Manager Home Health
Resume:
Noel (Ellie) Pinson
Louisville, Ky. 40291
le_ ***@*****.***
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
Contact this candidate