Julia Kathryn Bail, MSN, GNP, RNCS, APRN, BC

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

Thousand Oaks, CA 91362

805-***-****

CA License RN561772/14399 DEA MB2633560

ad2j1y@r.postjobfree.com

Summary : I am an accomplished Geriatric/Adult Nurse practitioner with strong academic training and a wide variety of professional experience. I was dually trained as a Clinical Nurse Specialist and have gained a wealth of clinical experience where I gained particular expertise in performing physical examinations and in the diagnosis and treatment of many common chronic conditions seen in a large percentage of adult patients seeking primary care. I have worked as an Advanced Practice Nurse caring for geriatric and/or medically complex patients in several different locations. I adapt to change quickly and have become confident caring for frail, medically complicated patients in various practice settings. I possess strong clinical skills, have sound judgement when making medical decisions and enjoy a particular rapport with geriatric patients.

Education : University of Massachusetts, Boston

Baccalaureate of Science in Nursing

June, 1999 – Magna cum Laude

University of California, Los Angeles

Master of Science in Nursing

Gerontological Nurse Practitioner

Gerontological Clinical Nurse Specialist

June, 2003

Experience:

MPTF Hospital

LTC Unit

Nurse Practitioner

November 2021 – January 2023

Full Time Nurse Practitioner position caring for the chronically-ill and elderly residents of the long term care/dementia units on the MPTF campus.

Northridge Hospital Medical Center

Transitional Care/Chronic Disease Program

Program Manager, Nurse Practitioner

January 2020 – October 2021

Full-Time Nurse Practitioner Position initially making visits to see patients in NHMC collaborative SNF’s and then making Home Visits to our chronically ill, frail patients with a goal of preventing hospital readmissions.

Genesis Physicians Services

Woodland Care Center - SNF Reseda, CA

Center Nurse Practitioner

November 2016 – January 2020

Full Time Nurse Practitioner position based in one center owned and operated by Genesis Healthcare. On a daily basis, I provided care to frail, elderly post-acute care patients that are transferred to the center from area acute care hospitals and also provide care to some of the residents who are custodial patients at the facility. I worked collaboratively with 5 area physicians to provide comprehensive care to their patients in the center who have a variety of complex medical conditions and strive to keep the readmission rate of the center as low as possible. I collaborated with other members of the interdisciplinary team to meet with families or responsible parties of our patients in order to learn about their expectations as soon as possible during the patient’s stay in order to plan for a successful discharge back home or to a lower level of care.

Northridge Medical Center Urgent Care

Urgent Care Center/ Pain Management practice

Internal Medicine/Adult Nurse Practitioner

January 2016-Present (fill in during off hours on part time basis)

Until November 2016, this was a Full time position as a nurse practitioner in a full-service urgent care center and as a nurse practitioner helping with overflow in an on-site pain management practice under the supervision of a physician trained as a board certified anesthesiologist/pain management specialist who is dually certified in critical care medicine and who is the Medical Director of the Urgent Care Center.

In this position my duties include triaging and caring for a wide variety of urgent care adult patients as well as assisting in the on-site pain management clinic and treating patients with many different complex conditions requiring the treatment of specially trained pain management specialists.

Gerinet Medical Associates

SNF Program - San Fernando Valley Area

LTC Nurse Practitioner

September 2015 - December 2015

Full Time nurse practitioner position providing post-acute care for frail, complex elderly patients admitted to 5 different nursing facilities in the San Fernando Valley. A majority of the patients were members of either Healthcare Partners or Facey Medical Group. Participated in the patient’s care from admission until discharge, working with patients, their families and the staff at all assigned facilities to ensure that the highest-quality care was provided at all times and specific measures were being met in-order to prevent re-admission to the hospital or re-admission to the SNF once patients were sent home. Regularly participated in multi-disciplinary team meetings at the different facilities with both medical groups and my medical director to ensure the entire team was always aware of the plan of care for the patient and was notified of the progress they were making or any new findings to ensure good continuity of care and a seamless discharge including all members of the team. Participated in taking call along with other members of the Greater Los Angeles Group.

