Melany Douglas RN, BSN

**** **** *****

Tampa, FL 33169

813-***-****

ad0amd@r.postjobfree.com

PROFESSIONAL SUMMARY:

REGISTERED NURSE

-Highly skilled career professional with more than 20 years practical experience in vast wide of work experience setting. Home Health, Case Management, Utilization Review, Physician's Office, Outpatient settings, Hospital and LTAC experience.

-Familiar with PDGM module, LUPA rates and Value based purchasing, SIGMA Lean and Certified in Lymphedema Therapy

-Proficient in staff development, scheduling, mentoring, and fostering a culture of teamwork.

-Proficient with MCR guidelines, ACHC standards, JCAHO and CHAP.

PROFESSIONAL EXPERIENCE

All About Caring, LLC 7/2023-Present

Owner, Director of Nursing

Provide 1:1 patient care in home setting for bedbund patients. Medication management, PEG tube care and feedings, IV therapy, Central line care, Ostomy care, and Wound care. Some light housekeeping and meal preparation.

KEYSTONE HOME HEALTH 2/2023-7/2023

Director of Nursing

Manage a clinical team for a census of 130 Medicare homebound patients. Ensuring the agency remains CHAP compliant with home visits to fulfill active tags from CHAP. Role involves HRG management and oversight, reviewing and evaluation of the OASIS events, managing productivity of staff, employee relations, chart audits, interviewing, and mentoring staff. Ensured MCR guidelines are being followed. Ensuring quality control measures are followed. Monitoring Value Based purchasing metrics for STAR Ratings. Chart Audits for Insurance companies.

TRILOGY HOME HEALTHCARE 9/2018-2/2023

Clinical Team Manager/Assistant DCS

Manage a clinical team for a census of 130 Medicare homebound patients. Role involves HRG management and oversight, reviewing and evaluation of the OASIS events, managing productivity of staff, employee relations, chart audits, interviewing, and mentoring staff. Ensured MCR guidelines are being followed. Ensuring quality control measures are followed. Monitoring Value Based purchasing metrics.

FAMILY HOME HEALTH 2/2017-9/2018

Clinical Manager/ADON 3/2015-7/2016

Field/Case Manager

Clinical Manager/ADON role: Manage clinical operation for a census of 200 Medicare homebound patients. Role involves HRG management and oversight, reviewing and evaluation of all OASIS events, managing LUPA’s, managing productivity of staff, employee relations, chart audits, financial management, interviewing, and mentoring staff. Participated in business development and growth. Ensured MCR guidelines and COP’s are being followed. Ensuring quality control measures are followed. Monitoring Value Based purchasing metrics.

RN Case Manager Role: Case managed homebound Medicare patients, ensuring Medicare guidelines are being followed. Completed OASIS events. Mentoring and hiring field staff. Chart audits.

Doctor’s Choice Home Care 5/2016-2/2017

Clinical Manager/ADCS

Clinical Manager/ADON role: Manage clinical operation for a census of 300 Medicare homebound patients. Role involves HRG management and oversight, reviewing and evaluation of all OASIS events, managing LUPA’s, managing productivity of staff, employee relations, chart audits, interviewing, and mentoring staff. Ensured MCR and COP guidelines are being followed. Monitoring value based purchasing,

JSA/DIVITA HEALTHCARE 2014-2016

Nurse Administrator

Manage all operations of a busy physician practice. Budgeting, quality assurance, scheduling, post hospital patient MD follow up appointments, triaging patients for doctors. Ensured OSHA and JCAHO standards are upheld. Responsible for hiring office staff. Coaching and mentoring all staff. Growing patient load by marketing to the community.

HCA Brandon Regional Hospital 2014-2016

CVPCU RN Manage 3-5 post heart catheter patients, wound management, medication safety, teaching and overall care of patients. Team leader responsibilities

Central Park Health and Rehab 2013-2014

Assistant DON

Managed clinical operations for a 75 bed SNF. Duel role as Infection Control nurse and Employee Health nurse. Developed strategies to reduce UTI’s and to reduce return to STAC in patient outcomes. Developed staff nurse education programs. Mentored and educated staff to ensure JCAHO and OSHA standards were upheld.

BrightStar Care 5/2013-1/2014

FIELD RN

Implement a plan of care for homebound patients. Administering 1:1 care that includes wound care, diabetic teaching, IV therapy, lab draws, central line care, post-op care, and any other patient care as needed. Maintain compliance with Joint Commission and state licensure and regulations for home care.

Kindred Healthcare 6/2011-8/2013

NURSE MANAGER/ACNO

Manage all Nursing departments and the delivery of clinical care of a 82 bed Long Term Acute care facility. Maintained quality standards of care for 100+ nurses and staff in the following areas: 82 bed Medical units, 8 bed Intensive care unit, special products area, wound care, and dialysis. Position reports directly to the CCO/CNO. Interpret nursing philosophy, practice standards and nursing Code of Ethics to support the delivery of high quality care in a professional practice environment. Develop clinical and process strategies that support organizational goals as well as national clinical and safety standards. Maintain compliance with Joint Commission, and state licensure regulations. Support an environment of inquiry while embedding evidence based practice and generating relevant nursing and clinical research. Developed the Nurse Practice Council and Patient Care and Safety Committee. Develop of processes to decrease CORE measure such as Return to STAC, BCPS, VAP rate, decrease falls events, and lower Foley catheter UTI rates and lower Code Blue by increasing Rapid responses.

