Registered Nurse / Assistant Clinical Manager - Age in Place Home Health Services - Huntington, IN
(2023-02)
- Directed reviews of clinical documentation, evaluating patient records to confirm adequate support for home health services based on established coverage criteria.
- Detected and highlighted documentation deficiencies, generating clear, uniform written summaries of review outcomes.
- Handled and processed Medicaid prior authorizations for home health services, ensuring prompt approvals and complete adherence to payer requirements.
- Executed quality assurance audits of patient records, reviewing clinical documentation for precision, thoroughness, and compliance with Medicare, Medicaid, HIPAA, and OSHA regulations.
- Tracked and assessed staff performance and quality indicators as part of continuous QA efforts, identifying opportunities for enhancement and implementing corrective strategies.
- Managed extensive communication flows between nursing personnel, healthcare providers, and patients using electronic tools in a fully remote operational environment.
- Analyzed care plans and policies to ensure the delivery of superior, financially sound health services that align with both organizational and regulatory mandates.
Registered Nurse / Case Manager - Home Health Care Solutions - Avon, IN
(2013-02 - 2023-02)
- Provided comprehensive home health care to a full caseload of patients, encompassing thorough assessments, personalized treatment plan development, and precise documentation in EHR systems.
- Led and supervised a team of home-based nurses, overseeing the care delivery of LPNs and support staff through remote delegation and monitoring.
- Instructed patients and their caregivers on home care protocols via virtual and phone consultations, following established telehealth guidelines.
- Maintained rigorous adherence to HIPAA regulations and ensured the accuracy and consistency of clinical documentation.
- Closely observed patient status and relayed assessment data to physicians and multidisciplinary care teams.
- Prevented infection by consistently applying effective wound care and aseptic practices.
- Mentored and onboarded new nursing staff on critical clinical skills and professional conduct.
Registered Nurse - Bowen Center - Huntington, IN
(2011-12 - 2013-04)
- Administered medications and closely monitored patients for adverse reactions or side effects within a behavioral health setting.
- Completed detailed patient intakes, gathering comprehensive medical histories and current complaints.
- Collaborated with an interdisciplinary team to organize and implement individualized patient care plans.
- Provided treatment to patients with mental health conditions in collaboration with a multidisciplinary clinical team.
Registered Nurse - Parkview Huntington Hospital - Huntington, IN
(2002-11 - 2012-01)
- Offered direct bedside nursing care to patients experiencing acute and chronic health issues in Medical-Surgical, Pediatrics, ICU, Telemetry, Postpartum, and Nursery units.
- Dispensed medications and closely monitored patients for any signs of reactions or side effects.
- Guaranteed precision, quality, and regulatory compliance of patient care by meticulously documenting all information in the Electronic Medical Record (EMR).
- Coordinated patient movement through admission and discharge procedures for designated units.
- Facilitated the clinical training and professional development of student nurses, interns, and recent nursing graduates.
