Experience

IlliniCare Health Plan, Inc.

• Utilization review

  • Jun 2014 - Present



Brookdale

• United States
• Hospitals and Health Care
• 700 & Above Employee

• Associate Director

  • Aug 2013 - May 2014



LEXINGTON HEALTH NETWORK/LEXINGTON HOSPICE

• Clinical Manager

  • Mar 2011 - Aug 2013

  Direct operational, staffing and clinical excellence oversight for hospice team comprised of nine RNs and eight CNAs providing direct patient care at five facilities; concurrently lead Continuous Care Team comprised of 10 RNs and CNAs. Direct oversight for monitoring and ensuring quality patient care across unit, as well as all areas of compliance, quality, staffing, payroll and financial controls to create a bestinclass hospice patient care team. Create and implement financial, patient services, clinical and staffing plans and longterm vision for hospice unit. Create professional development courses and precept new clinical personnel. Develop and implement various staff education programs for clinical teams across Lexington facilities focused on meeting state guidelines and compliance; develop educational seminars and associated exams. Member of clinical leadership team working with software vendor for implementing new Clinical Information System. Conduct community outreach initiatives and marketing programs to increase community awareness; assist in developing marketing materials and external communications, including brochures. Lead hospice interface with outside nurse staffing organization; facilitate contract negotiations and monitor providers. Assist in chart audits and ensure compliance to HIPAA, Medicare and Medicaid regulations. Key member of leadership team to develop and implement new processes and standards supporting clinical excellence, implementation of best practices, staff education and patient & family education/satisfaction.



FAMILY HOME HEALTH & HOSPICE SERVICES, INC

• United States
• Hospitals and Health Care

• Registered Nurse

  • Dec 2008 - Jan 2011



AUTUMN HOME CARE

• United States
• Hospitals and Health Care
• 1 - 100 Employee

• Director of Nursing

  • Dec 2009 - Jul 2010

  Director of Nursing 2009 to 2010 Direct administrative and clinical control for clinical team of three RNs and up to 16 home health aides for this privatelyheld home health and hospice company. Created and evaluated care plans for all patients. Managed staffing, distribution, Q/A and budget management, as well as the development and implementation of performance/process improvement initiatives. Instrumental in creation/revision of policies and procedures for direct impact on efficiency, cost control and quality assurance. Trained staff in computer systems, policies, patient care, Joint Commission/IDPH regulations, etc. Completed and oversaw Medicare Oasis form completion. Organized operations, personnel and compliance to launch a home health division. Developed process improvements, outreach, billing solutions and headcount reallocation programs. Created professional development courses and onboarded new clinical personnel. Identified cost savings opportunities and implemented improved internal controls to maximize financial and clinical resources. Monitored and reconciled charges and billing. Professional Experience, Continued on Second



Central DuPage Hospital

• United States
• Medical Practices

• Registered Nurse

  • Dec 2008 - Feb 2009

  Hospice & Home Health Start of Care (FTE) 2008 to 2009 Effectively cared for medicallycomplex and terminal patients in longterm care facility and home health environments. Led start of care meetings for home health and hospice patients, including assessment of home safety, completion of Medicare Oasis and establishing communication channels with primary care nurses and physicians. Received advanced training in caring for home health patients, as well as computer program (PalmWise) and completing required documentation and reports.



OncologyMed/Surg

• Registered Nurse

  • Dec 2008 - Feb 2009

  to 2008 Provided total patient care and monitored all aspects of patients and progress from admission to discharge. Administered Chemo therapy and assisted physicians in minor bedside procedures. Provided patient and family education on a variety of topics, including longterm care, disease process, medication therapy, etc. Responded to rapid response pages; provided advanced life support measures. to 2008 Provided total patient care and monitored all aspects of patients and progress from admission to discharge. Administered Chemo therapy and assisted physicians in minor bedside procedures. Provided patient and family education on a variety of topics, including longterm care, disease process, medication therapy, etc. Responded to rapid response pages; provided advanced life support measures.



COUNTRYSIDE CARE CENTER

• United States
• Hospitals and Health Care
• 1 - 100 Employee

• Lead Ventilator Nurse 2005 to

  • Jul 2005 - Oct 2008

  Supervised and oversaw nursing and respiratory staff on longterm care ventilator unit. Provided direct, intensive critical care to high risk, complex patients controlling extensive medication protocol therapies. Precepted new staff and nurses. Trained staff members to focus on the physical and psychosocial care of each patient and families; coordinated patient care and the implementation of treatment plans between multidisciplinary teams comprised of physicians, pharmacists, dieticians, medical directors, etc. Cared for patients as required by physicians, including blood draws, dressing changes, Foley catheter care/replacement and central line management.



RUSHCOPLEY MEDICAL CENTER

• United States
• Hospitals and Health Care
• 700 & Above Employee

• Nurse Technician

  • Feb 2003 - Aug 2005

  to 2005 Assisted unit nurses with patient care planning and implementation on motherbaby unit. to 2005 Assisted unit nurses with patient care planning and implementation on motherbaby unit.



DEKALB COUNTY REHAB & NURSING CENTER

• Certified Nursing Assistant/Physical Rehabilitation Aide

  • Jan 1992 - Jan 2003

  Assisted nurses with patient care, ADLs and implementing rehabilitation programs, including PROM; supported ambulation and strengthening exercises. Assisted nurses with patient care, ADLs and implementing rehabilitation programs, including PROM; supported ambulation and strengthening exercises.