United Healthcare

Community and State Division

LTC SNF Nurse Practitioner

November 2014-August 2015

Full time position managing the care of a panel of approximately 80 custodial geriatric patients with multiple medical problems in 3 separate facilities. This position demands a significant amount of experience in caring for medically complicated geriatric patients with multiple medical problems as well as the presence of several geriatric syndromes.

IPC: The Hospitalist Company

Post Acute Care Program

Geriatric Nurse Practitioner

October 2013 - October 2014

Full time position managing the post-acute care of geriatric patients admitted to skilled nursing facilities from admission to discharge. Along with providing care to patients planning to return home after rehabilitation, I also was tasked with the care of custodial patients who were residents at Healthcare facilities in the Greater Boston Area. This position required extensive experience in the care of the complex geriatric patient with multiple medical problems as well as the presence of common geriatric syndromes which often further complicated the plan of care for the the patients.

Barton Associates Locum Tenens Agency

SNF Geropsychiatric Medical Management Program

Geriatric Nurse Practitioner

February 2012-April 2012 As a special Nurse Practitioner Consultant, I traveled to 6 separate skilled nursing facilities in the Greater Sacramento Area assessing patients for many common Geriatric syndromes and providing prudent medical management recommendations to both the staff and the primary MDs. I frequently performed complete cognitive assessments on brand new admissions to assess for the presence of very common geriatric syndromes such as dementia, delirium and depression. I also assessed previous Vericare admissions and attempted to manage their conditions with as little medication as possible, always attempting to develop non-pharmacological methods for dealing with their syndromes when possible. When medication was needed, I performed a careful medication review, watching closely for potential medication interactions, attempting to reduce polypharmacy and attempting gradual dose reductions of psychotropic medications when it is possible. I consulted with patients, families, staff members about these syndromes and provided teaching to help all involved better understand the behavior of the patients.

HealthCare Partners Medical Group

Home Care Group under High Risk Programs

Home Care Nurse Practitioner

2009 -2010 I identified ideal high-risk patients, both geriatric and adult, and subsequently spent full days providing home centered care with the goal of keeping this group of very fragile, medically complex patients who were most likely to be hospitalized repeatedly as determined by their Risk Stratification Tool used at Health Care Partners. These patients most often had several complex and advanced medical conditions and an often had no transportation to bring them in to the clinic to see a provider. I worked toward forming close and trusting relationships with my patients and their families/loved ones and emphasized that from day one on our program, they would have access to one of our clinicians 7 days/weekly, 24 hour a day. I rotated the 24 hour night and weekend call with the other clinicians in the group.

GLAVC New Homes Project

State of California Department of Veterans Affairs

Nursing Special Consultant 5/08-7/31/08

Provided expert nursing advice and oversight for administrators in planning and development phase of New Veteran’s Homes and ADHC Centers recently built in Ventura and Lancaster CA.

Sage Clinic

Sherman Oaks Hospital

Geriatric Nurse Practitioner – 1 year, various time periods

Provided Locum Tenens clinic work for well known UCLA Geriatrician.

UCLA Department of Medicine –

Division of Geriatrics/Division of General Internal Medicine

Geriatric Nurse Practitioner, 2006-2008

Provided care for geriatric patients participating in a John A. Hartford Foundation sponsored ACOVE based Nurse Practitioner Co-Management Study. Focused heavily on patients with the

Following geriatric conditions heart failure, dementia, depression, falls and urinary incontinence. Also saw and cared for patients with many other common geriatric conditions. Co-managed study patients with members of a large geriatrics outpatient practice who served as the patients’ primary physicians and referred them to me for further management as needed. Developed and maintained collegial and trusting relationships with physicians in the Division. Assisted with development of protocol notes and designed supplementary information to be given to patients, families and caregivers. Provided in-clinic educational experiences for pre-med, 3rd year medical students as well as nurse practitioner students. Maintained faculty appointment at UCLA School of Nursing and lectured for Master’s program students periodically on various topics.

Supervised the clinical LVNs and served as their clinical resource nurse.

