Joan Castellano MBA MSN BSN RN

Aliso Viejo, CA **656 /acwpzv@r.postjobfree.com/ 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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