Behavioral Health Med Surg

Karen Tvedt

*********@*****.*** **** S Kinderhook Ave. Sioux Falls, SD 57106 775-***-****

Skills

InterQual Criteria Acute Care Adult & Behavioral Health

Case Management, Pain Management, & Customer Service.

VHA Utilization Management Criteria trained Acute Adult Care & Behavioral Health

Participated in National Coach & Mentor Program, Achieved Certified Fellow.

Chair of Fall Prevention Committee

Healthcare Analytics I & II

Ensures utilization of NUMI for all acute inpatient admissions during off tour hours

ACLS, BLS & TNCC

Education

North Central University

PhD Nursing Education- In Progress (12/2020)

Western Governors University

Master of Nursing-Leadership and Management

Bachelor of Science Nursing

Minnesota West Community College

Associate Degree in Nursing- Registered Nurse

Experience

OrthoNet/Optum 1311 Mamaroneck Avenue White Plains, NY

Orthopedic Case Manager

Full Time 40+ hours a week, remote. Practice based on orthopedic, neurological, podiatry surgical treatment. Communicate with Medical Directors to resolve level of care discrepancies, quality issues, clinical assessment and pre-authorizations for care. Utilization and fiscal responsibility of services, equipment, and data management. Utilization based on InterQual guidelines and quality management.

VA Sioux Falls Health Care System 2501 west 22nd Street. Sioux Falls, SD

Off Tour Nursing Coordinator April 20196 – Current

Full Time 40+ hours a week. Practice based on ICU and Emergency Room. TNCC certified. Ensures utilization of NUMI for all acute inpatient admissions during off tour hours and reports episodes of are for review to the Utilization Manager. Participates in daily rounds, code huddles, and interdisciplinary team meetings. Communicates with attending physicians and collaborates to resolve level of care discrepancies, quality issues and delays in care. Reports utilization data to nurse executive as part of quality management process. Evaluation of staff and adherence to clinical practice and compliance with UM requirements. Responsible for elevating quality or regulatory concerns to nurse executive and facility leadership. Assessment and evaluation of admissions and discharges during off tour hours. Utilization and fiscal responsibility of services, equipment, and staffing during off tour hours. Safe patient handling coordinator. Work as staff RN on ICU and ED scheduled two shifts per week. Flexible, adapt at changing needs of the hospital and patient acuities with ability work shifts on multiple floors including CLC, mental health, and medical/surgical telemetry to provide safe staffing ratios. Utilization based on InterQual and VHA Criteria guidelines and quality management. Transfer coordinator, bed coordinator and BMS management.

Sanford Health Chamberlain Care Center 300 S Byron Blvd, Chamberlain, SD

Director of Nursing October 2017– April 2019

Full Time 40+ hours per week. 25 bed critical access hospital with a 44-bed long-term care center. Required coverage for both CC and Hospital. Practice based in geriatrics, med surg, tele, rehab, cardiac, pediatrics, ER and OB, case management, psych and LTC. Call coverage and floor assignments as needed per staffing requirements. Evaluation of staff and adherence to clinical practice. Monitor staffing, correcting manager staffing deficiencies, coordinating coverage for sick calls, determine appropriate placement to maintain staffing levels in accordance with directive and fiscal responsibility. Identify and remedy critical incidents including facility infrastructure, personnel and patients. Coordination of care for eligible patients for LTC, swing bed, HIS and community resources. MDS education and quality auditing. Directive and policy writing and implementation. Last State Survey was deficiency free.

VA Sierra Nevada Health Care System 975 Kirman Avenue, Reno, Nevada

Off Tour Nursing Supervisor August 2016 – December 2017

Full time 40+ hours a week.Practice based on Medical/Surgical Telemetry, CLC, Mental Health, case management and ICU. Evaluation of admissions and clinical review. Participates in daily rounds, code huddles, and interdisciplinary team meetings. Communicates with attending physicians and collaborates to resolve level of care discrepancies, quality issues and delays in care. Reports utilization data to nurse executive as part of quality management process. Evaluation of staff and adherence to clinical practice and compliance with UM requirements. Responsible for elevating quality or regulatory concerns to nurse executive and facility leadership. Assessment and evaluation of admissions and discharges during off tour hours. Utilization and fiscal responsibility of services, equipment, and staffing during off tour hours. Work as staff RN on multiple floors including CLC, mental health, medical/surgical telemetry and ICU to provide safe staffing ratios. Utilization based on InterQual and VHA Criteria guidelines and quality management. Transfer coordinator, bed coordinator and BMS management. Logistics management, sterile supply and facility management. Identify and remedy critical incidents including facility infrastructure, personnel and patients. Directive and policy writing and implementation. Behavior de-escalation, implementation of behavior health techniques, therapeutic communication, PMDB level five with patients with varied acuity and hospital placement. Team leader on de-escalation of behavior emergencies and emergent issues. Restraint audits, code blue review team, mock code team and continued education for the hospice program as a Certified Hospice Train the Trainer for new staff to the CLC and behavioral health.