*Study Results were positive and were presented at the Annual American Geriatrics Society meeting and also were published in the American Journal of Managed Care.

VA Greater Los Angeles Healthcare System

Wadsworth Hospital, General Medical Unit

2003-2006

Geriatric Clinical Nurse Specialist - Geriatric Nurse Practitioner, Clinical Care Supervisor

Perform various elements of the different roles of a CNS, clinician, educator, researcher, administrator; with an emphasis on geriatric patients. Focused heavily on improving nursing practice throughout the hospital, primarily on the medical and surgical units. I provided staff education pertaining to evidence based interventions for our Veterans who were hospitalized with either chronic or acute medical conditions. Provided additional education concerning the specialized care of our geriatric veterans. Also focused heavily on maintaining JCAHO regulations and preparing the unit for unannounced site visits. As a GNP on the Unit, I made daily multidisciplinary rounds that focused heavily on the most frail, elderly veterans that were inpatients yet included all patients admitted to the unit. Began a 6-8 week New Graduate RN Program with both didactic and clinical components first focusing on general medical-surgical care of adults and later integrated specialized geriatric content into my teaching to broaden the knowledge base of the new graduate RNs. Focused on teaching caring for patients using critical thinking skills for decision making. I additionally provided daily oversight of all unit clinical operations and expert care to patients on the unit with special attention paid to those veterans that required specialized geriatric interventions or who were faced with one of many common geriatric syndromes or who required extra specialized care. Worked certain days entirely “on the floor” as a staff RN to gain insight and to form needs assessments as to where deficiencies were in the clinical care being provided on the unit. Using this information, I provided on the spot education or devised new in-services and or/ competencies for the nursing staff. I answered geriatric consult requests from all areas of the hospital including the medical and surgical units, the rehabilitation floor as well as in the critical care units. I both wrote orders and made recommendations to Internal Medicine Resident Teams on how to more appropriately care for geriatric veterans. Educated resident teams on common geriatric issues, conditions, syndromes, treatments and solutions. Maintained close working relationship with WLA’s VIP Palliative Care Service. Was appointed by DON to Special Task Force on Fall Prevention. Devised new, comprehensive fall prevention program to be implemented hospital wide.

Skills:

Well read, personable, precise, sympathetic, compassionate, confident, eager to learn, proficient in Spanish, able to be assertive when necessary.

Additional Comments:

I am an enthusiastic, kind health care provider who is searching for a position that will allow me to make peoples’ lives better. I am interested in clinic work, providing hospital based care, SNF care, educational roles, research and management. I am now particularly interested in a position that will perhaps allow me to return to providing care to medically complex geriatric patients.

Honors, Awards and Certifications

VA Special Contribution Award May 2005 – Fall Prevention Program

ANCC Certified Gerontological Nurse Practitioner

Member, Sigma Theta Tau International Honor Society for Nursing - Theta Alpha Chapter

Elected to Who’s Who among Students in American Colleges and Universities

UCLA School of Nursing, 2003.

Scholarships – UCLA School of Nursing

Audrienne H. Moseley Scholarship

Lillian Felsman Scholarship

Karen Van Brunt Memorial Scholarship

Memberships

American Geriatrics Society

California Association of Nurse Practitioners

National Conference of Gerontological Nurse Practitioners

Sigma Theta Tau - National Honor Society for Nursing

CALTCM

Publications

Book Review

Bail, JK. Wound Ostomy and Continence Nursing Secrets, J Am Med Dir Assoc., 2004; 5(1): 68.

Book Chapter

Mentes JC, Bail JK. Psychosis in Older Adults. Chap. 9, pgs 173-192. In Geropsychiatric and Mental Health Nursing, Eds: Melillo, KR, Houde, SC, Jones and Bartlett, Sudbury, MA, 2005.

Journal Article

Ganz, DG, Koretz, BK, Bail, JK et.al Nurse Practitioner Co-Management of 5 Chronic Geriatric Conditions in an Academic Geriatric Practice. AJMC. 2010 (16):e343-355 Number 12.

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