Care Nurse
Resume:
Joan Castellano MBA MSN BSN RN
Aliso Viejo, CA **656 /****************@*****.***/ 516-***-****
Objective
To positively transform the experience of health care. To recognize nurses as highly skilled and compassionate
healthcare professionals. Dedication to caring and excellence in healthcare and in business.
Education
Masters of Science in Nursing with a focus on Nursing Education 2015
University of Phoenix
Masters of Business Administration/Health Care Administration 2015
University of Phoenix
Bachelors of Science in Nursing 2004
State University of New York Stony Brook
Associate of Applied Science in Nursing 2000
Suffolk Community college
Skills & Abilities
LEADERSHIP / MANAGEMENT / COMMUNICATION / TRANSITIONAL CARE / CLINICAL DOCUMENTATION / NURSING
Microsoft Office Suite/ Kronos / SAP / 3M Coding Grouper / Carecast / Epic super
User/Cerner/Citrix
Experience
Director of Clinical Operations May 2016 – Present
Global Transitional Care (GTC). Irvine California
Responsible and accountable for the delivery of transitional care nursing services (prevent hospital readmission’s)
Lead and support care programs and research, assists in marketing, business development, outreach, education, and quality improvement
Collaborates with physicians, facilities, community agencies, and institutions to improve the quality of services and to resolve identified problems
Oversee nursing and nurse practitioner's schedules to assure patients’ needs are met and at budgetary standards
Provides training, oversight, and supervision of ancillary staff, RNs, and NPs
Manage payroll, initiating policy and procedures and systems to increase revenue and support a LEAN working environment
Billing reconciliation
Assessment, planning, implementation and evaluation of quality patient care
RN Auditor (part-time remote) October 2015 Present
Managed Resource Inc. (MRI) Long Beach California
Inpatient/Outpatient validation
Audits for Clinical Documentation
Appeals/Denials
Lead implementation of new Clinical Documentation Program
Manager – Clinical Documentation November 2013-April2016
Montefiore Medical Center, Bronx, NY
Responsible for business administration and financial activities within the documentation department
Serve as key adviser to nurses on union issues
Collaborate with Physicians, Medical Directors, HIM Administrators, and other senior management to develop, guide, and improve operation services in order to increase patient revenues, assure accurate patient billing, enhance the hospitals case mix index, as well as improve and maintain quality patient care
Provide direction, leadership, and oversight to the operations team and nursing staff
Develop and provide guidance to documentation nursing team that will result in strong operational performance, exceptional teamwork, quality care, as well as growth in programs and services
Actively participate in the development of strategic plans to encompass patient satisfaction, system improvement, program development, quality and safety, financial management, work culture enhancement and internal communication
Interpret and recommend appropriate action steps as a result of reports and analysis setting forth progress, adverse trends and appropriate recommendations or conclusions
Develop and foster effective collaborative relationships between clinical departments and other affiliated services to ensure an integrated approach to providing services and fulfilling fiscal goals and objectives
Conduct Medicare and APR chart audits
Develop and implement ICD 10 documentation guideline education for clinicians and Nurses
Scheduling/Time cards/Kronos
Clinical Documentation Specialist July 2010-November 2013
New York Presbyterian Hospital, New York City, NY
Review concurrent and retrospective documentation to assure quality charting and accurate case mix index
Generate monthly impact reports
Educate/In-service residents and Attending Physicians regarding specificity and accurate documentation
Serve as a resource for the physicians relating to ICD 9 and coding guidelines
Work in collaboration with HIM department, coders, validating department and Clinical Data Coordinators to assure correct provisional and final MSDRG assignment and identify opportunities for improvement
Clinic Site Manager/Utilization Review Nurse July 2009-July 2010
IPRO, Lake Success, NY
DRG Validation Medicaid
Quality Assurance
Medicare/Medicaid utilizing “interqual” criteria and ICD9 coding verification
Utilization Review
Chart Investigator August 2008 July 2010
Managed Resource Inc., Stony Brook, NY
Accurately and efficiently perform medical chart reviews
Chart auditing, and using results for quality improvement
Perform review utilizing advanced Excel features such as functions and formulas
Investigate medical record and adjust charge discrepancies
Coordinate work flow between client and auditing team and establish revision control guidelines
Collaborate with care provider offices, clinics and other hospital departments
Serve as contact person for consulting firm
Risk Management Surveyor and Reviewer September 2007–August 2008
PRI Administrators for the Professions, Inc., Manhasset, NY
Review cases and files for physicians with alleged medical malpractice issues
Risk assessment for Physicians
Assess cases for merit
Early investigations and assessment of claims
Trauma/Emergency Nurse/Level III ER Staff Nurse June, 2005 – September 2007
St. Charles Hospital, Port Jefferson, NY
Provided resuscitation, stabilization, and triage care of levels of ill and critically ill patients.
Skilled at PICC line care, phlebotomy wound care, intensive care as well as advanced intravenous line insertion
Additional skills include nasogastric tube insertion, echocardiograms, and telemetry
Excellent assessment skills and stellar bedside manner
Trauma/Emergency Nurse/Level III ER Staff Nurse August, 2003 – August, 2005
Brookhaven Memorial Hospital, Brookhaven, NY
Provided resuscitation, stabilization, and triage care of all levels of ill and critically ill patients
High volume trauma patient care and maintenance care of chronic illness population
Rehabilitation/ Level II Staff Nurse July, 2002 – August, 2003
Smithtown Health Care Facility, Smithtown, NY
Complete nursing care for postoperative and post stroke patients
Skilled wound care specialist and advanced in rehabilitative care
Postoperative/Medical Surgical /Level II Staff Nurse July, 2000 – July, 2002
Stony Brook Hospital, Stony Brook, NY
Complete nursing care for all postoperative and orthopedic care patients
Rotating charge nurse responsibilities assumed for a 48 bed unit
Proficient at managing PPN, TPN, IV and blood transfusions
Skilled arterial and venous punctures and care of arterial, radial, PICC and peripheral lines
Certifications
RN CA license 95080816 2015-2017
RN license 516843 NYS 2000-2018
BLS 15438 NYS 2014 – Present
Legal Nurse Consultant Certification 2007
Volunteer
MSN Mentor (Practicum Mentor for MSN students) University of Phoenix 2017-Present
Practicum and Capstone Mentor 2017-Present
Organizations
Association for Clinical Documentation Improvement Specialists, Member 2013 – Present
New York State Nurses Association, Member 2013 – Present
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