RN – Clinical Coordinator / Nurse Case Manager - DaVita Renal Services
(2024-03)
- Coordinated admissions for new patients by remotely reviewing clinical charts & preparing discharge plans for outpatient ESRD dialysis, including accurate assignment of ICD-10 codes. Ensured all documentation aligned with ESRD care standards, while conducting discharge reviews for outpatient dialysis patients returning from the hospital.
- Collaborating w/ physician to develop a strategic plan reducing central venous catheters (CVCs) by 16% through improved workflow organization & creating pathway for permanent vascular access.
- Developed individualized care plans for 90+ patients and conducted monthly remote telemedicine meetings with a team of 4 healthcare professionals to evaluate patient progress and enhance care strategies. Facilitated timely physician referrals and prior authorizations for additional tests or ancillary care, while monitoring lab results for all patients daily and alerting physicians of critical results promptly. Conducted telephone triage to notify patients of necessary medical evaluations.
- Developed triage protocols for addressing & improving missed treatments, leading to improved patient rescheduling to alternate dialysis days, enhancing patient care continuity and avoiding unnecessary hospitalizations.
- Developed a workflow system using open employee scheduling that enhanced daily clinic operations, contributing to a measurable increase in employee and patient satisfaction scores. Conducted ongoing employee training and regular reviews of clinic policies to ensure compliance with all healthcare regulations.
- Provided backup and on-call services to sister clinic in College Station, TX, supporting an additional patient census of 80+. Ensured seamless care during critical staffing shortages or vacations. Regional resource for assisting with navigation of EMR systems.
Float Pool Charge Nurse - DaVita Renal Services – Houston / Galveston & Bryan/College Station - Houston, Galveston, Bryan, College Station
(2014-01 - 2024-03)
Provided hemodialysis treatments to appx 90 ESRD patients 3 times/week, closely monitoring vital signs & response to therapy. Provided patient assessments & care coordination across 64+ clinics in the Houston, Galveston & Bryan/College Station areas as a float charge nurse, utilizing EMR systems for documentation.
RN – Clinical Nurse Coordinator – Davita Galveston - DaVita Renal Services – Houston / Galveston & Bryan/College Station - Galveston
(2011-10 - 2014-01)
Clinical Coordinator (Temporary Assignments as Requested) - DaVita Renal Services – Houston / Galveston & Bryan/College Station
(2011-10 - 2024-03)
- Managed team operations across 5 clinics as a temporary Clinical Coordinator for 15 years, ensuring uninterrupted patient care and operational continuity during leadership transitions.
Surgery Circulator / Endoscopy / Pre-Anesthesia Testing / Pre-op / PACU / ER Nurse - First Street Hospital - 4801 Bissonnet Street, Bellaire, Texas 77401
(2010-03 - 2011-10)
- Managed and coordinated surgical teams overseeing 4,000+ procedures annually across specialties including Plastics, Endoscopy, Laparoscopy, Spinal, GYN, ENT, Bariatrics, Orthopedics & Ophthalmology while ensuring seamless quality patient care and efficient operating room schedules.
ER Charge Nurse / Trauma RN / ER Triage Nurse - Medical Solutions - 1010 N. 102nd Street, Suite 300, Omaha, Nebraska 68114
(2008-03 - 2010-02)
Agency / Contract to Bayshore Medical Center, Pasadena, Texas 77502
- Provided immediate triage assessment and emergency care for patients daily in a high-paced Trauma Emergency Room setting.
House Supervisor / Nursing Administration - Cox Medical Center (Skaggs Hospital) - 525 Branson Landing, Branson, Missouri 65616
(2005-08 - 2008-05)
Served as a versatile nurse, efficient across all departments including Endoscopy, ORCirculator, Pre-OP, PACU, ER, and ICU from August 2005 to May 2008, efficiently adapting to diverse patient needs and clinical environments. Resource for EMR programs.
- Managed staffing needs for a 94-bed hospital, assigned direct admits and bed assignments, and coordinated incoming and outgoing hospital transfers daily. In charge of code team, disaster & rapid response teams.
- Retrieved and prepared medications from pharmacy, mixed IV solutions for immediate patient needs, successfully starting difficult IVs in complex cases & guiding colleagues on drug calculations.
- Addressed and resolved 20+ nursing, physician, and patient complaints weekly, collaborating with the Chief Administrator for escalations.
Base Nurse Supervisor / Manager / Flight Nurse - Air-Evac Lifeteam - Mountain Home, AR 72653
(2004-06 - 2006-05)
- Triaged & transported critically ill & injured patients, safely transferring them from primary scenes & rural hospitals to trauma centers.
- Trained over 24 rural fire departments and their first responders on landing zone procedures, as well as instructing CPR, ACLS, PHTLS, PALS, and neonatal resuscitation classes, resulting in an increase in emergency response efficiency across Northern Arkansas.
- Hired and trained a team of 8 flight nurses and paramedics, ensuring compliance with all regulatory standards while managing employee records and processing bi-weekly payroll. Coordinated medical supply ordering & organization. Collaborated with local agencies to enhance service visibility at community outreach events.
- Organized & opened Air-Evac base in Sedalia, MO. Played a key role in post-Hurricane Katrina relief efforts in 2005, delivering critical supplies and transporting numerous patients to triage centers in Lafayette.
ICU / CCU / Step-Down / Emergency Room & Charge Nurse - Cox Medical Center (Skaggs Hospital) - 525 Branson Landing, Branson, MO 65616
(2002-09 - 2008-05)
Agency Contract through Total Healthcare Solutions agency now closed (2002 - 2004). Permanent Hire direct to Skaggs Hospital (2004 to 2008)
Surgery – Circulator / Endoscopy / Pre-OP / PACU & Charge Nurse - Cox Medical Center (Skaggs Hospital) - 525 Branson Landing, Branson, MO 65616
(2002-09 - 2008-05)
ICU / CCU / Step-Down / Emergency Room & Charge Nurse - NurseFinders - 236 E Primrose St, Springfield, MO 65807
(2002-09 - 2005-08)
- Provided critical care for ventilator-dependent patients & monitored hemodynamics while administering IV drips & cardiac care in a fast-paced environment, including post-operative management for open-heart surgery patients. Nursing agency shifts in all departments.
ICU Supervisor/Manager – House Supervisor / Nursing Administration - Integris Health Woodward Hospital - 900 17th Street, Woodward, Oklahoma 73801
(2000-03 - 2002-03)
- Managed daily operations for a 6-bed Intensive Care Unit, overseeing a team of 12 staff, including budgeting, scheduling, training, and conducting employee reviews and disciplinary actions while fulfilling House Supervisor duties.
House Supervisor / Nursing Administration - Integris Health Woodward Hospital - 900 17th Street, Woodward, Oklahoma 73801
(1996-09 - 2002-09)
In charge of code team, disaster & rapid response teams.
ER / Urgent Care Clinic / Occupational Health / Palliative Care - Integris Health Woodward Hospital - 900 17th Street, Woodward, Oklahoma 73801
(1996-09 - 2002-09)
- On-call for RN assisted ambulance transfers. Served as the ACLS leader, coordinating emergency procedures & patient management in the absence of a physician. Managed a hospital-based rotating specialty physician's outpatient clinic.
