Patient Care Manager - Three Oaks Hospice
(2024-04)
- Supervision of all disciplines including, RN Case Managers, CNA's, Chaplains, Social Workers, Medical Records & Office Staff including coordination of care, hiring/disciplinary action/termination, scheduling.
- Interdisciplinary Team Meeting Leader.
- Monitor and audits agency charts both in house and in patients' home or facility to assure regulations, policies and procedures are being followed.
- Implementation of all Policies and Procedures as needed to meet regulatory requirements and changes.
- Coordination of new referrals with multiple referral sources as well as insurance eligibility verification.
- Interdisciplinary Team Meeting.
- Nurse Practitioner visit & payment scheduling.
- Implementation & revision of all Policies & Procedures yearly and as needed to meet regulatory requirements and changes.
- Conduct monthly mandatory in-services and annual skills fairs for clinical staff
- Audit and submit HIS
- Monthly billing audit
- Software migration from Wellsky/Consolo to Home Care Home Base
RN Case Manager - Medical City Weatherford
(2020-09 - 2025-08)
- Collaborative process of assessment, planning, facilitation and care coordination, while being the liaison between the patients, their families, and the healthcare providers.
- Promotes the patient's self-determination in all decisions and assists the health care teams understanding of and respect for the patient's or patients' representatives choice
- Discharge planning evaluations, identifying post-acute needs of patients and following up to assure patient discharges with the appropriate discharge plan
- Work closely with skilled nursing facilities, inpatient rehabs, long term acute care hospitals, home health, hospice, infusion and dme companies to assure patient post-acute care needs are met
- Performs InterQual including observation, admission and concurrent reviews. Working closely with physicians to assure patients are receiving the care they need while preventing unnecessary or duplication of services
- Contributes to decision making and decision support as a member of the interdisciplinary team
PRN RN Case Manager - Beyond Faith Hospice
(2019-04 - 2021-12)
- Caring and providing education to hospice patients, families and caregivers, starting with admission and continuing education until discharge.
- Support for patients and families including assessing, planning, implementing care and evaluating care provided.
- Worked closely with my team to assure the best patient care possible. Collaboration with the Interdisciplinary team every two weeks on patient's plan of care
- Oncall rotation
RN Case Manager - Aviator Home Health
(2018-05 - 2019-04)
- Initial and ongoing comprehensive patient assessment including patients physical, mental and psychosocial needs
- Develop care plans to prevent disease exacerbation and improve outcomes and increase patient engagement in self-care.
- Oversee patient care while collaborating with all disciplines to assure patient obtains the maximum level of independence and safety while minimizing emergency department care and hospitalizations.
- Educate patient and families on comorbidities, medications, wound care, wound prevention and safety
Clinical Nurse - Texas Oncology
(2017-06 - 2018-05)
- RN to Medical Oncologist/Hematologist
- Collaborating with Oncologist and other clinicians to carry out treatment plans ordered by physician
- Monitoring labs, imaging studies, consults and pathology
- Access central lines and dressing changes
- Provide education to patient and their families on the disease, chemotherapy both oral and infused, other medications prescribed and possible side effects
- Ongoing support and compassionate care for patient and families with cancer diagnoses and blood disorders.
- Adhering to the Medicare Oncology Care Model to assure physician reimbursement rate
RN Case Manager - Encompass Home Health
(2015-08 - 2017-06)
- Initial and ongoing comprehensive patient assessment including patients physical, mental and psychosocial needs
- Develop care plans to prevent disease exacerbation and improve outcomes and increase patient engagement in self-care.
- Oversee patient care while collaborating with all disciplines to assure patient obtains the maximum level of independence and safety while minimizing emergency department care and hospitalizations.
- Educate patient and families on comorbidities, medications, wound care, wound prevention and safety
Director of Clinical Services - Lion Hospice
(2014-09 - 2015-08)
- Supervision of all disciplines including, RN Case Managers, CNA's, Chaplains, Social Workers, Medical Records & Office Staff including coordination of care, hiring/disciplinary action/termination, scheduling.
- Interdisciplinary Team Meeting Leader.
- Monitor and audits agency charts both in house and in patients' home or facility to assure regulations, policies and procedures are being followed.
- Implementation of all Policies and Procedures as needed to meet regulatory requirements and changes.
Director of Clinical Services - Regional Hospice
(2013-05 - 2014-09)
- Supervision of all Disciplines including, RN Case Managers, CNA's, Chaplains, Social Workers, Medical Records & Office Staff including coordination of care, hiring/disciplinary action/termination, scheduling.
- Oversight of two satellite offices
- Conduct all staff/discipline training for EMR with initiation and with all updates to the system.
- Daily management and all maintenance including agency customization of the EMR.
- Coordination of new referrals with multiple referral sources as well as insurance eligibility verification.
- Led Interdisciplinary Team Meeting.
- Medical Director & Nurse Practitioner visit & payment scheduling.
- Implementation & revision of all Policies & Procedures yearly and as needed to meet regulatory requirements and changes.
- Conduct monthly mandatory in-services and annual skills fairs for clinical staff.
- Provide community hospice education.
- Over-sight of Quality Assurance Performance Improvement committee.
- Processing of all Medicare ADR requests for records on payment denials.
- Working closely with Administrator on development of yearly budget and assure the agency is within its budget.
- Monitor and audit agency charts both in house, in patients' home and facility to assure regulations, policies and procedures were being followed.
RN Case Manager - Regional Hospice
(2011-04 - 2013-05)
- Caring and providing education to hospice patients, families and caregivers, starting with admission and continuing education until after discharge.
- Support for patients and families including assessing, planning, implementing care, symptom management and evaluating care provided.
- Worked closely with my team to assure the best patient care possible. Collaboration with the Interdisciplinary team weekly on patient's plan of care.
- On call rotation
