciplinary Plan of Care, and the Hospice concept and philosophy of care by rendering professional skilled nursing care in the facility
Performs other duties as assigned
Hospice Inpatient
40+ Hours/Week
Charge Nurse
Southern Ohio Medical Center
09.2011 - 06.2012
Duties: Works under the supervision of the Nurse Manager
The RN/Charge Nurse’s primary job function is to assess, plan, implement, evaluate, and supervise individual patient care at the SOMC Hospice Center and assists the Nurse Manager in unit management to coordinate the training and continuing education programs and maintain quality care in accordance with unit policies and procedures
Supports each strategic value by providing exceptional care to those we serve
Performs other duties as assigned
40+ Hours/Week
Registered Nurse
Southern Ohio Medical Center
12.2010 - 09.2011
Duties: Works under the supervision of the Nurse Manager
The RN’s primary job function is to assess, plan, implement, evaluate, and supervise individual patient care on a nursing unit according to unit policies and procedures
Supports each strategic value by providing excellent care to those we serve
Performs other duties as assigned
40+ Hours/week
Nursing Assistant
Southern Ohio Medical Center
04.2010 - 12.2010
Duties: Works under the supervision of the Registered Nurse
The Nursing Services Associate’s primary job function is to perform a variety of basic patient care activities in caring for the personal needs and comfort of patients
Supports each strategic value by providing excellent care to those we serve and performs other duties as assigned
20 Hours/Week
Patient Sitter
Southern Ohio Medical Center
07.2008 - 04.2010
Duties: Works under the supervision of the Nurse Manager
The Sitter’s primary job function is to perform constant and direct observation of the patient
May be required to work on other nursing units
Supports each strategic value by providing excellent care to those we serve
Performs other duties as assigned
Medical Surgical Care Unit
10 Hours/week
Education
Bachelors of Science - Nursing
Shawnee State University
Portsmouth, Ohio
06.2012
Associate of Applied Science - Nursing
Shawnee State University
Portsmouth, Ohio
12.2010
Bachelors of Philosophy and Religion -
Shawnee State University
Portsmouth, Ohio
12.2012
Skills
Ethical practice
Quality improvement
Staff development
Care coordination
Clinical leadership
Hiring and terminations
Deadline management
Work Planning and Prioritization
Utilization management
Budget planning
Workload management
Compliance oversight
Awards
Dean’s List, Shawnee State University,10 semesters
Phi Eta Sigma, National Honor Society, Inducted 2009
Graduated Cum Laude with Associate’s Degree of Nursing
Graduated Cum Laude with Philosophy Minor
Graduated Cum Laude with Bachelors of Science in Nursing
Shawnee State University Celebration of Scholarship Participant
Professional Poster Presenter, Professional Paper Presenter
Shawnee State University Associate Nursing Program Class of 2010 Graduation Speaker
Shawnee State University Bachelors of Science in Nursing Program Class of 2013 Graduation Speaker
QUALIFICATIONS
RN-Compact State License
BSN
BLS
ACLS
CHPN
LNC
PALS
Professional working competence of Spanish language
Certification
Registered Nurse License (RN) - Compact State License
Legal Nurse Consultant
Certified Hospice and Palliative Care Nurse
Timeline
Legal Nursing Consultant for Medical Review
Burnside Law LLC.
07.2017 - 12.2022
Assistant Nurse Manager
Southern Ohio Medical Center
01.2016 - Current
Admissions/Intake Manager
Southern Ohio Medical Center
01.2016 - Current
Hospice Admissions Nurse
Southern Ohio Medical Center
07.2013 - 01.2016
Registered Nurse
Southern Ohio Medical Center
06.2012 - 07.2013
On Call Nurse
Southern Ohio Medical Center
06.2012 - 07.2013
Registered Nurse
Southern Ohio Medical Center
09.2011 - 06.2012
Charge Nurse
Southern Ohio Medical Center
09.2011 - 06.2012
Registered Nurse
Southern Ohio Medical Center
12.2010 - 09.2011
Nursing Assistant
Southern Ohio Medical Center
04.2010 - 12.2010
Patient Sitter
Southern Ohio Medical Center
07.2008 - 04.2010
Associate of Applied Science - Nursing
Shawnee State University
Registered Nurse License (RN) - Compact State License
Legal Nurse Consultant
Certified Hospice and Palliative Care Nurse
Bachelors of Science - Nursing
Shawnee State University
Bachelors of Philosophy and Religion -
Shawnee State University
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