Quality Assurance Medical

Wendy Lynn

Email: abpl5d@r.postjobfree.com

Address:

City: Grant

State: AL

Zip: 35747

Country: USA

Phone: 256-***-****

Skill Level: Any

Salary Range:

Primary Skills/Experience:

16 months experience as Clinical Director of SouthernCare Inc. Responsible for organization and supervision of the administrative functions of the hospice office, management of the hospice program in matters of overall operation at the local office level., assure that Care Team meetings are conducted and records maintained, assured that care is in accordance with Medicare, Medicaid, Federal and State guidelines., responsible for employing qualified personnel and ensuring employee orientation, training education and annual employee performance evaluations as per SouthernCare policy, assured complete orientation of all clinical staff as per SouthernCare policy, conducted employee counseling, resignation and termination paperwork. Submitted to Corporate HR as per SouthernCare s policy & procedure, assured appropriate review and follow-up for all revocations to minimize occurrence, followed-up on any patient, employee, customer complaints/concerns. Report to RCD with action plan, assure discharge planning process as per SouthernCare policy and procedure, met/contact SNF DON s on a regular basis to evaluate satisfaction with hospice services, oversaw and assured compliance with Performance Improvement Program and assures updated policies, forms, job descriptions are reviewed with appropriate staff and utilized in the office., completed Monthly Variance Report, assumed direct patient/family care when needed, assured all direct care clinical staff are assigned appropriately, participated in and assures that medical record review is conducted as per SouthernCare policy, assured that evaluation visits are conducted on all potential discharges, monitored and approved bills from DME vendors and from EHO; forward to corporate office, arranged and negotiating services provider through contracted agreement. 5 years experience as a Case Manager at SouthernCare Inc. drovides skilled nursing patient care or service within the established plan of treatment and maintains quality assurance for records of patients assigned, prepared written instructions to home health aides for patient care consistent with the Plan of Care and supervised the aides on a routine basis to accomplish the plan of treatment, which has been developed, coordinated all services relative to providing skilled nursing care, assessed patient physical, psychological, social, and environmental status; identifies problems, plans and implemented the appropriate interventions and initiates the Plan of Care based on these findings, reported pertinent observations and reactions regarding changes in patient status to the appropriate team person (i.e., physician, supervisor, occupational therapist, physical therapist, social worker, nutritionist, or family member), and provides follow-up to assure resolution of an identified problem, recorded observations accurately and concisely and maintains patient's medical record in accordance with SouthernCare policy, evaluated patient's responses to approved Plan of Care, administered medications and performed treatments to assigned patients., educated the patient/family regarding proper administration of drugs and biologicals and their side effects with documentation in the patient's record, counseled with patients/family members on the Dying Process and related issues, participated in on-call rotation, including supervision of LPN s, as assigned by Clinical Director, performed admission procedures as assigned and generates Plan of Care per agency policy, knowledgeable regarding Hospice Medicare, Hospice Medicaid, Medicaid Waiver, other payor source, and their implications for patient care, took part in appropriate and timely discharge planning for hospitalized patients with facility's social worker. One year experience as Med/Surg Nurse, Huntsville Hospital. Responsible for overseeing patient recovery after surgery, implementing Plan of Care, evaluating patients condition, speaking with MD and other core team members and carrying out orders.

Educational Background:

High School Dipolma from Wallace State, Hanceville AL 1/2001 to 5/2004 (Nursing)

Job History / Details:

Professional Summary

16 months experience as Clinical Director of SouthernCare Inc. Responsible for organization and supervision of the administrative functions of the hospice office, management of the hospice program in matters of overall operation at the local office level., assure that Care Team meetings are conducted and records maintained, assured that care is in accordance with Medicare, Medicaid, Federal and State guidelines., responsible for employing qualified personnel and ensuring employee orientation, training education and annual employee performance evaluations as per SouthernCare policy, assured complete orientation of all clinical staff as per SouthernCare policy, conducted employee counseling, resignation and termination paperwork. Submitted to Corporate HR as per SouthernCare's policy & procedure, assured appropriate review and follow-up for all revocations to minimize occurrence, followed-up on any patient, employee, customer complaints/concerns. Report to RCD with action plan, assure discharge planning process as per SouthernCare policy and procedure, met/contact SNF DON's on a regular basis to evaluate satisfaction with hospice services, oversaw and assured compliance with Performance Improvement Program and assures updated policies, forms, job descriptions are reviewed with appropriate staff and utilized in the office., completed Monthly Variance Report, assumed direct patient/family care when needed, assured all direct care clinical staff are assigned appropriately, participated in and assures that medical record review is conducted as per SouthernCare policy, assured that evaluation visits are conducted on all potential discharges, monitored and approved bills from DME vendors and from EHO; forward to corporate office, arranged and negotiating services provider through contracted agreement.

5 years experience as a Case Manager at SouthernCare Inc. drovides skilled nursing patient care or service within the established plan of treatment and maintains quality assurance for records of patients assigned, prepared written instructions to home health aides for patient care consistent with the Plan of Care and supervised the aides on a routine basis to accomplish the plan of treatment, which has been developed, coordinated all services relative to providing skilled nursing care, assessed patient physical, psychological, social, and environmental status; identifies problems, plans and implemented the appropriate interventions and initiates the Plan of Care based on these findings, reported pertinent observations and reactions regarding changes in patient status to the appropriate team person (i.e., physician, supervisor, occupational therapist, physical therapist, social worker, nutritionist, or family member), and provides follow-up to assure resolution of an identified problem, recorded observations accurately and concisely and maintains patient's medical record in accordance with SouthernCare policy, evaluated patient's responses to approved Plan of Care, administered medications and performed treatments to assigned patients., educated the patient/family regarding proper administration of drugs and biologicals and their side effects with documentation in the patient's record, counseled with patients/family members on the Dying Process and related issues, participated in on-call rotation, including supervision of LPN's, as assigned by Clinical Director, performed admission procedures as assigned and generates Plan of Care per agency policy, knowledgeable regarding Hospice Medicare, Hospice Medicaid, Medicaid Waiver, other payor source, and their implications for patient care, took part in appropriate and timely discharge planning for hospitalized patients with facility's social worker.

