Manager Nurse

Mery Beth Williams/Manz, RN.

**** ******* *****, ****** *****, TX. 75022 972-***-****

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

EMPLOYMENT HISTORY:

Altus Hospice of Dallas, LP

Dallas, TX

Executive Director/Administrator

Director of Clinical Services

Feb. 17, 2016-present

Duties:

As Executive Director/Administrator:

Provide leadership in developing mission-focused program, organizational and financial plans in conjunction with Regional Executive Director. Coordinates the overall administrative activities and operations of the agency, assuring processes in place as needed for best practice and best patient care. Along with the ADON establishes, communicates, and maintains a vision that reflects Altus Hospice goals, priorities, and appropriate professional standards. Organize and facilitates regular staff and management meetings with the goal of positive, motivating team building, as well as management problem solving and team support.

Demonstrates support of the corporate mission by actions and attitude, policies and procedures and ensures consistent compliance within the hospice program, in conjunction with Regional Compliance Director.

Provide ongoing liaison with the Governing Board and the community. Participate in the Interdisciplinary team meetings assuring patient’s POC matches needs and patient’s remain appropriate for hospice care. Also, assures F2F visits completed timely and documentation reflects appropriateness for hospice.

Will implement corporate policies, procedures and guidelines and assures program is operating in compliance with federal, state, and local policies.

Will make field visits at least weekly to contracted facilities to ensure hospice service provided appropriate for each shared resident, also participates in community education at all contracted facilities, in addition to ALF/Independent/Group Homes. Maintain facility contract and annual evaluation and education.

Responsible for maintaining the financial integrity of the organization, providing controls to ensure accurate and appropriate use of organizational funds.

Oversite of Alternate Delivery Site- same duties

Feb. 17, 2016-Present

Director of Clinical Services/Supervising Nurse:

Will work under the direction of the Chief Compliance Officer and QAPI Coordinator who advises and assures high quality hospice clinical programs. In addition, ensures compliance with all federal, state and local and corporate quality improvement regulations and/or policies and procedures, serving on agency QAPI committees quarterly.

Participate in chart audits and reports findings to QAPI Coordinator. Under the director of the QAPI Coordinator work closely with ADON to assure all documentation is complete and accurate. Collect and monitor all aspects of QAPI reports- infections, complaints, volunteer hours, bereavement, on call, etc. sending to QAPI coordinator for review and oversight. Facilitate upward and downward communication. Will make weekly field visits to facilities where hospice patients reside assuring patients’ needs are being met. Also provide supervision of hospice staff to ensure professional, courteous care is being provided according to individual plans of care. Along with ADON assure clinical team availability 24 hrs a day to respond to patient and family needs, with administrator oversite. Responds to patient needs when families calling into office and communicates to appropriate clinician. Assure patients receive medications and DME as appropriate to their individual needs. Lead daily Stand up calls/meeting relaying patient needs from previous evening/night and communicates follow up to appropriate staff as needed.

Stay informed about changes in the field of nursing and hospice care; shares information with appropriate staff members by completing monthly in services both educational and informative. Responsible for implementation of corporate policies, procedures, and guidelines. This is done through in services, communication binder and online. Demonstrate support of the corporate mission (by actions and attitude) the policies and procedures assuring consistent compliance within the program. In conjunction with the ED establishes departmental goals consistent with corporate goals and objectives

Alternate Delivery Site- same duties

Compassionate Care Hospice

Dallas, TX

Clinical Director/Supervising Nurse

Alternate Administrator

August 1, 2014-Oct 12, 2015

Clinical Director Duties:

Responsible for supervision of all clinical staff assuring visits/documentation is accurate and timely and is in accordance to individual plan of care. The Clinical Director ensures compliance with all federal, state, and local and corporate quality improvement regulations and or policies of Compassionate Care Hospice are followed, including CHAPS requirements. The Clinical Director oversees patient care assuring patient's receive exceptional care by all disciplines by making field visits to facilities and ride along with staff. The Clinical Director is the first responder to patient/family calls and assesses patient needs, assuring follow up by the appropriate clinician.

The Clinical Director leads IDT assuring all patient/family needs addressed and plan of care updated.

The Clinical Director works closely with Medical Director and RN case managers to re-certify patients and assuring F2F completed timely and available for review at IDT. The Clinical Director takes supervisory on call responsibilities.

In conjunction with the ED the Clinical Director assures all employees adhere to educational requirements, including new hire orientation and mentoring. Interviewing and hiring top quality, diverse staff. Ensures all annual evaluations are held in coordination with Human Resource Dept. The Clinical Director assists in the development of processes for enhanced team communication and cohesiveness. The Clinical Director collects, monitors and maintains QAPI Program in conjunction with Regional QAPI Leader and participates in quarterly QAPI meetings

The Clinical Director presents monthly educational in services on various diagnosis/documentation/policy changes/CMS regulations. The Clinical Director is responsible for implementing the clinical financial budget guidelines set by ED and Compassionate Care corporate.

Maintains CEU hours for Alternate Administrator

American Hospice -bought by Harden Healthcare- bought by Gentiva.

