Experienced RN looking for clients for home visits (Douglas County area)

Date: 2012-10-17, 4:52PM PDT

abpcy5@r.postjobfree.com

Experienced, competent, friendly nurse accepting new clients for home visits, treatments, dressing changes etc. Please review my resume. If you have any questions don't hesitate to call.

Thank you,

Rachel Hemphill

541-***-****

Education and Credentials

Associates in Science Nursing, Registered Nurse, New York, New York 2000- current

Licensed Vocational Nurse, LVN 1990-1991 Santee, Ca. California state Board of Nursing

Licensed Practical Nurse LPN 1991- 2000 Oregon State Board of Nursing

Expert witness surrounding Jail standards and care

Professional Experience

HEALTH SERVICE ADMINISTRATOR

Douglas County Jail

March 2009 to present

As the Health Service Administrator I am responsible for the entire medical and mental health services of each inmate 24 hrs a day. We care for thousands of inmates thru-out the year. Our census runs in the mid 200's on a daily basis. In addition I work collabaratively with local agencies to include OBGYN, Douglas County Mental Health, Oregon State Hospital, oncology, and orthopedics.

I balance the budget for medical, dental and mental health services. I am responsible for hiring and diciplineing employees.

I work closely with the DA's office, the public defenders office and families.

I am responsible for monthly and annual training of employees surrounding topics of Schizophernia, Bipolar disease, ETOH, opiate, benzodiazepine and Meth detox, Diabetes, Chronic Care Clinics and heart disease

ATRIO HEALTH PLANS Roseburg, Or

October 2007-Febuary 2009

RISK ADJUSTMENT COORDINATOR

LEAD HEDIS MANAGER for NCQA

Trained and mentored 9 Registered nurses in a tri-county area surrounding HEDIS measures. Monitored HEDIS progress and results, worked closely with our NCQA auditor providing required documentation for submission when requested, managed inter- reliability results and worked closely with HEDIS software vendors.

Responsible for training two physicians and a nurse practitioner for comprehensive health evaluations around HCC coding.

Spoke to large groups of physicians and office staff surrounding risk adjustment.

Taught, trained and mentored others in the principles of Medicare Risk Adjustment

Prepared material for audits and CMS reviews as needed.

Managed ATRIO's Medicare Risk Adjustment program activities. Complete and accurate clinical coding data for members in a tri-county area, on a retrospective basis.

Provider office scheduling for chart reviews in a tri-county area.

Conducted on-site record reviews, including scanning pertinent documents in all counties

Gathering data from electronic medical record.

Creation of RAPS (Risk Adjusted Payments) submission files for CMS

Performed prospective coding correctness and completeness education for providers

Creation of monthly provider reports and provider specific educational materials

Developed and maintained policy and procedure manual for Risk Adjustment activities.

Assist the Medical Director with research

Ensure provider satisfaction with the review process

Immediately adressed and rectified any process issues that may be generating provider dissatisfaction.

Oregon Surgery Center Roseburg, Or

October 2006-October 2007

Endoscopy nurse- Interviewing patient's prior to endoscopy, administering deep sedation with Propofol, Versed and Fentanyl, monitoring and assessing EKG's,VS, pulse oximetry,capnography and cardiac status throughout procedure, administering emergency medications when needed.

Recovery room nurse- Managing patients of all ages immediately after a variety of surgeries. Monitoring for post op complications, collaborating with surgeons and anesthesiologists regarding patient condition and individual needs.

Pre-op nurse- Starting IV's, IVPB medications, pre-medicating children and adults prior to surgery.

Step down unit nurse-Monitoring, teaching and discharging patients, ensuring stable condition upon discharge.

MAXIM HEALTHCARE Portland, Oregon

August 2004- October 2006

Registered nurse for a pediatric patient requiring 24 hr ventilator support in a home care setting.

Responsible for ventilator management and trouble shooting, tracheotomy care and suctioning, emergency tracheotomy insertion and O2 administration. Continuous respiratory assessment and monitoring while weaning off ventilator.

THE WELLNESS CLINIC Roseburg, Oregon

July 2003- July 2004

Registered nurse for a busy multi-provider internal medicine office. Responsible for Pt triage in office and over the phone. Independently ordering appropriate tests. Independently reviewing INR's and adjusting Coumadin dose as appropriate. Assisting with sterile procedures, biopsies and suturing.

UMPQUA COMMUNITY HEALTH CENTER Roseburg, Or

December 2000-July 2003

Lead nurse- RN for a low income federally funded health clinic. Responsible for triaging patients, supervising medical assistants, assisting with all office procedures including, but not limited to, pulmonary function tests, splinting and casting. Independently started the diabetes and COPD coalition initiative required by the federal government. Diabetes education with classroom instruction teaching carb counting and proper injection techniques, sick days, signs and symptoms of hypo/hyperglycemia.

VETERANS ADMINISTRATION Medical Center Roseburg, Oregon

July 1994-December 2000

Mental health triage nurse- Assessing for the need of immediate medical and psychiatric care which included collaborating with the Mental Health Nurse practitioner, monitoring medication compliance, reviewing and evaluating lab results. Telephone triage nurse for mental health issues.

Detox staff nurse-Assist in the care of the patient's physical and psychological response and needs while they were withdrawing from a variety of drugs and alcohol. Assisted in goals for long term abstinence of patients seeking recovery. I was also involved in Quality assurance and performance improvement for JCAHO accreditation. Participated in peer chart reviews on an ongoing basis.

Psychiatric nurse- Assist with admission, evaluation and care of the physical and psychiatric needs of patients suffering from a variety of mental illnesses.

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