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Nurse Practitioner Home Health

Location:
Stockton, CA
Posted:
June 18, 2020

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Resume:

BERNARDE UDO, RN. MSN FNP-C

**** ********* **, ******** **. 95206 · 650-***-****

addwnf@r.postjobfree.com

Objectives

Certified Family Nurse Practitioner with over 25 + years of experience with oversight responsible position in the clinical operations of a multi-facility organization; where skills and expertise gained in the last twenty-three years doing hands-on clinical practice, management, and conceptualization/ implementation of policies and procedures can be utilized for the benefit of the community to be served

Skills and Knowledge

oKnowledgeable of the Hierarchical condition category (HCC) risk adjustment model by CMS

oICD 10 coding

oAudio/Visual Telehealth communication

oOperational, running the business day to day

oStrategic, planning with emphasis on value-based contracting

oContract development based on Pay-For- Performance model

oEstablished effective provider relations as well as provider services

oMonitor ongoing clinical improvement based on provider data management systems

oProfessional, supporting clinicians

oInspiring and empowering others

oSet values and engendering respect

oClinical Director of Nursing

oExecutive Director Home Health

oState, Federal, and local government representation

oAdministrator and Case Manager,

oClassroom instructor in nursing and Clinical setting

oManaged Care

oSkilled Nursing and Rehabilitation,

oAcute based Long-Term Care

oContract negotiation and credentialing

oIndependent, Assisted, and Skilled/Rehabilitation, Memory Support.

oHealth Care Consultant

oBudget and Financing

oHospitals and Clinics

EXPERIENCE

JULY 2019 TO MAY 2020

NURSE PRACTITIONER

ALLCARE IPA HOSPITALIST GROUP MODESTO

Performing health assessment, diagnosis, and preventive health measures with prescribed guidelines and physician instructions.

Provide patient education and counselling in areas of health promotion, maintenance, and disease prevention.

Orders, interprets, and evaluate diagnostic test to identify and assess patient’s health problems and health care needs

Prescribed medications or other form of treatments

Formulate and documents care plan with ICD 10 coding /HCC

Discuss case with the physician.

Patient visit via Audio/Visual Telehealth communication

Performing other duties as assigned and per scope of services.

APRIL 2019 TO JULY

RN CASE MANAGER

COMPASSIONATE CARE HHA

Admit patients to Home health Service, performing physical assessment, and treatment, ordering supplies and care coordination with family and Pt. Primary care physician.

Provide patient education and counselling in areas of health promotion, maintenance, and disease prevention.

Attend and participate in IDT meetings

Performed all other skilled service per patient plan of care

Follow companies’ policies/procedures.

APRIL 2018 – MARCH 2019

EXECUTIVE DIRECTOR OF PATIENT CARE SERVICES,

HEALTHY LIVING AT HOME MODESTO LLC

Responsible for the operations and clinical

Oversight of the Agency and Regulatory compliance

Responsible for the successful negotiation and management of designated payor HMO agreements. Accountable for contract modeling and analysis for HMO contracts.

Analyzes contract performance and responds quickly and effectively to significant trends.

Participates in developing, evaluating, and implementing strategies for ensuring profitable payor relationships to achieve HLH’s objectives.

Develops and maintains productive working relationships with internal and external customers.

Monitors industry trends to identify opportunities and potential problems for HMO contracts.

Researches options for participation in new managed care contracts.

Acts as a liaison, developing strong interdepartmental working relationships with senior management, department administrators, physicians, etc., for designated service line(s) regarding the relationship with HLH and affiliated Physician Network members.

APRIL 2017 – APRIL 2018

FAMILY NURSE PRACTITIONER

CENTRAL CALIFORNIA SURGICAL CENTER MODESTO

Performing physical assessment, diagnosis, and treatment, ordering and interpreting diagnostic test.

Provide patient education and counselling in areas of health promotion, maintenance, and disease prevention.

Physical assessment for pre-op bariatric patients and post op care.

Performing other duties as assigned

JUNE 2016 - MARCH 2017

PATIENT CARE QUALITY AND REGULATORY COMPLIANCE DIRECTOR,

HOME HEALTH RESOURCE GROUP FOR HOME HEALTH AND HOSPICE, BURLINGAME CA

Responsible for the operations and clinical compliance of both home health and Hospice Agency, implementing systems and supervising the clinical staff and services.

Responsible for the Agency OBQI and QA program, Receiving OBQI reports and preparing best practice for the staff to ensure the quality of service.

Responsible for Agencies Survey readiness and maintaining compliance

Provided Clinical oversight for Private Insurance patients attributed to the medical group

Reached out to members with gaps in care for follow up visits.

Act as a clinical resource for members to be able to navigate the healthcare system

Provided education on disease process, management, and treatment plan.