Executive Director for both the Dallas and McKinney offices.

Aug 1, 2009-May 29, 2014

Administrator Duties:

The Administrator continually evaluates the Program, services and methods of operation to assure that policies are being followed. Maintains professional visibility in the community, in hospice organization as well as other organizations. Assists in the development of QAPI program and monitor it to assure compliance with hospice policies.

The Administrator assists in the development of annual budget and monitor its implementation and compliance, promoting the health and safety of the hospice clients.

Secure and maintain contracts with the skilled nursing facilities, managed care companies and inpatient facilities. The Administrator organizes and directs the agency's ongoing functions,

ensuring smooth, effective operations of patient care services, including timely response to patient care inquiries and referrals.

Alternate Supervising Nurse Duties:

Coordinates all direct and indirect care delivered by the nursing staff to patients and families. Coordinates scheduling of nursing staff. Assures that staff follow documentation guidelines for accuracy, quality, content and timeliness. Manages patient/family issues and take appropriate action.

Assures that staff is oriented to the appropriate policies and procedures.

The Supervising Nurse participate in QAPI activities and assure that reports are submitted in a timely fashion. The Supervising Nurse coordinate on-call schedule to assure appropriate coverage and take supervisory call as needed. Assures that outside services are properly authorized and bills are accurate. Presents hospice educational programs to the community. Assist in program development are needed to ensure best care practices.

St Michael’s Hospice

Dallas, TX

Staff Development (temporary consultant position)

Jan 5, 2009- May 25, 2009

Duties:

Recruitment/retention of staff, including hiring and orientation. Educational in services in house and out in the community. Integration of Leadership team with the Clinical team. Training of new software system for documentation. Leading Marketing activities of clinical staff.

Vitas Healthcare Corporation

Inpatient Hospice Unit

Staff nurse-weekend nights

Irving, TX

May 1, 2008- Dec 20, 2008

RN on Hospice Inpatient Unit. Responsibilities include- patient assessment and re-assessment to ensure patient continues to meet higher level of care need. Medication dispensing through doctors’ order, IV therapy, ADL’s, pain and symptom management, emotional support to patient and families who often times stayed with the patient. Communication with other team members, development and updating care plans. Documentation compliance. Preparation for discharge.

Faith Hospice

Irving, Texas

July 1, 2004-Sept 1, 2007

Executive Director

Successful growth of hospice from four patients to two-hundred patients in 3 years

Duties:

Assist in the development of annual budget. Responsibility for implementing and supervising the administrative policies and operations of the agency. Administratively supervising the provision of all services to agency clients on a day to day basis. Maintains community relations including skilled nursing facilities, physicians, assisted living facilities, etc. through educational in-services, community meetings and the Marketing Team. Organization and direction of agency’s ongoing functions.

Assure patients are receiving the best possible quality care in a timely manner by directly overseeing management staff. The ED oversees clinical managers to ensure that the documentation of services is accurate and timely. Supervision of the interview and hiring process so that only qualified personal are hired. Ensures ongoing education and annual evaluations.

The ED ensures the accuracy of public information materials, education and activities, in conjunction with the COO and Board of Directors. Evaluate and supervise client satisfaction surveys.

Through Administrator on call ensures all clients receive hospice services by appropriate on call personal. During business hours administrator is either within 1 hr from office or available by phone for agency personal, clients or families.

Assigns designate in writing an agency employee who must provide DADS surveyors entry to the agency if ED or alternate ED not available. Also assigns alternate supervising nurse in the absence of the supervising nurse.

Alternate Supervising Nurse Duties:

In the absence of Supervising Nurse, as the Alternate Supervising nurse I ensured client’ plan of care is executed as written and that appropriate health care professionals performs assessments of client needs. Ensured any client change of condition was addressed immediately. Assignment of clinical team to new admissions. Perform chart audits in order to assure compliance, participation in QAPI program in conjunction with Compliance Director and ED, as requested. Participation in ongoing education of staff.

Odyssey Healthcare

Dallas, Texas

August 1, 2002-May 5, 2004

Patient Care Manager

Director of Operations overseeing 4 Patient Care Management Teams, assuring patients are receiving best possible care, while sharing budget responsibilities with GM.

As Supervising Nurse my duties were to ensure that patient’s plan of care reflected their individual needs with updates as needed as dictated by patient and family. Participation in IDT to ensure all patients are hospice appropriate, meet re-certification requirements, ensure all discipline participation, including need for therapies- PT, ST, OT, RT and RD. Supervision of staff both through education and field visits. Close supervision of Admission Nurse to ensure only appropriate patients admitted onto hospice. Responsible for the day to day provision of all services to patients, as per their needs. Assignment of appropriate staff and ensure that requirements for compliance met. As Director of Operations, it was my responsibility to be available at all times both to staff and our patients either in person or by phone.

Vitas Healthcare Corporation

Ft. Worth, Texas

July 8, 1999-July 20, 2002

Patient Care Liaison/Marketing

Admission Nurse

Duties:

Field position out in the community visiting facilities, doctor’s offices and care centers performing educational presentations and in-services as it relates to hospice. Worked as ‘liaison’ between facilities and patients and families assuring understanding of the hospice benefit and qualifications for hospice. Completed hospice admission when patient appropriate.