One year experience as Med/Surg Nurse, Huntsville Hospital. Responsible for overseeing patient recovery after surgery, implementing Plan of Care, evaluating patients condition, speaking with MD and other core team members and carrying out orders.

Licenses

Registered Nurse in the State of Alabama, License number1-103485

Basic Life Support, expires Jan 2013

Certified Hospice and Palliative Nurse (CHPN)

Skill Highlights

Broad medical terminology knowledge

Culturally sensitive

Enthusiastic caregiver

Hospice

Colostomy care familiarity

Assisted in building patient census from mid 20's to 70

Served on Comity to reduce cost

Medical clinical procedures comprehension

Specimen collection/processing proficiency

Patient Care

Assisted in increasing profit margin from low 30 percentage to above 40 percentage and maintained this while in the Clinical Director position

Professional Experience

April 2011 to October 2012

SouthernCare Inc Huntsville, Al

Clinical Director

Simultaneously served as lead health care provider and office manager of family clinic.Supervised 24Actively participated in unit-based Quality Assurance Program.Provided palliative care in outpatient settings ranging from assessment to development and implementation of care plans.Sound, ethical and independent decision-making ability consistent with medical protocols.Disciplined, energetic employee who quickly establishes rapport with patients and colleagues.Performed all tasks with a patient-centered focus while seeking opportunities for improvement of processes and treatments.Managed team of medical support personnel.Monitored unit budget to ensure financial objectives were met.Partnered with team of Registered Nurses to ensure over all well-being of all patients.Coordinated with doctors and registered nurses to develop care plans for patients.Created and maintained all absentee calendars, agency nurse schedules and staff meeting minutes.Maintained patient charts and confidential files. other practitioners and employees, led recruiting and hiring, managed employee review process and ensured compliance with state and federal regulations.

October 2005 to April 2011

SouthernCare Inc Huntsville, Al

RN Case Manager

Conducted screening, diagnostic treatment and rehabilitative and supportive services as the senior nurse on a primary health care team.Recorded patients' medical history, vital statistics and test results in medical records.Actively participated in unit-based Quality Assurance Program.Provided palliative care in outpatient settings ranging from assessment to development and implementation of care plans.Sound, ethical and independent decision-making ability consistent with medical protocols.Disciplined, energetic employee who quickly establishes rapport with patients and colleagues.Performed all tasks with a patient-centered focus while seeking opportunities for improvement of processes and treatments.Assisted patients with healing and recovery after surgery.Provided patient diagnosis under strict time constraints.Provided education to patients on detox and withdrawal, medications, addiction, recovery, coping skills and community resources.Provided necessary health education training for patients.Acted as patient advocate and implemented total patient care through a team nursing process covering 8-10 high acuity patients per shift.Treated patients with strokes, head traumas, comas and intracranial hematomas.Managed caseload of 20 clients, providing education, treatments, IV therapy, venipuncture and wound care.Assisted patients with multiple chronic diagnoses including COPD and asthma.Administered medications and assisted in diagnostic testing for HIV-positive patients.Responsible for primary care, case management and medication management.Evaluated patient care needs, prioritized treatment and maintained patient flow.Accurately documented all elements of nursing assessment, treatments, medications, discharge instructions and follow-up care.Took and recorded patients' temperature, pulse and blood pressure.Utilized strong assessment skills to determine necessary patient care.Often commended for maintaining the safety, respect and dignity of residents.Cleaned and sterilized instruments and disposed of contaminated supplies.Interviewed patients to obtain medical information and measure their vital signs, weight and height.Maintained patient charts and confidential files.

May 2004 to October 2005

Huntsville Hospital Huntsville, Al

Floor RN

Recorded patients' medical history, vital statistics and test results in medical records.Delivered high-quality and compassionate treatment to indigent and low-income patient community.Monitored post-op vitals, set up PCA, fluids, reviewed post-op orders and orient patients to unit.Sound, ethical and independent decision-making ability consistent with medical protocols.Disciplined, energetic employee who quickly establishes rapport with patients and colleagues.Performed all tasks with a patient-centered focus while seeking opportunities for improvement of processes and treatments.Assisted patients with healing and recovery after surgery.Provided necessary health education training for patients.Acted as patient advocate and implemented total patient care through a team nursing process covering 8-10 high acuity patients per shift.Supported patients with customized patient teaching tools.Evaluated patient care needs, prioritized treatment and maintained patient flow.Accurately documented all elements of nursing assessment, treatments, medications, discharge instructions and follow-up care.Utilized strong assessment skills to determine necessary patient care.Prepared for HIPAA and JCAHO reviews, ensuring required brochures and pamphlets were available to patients in all clinics.Cleaned and sterilized instruments and disposed of contaminated supplies.Tested glucose and administered injections.Skillfully performed suture removals for patients of all ages.Maintained patient charts and confidential files.

Education and Training

2004 Wallace State Hanceville, Al

ADN Nursing

Served as Class Representative

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