TRACY A. STONE MSN, FNP-BC
SAN ANTONIO, TEXAS 78223
***********@****.***
QUALIFICATIONS SUMMARY
Dedicated Nurse Practitioner with expertise in community health services, home health care setting, hospice, managed care setting, staff development, and multidisciplinary team approach for holistic patient care.
CERTIFICATIONS AND PROFICIENCIES
HOSPICE, HOME CARE CODING, OASIS TRAINING, INSERVICING AND NURSE TRAINING, INTRAVENOUS THERAPY
PHLEBOTOMY, BASIC LIFE SUPPORT, CARE PLAN ADMINSTRATION, CASE MANAGEMENT, WOUND CARE/OSTOMY CARE, DOT, PRE EMPLOYMENT EXAMINATION
CAREER EXPERIENCE
Baptist Health System: Community Health Nurse Practitioner 8200 Titan Plaza Suite 100 San Antonio, Texas 78218 June 2017 to present.
Outpatient family focused community based care. Emphasis on treating preventative care and disease prevention for children and adults age 3-99. Serving a diverse population that required some Spanish speaking, ability, and work with interpreters. Job duties include: Diagnosing, treating, and helping patients manage acute and chronic illnesses. Conducting physical examinations and interpreting medical history. Ordering and performing diagnostic tests and procedures. Prescribing age-specific physical therapy and rehabilitation. Prescribing pharmacologic treatments preventative care screening services. Performing minor procedures, and wound care. Counseling and educating patients about preventive measures to avoid illness other duties, Medicare audits, staff in servicing and development. Chronic management of Diabetes, Renal, Asthma/COPD Depression, and Anxiety. DOT, Pre-Employment Examination
Dr. Joseph Marotta MD Internal Medicine 1200 Brooklyn Suite 310 San Antonio, Texas 78212
Family Nurse Practitioner 12/2016 to present
Outpatient community based family practice. Emphasis on treating adults 18-99. Diverse clinic population that required some Spanish speaking and ability to work with interpreters. Job duties include: Diagnosing, treating, and helping patients manage acute and chronic illnesses. Conducting physical examinations and interpreting medical history. Ordering and performing diagnostic tests and procedures. Prescribing age-specific physical therapy and rehabilitation. Prescribing pharmacologic treatments preventative care screening services. Performing minor procedures. Counseling and educating patients about preventive measures to avoid illness other duties, Medicare audits, staff in servicing and development.
BLUE CROSS BLUE SHIELD of Texas (BCBSTX) 1001 E. Lookout Drive Richardson, TX 75082
DIRECTOR OF CLINICAL OPERATIONS 09/2014-12/2016
Operational director of the multi-site HEB Custom Partner Care Model for 85,000 insured and uninsured members. Lead and managing the development, implementation, strategic day-to-day administration of managed care operations in a variety of clinical functions such as Utilization Management, Case Management, and Disease Management. Establish and lead all team efforts, communications, protocols, and procedures for managed care activities ensuring the cost effectiveness of health care delivery by an ongoing coordination with other internal departments. Responsible for UM and all related accreditation standards including, but not limited to NCQA, URAC, DOI, and DOL/ERISA. Monitors audits/reviews on UM related services on delegated contract groups including ER Program, High Cost Claimants. Successful implementation and management of the Primary Care Team Model with 72 dedicated staff. Meet/exceed internal and external customer service expectations. Monitor monthly metric reports and quarterly reports regarding productivity, departmental activities, and cost savings including medical care usage modalities and reimbursement mechanisms such as DRG’s, per diem, ambulatory measures, etc. Directs the translation of mandated requirements into successful departmental workflows, and processes. Monitors budget personnel management, compliance activities and overall management of the custom model. Develop annual goals and performance standards to meet all Performance Guarantees. Ensure successful completion or initiate interventions to drive team to strategies, goals, and initiatives to ensure successful completion and results.