Alexian Brothers Behavior Health

Hoffman Estates, Illinois

Feb.4, 1998-Jun 30, 1999

Staff nurse on child/adolescent psychiatric units.

Worked with children 5-18 yrs old who resided in residential psychiatric centers. Responsible for 1:1 therapy and group therapy for neglected and abused children. Ran groups for parent/care giver education as it pertains to child behavior/education. Dispensed medications as prescribed by physician. Participated in field trips with the children in order to assimilate back into the community. Developed individual care plans for staff/parents/child to assist in progression towards goals. Participated in discharge planning of child back to home environment.

*moved to California and did not work*

Beacon of Hope Hospice

St. Louis, Missouri

Feb 2, 1995- Apr 4, 1997

Case Manager-Feb 2, 1995-Dec 13, 1995

Patient Care Manager-Dec 13, 1995-Apr 4, 1997

As Case Manager accepted assignment given by Patient Care Manager. Had case load of between 10-15 patients seen 1-2 wks. and more as needed. Performed full assessment of patient every visit and made changes to care plan as needed. Ordered mediations under physician’s order and provided education on medication/disease process to patient, families and facilities. Assessed pain and symptoms and managed accordingly in conjunction with physician, Medical Director and team. Participated in IDT every 2 wks. and relayed patient information to team. Participated in on call needs as required.

Patient Care Manager duties: ensures day to day appropriate care provided to hospice patients and families. Assignment of case managers and all disciplines to patients upon admission. Confers with admission nurse and Medical Director in regards to appropriate criteria met for hospice admission. Participates in IDT to ensure all patients care provided in per their individual plan of care and continue to meet hospice criteria. Accepts all patient related calls and assures needs met.

Christian Hospital NW

St. Louis, Missouri

Mar 20, 1994-Mar 30, 1996

Staff nurse in Emergency Dept.

RN responsible for trauma response, triage, cardiac and respiratory emergencies, OB, and general illnesses. Started IV’s, gave medications as prescribed by physician, drew blood gases, inserted indwelling catheters, NG tube insertions, and CPR. As Triage nurse quickly assessed patient needs and assignment of staff accordingly. Re-assessment of patients as treatment progressed.

Changed to PRN 1.20.1995

*had 2 babies and did not work*

St. John’s Medical Center

Tulsa, Oklahoma

Sept 9, 1989-Aug 30, 1990

Staff nurse on child/adolescent psychiatric unit

Worked with children 5-18 yrs. old who resided in psychiatric unit in hospital. Responsible for 1:1 therapy and group therapy for neglected and abused children. Ran groups for parent/care giver education as it pertains to child behavior modification/education. Dispensed medications as prescribed by physician. Participated in field trips with the children in order to assimilate back into the community. Developed individual care plans for staff/parents/child to assist in progression towards goals. Participated in discharge planning of child back to home environment.

*finished Nursing School and got married*

University City Fire Dept.

St. Louis, Missouri

Jan 5, 1982-Nov 20, 1987

Paramedic/Firefighter

EDUCATION:

St. Louis University

St. Louis, Missouri

Fire Technology

Emergency Medical Technician (EMT)

Paramedic (EMT-P)

St. Louis Community College

RN-Associate Degree in Applied Science

Diet Technology- 1 years

Spanish-4 semesters

CPR current

ELNEC Certified

Seminars and Continuing Education:

Leadership and Development Conference- Las Vegas, Nevada- 2010. Voyager Hospice

Texas and New Mexico Hospice Conference- Houston, TX-2009. Non-Pain Symptom Management

Hospice and Palliative Care Conference- New York-2006. Leadership, General Inpatient, Changes to Medicare Hospice Management, QAPI- new Federal COP’s, Reimbursement- Documentation

Sun Coast Solutions-Software training- Tampa, FL-2009

Good to Great Seminar by Jim Collins-Denver, CO 2005

Pain and Symptom Management in End of Life Care- Dallas, TX June 2003

Patient Care Manager Training (Odyssey Healthcare)-Dallas, TX-2002

The Heart of the Matter by William Hudson, Chaplain-(Vitas Healthcare)-2001

Treatment of Chronic Pain by Dr. Elizabeth McKinnis-(Vitas Healthcare)-1999

In Pursuit of Inpatient Care by Jeanne Kalvaitis- 1999

Care for the Caregiver and Advance Directives by Valerie Sanchez, MSW-1999

COPD by Sherree Berkley Rosenbloom-1999

Spanish for Nurses

Holistic and Complementary Therapies- Certified in Aroma Therapy (8.06)

Organization Involvement:

Women for Women International

Oxfam

Amnesty International

Team Group Discussion Books:

The Difference Maker by John Maxwell

The Servant Leader by Ken Blanchard and Phil Hodges

The Five Dysfunctions of a Team by Patrick Lencioni

Good to Great by Jim Collins

The Baptist Healthcare System-Journey to Excellence by A. Stubblefield, President/CEO

REFERENCES: available upon request

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