Margareth Ferdinand, RN, MSN

561-***-****- ad0w5o@r.postjobfree.com Royal Palm Beach, FL 33411

Summary:

Quality focused RN with over 30 years of nursing experience with strong clinical leadership background.in various areas of Nursing including ICU, Disease Management. Wound Care, Infusion therapy, Home Health, Utilization Review, Case Management, managed care reimbursement and Nursing Education. Highly motivated, works well under pressure. Able to work independently remotely without supervision- Highly organized, proactive and punctual with team-oriented mentality. Passionate about patient advocacy.

Skills:

Home visits, Clinical Documentation, Transition of Care, Needs and Safety assessment, Care Coordination, Community Outreach, Regulatory Compliance, Supervision, Needs Assessment, Utilization review, ICD 10 coding. Hedis measures, Chronic Disease Management. Client Advocacy, Education.

Experience:

Registered Nurse Case Manager 1/20/2000-Oct.2023

Pop Health Care/Emcara Franklin, TN

• Coordinate and provide care that is safe, timely, effective, efficient, equitable, and client-centered,

• Handle case assignments, draft care plans accordingly.

• Assist clients achieve wellness and autonomy.

• Assist clients to make informed decisions by acting as their advocate regarding their clinical status and treatment options. Work closely with providers to coordinate patient care.

• Perform physical examinations and health and safety assessments.

• Monitors chronic conditions to minimize exacerbation.

• Provides effective patient education using Teach-Back techniques.

Clinical Manager - March 2017-December 2019

Activa Home Health-Medicare Home Health Agency Boynton Beach, Florida

• Focused on daily operations and coordination of team activities to ensure high quality patient care and cost-effective services.

• Reviewed staff documentation to ensure accuracy and compliance.

• Interfaced with other agency personnel, physicians, payers, and discharge planners to ensure effective teamwork and customer satisfaction.

• Reviewed referrals for appropriateness.

• Coordinated QAPI program.

• Provided direct oversight coaching and mentoring to nursing staff.

• Supervise, support and counsel field clinicians.

• Utilization Review.

• Support sales team.

Clinical Manager Feb 2007-Feb 2017

Brookdale Nurse on Call Home Health Lake Worth, Florida

• Coordinate the delivery of quality patient care by assuring the care plans of direct care staff are complete, accurate, and followed.

• Responsible for the performance of and/or oversight of patient care activities by case manager, including scheduling, staffing, intake, physician communications, billing and reimbursement.

• Conference with field staff to ensure proper treatments, diagnoses and utilization of services. Review OASIS, ICD 10 coding and clinical notes for accuracy.

• Counsel staff as necessary regarding job performance and administer disciplinary action as necessary.

• Utilization Review.

Part time Nursing Instructor Adjunct May 2007 to December 2014

Academy for nursing and Health Occupations West Palm Beach, Florida

• Supervise Nursing students in the following clinical areas: Obstetrics, Pediatrics, Long term care, Mental Health and Medical-Surgical units.

• Prepare and deliver lectures.

• Inspire and mentor students and evaluate student's clinical objectives assignments, case studies and written assignments.

• Participate in Committee for Accreditation. Supervise students in Simulation Lab.

• Provide instructions on nursing concepts and practices to students in classroom and off site.

• Develop assessments to evaluate students’ performances.

Case Manager July 2005 to January 2007

JFK Hospital Atlantis, Florida

• Coordinate all aspects of patient care in a hospital setting to ensure safe and appropriate discharge.

• Ensure safe transition from hospital to home or other facilities.

• Use of InterQual criteria to ensure services meet severity of illness.

• Utilization review with managed care.

Utilization Review Nurse March 2003 -July 2005

Kemper Insurance Plantation, Florida

• Review of requests for services and procedures from providers, hospitals, doctor’s officer to determine appropriateness of service.

Languages: French, Creole and proficiency in Spanish

Education:

Miami Dade College-ASN in Nursing 1990

Florida Atlantic University-MSN Nursing Education 2015

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