Sheila Joyce
San Diego, CA ***** 619-***-**** ad11tg@r.postjobfree.com
PROFESSIONAL SUMMARY
Kind and diligent Registered Nurse with over 30 years of excellence in the delivery of prescribed medical, health and wellness strategies, techniques, and support services in palliative, hospice, remote telephone care, and OB/GYN environments.
Strong abilities in patient assessment, patient and family education, and patient communications and advocacy.
Experienced liaison providing referrals for other professionals and support service, compliance assurances, integrated care communications and the methodology to ensure success.
Record of excellence in administration and implementation of medical strategies, techniques and services including total health care management, program compliance, medicine administration and delivery, palliative care, and resource management.
Successful working with a diverse patient population including working with difficult, non-compliant, and critical patients with co-morbidities.
Excellent interpersonal skills with proven successes working in diverse multicultural patients attentive to cultural diversity and patients' physical and emotional needs.
Strong sense of priorities, a keen eye for detail, and a valued reputation for integrity.
SKILLS
REGISTERED NURSE
PALLIATIVE, HOSPICE & CHRONIC CARE
HEALTH, WELLNESS & PREVENTION
TOTAL CARE MANAGEMENT
INTEGRATED PATIENT COMMUNICATIONS
SUPPORT SERVICES REFERRAL & LIAISON
CHARTING & DOCUMENTATION
PATIENT EDUCATION & COMPLIANCE
CHARGE NURSE & PATIENT ADVOCACY
WORK HISTORY
San Diego PACE 04/2022 to CURRENT
Conducts initial Home/RN assessments at participant's home or virtually (dependent on clinical need) during the initial enrollment process
Assessment consists of a head-to-toe evaluation to evaluate medical comorbidities and impact on activities of daily living on the senior population interested in joining PACE
In collaboration with the Enrollment Team completes and submits LOC for review within 24 hours of original assessment date
Collects medical records as needed to complete LOC
If medical records can't be accessed, complete LOC with other relevant information (i.e
Hospital discharge information, medications, etc)
Maintains an up to date active list of all LOC's submitted to include date submitted, decision, follow up, etc
Follows up on all deferred Prospective Enrollees as needed and resubmits required information to DHCS to request approval
Participates in weekly enrollment team meetings as well as IDT and HHC meetings as needed
Identifies safety and health issues in potential enrollees that could be grounds for an enrollment denial under CMS guidelines
Works with the Admission RN Supervisor to identify issues and assists in presenting issues to IDT for a potential enrollment denial
Communicates and interacts with patient, caregivers and/or family members as needed
Provides RN clinical coverage in the PACE clinic as needed.
ComForCare, Allonehealth (per diem job) 06/2020 to CURRENT
Manage Orientation schedule and admissions
FIELD NURSE 09/2021 to 04/2022
Bridge Hospice
Act as primary liaison with attending physicians, patient, and other family members
Deliver timely integrated communications with patient, family members, attending physicians and other health care team members as required
Deliver prescribed plan of care, provide pain management, and control, and provide wound, tracheotomy, colostomy, and catheter care
Provide initial and ongoing assessment of patients
Provide complete charting and action documentation in Net Smart e-charting environment
Attend to patient and family members physical and emotional needs
Advocate for both patient and family.
CVS-Covid Vaccination administration/UNI HC recruiters 02/2020 to 07/2020
Administering Covid-19 vaccination (Moderna, Pfizer)
Scripps Home Based Healthcare 02/2020 to 05/2020
RN visit nurse to patients in place of residence
Provided admissions, discharges, recertifications based on insurance
Provided care to patients with medical needs: wound care, IV's, blood draws
Provided care using nursing assessments, plans of care, interventions, evaluation
On-going communication with managers, CM's, physicians, vendors
Provided education to patient and families using effective communication.
CLINIC NURSING SUPERVISOR RN 04/2019 to 08/2019
Family Health-Center for Older Adults
Oversee LVN's, Medical Assistance in caring for the elderly/frail
Worked directly with Medical Director MD to assure safe participant care
Submitted documents directly to CMS for approval of participant admission.
TELECARE 11/2017 to 10/2018
VITAS INNOVATIVE
Respond to off-hour telephone calls for 12 regions in the western United States in call center providing critical telephonic health services for up to 3,000 patients
Registered Nurse for leading provider of hospice and palliative patient services
Acted both as a Charge Nurse and Telecare Nurse.
RN, ACCESS TEAM (HOSPICE & PALLIATIVE CARE) 01/2010 to 01/2017
SHARP HEALTHCARE
Provide palliative and hospice care for end-of-life patients as member of the Access Team for adult patients throughout San Diego County in home, hospice, skilled nursing, and hospital environments
Act as primary liaison with attending physicians, patient, and other family members
Deliver timely integrated communications with patient, family members, attending physicians and other health care team members as required
Deliver prescribed plan of care, provide pain management, and control, and provide wound, tracheotomy, colostomy, and catheter care
Provide initial and ongoing assessment of patients
Provide complete charting and action documentation in Net Smart e-charting environment
Attend to patient and family members physical and emotional needs
Advocate for both patient and family.
TELECARE RN 01/2005 to 01/2010
VITAS INNOVATIVE
Registered Nurse for leading provider of hospice and palliative patient services
Acted both as a Charge Nurse and Telecare Nurse
Respond to off-hour telephone calls for 12 regions in the western United States in call center providing critical telephonic health services for up to 3,000 patients.
SCRIPPS HOSPITAL 01/1990 to 01/2004
Fourteen years of progressive excellence as a RN, Charge Nurse and Circulating Nurse in OB, Labor & Delivery environments
Assignments include: Charge RN, Mother & Baby Unit, Scripps Hospital, La Jolla 2000 to 2004
Charge RN, Mother & Baby Unit Scripps Hospital, Encinitas 1995 to 2000
Labor & Delivery, Scripps Hospital Chula Vista 1990 to 1995
Provided complete patient care for diverse patient population in labor and delivery including difficult and complex deliveries, patient and baby care, patient education, and complete charting
Performed ongoing assessment of both mother and baby
Identified and delivered integrated strategies for those with postpartum difficulties
Provided patients with plans and strategies in baby and mother health and wellness, and improved management of health and health-related problems.
EDUCATION
Diploma of Nursing, Registered Nurse
ELLIS HOSPITAL SCHOOL OF NURSING, Schenectady NY
PRODUCTIVITY CHARTING TOOLS
NetSmart
Proprietary charting solutions
LICENSURE CERTIFICATIONS
1989, Present, STATE OF CALIFORNIA, Registered Nurse License #437067, 11/30/2020
2016, ON-LINE CLASS, Certified Hospice & Palliative Care Nurse (CHPN), 2020
1989, Present, AMERICA RED CROSS, Basic Life Saving (BLS) for Healthcare Provider, 2020
PROFESSIONAL HIGHLIGHTS
Perform telephone triage and manage patient services including coordinating care services, vendors, physicians, pharmacies, and family support programs.
Managed up to six RNs and LVNs.
Deliver integrated crisis communications with patients, family members, and other health professionals.
Provide remote patient assessment, deliver prescribed plan of care, and dispatch on-call nurses, social workers, and counselors as necessary.
Ensure compliance to all program standards and best practices.
Provide complete and accurate documentation for all actions and communications, electronically.
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