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Nurse Practitioner Care

Location:
St. Louis, Missouri, United States
Salary:
Open
Posted:
December 30, 2017

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Michelle Grimes

314-***-****

ac3uz2@r.postjobfree.com

PROFESSIONAL SUMMARY

My goal is to work for a company that uses knowledge, evidenced based practice and collaboration as the drivers for nursing care practice, standards, patient safety, clinical outcomes; patient, employee and physician satisfaction; and coordination of standards to give the optimal in care when it comes to the patient experience. I am outcomes driven with great communication, organizational skills and resourcefulness making me a great team player. Ability to deliver patient care in completion while maintaining high standards and quality of product output. Passionate, sympathetic, understanding and devoted to all aspects of patient care using best practices to not just lead but to also guide as well as practice. Ability to work effectively alone or as part of a team.

PROFESSIONAL EXPERIENCE

Velosource (Sound Physicians) (Locums Tenens) 8/21/2017 – present

Hospitalist: DePaul Health Center

Performed assessment, evaluation and management of services to patients requiring hospitalist services. Provided inpatient care predominantly in an acute care setting, rehabilitation center, and emergency room which included the management, assessment, management, admitting, discharge, rounding, diagnosing, treatment, prescribing and coordination of patient care throughout treatment. Also included the development of treatment plans, completed H&P’s, discharge summaries and procedure reports, progress notes, consult notes and referrals. Ordered routine and specialized laboratory studies and radiological studies as well as wrote orders for inpatient, outpatient and discharge medicine. Assessed patients for surgical clearance by assessment and evaluation.

LHI 7/31/2017 -present

Responsibilities

Completed disability assessments on veterans which included evaluating, assessing, diagnosing, treating, referring and recording of such findings including mental health status. Psychosocial history and review of body systems and physical examination. Evaluated for appropriate diagnostic test and screenings based on the care recipient’s current health status. Assessed findings of history, review of symptoms, Initiation of the appropriate emergency treatment in order to stabilize the recipient’s care.

Advance Health 5/29/2017 – present

Responsibilities

Completed extensive Health Care Risk Assessments on patients. Assessed potential risk factors for admission, readmissions, prevention of exacerbation of comorbid conditions and ER visits, healthy environment, medication review, disease management and lab review as well as recommendations for care or follow up care. Also focused on education and disease management.

Boone Hospital Center (Hospitalist) 3/20/2017 – 5/5/2017

Responsibilities

Performed assessment, evaluation and management of services to patients requiring hospitalist services. Provided inpatient care predominantly in an acute care setting, rehabilitation center, and emergency room which included the management, admitting, discharge, rounding, diagnosing, treatment, prescribing and coordination of patient care throughout treatment. Also included the development of treatment plans, completed H&P’s, discharge summaries and procedure reports, progress notes, consult notes and referrals. Ordered routine and specialized laboratory studies and radiological studies as well as wrote orders for inpatient, outpatient and discharge medicine.

Volunteer Family Nurse Practitioner 4/2015 – 7/2016

Responsibilities

Completed rounds on dialysis patients in various chronic and acute settings which included H/P’s and physical assessments. Managed care of new and existing Renal patients on dialysis. Order writing.

Prescriptive responsibilities. Coordination of services, consulting and placing referrals.

Collaboration with multidisciplinary teams as well as participated in professional development and lifelong learning. Managed the health care of a select patient populations through advanced health

assessment, diagnose interventions, and evaluation in a collaborative practice agreement with a physician.

Coordinated the care of select patient populations, in a collaborative practice agreement with a physician, to ensure promotion of health and wellness through education of patients and families

Developed treatment plans, treated patients with acute problems including illnesses and minor injuries following a predetermined protocol in a collaborative practice agreement with a physician.

Family Nurse Practitioner Clinical Rotations 5/2013 – 7/2014

Family Nurse Practitioner Student hours in various healthcare settings including but not limited to OB/GYN, ENT, Ophthalmology, Dermatology, Mental Health, Cardiology, Urgent Care, Primary Care, Nephrology, Gastroenterology, STD clinics, Emergency Department, Outpatient clinics, Family Practice, Pediatrics, Primary Care/General Practice.

Responsibilities

History and Physicals, Patient management, Prescriptive responsibilities, Assessments and Diagnosing

Women’s Health including pap smears, cultures, OB care, Cryo treatments, Suturing, Punch Biopsies, Coordination of care, Counseling and Referrals, Patient education, Established treatment plans, Physician collaboration, EMR

DaVita Healthcare 9/2013 – 4/2016

Director of Operations/Interim Vice President

Develop and Maintain Operational Consistency

Mutli state management of operations across 11 states including staff

Managed complete budget for operations in 11 states.

