MYREILLE P. ARIOL, BSN, MSHI&MS

**** ** *** ******* 954-***-**** Pembroke Pines, FL 33028 acxoge@r.postjobfree.com

Professional Summary: Have over 15 years’ experience as a case manager and patient care supervisor in home-health setting, with extensive knowledge of utilization management, quality insurance, and chart review. Very well versed in Medicaid, Medicare and managed care guidelines. Strategic thinker and proactive problem solver. Strong working computer skills for healthcare professionals in: Microsoft Word, Excel, Outlook, Power Point, Project Management, Visio, Tableau, EHR, and EMR. Fluent in English, French, and Creole and also knowledgeable in ICD- 9 and ICD -10 coding.

PROFESSIONAL EXPERIENCE:

EVOLUTION Health Pompano Beach, FL

July 2015 to Present

RN Supervisor/QA

Providing virtual clinical care to patients within the recognized scope of practice for the

profession and professional licensure requirements

Managing the course of care, care plans and all communications in the EMR

Supervising and providing clinical support for the delivery of frontline mobile integrated

healthcare services including but not limited to scheduled and unscheduled in home visits

Supervising nursing practice of Nurse Navigators in collaboration with physician medical director

Acting as a point of escalation for LVN NN for clinical decision making.

Adhering to all company policies and procedures

Assessing and triaging patients

Participating in the case management of individual patients to ensure the continuity of care

Developing and overseeing internal working systems relevant to the medical/nursing operations within

a clinic setting

Assuming supervisory duties, such as performance evaluations, counseling and progressive discipline of

the nursing staff

Participating in nursing staff orientation and serving as a clinical resource

Planning and participating in educational programs for the nursing staff

TOTAL HOME HEALTH Hallandale, FL

Dec. 2013 to Jul 2015

QI/Case Manager/Supervisor

Kept all records up to date according to agency and Medicare, Medicaid, Managed care guidelines

Trained all new nurses

Demonstrated professional conduct and ethics according to agency policy

Coordinated skills of staff schedules to ensure continuity of care

Supported health plan, Quality insurance and utilization management activities to the clinical services

Performed coding and analyzed charts for review

Problem solving with ability to look for root causes and implemented as needed

Counseled personnel as necessary regarding job performance and administered disciplinary action as needed Ensured clinical competency of staffs by utilizing appropriate teaching method

Performed other job duties and responsibilities as proper Clinical documentation, Implemented Quality improvement, and built a plan of treatment in accordance to each patient diagnoses

NURSE ON CALL OF BROWARD Coral Springs, FL Oct. 2008 to Nov. 2013

RN-Patient Care Coordinator/Supervisor

Trained all new patient care coordinators

Demonstrated professional conduct and ethics according to agency policy

Kept all records up to date according to agency and Medicare and Medicaid, Managed care guidelines

Coordinated skills of staff schedules to ensure continuity of care

Supported health plan, Quality insurance and utilization management activities to the clinical services

Performed coding and analyzed charts for review

Problem solving with ability to look for root causes and implemented as needed

Counseled personnel as necessary regarding job performance and administered disciplinary action as needed

Ensured clinical competency of staffs by utilizing appropriate teaching methods

Performed duties and responsibilities such as proper Clinical documentation, Implemented Quality improvement, and built a plan of treatment in accordance to each patient diagnoses

GENTIVA HEALTH SERVICES Plantation, FL Aug. 2005 to Sept. 2008

RN- Manager of Clinical Practice/Supervisor

Coordinated, assigned and evaluated activities of field staff nurses, therapists and aides for the purpose of providing high quality of care in accordance with Medicare guidelines.

Kept appropriate records and did formal probationary and annual evaluations and frequent supervisory visits for the caregivers.

Served as educational resource concerning Medicare guidelines.

Served as liaison to patients, physicians and caregivers to ensure timely and accurate communication

Supervised up to 30 subordinates

USA HOME HEALTH SERVICES Hialeah, FL Mar. 2002 to Aug. 2005

RN-Patient Care Supervisor/Case Manager

Performed as a professional nurse leader in assessing, planning, directing and evaluating patient care.

Responsible for maintaining a high level of standard of care.

Used continuous quality improvement and utilization review.

VISITING NURSE SERVICE OF NEW YORK Brooklyn, NY Jan. 1992 to July 2001

RN- Nurse Coordinator/-Case Manager

Conducted initial comprehensive assessments, implemented, and evaluated patient care on a consistent and systematic basis and collaborated with other health professionals.

Acted as the coordinator of the multidisciplinary team providing care to patients.

Understood and interpreted the Agency reimbursement policy and determined the billing source for patient care.

Utilized knowledge of Oasis and computer.

Functioned as a client advocate, directed, coordinated and supervised care.

Improved continuity of care, monitored outcomes.

DOWNSTATE MEDICAL CENTER (SUNY HSCB) Brooklyn, NY Aug. 1989 to Sept. 1991

RN- Neuro-surgery (Step-Down Unit)

Diagnosed, planned, implemented, and evaluated care of critically ill patients.

Educated parents, families, and significant others in all pertinent aspect of care.

Suctioned ventilator dependent patients, performed Trach care, and maintained patient airways on para/quadriplegic brain injury patients.

Closely observed patients on cardiac monitors; identified EKG changes and treated dysrhythmias.

Monitored hemodynamics via Swan-Ganz/CVP and promptly reported abnormal values to MDs.

Administered medications, TPN/IV therapy, tube feedings via NGT/GT, performed incision/wound care, monitored for signs of infection, and documented progress

EDUCATION:

Florida International University: August 2013

Master of Science in Health Informatics & Management Systems

Downstate Medical Center in Brooklyn/Health Science Center of Brooklyn: May 1989

Bachelor of Science in Nursing

Borough Manhattan Community College: May 1986

Associate Degree in Liberal Arts and Sciences

LICENSES & CERTIFICATES

Registered Professional Nurse (State of New York & State of Florida)

CPR, EKG (Downstate Medical Center), AIDS, ICD 9 and ICD 10CMS & PCS

SEMINARS

Home Care, Wound Care, Diabetes, Managed Care, CHF, Rehabilitation, Wound Vac, High Tech, Anticoagulation Therapy Management

AFFILIATIONS

Healthcare Information and Management Systems Society (HIMSS), Florida Department of Health, Center for Diseases Control and Prevention, (AHIMA) American Health Information Association.

LANGUAGES

Fluent in English, French, and Creole

SKILLS

Computer Skills for Healthcare Professionals: Microsoft Word, Excel, Access, Outlook, Power Point, Project Management, Visio, SAS Enterprise, Tableau Creating and Maintaining a Nurturing Workplace, EHR, EMR, Logistics, Cerner

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