RN Case Manager, Emergency Room Clinical Decision Making Unit

Sherry Powell, MSN, RN

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

Wilder, KY 41071

*** (659-1801)-cell

EDUCATION:

Masters, Science of Nursing (MSN) Northern Kentucky University, Highland Heights, KY. Completed August, 2017.

Bachelor of Science in Nursing, Northern Kentucky University, Highland Heights, KY. (December, 2009). Studies included focused courses Adult Critical Care, Community Health, Leadership, Professional Issues, Pediatrics, Psychiatry, Obstetrics and Gynecology.

Trihealth – February 2024 – May 2024

Trained on the Clinical Decision Unit to work on the telemetry floor with patients

Training has not yet been completed, as Trihealth has moved the unit to a full 20-25 unit upstairs to meet patient needs; and is working on a new RN/LPN team model

TriHealth – October 2022 – present

RN Case Manager, Emergency Department – Bethesda North

oMeet with patients/family in the Emergency Department as they are being admitted, and discuss discharge planning needs based on current medical history, patient/family input, and work-up

oProvide case management coverage for Bethesda North Hospital as point of contact once day shift staff leaves

oResponsible for covering Bethesda Butler Hospital, Bethesda ArrowSprings for any care management needs after day shift staff leave the facilities

oResponsible for covering all inpatient units at Bethesda North for discharge needs, Medical Ubers, any Ambulance transport needs, equipment needs, as well as setting up home health services, home PT/OT, IV therapy, etc.

oDiscuss with patient/family regarding questions for any drug and alcohol treatment, and/or mental health facilities, and arrange transportation to facilities if needed

oCall and arrange transportation for patients who require immediate psychiatric placement, and/or AirCare transportation for critical care treatment

oWork with local vendors to provide patient’s with needed durable medical equipment at the time of discharge, (i.e., walker, rollator, shower chair, oxygen, wheelchair, etc)

oWork with local skilled nursing and/or rehab facilities to help place patients as needed, once evaluated by PT/OT staff

oInitiate precertification process for placement in Inpatient Rehab, Long-term care placement, etc., for Medicare Advantage Plans, State Medicaid, and/or private/commercial insurance companies

oWork with the emergency room physicians, hospitalists, as well as the mid-level providers, to ensure patients can be discharged home safely

oCall other hospitals/facilities to make arrangements to safely transport patients to their location for more definitive care. (ie., Air Care, ACLS, and/or BLS squad)

oUse inhouse interpreter service to ensure all patients have their medical treatment, and discharge needs discussed with them in their own language, to help patients be more successful at the time of discharge

TriHealth January 2019 – May 2021

Worked on the Heart and Vascular Floor at Good Samaritan Hospital to assist with the COVID pandemic, and extreme admission rates caused by the pandemic.

Assisted the full-time nursing staff with patient care as assigned. These hours were worked in addition to my regular full-time job, as the hospital was so short of experienced RN staff.

TriHealth January 2012 - present

RN Complex Care Coordinator

oProvided care management for high risk/complex patients identified through population health and risk stratification data to delineate levels of care needed based on diagnoses and patient health care needs; including identifying barriers to care, gaps in care and compliance concerns

oWorked with patients to help them better understand the complexities surrounding their health status and work in conjunction with the patient and caregivers, to minimize gaps in care, so patient needs can be met

oProvided patient education for Diabetes, CHF, COPD; A-fib, and other complex medical issues, as well as discussing diet, and good lifestyle changes, to improve patient outcomes

oUsed EPIC to verify risk stratification data, perform chart review, abstract patient data, reconcile medication list, document patient education, and ongoing provider appointments and care

oCalled patients/family and reviewed test results, as directed by providers

oWorked with patients on nursing directed care plans. Encouraging the patient to participate in their care by working through identified problem areas, looking at what options are available, and the patient/family felt capable of working on, so positive outcomes are achievable

oUtilized EPIC to answer patient questions and concerns, prepared prescription refills for provider signatures and used the electronic email program, MyChart to improve patient communication

oWorked with various payors utilizing established risk stratification filters to identify high risk patients; also using patient data to identify those patients with increased emergency department utilization and/or those that had recurrent hospital admissions

oProvided patients/family with urgent provider appointments where appropriate, resources, and options to address patient questions and concerns. This was designed to help the patient better understand each healthcare option available to them to seek advice and care

oCare Management competencies were completed meeting standards of care as outlined by CPC Plus, CMS, and NCQA standards and requirements

oVery Strong patient/family advocate

oResponsible for training new care coordinators

oParticipated in Peer Interview Team

oParticipated in yearly HEDIS abstracting, reviewing charts, and completing HEDIS reviews and submission in a timely manner

Registered Nurse - Journey Lite Surgery Center – PACU August 2010 – Sept 2012 (PRN)

oPerformed comprehensive patient assessments in the post-surgical environment and implemented established post-surgical treatment plans to ensure successful patient recovery

oMonitored patient’s vitals during their immediate post-op period from spine surgery, or plastic surgery, to document their safety and well-being

oManaged patient’s post-operative pain by administering pain medication and closely monitored patient’s recovery from the effects of anesthesia

oDocumented patient sedation levels, vital signs and kept family updated as to progress

oReinforced surgical dressings

oDeveloped care plans based on each individual patient condition

oResponsible for narcotic medication inventory, before and after each shift, with another RN

oProvided patient education to ensure patients and families were educated on post-op care, medications, and discharge instructions

oOn patient discharge post-op space was cleaned, sanitized and restocked to accommodate next patient needs

Registered Nurse – University of Cincinnati – January 2010 - December 2011. Medical-Subspecialty Clinics – Responsible for covering the following clinics: (Sickle Cell, Endocrinology/Diabetes, Rheumatology, Allergy/Asthma, Pulmonary, Renal (CKD), Neurology, Cardiology) Worked with 70+ physicians (attendings, residents, and fellows), across nine disciplines.

Job Responsibilities:

oTeam Lead/Charge Nurse

oPreceptor for new nursing staff

oMentored medical assistants

oMonitored clinical competencies

oIncreased patient satisfaction scores in multiple clinics covered

oPrepared schedule for medical assistants and nurses to ensure appropriate staffing needs

oOrdered all clinic medications and allergy testing vials

oWorked with insurance companies to get approval for prior authorizations (PA) for medications and tests

oMonitored medication expiration dates

oPerformed allergy skin testing, prepared & administered allergy shots

oPrepared patient injections (testosterone, flu and pneumonia vaccines, etc)

oPerformed PPD testing, and immunizations

oProvided patient education as patients exited from their visit with physicians

Experience with Software/Programs: EPIC, Voalte, MS Word, PowerPoint, Excel, Adobe Photoshop, Centricity, Lastword, PerfectServe

References Available Upon Request

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