Lead and created best demonstrated practices and process

Proforma development, RFP, PI, Contract negotiations

Direct centralized call center oversight of operations and staff for 42

Telehealth oversight to all patients in program assuring proficiency with follow-up, and pt. referral

Negotiated contracts new and existing programs with positive increase in revenue to company

Fiscal management and productivity

Provided strategic work direction for operations department teammates

Provide ongoing training to enable teammates to gain additional knowledge of markets and enhance sales abilities

Inter and intrapersonal relationship builder

Utilized market knowledge to build relations ships with fellows, outpatient chronic clinics, community resources and Gov. Agencies

Ability to empower and promote team building internally as well as externally

High powered presentations of program data to hospital C-suite

Select Accomplishments:

• Decreased and maintained overall length of stay and readmissions by 10% in 3 quarters

• Increased both patient and hospital satisfaction by 3% in one year

• Increased hospital contracts by 5% in 6 months

• Implemented, lead and improved CQI projects and clinical outcomes

• Decreased ER diversion via Process Improvement (PI) over 12 months

• Increased new contracts in 1 year by 5%

• CM / Managed Care/ Built relationships with key Managed Care partners

Fresenius Medical Center North America 6/2004 – 1/2013

Division Ethics and Compliance Officer/Privacy Officer 6/2006 – 1/2013

Responsible for directing the corporate Compliance Program and Compliance Program

Monitored and regulated of data related to HIPPA

Created and Developed Internal Teams

Budget and Audit responsibility

Risk Management

Responsible for directing Division compliance initiatives

Revenue cycle management

Select Accomplishments:

Increase Customer Satisfaction rate to 97% out of 100% 3 years in a row

Managed the Business Acumen for over 600 clinics in 6 states

Area Manager 6/2004 -6/2006

P&L leadership of core dialysis business

Hospital services leadership

Strategic Program Development

Select Accomplishments:

Increased the Acute program from 4 hospitals to 5 in 6 months and had 2 larger acute contracts under negotiation, which if obtained would capture the entire acute market in the St. Louis, Southern Illinois area

Slashed supply cost by 8% in one year

Launched 5 patient dialysis home based programs

Increased the modalities, including PD and home

Increased all facilities to capacity, which increased growth

Started the first PD, Home and Nursing Home programs in the market

Piloted several programs prior to companywide implementation

Managed home programs and increased growth area programs by 5% in 18 months

Able to increase TX compliance and Kt/v in 18% of patients over 12 months

Gambro Health Care

Center Director 5/2002 – 6/2004

Leadership of full P&L of freestanding dialysis center

Developed best practices for center operations so that compliance and client satisfaction goals were reached and exceeded

Managed patient outcomes and action plans for improvement

SSM Health 8/1982 – 5/2002

Labor and Delivery Care Team Coordination 7/2000 – 5/2002

Charge Nurse in highly dynamic acute care environment

Optimizing care formula’s to reach the ideal mix of staff and technology for best practice delivery

Consulting with Doctors and other departments regarding patients and treatments

Critical patient flow analysis and planning

Team leader for department

Nurse Consultant 2000 – Present

Review of charts for billing, request for payment, documentation errors, over charges

Chart review for legal cases

Bed Mgmt. Coordinator/House Supervisor 8/1999 – 7/2000

Analytical connection with hospital census in order to facilitate the delegation of patients to their specific divisions via the ER dept., direct admissions, and outside transfers

Maximizing patient care to requisite staffing levels

Indexing patient needs with available beds, staff and equipment resources

Network development and leadership for hot line calls and crisis nursing

Supervision of the department for all day shift operations

Direct contact with Doctor’s regarding admission and transferring of their patients throughout the system

Assisted decision process for on or off hospital diversion when needed

Care Team Coordinator Labor and Delivery 5/1996 –8/1999

Charge Nurse in fast paced high risk center

Liaison to physicians and other clinical support

Preceptoring new staff and nursing students

Identification of patients with the potential to become high risk

Quick decision making and critical thinking

Triage of OB cases

Labor and Delivery Staff Nurse 8/1987 – 5/1996

Assessment and care of laboring patients in a critical care setting

Full clinical advocate and care giver for women in the OB setting

Assisting with the care of the high risk patient antenatal, perinatal, as well as postpartum

Highly kinetic care coordination with physicians and other nursing staff

Collaborating patient care along with the Doctor

Outpatient OB clinic nurse

Select Accomplishments:

Managed daily department operations and staffing to accommodate quality patient care.

Direct budget and P&L oversight maintained within budget or lower than budget 6 months in a row

Increased Kt/v for 30% of patients in one year

Decreased the number of diversion hours by over 50% in one year

Decreased ER/OR patient admission wait time by 5% in 12 months

Quality leadership to staff in a highly complex and rapidly changing department

Managing daily department functions and staffing to accommodate quality patient care

Charge Nurse/Staff Nurse 8/1982- 8/1987

Collaborating patient care along with the Doctor

Day to day care and oversight of patient care, staffing

Care of patients in areas such as medical/surgical, ICU, Orthopedics, Psychiatry, Oncology ER, Telemetry

Education

Doctorate of Nursing Practice 2015 – 2017

Chamberlain College of Nursing

Masters in Science Nursing 2011- 2014

University of Missouri St. Louis

St. Louis, Mo.

Masters of Business Administration 2002 - 2004

Fontbonne University

Clayton, Mo.

Bachelor of Science in Nursing 1985 - 1987

University of Missouri St. Louis

Saint Louis, Mo.

Honors/Acknowledgements/Memberships

American Organization Nurse Executives American College Health Care Executives

Honors/Acknowledgements/Memberships CASA Guardian Ad Litem

Sigma Theta Tau National Honor Society Golden Key International Honor Society Black Black Nurses Association Chi Eta Phi Nursing Sorority

American Nursing Association American Association of Nurse Practitioners Missouri Nursing Association American Nephrology Nurses Association

President/CEO/Founder of St. Louis Black Nurse Rock Chapter

Certifications

Family Nurse Practitioner Registered Nurse NPI CAQH BLS Certified CMT/CNA Instructor



Contact this candidate