BROOKDALE HOME HEALTH AND HOSPICE 417 Live Oak Way Drive San Antonio, Texas 78240
ADMINSTRATOR /DIRECTOR OF NURSING 06/2010-09/2014
Responsible for maintaining accountability for ensuring the success of all home health/hospice services among team members, patients, and families. Maintain objective, goals, and philosophy of healthcare congruent with the mission of the company. Directs plans, supervises, and monitors productivity/ efficiency levels while ensuring prudent financial resource utilization and provide for staff education and training. Serve as a liaison of Regional Director of Operations, and multi-site San Antonio operations for the outpatient team, inpatient skilled facility team, home health, hospice, and community based teams for collaborative success. Monitor business office operations, daily to ensure processes are moving toward the company’s model and success. Monitors budget, net operating income, nurse and therapy productivity, gross margin, expense allocation, HHRG rate, admissions, daily average census, average length of stay, therapy and nurse management utilization, and any held revenue claims. Maintain a working knowledge of CHAP and CMS. Local and federal rules and regulations to include responsibilities of the Administrator and Director of Nursing, certification notebooks, policy and procedure manuals, documentation and chart audits, with monthly, quarterly, and annual reviews to Senior Management. Directs the daily nursing, therapy component of the agency’s program. Collaborates with the Regional and Senior Directors to help develop nursing and therapy goals that are planned and implemented in meeting the community's health care needs. Participates in the recruitment and selection of nursing, therapy and business staff; and provides orientation of all new staff members; completes performance evaluations; actively participates in all public health presentations. Mentors and serves as an operational resource for newly hired Directors and project implementation.
TEXAS HEALTHCARE SOLUTIONS 10690 IH-10 WEST, SUITE: 102 SAN ANTONIO, TEXAS 78230
ADMINSTRATOR/DIRECTOR OF NURSING 12/2009- 06/2010
Directs the daily office and nursing component of the agency’s comprehensive nursing program: serves as an expert nursing resource, establishes, interprets and disseminates agency, state, and Medicare policy and protocols: reviews and updates all nursing care policies and procedures, and participates in the development and administration of budgets. Interprets statues and regulations that influence home health nursing, and develop nursing care plans to assist in meeting community health care needs. Participates in recruitment and selecting of nursing staff, and provides new nursing staff with a comprehensive orientation; performance evaluations and in quality assurance and utilization reviews.
A-TOUCH HOME HEALTH LTD 45 NE LOOP 410 SUITE: 210 SAN ANTONIO, TEXAS 78216
DIRECTOR OF NURSING/ OFFICE ADMINSTRATOR 10/2009-7/2005
Directs the nursing component of the agency’s comprehensive nursing program: serves as an expert nursing resource person: establishes, interprets and disseminates agency, state and Medicare policy and protocols: reviews and updates all nursing care policies and procedures: participates in the development and administration of budgets; interprets statues and regulations that impact home health nursing’ collaborates with the owner to help develop nursing care plans to assist in meeting community health care needs; assigns and oversees activities of the nursing staff, and adjunct staff assess staffing utilization and needs, participates in the recruitment and selection of nursing staff; provides orientation of all new staff members; completes performance evaluations; actively participates in quality assurance and utilization reviews, and represents agency at state meeting and all public health presentations.
HOME NURSING AND THERAPY SERVICES REGISTERED NURSE CASE MANAGER
14220 NORTHBROOK STE 700 7/2006-9/2004
SAN ANTONIO, TEXAS 78232
CONTINU CARE HOME HEALTH REGISTERED NURSE CASE MANAGER
4335 WEST PIEDRAS 9/2004-6/2003
SAN ANTONIO, TEXAS 78228
EVERLASTING HOME HEALTH CARE REGISTERED NURSE CASE MANAGER
45N.E. LOOP 410 STE 115 4/2003-2005: PRN Staff
SAN ANTONIO, TEXAS 78216
SOUTHWEST TEXAS METHODIST HOSPITAL SICU NURSE EXTERN II TO STAFF RN
FLOYD CURL DRIVE 12/2002-1/2004
SAN ANTONIO, TEXAS 78229
EDUCATIONAL BACKGROUND
Master of Science in Nursing MSN with Distinction
Chamberlain College of Nursing December 2016
Bachelor of Science in Nursing, BSN 2003 Cum Laude Honors
University of the Incarnate Word, San Antonio, Texas
San Antonio College
Home Health Aide Training School- San Antonio, Texas
East Central High School- San Antonio, Texas
LICENSURE
Family Nurse Practitioner FNP-BC 1/2017
DEA Registered Available Upon Request
NPI Registered Available Upon Request
Registered Nurse RN State Of Texas 2003
Certified Nurse Aide CNA State of Texas 1996
HONOR SOCIETIES
2001 ALPHA CHI HONOR SOCIETY
2002 NURSING HONOR SOCIETY
2001-2003 MC NAIR HONOR SOCIETY
2002 FLORENCE NIGHTINGALE NURSING HONOR SOCIETY
2003 WHO’S WHO AMONG COLLEGE AND UNIVERSITY STUDENTS
2016, 2004 SIGMA THETA TAU INTERNATIONAL HONOR SOCIETY