Chestnut Street Holding and Management Group 2/2011-2/2012

NURSE CONSULTANT

Conducted individual medical case reviews to assess culpability and liability in potential medical malpractice claims.

CSI Staffing 4/2011-8/2011

RN-pool (Different Assignments)

Cancer Institute: Chemo RN. Administer and monitor treatment regimen to cancer patients, administered blood/monitor s/s during infusion, Schedule appointments, billing for treatments, and triage patients. Discharge teaching. Maintain OSHA, Joint Commission, and state regulation regarding handling chemotherapy/biological agents.

Outpatient Surgery Center: RN Managed pre/post op procedures patients. Start IV’s, manage patients under anesthesia, discharge teaching. Maintain OSHA and Joint Commission ready.

Health Central Hospital, Ocoee, Fl 01/2008 - 01/2011

MED/TELE AND CARDIAC PCU DIRECTOR

Manage nursing departments and the delivery of clinical care of 53 beds within 171 bed hospital. Maintained quality standards of care for 100+ nurses and staff in the following areas: Medical, Medical stroke unit, outpatient chest pain unit, and cardiac telemetry unit. Role reports directly to the AVP. Interpret nursing philosophy, practice standards and nursing Code of Ethics to support the delivery of high quality care in a professional practice environment. Develop clinical and process strategies that support organizational goals as well as national clinical and safety standards. Maintain compliance with Joint Commission, and state licensure regulations. Support an environment of inquiry while embedding evidence based practice and generating relevant nursing and clinical research. Developed strategies to advance leadership, developed charge nurse internship, and developed strategies to maintain Graduate nurses.

Florida Hospital, Orlando, Fl 1994-2009

POOL STAFF RN- BMT/ONCOLOGY PCU 2008-2009

POOL HOUSE SUPERVISOR

Provided direct patient care on high acuity 10 patient bed PCU/ICU units. Unit included critically ill s/p chemo and/or bone marrow transplant patients. Administered and titrated high risk drips and critically ill patients on a ventilator. As the House supervisor role: Rapid response team member, managed staffing for 800 bed hospital, oversee shift operations of 10 units. Maintained JACHO standards of operations.

PRIMARY PRECEPTOR-BMT/ONCOLOGY PCU 2007-2008

Responsible for 25 nurses and staff competencies’ in this unit. Developed initiatives to successfully move GNs to RNs. Lead unit in 100% participation in the PPP program. Lead different initiatives for continuing education in areas of bone marrow transplant, chemotherapy, biological agents, and critical care skills.

CASE MANAGEMENT-UTILIZATION REVIEW SPECIALIST 2006-2007

Managed inpatient admissions and continued stay to ensure INTERQUAL criteria was met. Managed insurance denial claims. Managed KEPRO/Medicaid and Medicare case reviews

ASSISTANT NURSE MANAGER/CHARGE RN 2003-2006

BONE MARROW TRANSPLANT/ONCOLOGY PCU

Managed shift operations for staff on the day shift. Responsible for the delivery of clinical care and provision of standards compliant with local, state and federal guidelines. Managed all daily operations and patient flow. Maintained staff compliance with chemotherapy/biological agents and transplant protocols. Develop clinical and process strategies that support organizational goals as well as national clinical and safety standards. Maintain compliance with Joint Commission, and state licensure regulations. Administer high risk critical drips and critically ill ventilator patients.

STAFF RN 2002-2003

BONE MARROW TRANSPLANT/ONCOLOGY PCU

Overseen the care of patient care assignment with either a 3:1) or (1:1) ratio. Responsible for the medication delivery including HD chemotherapy and biological agents, auto and allergenic stem cell pre, during, and post care of the patient, plan of care, LOS, and emotional care of the patient. Maintained critically ill ventilator patients and administered critical high-risk drips.

EDUCATION

College of Nursing RN/MSN track Enrolled-On Hold right now

Master of Science in Nursing - Leadership & Management

Rochville University 2006

Baltimore, MD

BSN obtained

Valencia Community College, Orlando, FL 2002

ASN obtained

Dean’s List

LICENSURE

Florida Board of Nursing Current

RN 9191002

CERTIFICATIONS

BLS certified

Instructor certified

Trach/Vent Certified 2011

LEAN Six Sigma (white belt) 2010

Palliative Care 2012

EKG certified 2004

Critical Care/Oncology Program 2004

PROFESSIONAL ACTIVITIES & COMMUNITY INVOLVEMENT

Dress for Success Organization (non-profit)

Florida Organization of Nurse Executives, Member

Florida Nurses Association, Member (Past Member)

Association of Critical Care Nurses, (Past Member)

Dress for Success Organization

-Professional Women’s Group Director

Oncology Nurses Society (past member)

-Served as Board Secretary, 2005

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