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Click here or scroll down to respond to this candidateHShannonHeadyPHONE NUMBER AVAILABLEEMAIL AVAILABLEmPainter, VA 23420SUMMARYCaring and Skilled Master's prepared Registered Nurse with excellent communication and interpersonal skills and over 25 years of experience in complex care coordination, case management, community-based care, and home health/hospice care. My patients and members that I humbly serve, are my upmost priority. My goal is help members live their best life in the best health possible.Highly-motivated employee with desire to take on new challenges. Strong worth ethic, adaptability and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills. Committed job seeker with a history of meeting company needs with consistent and organized practices. Skilled in working under pressure and adapting to new situations and challenges to best enhance the organizational brand. SKILLSClinical SupervisionRegulatory AffairsInsurance VerificationStaff DevelopmentQuality ImprovementHealth Information SystemsCritical ThinkingEmployee Performance EvaluationsDecision-MakingEmployee SupervisionReliabilityAnalytical ThinkingInterpersonal SkillsSelf MotivationAdaptability and FlexibilityActive ListeningHIPAA GuidelinesOrganizational Goal DevelopmentHealthcare DeliveryAccreditation supportEXPERIENCEHealth Services ManagerMedallion 4 Program for Magellan/Molina Complete Care of Virginia/ Mar 2020 to Current Supervised and managed a team of 19 employees, consisting of 10 Health educators/Community Connectors, 6 Field-based Community Connectors, 1 LPN Supervisor of FBCC's, and 2 RN Clinical Reviewers. Organized and maintained patient records in accordance with HIPAA regulations. Developed policies and procedures for the effective delivery of health services. As a team, it is our responsibility to complete new member health risk screeners and medical attestations for those members who prove to be medically complex Research and excellent assessment skills are a must. Monitored the quality of care provided to patients by evaluating medical outcomes. Implemented strategies to improve operational efficiency and reduce costs while maintaining high-quality patient care standards.Collaborated with other departments within the organization to coordinate interdisciplinary approaches to providing comprehensive care for patients. Provided guidance and support to clinical staff regarding best practices in delivering quality healthcare services.Managed changes in integrated health care delivery systems and technological innovations while keeping focus on quality of care. Lead Care CoordinatorMedallion 4 Program for Magellan Complete Care of Virginia/ Jun 2019 to Feb 2020 Responsible for leading the minimal risk care coordination team and the complex conditions care coordination teamAlso serves as a resource not only for the care coordinators, but also the leader/supervisor for the team of health guides and clinical reviewers Responsible for assigning members, identifying those members who need to be referred to a different team, managing the medical attestation/MMHS process Always available for and work closely with the Maternal Child Health/Children and Youth with special healthcare needs manager as well as the Population Health managerPerform audits and one-to-one evaluations for employees Serve as back-up for both managers in their absence Coordinate and develop in-services for employees on the Medallion 4 team Collaborate with other team leads and managers with both the CCC Plus and Medallion 4 lines of business.Conducted initial assessments and evaluations of patient's needs. Collaborated with physicians, social workers, and other healthcare providers to provide comprehensive care for patients.Facilitated referrals to community resources such as housing, transportation, employment opportunities.Ensured compliance with state regulations related to healthcare service provision. Provided crisis intervention services when needed. Provided emotional support to patients dealing with difficult health issues. Planned and implemented programs for health care or medical facilities supporting personnel administration and training.Senior Care CoordinatorCCC Plus / Medallion 4 Programs for Magellan Complete Care of Virginia/ Jun 2017 to May 2019 Responsible for the coordination of care/case management for different members in the community including nursing facility residents, those members requiring specialized care, such as ventilator dependent or trach dependent children or adults, those members requiring skilled or non-skilled personal care with private duty nursing, consumer direction and agency directed nursing, emerging high- risk members, and vulnerable sub populationsCompletion of health risk assessments, interdisciplinary care plans per individual, as well as completing interdisciplinary care team meetings for all members Assessments include both face-to-face visits and telephonic All required elements of the CCC plus program are designated in the contract that Magellan has with the Department of Medical Assistance Services, and it is the care coordinators responsibility to be able to read and follow this contract and abide by timelines and instructions given for the programIn May of 2018, switched from CCC plus over to Medallion Program as a senior care coordinatorExperience working with a variety of different populations including high risk maternity, complex conditions, children and youth with special health care needs, adoption, population health, and foster careIn early 2019, I served as the interim manager for Maternal Child Health and Children and Youth with Special Healthcare NeedsDuties included assignment of all members to the appropriate care coordinators, facilitating weekly huddles, attending management meetings/work groups, supervision of 6-8 registered nurses, and over all taking care of the day to day running of the team.Collaborated with physicians and other healthcare providers to ensure proper treatment of clients.Provided referrals to appropriate community agencies or organizations if additional assistance is needed by the client's family.Managed changes in integrated health care delivery systems and technological innovations while keeping focus on quality of care. Private Skilled Care Director of NursingBrightstar Homecare/ Nov 2016 to Jun 2017Assessed a variety of non-skilled patients for personal care eligibility, completing full health risk assessmentsProvided supervisory visits for such patientsProvided skilled IV therapy in a home bound setting for both children and adults Managed up to 20 Registered Nurses and License Practical Nurses, scheduling for IV therapy, home health visits, supervisory visitsResponsible for leading weekly staff meetings, preparing for state surveys, and complying with all rules and