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Work Background
Self-employedIndependent Nurse Consultant
Nov. 2024Provide specialized nursing consultation services to healthcare organizations and agencies, delivering expertise to VBC organizations, healthcare start-ups, and more. Experience in Care Management, Leadership, Obesity Care, Medical Chart Review, Compliance, and Processes/Training. -Delivery of asynchronous obesity care for diverse patient populations. -Development of personalized care plans monitored through telehealth platforms.
-Assisted in improving patient adherence by implementing evidence-based practices.
-Contributed to the success of a scalable asynchronous care model, supporting hundreds of patients remotely.
-Conduct comprehensive peer medical chart reviews to evaluate medical necessity, accuracy, and compliance with federal and state guidelines.
Cityblock HealthManager-RN Lead
Jul. 2023 - Nov. 2023Highly skilled and experienced RN leader responsible for providing clinical, operational, administrative, and leadership to the RN team.
-Accountable for onboarding, training, and ongoing performance and productivity management of RN Care Managers.
-Supports individual RNs during 1:1 sessions to provide coaching, assessment of skills/strengths, and assisting staff to drive personal goals in alignment of overall company goals.
-Accountable for driving KPIs for the team, managing/rolling out new initiatives and clinical programs, and serving as SME for Athena EHR.
-Demonstrates detailed and accurate chart review and data synthesis to measure performance against quality measures and initiatives, while driving changes to internal processes/workflows to improve overall outcomes and member care.
-Lead in coordinating LTSS (Long Term Supportive Services) efforts with contracted payor: revamped LTSS policy including new optimized workflows, tracking, and documentation efforts for quality and visibility.
-Manage oversight of partner program pilots (Override Pain Program) to ensure identification of members, review eligibility criteria, and continually collaborate with co-founder and internal medical director to improve program engagement efforts.
-Contribution to project management efforts for rolling out changes to processes, programs, and new clinical/pilot programs.
-Analyze and identify gaps in current processes and workflows while leading and contributing to process improvement initiatives to drive outcomes.
Cityblock HealthRN Care Manager-Remote
Jul. 2022 - Jul. 2023Managed a panel of rising risk, high risk, and medically complex members to support integrated chronic disease and behavioral health care.
-Collaborated with members to provide clinical assessments to create a care plan and oversaw progress to the plan, frequently reassessed needs, coordinated with providers and specialized resources/disciplines, and partnered closely with the Community Health Partner to build trust and demonstrate advocacy.
-Provided multimodal care via phone and virtual video visits.
-Provided clinical assessment and education to members for preventative health and disease process management to reduce overall cost of care and utilization, while promoting member adherence to care.
-Integral role in the Athena EHR implementation across the market, and across the organization.
-Highly involved in training clinical and non-clinical staff on the usage of the EHR, training sessions,
troubleshooting, and continually act as a SME and resource for clinical staff.
-Drove member retention and satisfaction by building rapport
-Enhanced patient satisfaction through effective communication, empathy, and timely response to their needs.
-Interdisciplinary team meetings for wrap around care.
-Willingness to support other projects within the department.
BabylonClinical Onboarding and Training Specialist
Apr. 2022 - Jul. 2022United States
BabylonRegistered Nurse Care Advisor/Care Manager- Digital Health
Jun. 2021 - Apr. 2022Remotely conducted comprehensive health assessments that included medical, behavioral, pharmaceutical, and social needs of patients, while contributing to building the foundational RN care management program at a Value Based Care start up company.
-Established care plans with identified patients using a collaborative approach to involve patients in goal setting.
-Collaborated with patients to foster trusting relationships and promote patient engagement and
collaboration with the care team.
-Improved processes/workflows utilizing critical thinking and problem-solving skills to identify areas for improvement and solutions to address them.
-Willingness to take on and assist on projects, process improvement, and pilot programs displaying
creativity to lead by example.
-Active participation in daily multidisciplinary team meetings utilizing communication skills to identify, and solve problems to improve on processes and patient care/quality. → Notable Accomplishments:
-Act as team lead to provide troubleshooting assistance to colleagues.
-Lead onboarding training and mentorship as well as assisted/collaborated with onboarding team for
process improvement and mock scenarios for hands on learning/training evaluation.
-Initiated contribution to or identifying areas for process/workflow improvement.
-Cross-functional collaboration to align data reporting tools. Fine-tuning Nurse-Athena processes by
collaborating with leadership to improve the functionality of letters and inbox task routing.
-Created and implemented clinical huddle agenda template to be used for clinical huddles that were
implemented across the organization. -Collaborated to develop Athena clinical template macros utilizing current clinical guidelines.
