Ogechi Ogundu, DNP, MSN, RN

ad04sq@r.postjobfree.com

617-***-****

WORK EXPERIENCE

Registered Nurse - Contractor November 2022- Present

Enliven Home Infusion, Dallas, TX

Provide admission, case management, and follow-up skilled nursing visits for home infusion and infusion center patients.

Administer ongoing care/infusions for each patient, provide necessary follow-up as directed by the Physician and Clinical Manager.

Confer with physicians and pharmacies in developing the initial plan of treatment based on physician's orders and initial patient assessment. Provide hands-on care, management, and evaluation of the care plan and teaching of the patient in accordance with physician based on ongoing assessments and as required by policy/regulation.

Report patient care/conditions/progress to patient's physician/pharmacy and Clinical Manager on a continuous basis. • Implement patient care plan in conjunction with patient and family to assist them in achieving optimal resolution of needs/problems.

Discharge patients after consultation with the physician and Clinical Manager, preparing and completing needed clinical documentation.

Prepare appropriate medical documentation on all patients, including any case conferences, patient contacts, medication order changes, re-certifications, progress updates, and care plan changes. Prepare visit/shift reports, updates/summarizes patient records, and confers with other health care disciplines in providing optimum patient care.

Nurse Associate Contractor December 2021- August 2022

Gotham, Lowell, Massachusetts

Pre-medicated all patients per physician orders prior to infusion (including hydration).

Administered Covid Monoclonal antibody/antiviral/Covid prevention investigational medications

Preparation of medication to be administered to patients in an infusion center setting.

Administered Covid Monoclonal antibody/antiviral/Covid prevention investigational medications Monitored, treated, reported and documented observed side effects

Provided patient education on Covid medications administered

Director, Service Coordination February 2019- March 2022

Cigna/Molina healthcare

Oversaw the regional staff to ensure health plan programs are designed, implemented, and operated within defined parameters.

Ensure compliance government and contractual guidelines and the mission, philosophy and objectives of Corporate and the health plan.

Support and perform case management, disease management and on-site concurrent review functions as necessary.

Provide support to Provider Relations issues related to Utilization issues for hospitals and physician providers.

Coordinate efforts with the Member Services and Connections Departments to address members and providers issues and concerns in compliance with medical management requirements.

Maintain compliance with National Committee for Quality Assurance (NCQA) standards for utilization management functions for the prior authorization unit.

Develop, implement and maintain policies and procedures regarding the prior authorization function.

Identify quality and risk management issues and facilitate the collection of information for quality improvement and reporting purposes.

Compile and review multiple reports for statistical and financial tracking purposes to identify utilization trends and assist in financial forecasting.

Director, Care Management November 2017 -January 2019

Cook Children’s Health Plan, Fort Worth, TX

Responsible for leadership, strategy and performance of integrated care and utilization management team including the planning, organizing, implementation, and management of all Cook Children’s Health Plan care management functions.

Led Care Management programs (CHIP/STAR, STAR Kids and Utilization Management) for Cook Children’s Health Plan. Developed and maintained policies and procedures for the Care Management Program, including utilization review (precertification, concurrent, retrospective), discharge planning, catastrophic case management, denials and appeals process, long term services and supports, and case management for disease management programs.

Established and oversee staff development and evaluation programs. Provide staff with ongoing training, in-services, and continuing education opportunities to enhance performance and improve service by the Care Management Department to its internal and external customers.

Facilitated liaison relationships with payor representatives for which Cook Children’s Health Plan has delegated utilization management agreements. Prepares reports as required by the payor.

Prepared and submitted annual capital and operating budgets. Manage approved monies to ensure that a positive variance is maintained.

Superior Health Plan - Texas

Manger Service Coordination, Nursing Facility (Dallas and Lubbock) February 2015- August 2015

Statewide Director of Service Coordination, Nursing Facility August 2015- November 2017

Oversaw the regional staff to ensure health plan programs are designed, implemented, and operated within defined parameters.

Ensured compliance government and contractual guidelines and the mission, philosophy and objectives of Corporate and the health plan.

Supported and performed case management, disease management and on-site concurrent review functions as necessary.