regulations a private agency is governed by. Skilled and Non- Skilled Home HealthTI Home Health/ Oct 2015 to Oct 2016Providing care to a variety of medical patients with various disease processes Recorded patients' medical history, vital statistics and test results in medical records Ensured compliance with state and federal regulations Provided palliative care in outpatient settings ranging from assessment to development and implementation of care plansPerformed all tasks with a patient-centered focus while seeking opportunities for improvement of processes and treatmentsAssisted patients with healing and recovery after surgery Provided necessary health education training for patients Provided behavioral/emotional support and supervision for those with dementia and Alzheimer'sManaged caseload of 30 clients, providing education, treatments, IV therapy, and venipuncture and wound carAccurately documented all elements of nursing assessment, treatments, medications, discharge instructions and follow-up care Utilized strong assessment skills to determine necessary patient careCoordinated with doctors and nurses to develop care plans for patients. Skilled floor nurseNassawadox, VAThe Heritage Hall Nursing care and rehab/ Jun 2015 to Oct 2015 Providing care to a variety of patients within the nursing facility Administration of medications and providing wound care Overall care of the patient with different medical issues and diagnosis. Skilled Home Health Care and Hospice NurseOnley, VAIntrepid, USA Home health and Hospice/ Oct 2013 to Apr 2015 Providing care to a variety of medical patients with various disease processes Recorded patients' medical history, vital statistics, and test results in medical records Ensured compliance with state and federal regulations Provided palliative care in outpatient settings ranging from assessment to development and implementation of care plansAssisted patients with healing and recovery after surgery Provided necessary health education training for patients Responsible for primary care, case management and medication management Accurately documented all elements of nursing assessment, treatments, medications, discharge instructions and follow-up care Utilized strong assessment skills to determine necessary patient careCoordinated with doctors and nurses to develop care plans for patients. Skilled Home health care nurse/Director of Nursing Belle Haven, VAPersonal Touch Homecare and Hospice/ Mar 2011 to Oct 2013 Providing care to a variety of medical patients with various disease processes Recorded patients' medical history, vital statistics, and test results in medical records Supervised 10 other practitioners and employees, led recruiting, and hiring, managed employee review process and ensured compliance with state and federal regulations Provided palliative care in outpatient settings ranging from assessment to development and implementation of care plansPerformed all tasks with a patient-centered focus while seeking opportunities for improvement of processes and treatmentsAssisted patients with healing and recovery after surgery Provided necessary health education training for patients Managed caseload of 20 clients, providing education, treatments, IV therapy, venipuncture and wound careResponsible for primary care, case management and medication management Accurately documented all elements of nursing assessment, treatments, medications, discharge instructions and follow-up care Utilized strong assessment skills to determine necessary patient careCoordinated with doctors and registered nurses to develop care plans for patients. Dental AssistantNassawadox, VAShelley Dental/ Sep 2010 to Mar 2011Recorded patients' medical history, vital statistics and test results in medical records Assisted dentist with primary care of patients.Oncology NurseNassawadox, VAShore Cancer Center/ May 2008 to May 2009Managing patient care and coordinating extended services for the cancer patient Worked side by side daily with an OncologistIn depth medication management as well as chemotherapy/radiation scheduling Also educated the patient on side effects of chemotherapy and other toxic agents used for the treatment of cancerRecorded patients' medical history, vital statistics, and test results in medical records Provided palliative care in outpatient settings ranging from assessment to development and implementation of care plansSound, ethical and independent decision-making ability consistent with medical protocolsPerformed all tasks with a patient-centered focus while seeking opportunities for improvement of processes and treatments.Center nurse/ Baby care coordinator/Center nurse manager Nassawadox, VAEastern Shore Rural Health/ Aug 1998 to May 2008Recorded patients' medical history, vital statistics, and test results in medical records Delivered high-quality and compassionate treatment to indigent and low-income patient communitySupervised 12 other practitioners and employees, led recruiting, and hiring, managed employee review process and ensured compliance with state and federal regulations Managed team of medical support personnelTrained 10 staff nurses to provide top-quality patient care Evaluated patient care needs, prioritized treatment, and maintained patient flow Accurately documented all elements of nursing assessment, treatments, medications, discharge instructions and follow-up careTook and recorded patients' temperature, pulse, and blood pressure Utilized strong assessment skills to determine necessary patient care Worked as part of team to ensure proper care of body mechanics and safety of patient Prepared for HIPAA and JCAHO reviews, ensuring required brochures and pamphlets were available to patients in all clinicsInterviewed patients to obtain medical information and measure their vital signs, weight, and heightTested glucose and administered injectionsSkillfully performed suture removals for patients of all ages. EDUCATION AND TRAININGMaster of Science in NursingGrand Canyon University Jan 2020Phoenix, AZBachelor of Science: NursingVirginia Commonwealth University Jan 2005Richmond, VA, United StatesAssociate of Science: NursingESCC/TCC Jan 1998Melfa, VA, United StatesLICENSES DEGREESRegistered Nurse, Virginia, 1998, PHONE NUMBER AVAILABLEMaster of Science in Nursing, Leadership and Management, 2020 Bachelor of Science in Nursing, 2005Associate degree in nursing, 1998PROFESSIONAL HIGHLIGHTSCase managementCare coordination for LTSS/Complex conditions/Baby care IV drug therapy managementCulturally sensitiveCompassionProblem solvingOrganizationMedication administration expertStrong medical ethicBAC screening/drug screen collectionEnthusiastic caregiverCommitted to pediatric nursingDiabetes, Hospice and Stroke Patient CareMobility assistanceColostomy care familiarityBody mechanics knowledgeMedical clinical proceduresCollaborator and Leader |
