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Click here or scroll down to respond to this candidateCandidate's Name
Street Address Goiana St.Punta Gorda, FL Street Address
Ph: PHONE NUMBER AVAILABLE EMAIL AVAILABLELICENSURE AND CERTIFICATIONSStreet Address
2018-2020 State of Florida Department of Health, APRN, Licensure # 10006852018-2020 Florida Board of Nursing Registered Nurse. Florida and Compact State Licensing. Licensure # RN 9405512.2017-2019 Advanced Cardiovascular Life Support (ACLS) American Heart Association2017-2019 Basic Life Support (BLS) American Heart Association2014 Certified Professional Healthcare Management (CPHM)WORK EXPERIENCECase Manager RN September 2018 PresentBrookdale South Port Square Manages the case management process from admission through patients next lower level of care and understands payer contracts.Collaborates with interdisciplinary team to provide efficient and high quality transition of care tasks through the continuum. Attends daily and weekly Medicare meetings to ensure patient care needs and payer expectations are coordinated along with developing plan of care to meet individual needs. Responsible for identifying potential issues placing residents at risk for hospital readmission and developing methods and procedures to reduce hospital readmissions.Emergency Observation Unit RN February 2017 June 2018Fawcett Memorial Hospital Port Charlotte, FL Observational to inpatient-status holding unit with responsibility of overseeing the care of 6 patients with continual assessment of whether observational patient should be upgraded to inpatient status. Responsible for head-to-toe assessment of patient at time of arrival to unit and per shift. Continual assessment continues through shift to assess for changes in patient status. Responsible for communication updates with physicians as deemed necessary and for collaboration of care of patients by communication with consulted physicians and collaborating with hospital departments for the coordination of timely patient care. Responsible for keeping patient and families updated on plan of care including medication administration, laboratory testing and results, and planned diagnostics and results. Responsible for discharges of patients in a timely manner with focus on patient education and medication reconciliation.Emergency Room RN February 2016 January, 2017Bayfront Hospital Port Charlotte, FL (CHS Affiliate transferred from prior job for direct patient care) Responsible for accurate triage of patients from ages newborn through elderly by EMS arrival or lobby arrival Responsible for head-to-toe assessment of patient upon arrival with focus assessment dictating immediate interventions to be performed Responsible for communication and collaboration with physicians and collaborating departments for the coordination of patient care. Responsible for medication administration, laboratory draws, diagnostics within the scope of nursing in a timely and efficient manner Responsible for continued assessment and evaluation of patient conditionAppeals Utilization Review Nurse September 2015 February 2016Shared Services Center Sarasota, FL. (CHS Affiliate) Write appeals for observation and inpatient services as deemed necessary based on medical necessity and or based on proper registration processes and policies being followed. Determine if observational services are appropriate based on denials issued and appropriately apply the correct billing services. Follow-up on status of appeals and determine appropriate follow-up measures. Process appeals and overturn the appeal or continue denial of appeal. Process denials for 4 specific hospitals assigned out of 30 facilities our company oversees.Utilization Appeals Review Nurse IIHealth Plus of Michigan - Flint, MI June 2013 June 2015 Review admissions and continued stay reviews to determine medical necessity. Process requests for skilled nursing care and acute inpatient rehab admissions and continued stays. Issue notification and letters of denial for inpatient medical services. Process appeals and overturn the appeal or continue denial of appeal. Communicate and discuss cases with Planned Medical Director to make appropriate determinations of medical necessity.Utilization Review NurseGENESYS Regional Medical Center PHO - Flint, MI - February 2012 to May 2013 Complete admission and stay reviews based on McKesson Interqual Guidelines. Ensuring that the patient's stay is at an appropriate level of care and make adjustments as needed. Responsible for implementing local rules of our delegated manage care insurances. Responsible for maintaining timely communication with physicians, nurses, case managers, and socialWorkers to maintain best care placement for the patient based on their needs. Responsible for presenting fully informed reviews to medical directors for further determination needs based on criteria issues for severity and intensity of care. Maintaining communication at discharge with physicians and caseworkers to ensure patient's dischargeInformation is assisted in preventing future recurrent admissions. Working with ACO guidelines in managing patient care through the admission to discharge process.Acute Telemetry Float NurseGENESYS REGIONAL MEDICAL CENTER - Grand Blanc, MI Jan. 2009 Feb. 2012 Assigned to work in the following units as needed determined by nursing information office: PulmonaryVentilator Unit, Cardiovascular Care Unit, Acute Telemetry-SICU step-down Unit, Cardiac Rapid Diagnostic Center, and Emergency Observation Unit. Provided updated information of patient's status and needs to physicians as well as to patients and theirFamilies. Responsible for the determination of patient status and changing conditions that may require the admittance into the hospital or safety of patient to be discharged home. Provided stringent quality standards of care and safety precautions to all patients. Liaised between patients and physicians to ensure patient comprehension of treatment plans. Monitored acute conditions by cardiac monitors, read lab tests, x-rays, MRI, Ultrasound, and EKG.Critical Care NurseGENESYS REGIONAL MEDICAL CENTER - Grand Blanc, MI May 2005 Dec. 2008 Critical care thinking, maintaining life support, implementing live saving treatments, managing cardiovascular intravenous drips, and constant assessment, intervention and communication with physician, nurses, therapists, and technicians. Highlights of Contributions: Continuous hemodynamic monitoring of critical care patients by the maintenance of invasive lines and regulating cardiovascular drug infusions based on results. Maintaining constant communication with the physicians and multidisciplinary team members based onPatients condition requirements. Providing emotional support to patients and their family members and continually providing them with update information and involvement in decision-making process. Providing patient advocacy as necessary in all aspects of care.EDUCATIONMasters in Nursing - Family Nurse PractitionerWALDEN UNIVERSITY Minneapolis, MNAugust 2018, GPA 4.0Bachelor of Science, NursingChamberlain - IllinoisOctober 2014, GPA 3.9Bachelor of Arts in Hospitality ManagementMICHIGAN STATE UNIVERSITY - Lansing, MIMay 1999SKILLS / ACCOMPLISHMENTSCPHM Certification (Certified Professional Healthcare Management)Knowledge of CMS guidelinesKnowledge of McKesson InterQual GuidelinesFluent with Electronic Medical Records: EPIC, GEMS, SUNRISE, WELLNESS, CCMS, Point Click Care, Cerner, Meditech, AllscriptsBasic Life Support Certification (BLS)Advanced Cardiac Life Support Certification (ACLS) |
