Home Health Quality Assurance
Resume:
karen heath
Email: **********@********.***
Address: **** **** **
City: pittsburgh
State: PA
Zip: 15205
Country: USA
Phone: 412-***-****
Skill Level: Experienced
Salary Range: $67,000
Primary Skills/Experience:
See Resume
Educational Background:
See Resume
Job History / Details:
KAREN S. HEATH, R.N.
1944 DALE STREET
PITTSBURGH, PA 15205
OBJECTIVE
To obtain a position within the health care industry where I can continue to use my skills and expand my knowledge.
PROFESSIONAL EXPERIENCE
CVS Caremark Theracom-Amerisource Bergen Pittsburgh, PA
Telephonic Nurse: 2009-Present
Provided training, education and support for osteoporosis patients who are prescribed Forteo.
Collaborated in design and implementation of new hire training utilizing integrated approach
for all Forteo Connect business units including reimbursement, clinical and ongoing support.
Scheduled and presented orientation programs for new hires on systems and procedures.
Certified preceptor.
Represent Clinical staff as a member of the Quality Assurance Committee.
Communicated Adverse Events and Product complaints within the FDA regulatory framework including the
creation and reconciliation of reports, managing deviations and working with agents across business units to
maintain quality handling on behalf of the client
RENAISSANCE HOME CARE, Pittsburgh, PA
Director of Nursing 1999 - 2009
Managed all day-to-day operations including all nurse performance, evaluations, nurse in-service and preparation for continuing education.
Increased patient and client volume by 87% over five years in position.
Provided ongoing orientation for all new employees (nurses, home health and contract therapists).
WESTERN MEDICAL SERVICES, Pittsburgh, PA
Area Manager 1997 - 1999
Managed operations of the Pennsylvania offices, to include Pittsburgh, Media and Wilkes Barre. Site visits on a regular basis for chart review. Counseled employees and prepared for yearly survey.
WESTERN MEDICAL SERVICES, Pittsburgh, PA
Administrator/Supervision of Clinical Services 1992 - 1997
Secured contracts to enhance both private and home care referrals significantly.
Assisted in maintaining full Medicare compliance.
Assisted in negotiations for contracts with USHC and Blue Cross. The Agency received JCAHO accreditation with commendation during triennial survey.
Hired and counseled all office staff, on-call staff and all levels of field staff.
LANDMARK HOME HEALTH CARE SERVICES, Pittsburgh, PA
Director of Nursing 1990 - 1992
Developed treatment plans that were concurrent with patient assessments and medical updates required for Medicare and third-party payers reimbursement. Reviewed and revised policies and procedures of agency to meet Medicare guidelines.
Coordinated activities of staff nurses, home health aides, physical and speech therapists.
PAR SERVICES - EQUICOR, Pittsburgh, PA
Nurse Consultant 1989 - 1990
Obtained approval for various hospital admissions and managed second surgical opinions.
Worked with utilization review department and MD offices to authorize length of hospital stay in accordance to medical necessity.
Negotiated hospital stay extensions with approved criteria.
HOME HEALTH SERVICES OF ALLEGHENY COUNTY, Pittsburgh, PA
Nursing Supervisor 1987 - 1989
Scheduled patient`s complete discharge planning. Completed Medicare billing forms 485/487.
Coordinated all disciplines regarding patient-provided services.
HOME HEALTH SERVICES OF ALLEGHENY COUNTY, Pittsburgh, PA
Senior Staff Nurse 1980 - 1987
Developed in-services, completed case conferences, evaluated utilization review, monitored patient care and supervised home health aides.
HOME HEALTH SERVICES OF ALLEGHENY COUNTY, Pittsburgh, PA
Staff Nurse
1975 - 1980
Completed total patient assessment following hospital stay. Developed specific patient care plan to be reviewed
and approved by physician.
Performed specific veinipuncture ordered for patient by physician.
STUDENT HEALTH SERVICES, UNIVERSITY OF PITTSBURGH, Pittsburgh, PA
Triage Nurse 1973 - 1975
Clinic setting provided patient core triage settings, nursing, assisted in minor surgical procedures.
ST. MARGARET MEMORIAL HOSPITAL, Pittsburgh, PA
Staff Nurse, Medical Surgical 1965 - 1973
EDUCATION AND PROFESSIONAL DEVELOPMENT
POINT PARK COLLEGE, Pittsburgh, PA A.D.N. Program
ST. FRANCIS HOSPITAL, Pittsburgh, PA Clinical Experience
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