Consistently conduct utilization review and participated in discharge planning

Function as Transition Nurse from the hospital back to community and coordination of care

Work closely with physicians and other care coordinators to facilitate the efficient patient transition to their home and community

JANUARY 2007 – JUNE 2016

ADMINISTRATOR & CEO

MANAGED CARE AT HOME, LLC MILPITAS CA

Maintained the efficiency of the health care services provided in the facility.

Oversaw the needs of the staff and prepared orientation classes for those who join the facility.

Trained staff ensure all the educational needs of the team are met.

Administered human resources policies such as salary administration, managing the performance of the staff and complying with the government regulations.

Helped the staff by providing a dynamic atmosphere of work.

Ensures that the staff is working in compliance with the State and Federal Laws.

Evaluated staff productivity

Monitored the existing systems, audited the files and charts to assure that objectives and efficiency are maintained.

Developed and prioritized the programs and reviewed them daily to ensure effectiveness and compliance

Evaluated and reviewed all the incident and accident reports of the facility.

Assisted in the development of various policies and procedures to achieve the objective of the facility

Analyzes contract performance and responds quickly and effectively to significant trends.

Participates in developing, evaluating and implementing strategies for ensuring profitable payor relationships to achieve MCAH’s objectives.

Develops and maintains productive working relationships with internal and external customers.

Monitors industry trends to identify opportunities and potential problems for HMO contracts.

Researches options for participation in new managed care contracts.

Responds to physician concerns relative to contract pricing, cost, managed care, etc.

Acts as a liaison, developing strong interdepartmental working relationships with senior management, department administrators, physicians, etc., for designated service line(s) regarding the relationship with MCAH and affiliated Physician Network members.

FEBURARY 2007 – NOVEMBER 2009

FAMILY NURSE PRACTITIONER

JUMP START MEDICINE, REDWOOD CITY CA

Assisted patients to lose weight by designing a program for each patient to help jumpstart rapid progress towards their weight goal

Conducted weekly evaluations and one on one check ins

Administered injections, prescribed appetite suppressants

MAY 2005 – DECEMBER 2006

DIRECTOR OF NURSING

CANAAN HEALTHCARE CENTER, MENLO PARK CA

Enlisted to assist in the start-up of this 169-bed skilled nursing and rehabilitation facility that transitioned to a new ownership. The interim assignment ended into a permanent appointment as Assistant Administrator concurrent to be the Director of Clinical Services.

Prepared the facility for the licensing and certification survey, directed an overall assessment of all residents to establish baseline conditions and functionalities, revised policies and procedures of clinical departments to meet licensing requirements, and upgraded nursing skill level of all staff. Successfully passed the surveys with minimal deficiencies after 40 days of preparation

APRIL 1999 – MAY 2005

DIRECTOR OF NURSING

SAN MATEO GENERAL HOSPITAL, SAN MATEO CA

Promoted to this position after two years of designation in the long-term care component of this 345-bed acute facility. Spearheaded all quality assurance measures, oversaw strict compliance of all State, Federal and JCAHO regulations; prepared and passed all certification and accreditation surveys, developed policies and procedures to keep up with the ever-changing directions of healthcare regulatory agencies.

EDUCATION

Master of Science in Nursing, August 2002- Samuel Merritt College, Oakland, California

Master of Science Family Nurse Practitioner August 2002- Samuel Merritt College, Oakland California

Bachelor of Science in Nursing August 1994- Clarkson School of Nursing, Omaha, Nebraska

Licenses & Certification

California State Board of Family Nurse Practitioner # 13952- 2002

American Academy of Nurse Practitioner National Certification #F12190446

California Board of Registered Nurse # 506436- 1994

Furnishing Authority for California Board of Nursing/DEA

Certified CPR/BLS- American Heart Association

ACHIEVEMENTS

Enlisted to assist in the start-up of this 169-bed skilled nursing and rehabilitation facility that transitioned to new owner. The interim assignment ended into a permanent appointment as Assistant Administrator concurrent to be the Director of Clinical Services.

Prepared the facility for the licensing and certification survey, directed an overall assessment of all residents to establish baseline conditions and functionalities, revised policies and procedures of clinical departments to meet licensing requirements, and upgraded nursing skill level of all staff. Passed the survey within 30 days of preparation

Spearheaded all quality assurance measures, oversaw strict compliance of all State, Federal, and JCAHO regulations; prepared and passed all certification and accreditation surveys, developed policies and procedures to keep up with the ever-changing directions of healthcare regulatory agencies

Provided top-level clinical service to this 74 bed SNF/Rehab facility that successfully passed State and Federal Surveys by ensuring compliance with all regulations, accurate clinical assessments of all residents’ needs, full participation in case management, and implementation of Minimum Data Set (MDS) requirements



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