Manager Care

PERSONAL RESUME OF

MONICA L. MCCLOUD, RN

***** ***** ****** ***** ******: Excellent

Denham Springs, La 70726 Marital Status: Married

cell 225-***-**** D.O.B.: 07-24-65

EDUCATION: Louisiana State University of

Alexandria, Louisiana

Graduated: December 18th, 1991

Curriculum: AD in Nursing

Louisiana State University of

Alexandria, Louisiana

Attended: August 1983-May 1984

Menard Central High School

Alexandria, Louisiana

Graduated: May 1983

EXPERIENCE:

March 2016- Flex Care RN Wellness nurse for Humana March 2017 Maria Legaux.

Title: Case Management

Responsibilities Included but not limited to:

Membership surveys at the members home as referred when member was discharged from hospital or health has declined and their case manager felt a visit was needed to see what benefits might help member. Reviewed and educated on all chronic illnesses including cancer and dialysis. August 31st, 2015. Air Med Care Network

March. 2016 199 Hangar Rd

Opelousas, La.

Title: Membership Sales Manager. Opelousas, La base 124 Responsibilities include but not limited to:

Membership sales for largest independently owned Air Ambulance service. Recent base openings in Kinder and Opelousas, La. Responsible for meeting monthly budget. Sold the city of Opelousas Mayors office memberships for all city employees the second month of employment. June 1st, 2013 – Pediatric Health Choice

May 15th, 2015 Hammond, La

Deb Frase Clinical Vice President/

Donna Thomas Regional Director

Title: Administrator

Responsibilities included but not limited to:

Direct and coordinate all administrative and clinical activities for center, work in collaboration with Vice President to ensure that the company is in compliance with state, federal and local laws, rules and regulations and licensing provision requirements. Complete all state and federal survey’s and obtain resultant license/certificates, coordinate with management team review of all pending referrals and current cases for respective clinical areas and guides the process of assessing child/family for appropriateness of and acceptance of admission to PDHC services. Evaluation for admissions, discharges and transfers center patients utilizing criteria for care for PDHC.

Collaborate with Professional Advisory Board in development, coordination, and evaluation of Quality Assurance and Quality Improvement Programs which assures case management is appropriate, adequate and consistent with the medical plan of care/protocol of care, and patient needs. Collaborate with Vice President and other individuals in development of annual budget as well as monitoring the annual operating, capitol, and cash budgets. Review financial statements regarding operations and provide explanations for variances from budget to Vice President in monthly operational reports. Supervise schedules and staff in relation to maintaining appropriate staffing patterns/requirements and staff productivity per clinical division. Serve as liaison and safety officer for the local PDHC facility, assume responsibility for customer service, serve as custodian of records for local PDHC, serve as DON as needed in the event of absence of DON, collaborate with Vice President to develop and implement marketing plan that enumerates sales/revenue targets, managed care initiatives and program expansion plans. Supervision of all center staff including Office Administrator, RN’s, Direct care workers, CNA’s, drivers, Paramedics, LPN’s as appropriate on daily basis. October 25, 2010 Pediatric Health Choice

June 1st, 2013 Baton Rouge, La

Donna Thomas

Title: Director of Nursing

Responsibilities included but not limited to:

Assisting Administrator with PDHC duties as directed. Case management and service coordination of PDHC care. Assist with coordinating day to day PDHC activities, Supervising Nurses and direct care workers with patient care, ensuring all time sheets correct, ensuring all emergency medical equipment checks are done daily, assisting with over all medical and nursing care plan and establishing clinical objectives with measurable outcomes, assisting with ongoing assessment of child and family for services, admissions, discharges, transfers, act as liaison with other health care professionals in absence of Administrator, Staff development, scheduling of staff, etc.

September 09 to

July 2011. PEDIATRIC PULMONARY & SLEEP

MEDICINE, PEDIATRIC

PHARMACOLOGY, & AERODIGESTIVE

MEDICINE OLOL

Baton Rouge, Louisiana

Donna Thomas

Title: Clinic RN

Responsibilities included but not limited to:

Liaison for MD’s with other health care providers, orders, vital signs, administration of medications, care of high tech tracheostomy and ventilator dependent children, assurance of quality patient care, spirometry, asthma education, ensuring coordination of care with home health agencies, referrals, etc.

