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Manager Home Health

Location:
Louisville, KY
Posted:
August 26, 2013

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Resume:

Noel (Ellie) Pinson

**** ****** ****

Louisville, Ky. 40291

502-***-****

le_ ab9ptg@r.postjobfree.com

PROFILE: Highly motivated, goal-oriented professional nurse with 11 years of progressive nursing

experience.

WORK HISTORY

June 2012 – Present Louisville Wound Care Institute

Job Title: Manager/Wound Care Coordinator

CEO: Mike Moody

Responsibilities include:

Leads day to day clinical operations

Staff development and education

Process improvements in order to increase efficiency and patient satisfaction

Review/develop and negotiate contracts with vendors

Coordinates patient care within a multidisciplinary team

Assess patients and recommends appropriate treatments

Reviews and determines yearly operating budget, with ongoing review of billing and accounts receivable

Develops and implements marketing opportunities

Assess patients and recommends treatment for wounds

Accomplishments:

Created orientation process and competency requirements for staff in clinic

Created teaching packets for patients and families

Increased clinic volume by 20% in first year

Improved patient satisfaction scores from 98% average to 99.5% average.

Updated and/or wrote all approved clinical policy and procedures.

Recruited a dynamic clinic team of nurses

Recruited 2 new physicians

Jan 2010 – June 2012 Humana Military Healthcare Services/IT Staffing

Job Title: Pre-Pay Review Supervisor

Manager: Ann Yates

Responsibilities included:

Supervising 10-12 RN’s

Initiated staff development and staff education opportunities

Assisted in the transition of a new 5 year contract

Developed new claims processes

Developed new desk procedures, and training program

Updated and wrote approved non-clinical job description

Interviewing and hiring of employee’s

Review and apply prepayment guidelines to assure payment for medically necessary and appropriate

services.

Accomplishments:

Received the Star award 3/24/11 for being proactive in process improvements to increase productivity of

all staff.

Nov 2009 - June 2010 Good Samaritan Society Louisville KY

Job Title: Nurse Manager

Director of Nursing: Cathy Buckley 502-***-****

Responsibilities include:

Supervised 10-15 healthcare employees

Served as an administrative representative

Provided and mentored clinical care and medical treatments for a 98 bed skilled facility

Provided collaborative leadership to the planning, directing, integrating and coordinating processes.

Dec 2007- Nov 2009 SHPS, Louisville KY

Job Title: Utilization Review Nurse

Manager: Cynthia Westerfield 502-***-****

Responsible for the delivery of utilization management for KY Medicaid to include:

Crossed trained in several departments including: radiology, home health, and DME.

Oriented employees

DRG retrospective reviews and validation of inpatient hospital admits. Reviewed for medical necessity,

readmissions, billing error, quality of care issues, and correct DRG assignment, principle diagnosis,

procedure validation.

InterQual criteria utilized upon admission review.

Made clinical recommendations and assisted in the development of comprehensive treatment plans.

Served as a home health coordinator to promote continuity and consistency of care provided.

Spoke with providers to organize and obtain all supporting information to prove medical necessity for

care requested in home health, outpatient services and the acute care setting.

Aug 2004- Dec 2007 University Hospital, Cincinnati OH

Job Title: RN-Preceptor

Manager: John Hill 513-***-****

Responsibilities:

Managing care for 4 to 6 acutely ill neurology and neurosurgery patients

Accomplishments included:

Mentored and oriented new graduates

Participated in obtaining hospital based stroke certification by developing stroke assessment tool and

patient/family teaching plan.

Jun 2002-Jul 2004 Jewish Hospital, Louisville, KY.

Job Title: RN

Manager: Kim Heck 502-***-****

Responsibilities:

Team leader assisting in managing the day to day functions of the unit

Managing care for 7 to 8 ill orthopedic, post-operative surgery, neurology and neurosurgery patients

EDUCATION

April 2013 - Western Governors University, MSN in progress. Projected graduation: December 2013

May 2012 - Morehead State University, Awarded BSN, Graduated Magna Cum Laude

May 2002 - Jefferson Community College, Awarded a Associates in Nursing

C

ERTIFICATIONS

April 2013 – Certified Wound Care Nurse, WOCN Society

April 2013 – Certified Foot Care Nurse, WOCN Society

March 2013 – Acute and Chronic Wound Management, Emory University

November 2012 – Hyperbaric Medicine Team Training, International ATMO

C

OMMUNITY SERVICE

Adopt a US Soldier: Continual support to our troops by sending community updates, letters and supplies

Brooklawn Child & Family Services: Tutoring school aged children



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