Kama Dyche

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

Fair Oaks, CA *****

916-***-****

Employment History

*/**/**** – Present

I have elected to take some time off to prepare my house for sale to move to a smaller home. Optum Home Infusion 4/3/2023 - 5/15/2023

Care of home and infusion suite patients, generally with an auto-immune deficiency. Physical assessments, teaching the patients and families how to best manage their disease process. Kaiser Home Health and Hospice 2/6/2017 - 1/25/2023 Please see AMN description below. I became the educator responsible for the on-boarding of all new hires, all disciplines for Kaiser home health and hospice across six sites. I co-developed a preceptor program with one of our home health nurses and one of our supervisors for home health and hospice clinicians. We also updated and rewrote some of precepting binder for the preceptors, preceptees, and supervisor’s guidance during their preceptorship period. We then uploaded it on an internal web site so that it was available to all who needed to view it. I continued with my Quality duties as well. Audits, chart reviews for spot checking existing clinicians and new hire chart review for accuracy and completeness. I also assisted with annual competency fairs for all home health and hospice clinicians. I was asked to become a trainer for special projects such as rolling out a new home infusion pump for all field clinicians. I was also asked to train our divert agencies trainers in all new devices and procedures such as administering cath-flo in the home to prevent unnecessary visits to the emergency room.

AMN 8/2016 - 2/6/2017

Quality nursing department for Kaiser home health performing audits for quality performance including chart review, safety audits, drug regime reviews, any special audits that needed to be done as directed by my supervisor and now taking on the responsibilities as educator for new hire orientation.

Aerotek Staffing Agency 1/2016 -7/2016

Utilization management for Blue Cross reviewing inpatient stays for medical necessity utilizing Milliman guidelines for pre and concurrent hospital stays. University of California Davis Medical Center 10/2014-12/2016 Inpatient discharge planning for an oncology, medical oncology, and medical surgical team, that included arranging transportation, follow up care, home health care, durable medical equipment supplies, social services and education for patients, family members, and physicians. The right care at the right time for a sometimes very challenging patient population and striving to prevent readmissions was always at the top of the department’s expectations. Molina Healthcare 5/2013-10/2014

In patient utilization management nurse for concurrent review and prior authorization, assist the facility case manager with discharge planning for a challenging patient population for the best possible outcome, appropriate and timely follow-up care. UMR Healthcare 2009-4/2013

I was hired as a certified case manager for a local specific client to serve as a single point of contact to coordinate health care benefits for their members, steer to in-network providers and to recommend care for beneficiaries at out of network providers if services were not available in network. Educate members regarding their health care plan and assist them in understanding the plan of care that was recommended by their health care providers. Collaboration with health care providers, beneficiaries, facilities, and vendors to assist the beneficiary to reach their optimum health status was provided monthly or more frequently as needed to meet the client’s needs. As well as my many duties as a case manager I was also asked to start and maintain a cost reporting system for the client for reserve setting. URAC and the company’s core standards were expected to be maintained with a high level of proficiency by case management.

Healthnet Federal Services 2004-2009

Served as a certified case manager for a diverse military population. The beneficiaries were catastrophically ill or injured. Served as a single point of contact to coordinate health care benefits, research community and military resources including financial, psychological, and personal support to assist these beneficiaries on their individual health care continuum. Monthly care plans in accordance with URAC standards were required as well as reporting cost avoidance and negotiating rates with non-network providers to provide shift nursing for qualifying beneficiaries. I am proficient with many different computer applications including micro-soft word, spread sheets, and various data-bases.

Coram Home Infusion Services 2003- 4/2012

Serve as a home infusion nurse providing services for a variety of patients including factor deficient individuals, single and multiple antibiotic therapies, total parenteral nutrition dependent patients, cancer patients requiring home chemotherapy, and individuals recovering from total joint replacement. My duties include teaching patients or their parents how to manage home IV therapy, management of their disease, and assessing for appropriate follow up care. I am familiar with various venous access devices including broviacs, port-a-catheters, peripheral venous access devices, and PICC lines.

Gentiva Home Health Services 2001-2003

I was hired to train nursing staff in home intravenous therapy and multiple venous access devices. I developed the training program and mentored the nursing staff in this regard. I also had my patient load including a variety of home health patients including individuals requiring complex dressing changes, wound vacs, patients recovering from total joint replacement and monitoring their bleeding time with a portable device. My duties included teaching a variety of patients how to manage their disease process such as newly diagnosed diabetics, management of dependent family members in the home and how to prevent skin ulcers, nutritional modifications that would assist with the healing process, and accessing community resources to assist patients and their family members with ongoing teaching needs and support when home health nursing was discontinued.

Option Care Home Infusion Services 1996-2001

Option Care was a very busy high technical home infusion company. I had an assigned territory and was a case manager for my patients in my territory. My duties included teaching patients or their family members how to manage their IV therapy in the home. I taught them about their disease process and how to alleviate their symptoms and the goal time frame that this was to be done in. My duties included helping them find appropriate community resources, follow up medical care and signs and symptoms of IV device malfunction to report to the nurse or physician. I was responsible for a variety of patients including those recovering from total joint replacement, cancer patients, patients requiring IV antibiotics, and patients unable to tolerate oral food requiring IV total parenteral nutrition and the possible metabolic derangements they may experience.

Sutter Medical Foundation, Emergency Room Staff Nurse 1992-1996 Sutter General is the second busiest emergency room in the Sacramento area. My duties included caring for patients from the clinically ill to the critically ill. My assignments included two critically ill and one non-critical bed or 4 to 5 patients in the clinic area or the triage area. I also took ambulance calls and mentored medic students and nursing students. The types of patients we saw were those with colds, broken bones, impending or complete spontaneous abortions to patients in complete cardio-pulmonary arrest or impending stroke. I was the primary nurse responsible for managing vasoactive medications, monitoring the patient’s heart rate, rhythm, and respiratory status and administering appropriate medications or treatments in collaboration with the emergency room doctor or another nurse if needed. I was required to interpret electrocardiograms and treat the patient accordingly. I was responsible for the appropriate disposition of the patient (in collaboration with the emergency room doctor, specialist or hospitalist) whether that be discharged home, admitted to the hospital or transferred to another facility with discharge instructions.

Methodist Hospital ICU Staff Nurse 1987-1992

My duties included caring for two critically patients. The types of patients had diagnoses ranging from status post cardiopulmonary resuscitation to drug overdose with cardiotonic effects. I was responsible for interpreting cardiac rhythms, monitoring blood pressure and respiratory rate and rhythm and providing appropriate interventions as needed to maintain my assigned patient’s vital functions. I managed ordered vasoactive drugs and titrated them dependent on standing orders and the patient’s vital signs. I worked closely with the patient’s physicians and other nurses to provide the best care for our patients. I advocated for my patients and their families as needed to help provide physical and emotional care and support for individuals with critical disease processes or injuries. I was frequently a relief charge nurse responsible for patient assignments, mentoring other nurses as needed and managing my own patient assignment. I have other nursing experience that can be provided upon request. Licenses

R.N. - Continuously since 1982.

Certificates - Certified case manager

Education

ADN, Nursing, 1982

San Joaquin Delta College, Ca.

Two years toward my BSN at California State University of Sacramento References

Jennette Stancy, RN, CCM 916-***-****)

Jennifer Bernardo, RN, BSN 916-***-****)

More available upon request

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