Medical Acute Care

Karen George BS, RN, UM, QC, DON, Consultant

Texas RN Compact licensure states

**** ******** ****** #**-***

Midland, TX 79707

********@***.***

Position: Director of Nursing, Regional, Consultant, Utilization Review/CM

Specialty Areas: LTC, Psychiatric, Acute, Utilization/Quality/CM

Professional Positions

Rapid Temps, New Mexico (2009 to Present)

DON and RN coverage (various LTC facilities throughout Texas and compact)

Psychiatric DON RN coverage (facilities throughout Texas and compact)

Documentation specialist state and federal regulations

Provision of necessary regulatory coverage, documentation, emergent situations,

stand in for Administrator, Medicare and MDS documentation, care planning, floor

coverage. Staffing, direction of employees, customer satisfaction, interaction with

team (social work, therapy, nutrition) evaluation of lab values, compliance with

federal and state regulatory bodies. Short-term and long-term assignments.

Midland Public Schools, Midland, TX (2010 to 2011)

Substitute Teacher all grades and all subject matter

AVID teacher for college bound students

RN substitute from kindergarten through high school, emergency and complex.

Kissoto Long Term Care, Midland, TX (November 2011 to January 2012)

Weekend RN and DON

Coverage for 110 bed facility through sale of property to another LTC provider.

CONFIDENTIAL CONTRACT (January 2011 to March 2011)

Acting CNO, DON

Emergency potential shutdown of a LTC and AL company (4 buildings)

Worked with Executive Director to assess deficiencies and provided written

POC’s. First zero deficiency return surveys in the history of the facility.

(Nebraska)

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Karen George BS, RN, UM, QC, DON, Consultant

Texas RN Compact licensure states

4534 Sinclair Avenue #14-101

Midland, TX 79707

********@***.***

CONFIDENTIAL CONTRACT (March 2010 to December 2010)

Utilization Documentation Consultant

Designed documentation for physician group(s). New system of state appropriate

documentation for the state medical board. Creation of charting conducive to

standards set by the state, orientation of office staff, review of charts and

assessment of necessary gaps, and client follow up and appointments set up.

(Houston, Texas, and Los Angeles, California)

CONFIDENTIAL CONTRACT (February 2009 to February 2010)

ACTING CNO, DON, and CONSULTANT

Group of LTC facilities in New Mexico that were non-compliant with state survey

standards, and needed redirection in marketing, census, documentation needs, and

provision of proper standard of care for LTC clients. Recovered $1,000,000 in

back owed Medicaid funds in one 50 bed facility in first month.

Heritage Oaks, Lubbock, TX (April 2008 to December 2008)

Director of Nursing

150 bed LTC facility with full direction of staff, marketing of census; opened a

sub-acute hospital unit, relocation due to marriage to the Austin, Texas area in

January of 2009 nearer to husband’s family.

Deficiency free facility, wide variety of staff, and residents in population. Created

training programs to facilitate staff working in more than one unit to reduce

duplication of resources. Facilitated team building and close work between

nursing staff and therapy groups achieving referrals and increased resources.

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Karen George BS, RN, UM, QC, DON, Consultant

Texas RN Compact licensure states

4534 Sinclair Avenue #14-101

Midland, TX 79707

********@***.***

Nonmalignant Pain Network, Research Foundation (1998 to 2010)

Owner and professional nurse and contractor with physician (now deceased)

Nationwide network and referrals; mock surveys in LTC and JACHO acute care,

hospice interface (home, LTC, and hospital), support network via internet for

patients with nonmalignant intractable pain, research grants on medications outside

normal scope for pain therapy, consultant and travel situations in compact states.

Psychiatric facilities (state and private) for clients with multiple and complex

disorders outside single phase diagnosis. Medical care from all levels and

referrals throughout United States, England, and some foreign countries.

Medical College of Virginia Hospitals, Richmond,VA (9/1998 to 12/1998)

CCU TELEMETRY STEPDOWN nurse

Entered alma mater to begin Executive MSHA program (tuition paid) was injured

on duty began foundation (above) within two months of injury.