NCI Advanced Med 2301 North 117th Avenue, Omaha, Nebraska

Registered Nurse Medicare Medical Review Nurse II August 2015 – July 2016

Full time 40 hours a week. Contracted position. Reviewed information contained in Standard Claims Processing Files to determine provider billing patterns and to detect potentially fraudulent or abusive practices or vulnerabilities in Medicare payment policies. Coordinates and compiles the written investigation summary reports to PI Investigator. Utilizes extensive knowledge, ICD-9 *, HCPCS Level II and CPT coding along with analysis and processing of Medicare claims to determine coverage determinations. Incorporates leadership and communication skills to work with physicians, health professionals, external regulatory agencies and law enforcement personnel. Identified and recouped over $6,000,000.00 in first quarterly review.

Nebraska Medicine 4350 Dewey Avenue, Omaha, Nebraska

Registered Nurse April 2015 – June 2016

Full time 36 hours per week. Practice based on Orthopedics/medical Surgical/Trauma. Case management monitored adherence to organizational, community and state guidelines. Floated to Mental Health unit, MICU and SICU. Maintained performance measures, audited charts. Educated staff on new computer programming and equipment. Mentored new nurses.

VA Nebraska Western Iowa Medical Center 4104 Woolworth Street, Omaha, Nebraska

Registered Nurse October 2013 – June 2015

Full time 40+ hours per week. Implemented the Recovery Model and Mental Health Suite to the inpatient Mental Health Unit. Provided mental health care for both inpatient, home based mental health and transitional living departments. Implemented behavioral health techniques. Wrote policy and procedure regarding new mental health initiatives within the healthcare system. Trained staff in therapeutic commination and crucial conversations. Collaborated with internal and external customers on transition from CDI-9 to CDI -10 coding and provided quality audits to maintain adherence. Coach and mentored management staff. Collaborated with external facility to create educational and implementation plan for new mental health program and charting.

VA Sierra Nevada Health Care System 975 Kirman Avenue, Reno, Nevada

Off Tour Nursing Supervisor/Administrator October 2009 – October 2013

Full time 40+ hours per week. Evaluation of staff and adherence to clinical practice. Participates in daily rounds, code huddles, and interdisciplinary team meetings. Communicates with attending physicians and collaborates to resolve level of care discrepancies, quality issues and delays in care. Reports utilization data to nurse executive as part of quality management process. Evaluation of staff and adherence to clinical practice and compliance with UM requirements. Responsible for elevating quality or regulatory concerns to nurse executive and facility leadership. Assessment and evaluation of admissions and discharges during off tour hours. Utilization and fiscal responsibility of services, equipment, and staffing during off tour hours. Monitor staffing, overtime sick calls and agency to determine appropriate placement to maintain staffing levels in accordance with directive and fiscal responsibility. Implemented Hospice program in the CLC. Case management. Provided education and competency skills sessions to maintain hospice grant money and staffing for new programs. Coached and mentored staff and GNT nurses. Certified Hospice Train the Trainer, Certified Fellow Coach and Mentor. Chair the Falls Prevention Committee, RCA team member, collaborated with Executive Officers in Staffing Methodology Directive implementation, education and daily progress.

Prison Health Services 105 Westpark Drive, Suite 200, Nashville, Tennessee

Registered Nurse April 2008 – October 2009

Full time 40+ hours per week. Member of multidisciplinary team and collaboration with internal and external teams. Collaborated with three hospitals and four local law enforcement departments. Maintained fiscal responsibility and provided daily reports on patients and cost. Provided chronic care, case management, emergency medical care, psychiatric/behavioral management, evaluations and history/physical verification. Worked at 911 Parr Blvd. Reno, NV contracted site.

Renown Regional Medical Center 1155 West Mill Street, Reno, Nevada

Registered Nurse August 2007 – May 2009

Full time 36 hours per week. Practice based on Renal/Medical/Surgical/Tele/NICU patients. Emphasis on IV skills, medications, IV therapy, peritoneal dialysis, pre/post hemodialysis, wound care team member, post chemotherapy care, psychiatric evaluations and life skills assessment

McCrossans Boys Ranch 47135 260th Street, Sioux Falls, South Dakota

Chief Nurse September 2006 – August 2007

Full time 40+ hours per week. Supervisor of a multidisciplinary team collaborating with members of the educational team regarding mental health and medical treatment of patients. Implement behavior management techniques. Provided case management, emergency services, psychiatric evaluations, physical evaluations, care planning to sixty-five bed facility. Budget management, fiscal reporting. Policy and procedure writing and implementation. Prepared skills and education programs. Created and implemented computer-charting system to maintain compliance for educational and state medical needs. Developed and instructed medication administration program approved by state board of nursing.

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