The Guidance CenterNurse Educator
Feb. 2018 - Jun. 2021Pennsylvania, United StatesDeveloped and administered (remotely and in person) an individualized family education program for families with children, ages prenatal to five within McKean county.
-Independently analyzed, created, and implemented assessments geared toward identifying gaps in
parent/caregiver knowledge, learning style, and health literacy for enhanced process improvement and evaluation of gaps.
-Worked closely with diverse populations of first-time parents, adults, and children with acute, chronic, and complex medical issues; parents with intellectual disabilities, mental health diagnoses, substance abuse challenges, low socioeconomic status, high risk, and those involved in Children and Youth Services.
→ Notable Accomplishments:
-Engaged small and large groups within the community to promote the program and collaborate with and educate community partners resulting in a significant expansion of the program.
-Provided clinical training and education to internal and contracted external staff for professional development and company needs.
-Analyzed current processes and developed innovative assessment tools to assess for knowledge gaps and areas for improvement to better track and improve outcomes and goals.
-Developed and managed quality improvement projects: Evidenced base curriculum to promote positive program outcomes
-Forged strong community partnerships to provide additional resources for families and children as needed.
Visiting Nurse Association of Northwest PARN Case Manager
May. 2016 - Feb. 2018Directed patient care in a home setting across the lifespan to improve patient outcomes, decreased
re-hospitalization, and increase patient/caregiver knowledge.
-OASIS and HCHB documentation and quality review
-Initiated diagnostic, preventive, and rehabilitative nursing procedures as appropriate to care and safety.
→ Notable Accomplishments: -Collaborated with physicians and other healthcare providers to manage care across disciplines.
-Promoted positive patient outcomes increasing in home care and safety while decreasing readmission rates.
-Obtained referrals for other services as required.
-Educated patients and caregivers on disease process, home safety, SDOH needs, medication regimen, and preventative health.
-Effectively communicated with individuals from various situations, cultures, ethnicities, and socioeconomic backgrounds providing culturally competent care.
Charles Cole Memorial HospitalAssistant Director of Nursing
Jun. 2015 - Apr. 2016Directly supervised multiple levels of staff including RNs, LPNs, and CNAs. Delegated assignments, led hiring/onboarding, and evaluated staff performance. Managed administrative functions including unit staffing, schedule coordination, planning, record keeping, and implementation of short and long-range departmental goals.
- Delivered education and instruction to individuals, families, and caregivers on health education, disease process, and plan of care. -Contributed to state licensing and audits, and MDS data
-Participated in monthly staff meetings to conduct presentations and served as an active member of the Quality Assurance Committee.
-Promoted a culture of teamwork by encouraging open communication among staff members and
facilitating collaboration across departments.
-Contributed to the accreditation process by maintaining compliance with state and federal regulations for nursing standards.
-Improved patient care by implementing evidence-based nursing practices and protocols.
-Oversaw and approved recruitment, hiring and orientation of new nursing staff.
-Participated in quality improvement initiatives aimed at enhancing overall service delivery within the
facility.
-Evaluated staff performance regularly, providing feedback and guidance for improvement when necessary.
→ Notable Accomplishments:
-Developed a wound care program and policy from the ground up, serving as Head of Restorative Program.
-Enhanced documentation process to implement electronic charting for CNAs to better align internal and state auditing as well as efficiency for staff.
-Implemented staff education program for CNA's
-Developed and updated policies and procedures, maintaining compliance with guidelines relating to
HIPAA, benefits administration and general liability
Charles Cole Memorial HospitalRegistered Nurse-Charge Nurse
Jun. 2013 - Jun. 2015-Charge nurse responsibilities for assignment and monitoring of care to colleagues with care of own patient assignment.
-Observed and documented patient factors such as overall health status, diets, physical activity levels, and behaviors to understand conditions and effectively modify treatment plans.
-Collaborated with interdisciplinary teams during rounds, providing input and advocating for patient needs.
-Consistently met or exceeded performance metrics through diligent monitoring of patient progress and proactive identification of issues requiring intervention.
-Provided comprehensive assessments of patients' physical, emotional, and social needs, informing
personalized care plans.
-Educated family members and caregivers on patient care instructions.
-Improved patient outcomes by consistently providing high-quality care and timely interventions.
-Investigated and resolved issues affecting hospital operations and patient care.
-Equipped patients with tools and knowledge needed for speedy and sustained recovery.
-Utilization of the nursing process to care for patients from admission through discharge.
Charles Cole Memorial HospitalCertified Nursing Assistant/Emergency Department Technician
Jun. 2008 - May. 2013Provided care to patients in conjunction with the overseeing clinical team in acute care environments:
Med-Surg, ICU, ER, and Inpatient Psychiatric care.
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