October 7th, 2007 PSA HEALTHCARE

Sept 2009 Baton Rouge, Louisiana

Brenda Relle, RN, Regional

Vice President of Nursing

Title: Location Director

Responsibilities Included but not limited to:

General management for BR location to included development and execution of business, recruitment and budget plans to achieve revenue and contribution dollar annual budget. Responsible for ensuring compliance with all company, local, state and federal guidelines, rules and regulations. In addition, assurances of quality patient care in quality fashion according to Company and industry standards. Care plans and physicians orders, acting as liaison between patients and healthcare professionals.

Supervision of of approximately 7 office personnel 70 nurses including RN’s and LPN’s.

September 2001 – PEDIATRIC SERVICES OF AMERICA

October 7th, 2007 Baton Rouge, Louisiana

Brenda Costa, RN, PSA Regional Director/

Administrator

Title: Clinical Director of Nursing

Responsibilities Included but not limited to :

Accountable for the planning, organizing, directing and evaluating for nursing location. This includes assigning patients for day to day management to nursing coordinators. Maintaining open contact with physicians and families. Evaluating new referrals for admission with recommendation for nursing care. Monitoring the clinical status of all patients and ensuring the coordination of patient care. Ensuring quality and appropriateness of services, monitoring staffing patterns of all patients. Ensuring compliance with Nurse Practice Act. Updating policies and procedures as necessary. Support and assist in hiring, training, and education PRN. Understanding third party payer rules and regulations. Assist in marketing efforts. Awareness of monthly budget. Provide support and resources for terminally ill patients & families who chose private duty nursing for home services. Support and assist in staffing as need arises. Adapt to any and all situations with integrity and discipline. Was responsible for approx. 60 RN’s and LPN’s, Staffing Coordinator, Clerical person and day to day management of Office Administrator December 15th, 1997 - PEDIATRIC SERVICES OF AMERICA, September 4th, 2001 Baton Rouge, Louisiana

Brenda Costa, RN, Regional Director/

Administrator

Title: Clinical Care Coordinator/Case manager

Responsibilities Included but not limited to:

Assuming responsibility in coordination of patient care and services. This included initial physical assessments and acuity scales with recommendation for nursing services on new referrals, setting up paperwork and providing explanation to families for private duty services, writing letters of medical necessity, physician plan of care, care plans and chart set ups. Weekly updates of patients status with documentation in charts.

Monthly home supervisory visits of LPN’s. Interviewing, hiring, and orienting staff nurses. In-services with documentation, serving as a resource person for staffing coordinator.

Supervised and evaluated 40-50 LPN’s and

RN’s

May 1996- THOMPSON HOME HEALTH

December 1997 Alexandria, Louisiana

Phyllis Fogleman, RN, Director of Nursing

Title: Case Manager, Staff RN

Responsibilities Included but not limited to: Case management of 34 patients with varying disease processes and problems. Labs including veni punctures and CBS on diabetic patients with diabetic teaching. Weekly home care visits and admissions as assigned by supervisor. Weekly communication with physicians. Care plans and physician orders.

January 1992 – CABRINI HOSPITAL

May 1997 Alexandria, Louisiana

Sarita James, RN, Unit Manager

Title: Charge RN at night from 03-92 to 02-95.

Charge RN day shift Clinical Staff/family educator from 02-95 to 12-97. Responsibilities Included but not limited to: Charge RN over 12 bed Pediatric floor. Starting and maintaining IV’s, care of CVL’s, 3 critical care rooms with capacity for ventilator patients, rounds with physicians, admissions, taking off orders, ordering and reviewing lab tests, RSV tests, assisting with spinal taps, performing throat cultures, teaching diabetics and families, care planning, supervising LPN’s, RN’s,. Administering IVIG, member of Code team in ER for infants and children. training and supervising families and nurses in care for a variety of diseases and illnesses.

LICENSE & CERTIFICATIONS:

Louisiana Licensed RN

CPR certified current

ACLS certified current

PALS Instructor from 1993-1997

PALS Certified from 1993-2001

PALS Certified May 2010 to present

PICC line insertion certification 1996

Attended conference for Children with

Special Health care needs Oct 2000.

Volunteer RN at Lions Camp for diabetic children from 1994-1997

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