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Manager Home Health

Location:
Philadelphia, PA, 19114
Salary:
85,000
Posted:
April 09, 2013

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Resume:

DINA KANE, RN BSN HCS-D

Cell 267-***-****

E-Mail: ****.****@*****.***

EDUCATION

Kingsborough Community College

Brooklyn, NY

A.A.S. of Nursing

Regis University

Hartman College for Health Professions

Denver, Co

BSN

Currently enrolled MSN program

OBJECTIVE To find a position in health care which can offer growth,

opportunity, and security, that provides a continuum of services to reduce

rehospitalizations, improve quality and deliver excellence in care to my

patients.

EMPLOYMENT

Visiting Nurse Association of Central NJ 10/10 - 09/12

Manager of Business Development/Transitional Care Liaison

. Develop and foster relationships with Home Care referral sources

(physician's groups, social services, rehabs, hospitals, etc.) throughout

the assigned region of Central New Jersey.

. Direct a sales team and provide leadership towards the achievement of

maximum profitability and growth in line with company mission, vision and

values.

. Present in-servicing and contracts regarding Telehealth and Hospice

programs.

. Establish plans and strategies to expand the customer base in the

marketing area and contributes to the development of training and

educational programs for referral sources and sales team. Conduct on-site

assessments of patients screening for admission criteria.

. Provide continuity of care for patients recently discharged from the

acute setting in a partnership with Horizon to provide education with

telemonitoring, physician appointments, lab work, medications,

preventative care and chronic disease management while being a dedicated

team player on the Gain Sharing Committee on reducing readmissions.

. Chronic Care Certification.

Alpine Home Health, Bronx, NY 11/09 - Present Remote

Position/Work from home

Documentation Specialist/QI

. Prospective review of OASIS C assessments ( Start of Care, Resumption

of Care, Recertification,

and Discharges), to ensure appropriateness, completeness, and

compliance with state and federal

regulations.

. Ensures appropriate ICD-9 Coding and sequencing as it relates to the

patient's medical condition,

including any co-morbidities and case mixes.

. Consults with the appropriate clinician to clarify any data integrity

issues and/or corrections to

documentation; documents same in the medical record.

. Assists clinicians in establishing immediate and long-term therapeutic

goals, in setting priorities and

in developing the plan of care.

. Reviews visit utilization for appropriateness as per care guidelines

and patient condition; reports

potential financial losses and/or underutilization to the

Clinical Manager/designee.

. Notifies agency leadership of problematic trends noted in OASIS

documentation as a result of OASIS

review.

. Stays informed about changes in the field of home health care,

including state and federal regulations.

Attends conferences as assigned and shares that information with

agency staff as appropriate.

VIP Health Services, Queens, NY 07/07 - 11/09

Clinical Director of Business Development

. Network with physician group practices, skilled nursing facilities,

assisted livings and surgical centers.

. Conducted on-site assessment on NDOC software, of referred patients in

various acute care or skilled nursing facilities and determine

eligibility for homecare.

. Educate patients, family, medical staff regarding homecare services,

wound care, management disease management, safety and health insurance.

. Counsel patients and MD's on Medicare/Medicaid and HMO reimbursement for

agency services, DME and wound care supplies.

. Attend and organize networking meetings, develop programs, order

promotional items, attend health fairs, organizational gatherings and

provide in-service luncheons and presentations.

. Manage RN's in Business Development Department, clerical staff and

marketing personnel, monitor STATS, train new hires at their on site

locations. Ensure compliance, accuracy of physician's orders; educate

staff on company policy, changes in procedure and efficiency in delivery

of care.

Metropolitan Jewish Health System, Brooklyn, NY 08/04 - 07/07

Home Care Liaison/Coordinator

. Assessed the physical, functional, social, psychological, environmental,

and financial needs of clients/patients; identify a cost-effective

comprehensive plan to meet the families' service needs, and implement the

plan.

. Provided referrals to appropriate community resources; facilitate access

and communication when multiple services are involved; monitor activities

to ensure that services are actually being delivered and meet the needs

of the client; coordinate services to avoid duplication.

. Assessed the client's formal and informal support systems.

. Monitored client's progress toward goal achievement and periodically

reassess changes in health status.

. Monitored the care plan to ensure the effectiveness and appropriateness

of services; ensure that services are being delivered and meet the needs

of the client.

. Acted as patient advocate; identify and develop new community resources;

assist with problem solving.

. Provided or assist in providing appropriate medical, nursing or other

health care in the home and/or in a clinic setting as needed.

. Maintained accurate patient records; maintain patient confidentiality.

. Knowledge of Medicare/Medicaid/HMO Insurance reimbursement. Obtained

authorization for needed services and auth for DME and supplies.

. Made recommendations to MD regarding up to date wound care orders.

Visiting Nurse Service of NY, Queens, NY 08/00 - 08/04

Coordinator of Care/Care Manager

. Multi-task coordination of recently discharged acutely ill patients.

. Communicated with MD, PT, OT, ST, MSW, family members, and

paraprofessionals daily.

. Instructed disease process, medication regimen, diabetic regimen, wound

care, safety, medical follow up and specialized procedures.

. Supervised and instruct paraprofessionals.

. Recorded and document effectively using pen-base computer tablet OASIS

program.

. Provided direct care for complicated, non-healing wounds of all etiology.

. Coordinated wound rounds using photographs/assessments to director.

Maimonides Medical Center, Brooklyn, NY

Medical/Surgical Staff Nurse 08/99- 08/07 Per Diem

. Provided clinical care to medical/surgical patients in a 700 bed medical

center.

. Delegated work assignments to Nurses Aides and Patient Care Technicians.

. Effectively documented, implemented and evaluated.

. Rotating charge nurse assignment with narcotic key control.

Olsten Kimberly Quality Care, Brooklyn, NY 08/95 - 08/99

Home Health Aide Recruitment manager

. Recruited qualified individuals for home health aide/nurses aide

positions.

. Presented in-service education modules.

. Coordinated home health aide visits with patients.

. Conducted background checks, disciplinary action research and reference

checks.

SPECIAL SKILLS AND ORGANIZATIONS

Chronic Care Certified, PRI certified, Screening certified, ICD 9 Home Care

Coding Specialist Certified, American Nurses Association member since 1999,

CPR certified, and Advanced Wound Care Workshop Certificate. Knowledgeable

of: Home Care Home Base, McKesson, Misys Software, N Doc, Interact2, SBAR,

and ERSP. Proficient with Pixys Machine, Type 60 wpm.

Registered currently in New York, New Jersey and Pennsylvania.

Registration numbers upon request.



Contact this candidate