Provided support to Provider Relations issues related to Utilization issues for hospitals and physician providers.

Coordinated efforts with the Member Services and Connections Departments to address members and providers issues and concerns in compliance with medical management requirements.

Maintained compliance with National Committee for Quality Assurance (NCQA) standards for utilization management functions for the prior authorization unit.

Developed, implemented and maintained policies and procedures regarding the prior authorization function.

Identify quality and risk management issues and facilitate the collection of information for quality improvement and reporting purposes.

Compiled and reviewed multiple reports for statistical and financial tracking purposes to identify utilization trends and assist in financial forecasting.

Director of Nursing/MDS Coordinator

Park Place Nursing Rehabilitation - Hyde Park, MA 2013 to 2014

Complied with policies, procedures and regulations and provided seamless resident/patient RAI/IPOC process

Performed recruitment, training, supervision, scheduling, and personnel issues in nursing department, managed budget

Audited medical records and led monthly QAPI staff meetings to address noted deficient practices and daily PPS meetings, weekly Medicare meetings, coordinated weekly Medicare/risk meetings

Ensured quarterly, annual and significant change nursing assessments completed efficiently

Registered Nurse/Case Manager

Golden Living Center - Taunton, MA 2011 to 2013

Selected correct Assessment Reference Date (ARD), participated in minute management process

Ensured timely electronic submission of Minimum Data Sets to state database, saved/reviewed state validation reports and ensured appropriate follow-up action completed

Conducted weekly communication/review of residents with Medicare Coverage/Utilization Unit (MCUU)

Participated in Medicare Part A monthly in-house reviews

Reviewed MDSs for accuracy, analyzed QI/QM data in conjunction with Director of Nursing Services, identifying monthly trends

Educated nursing staff on importance of proper documentation and accuracy of Activity of Daily Living coding

Ensured certifications/recertification signed in a timely manner, issued letters of non-Coverage when applicable, participated in IDT discharge planning meeting to ensure safe discharge

Collaborated with Rehab manager to capture the highest possible RUG

Nursing Supervisor/MDS Coordinator

Chelsea Jewish Nursing Home - Chelsea, MA 2009 to 2011

Supervised nurses handling holistic, patient specific, culturally competent nursing care to nursing home clients

Ensured patient care throughout facility complying with state regulations, evaluated nurse/case manager performance

Continuously assessed, planned and implemented quality care partnering with various other members of interdisciplinary team

Coordinated nursing care for scheduled therapy or procedures by other departments and assisted team conferences developing individualized nursing care plans

Partnered with unit managers to ensure quarterly, annual and significant change nursing assessments completed efficiently, provided staff with monthly care plan Schedule

Completed MDS assessments and supervised flow of units, delegated tasks to fellow staff nurses, nurse's aides, and unit secretary; trained preceptor, coaching and mentoring newly hired graduate and experienced nurses

Staff Nurse

Golden Living Centers - Dedham, MA 2007 to 2010

Provided direct care and/or assisted with care as directed and consistent with LPN scope of practice and competency

Administered medications, perform treatments for assigned residents and documents treatment as required by local, state and federal regulations

Monitored changes in patient conditions through physical, neurological assessments, and critical thinking

Updated patient care plans including assessment evaluation and nursing diagnosis, made appropriate intervention by reading and interpreting medical data

Ensured efficiency of treatments through monitoring of treatment regimens resident and assist in discharge planning of the patient in the unit into the community

Monitored patients and reported significant findings to the physician as necessary and educated clients and family members regarding visiting nursing procedures and other care need appropriate to the client's condition

EDUCATION

Doctor of Nursing Practice in Executive Leadership

Touro University Nevada- Nevada 2022

Master of Science in Nursing Administration

Chamberlain College of Nursing - Downers Grove, IL 2013

Bachelor of Science in Nursing

Massachusetts College of Pharmacy and Health Sciences - Boston, MA 2010

License Practical Nursing

Quincy College - Quincy, MA 2007

Doctor of Optometry in Optometry

Abia state university school of optometry – Nigeria 2005

Certificates/Licenses

Global business certificate,

Harvard business school 2019- No expiration date

Registered Nurse License

Massachusetts, Texas and compact License - Active

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