Westport Convalescent, Henrio, VA (April 1998 to September 1998)

Director of Nursing

200 bed private pay long term care facility. Reported directly to the owner and

administrator with emphasis on infection control, and becoming JACHO certified,

a new concept in this area of health care. Tuition reimbursement was no longer

available so left in good standing for MCVH above.

Forest Hill Nursing Home, Richmond, VA (January 1998 to April 1998)

Director of QA and MDS Care Plans

Interim Director of Nursing (January 1998 to January 1999)

When potential shut down evolved (federal) the Administrator asked me to take

over immediately as DON, provided “interim” through January of 1999.

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Karen George BS, RN, UM, QC, DON, Consultant

Texas RN Compact licensure states

4534 Sinclair Avenue #14-101

Midland, TX 79707

********@***.***

Liberty Mutual, Philadelphia, PA (October 1997 to January 1998)

Commonwealth of Virginia Psychiatric Forensics Project

Associate HOSPITAL DIRECTOR (maximum security prison pretrial forensics)

A contract position due to “unlawful deaths” of in-patient psychiatric state

facilities clients that were classified in pretrial forensics category. Clients were

charged with felony crimes and had extensive and or life long history of severe

psychiatric disorders as well as medical issues. DOJ mandated project. Designed

nursing care to be “least restrictive first” to meet the humane needs of this special

population who were incarcerated yet met the severe criteria of extreme mental

diagnostics. Interface with state psychiatric officials and revision of policy and

procedure to implement and maintain such care throughout all state mental

hospitals.

Metropolitan Hospital, Richmond, VA (May 1997 to October 1997)

Director of QA Psychiatric and Acute Care

Acute care insurance reviews, and state mandated as well as court remanded

mental health clients and acute care medical for a general hospital. Private sector

with 99% review acceptance status including increasing LOS for clients requiring

further acute care.

WVMI, Richmond, VA (January 1997 to May 1997)

Psychiatric Reviewer Case Manager

McKesson Acute Care Reviewer

Commonwealth of Virginia Medicaid contract created to reduce costs to the

Commonwealth of Virginia on acute care stays for recipients in both medical

surgical hospitals and psychiatric in-patient facilities. Was the only nurse

reviewer for psychiatric reviews, transitioning clients from acute care to transition

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Karen George BS, RN, UM, QC, DON, Consultant

Texas RN Compact licensure states

4534 Sinclair Avenue #14-101

Midland, TX 79707

********@***.***

at home and care facilities led to a $3,000,000 savings to the insurer in the first two

months of review. ICD-9 coding, McKesson soft-ware, and telephonic review

along with co-insurer eligibility and Medicaid eligibility. 95.9% review on denied

claims even to physician review. Processed 80% higher reviews with

documentation on each review, then all nurse reviewers combined.

Educational

Virginia Commonwealth University MCV, Richmond, Virginia

BS in Nursing with honors 1996

Multiple nursing scholarship recipient

Graduated one semester early

Bradford College, Haverhill, Massachusetts

AA in Psychology/Social Sciences/European Literature

Cumulative High Honors graduated 3rd in class

Editor of College news “And So It Goes”

Recipient of the “Social Sciences Award” as student most likely to

contribute to the betterment of those in need in society.

Smith College, Northampton, Massachusetts

Completed one semester with high honors (transfer from Bradford)

Scholarship (academic) award winner

Due to death of father returned home to run family business

Functional

Interqual (McKesson) certified in 1997

Computer literate on all systems; ICD 9 coding, software MDS, psychiatric

programs, transition to ICD 10, state and federal regulations for LTC

multiple compact states, JACHO for LTC and acute care facilities;

MEDICARE and MEDICAID insurance regulations and standards.

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Karen George BS, RN, UM, QC, DON, Consultant

Texas RN Compact licensure states

4534 Sinclair Avenue #14-101

Midland, TX 79707

********@***.***

Published psychiatric researcher

“Medical Trial Technique Quarterly” Autonomy and Schizophrenia

Restraint of the Individual published as a “graduate nurse” and research

outcomes used by lawyers and physicians in tort trial on behalf of

schizophrenics and others court mandated to neuroleptic therapy.

References available upon request professional and personal

Texas RN licensure in excellent standing

OIG clear and background clear

Contact this candidate