Nurse Practitioner Care

PAULA MORENO, BSN, RN, MSN, FNP

415-***-**** *********@*****.***

OBJECTIVE:

To practice as a Family Nurse Practitioner in which my knowledge, skills and experience will be utilized to provide superior quality care in primary healthcare setting.

EDUCATION:

San Francisco State University:

Post-Master’s Family Nurse Practitioner Program 2018

Southwestern University: Graduate School

Master of Science: Nursing 2008

Velez College: College of Nursing

Bachelor of Science: Nursing 2006

WORK EXPERIENCE:

11/2018 to present MARIN CITY HEALTH AND WELLNESS CENTER

Nurse Practitioner

Provided quality care services to a variety of patients, with different chief complaints, through history taking, physical examination, planning, diagnostic evaluation, provision of education, medication prescription, and referral as necessary per patient needs.

02/2016 to 06/2018 MERITAGE MEDICAL NETWORK

Utilization Review Nurse/Case Manager

Utilizes pre-approved criteria and guidelines to validate medical necessity of continued care at home and appropriateness of treatment and discharge planning (e.g. Local and National Coverage Determination and Milliman Care Guidelines).

Approves and denies authorization requests from the Doctor’s offices, following Medicare and MCG guidelines such as MRI, CT, Epidurals, EVLA, organ transplant, out of network referrals, home care, wound care, PT, OT, ST, DME, chemotherapy, outpatient and inpatient surgeries, etc.

Utilizes the DOFR for appropriate processing of referrals/authorization requests.

Coordinates with healthcare providers and patients regarding status of a referral

Tracks and reports trends of inappropriate utilization of resources or quality issues to the Medical Director(s)

Documents all activities in the appropriate system(s) on a timely basis.

Monitors and facilitates appropriate utilization of resources using evidenced-based clinical criteria.

Participates in an interdisciplinary health care team to achieve positive member outcomes

Functions as a resource to the clinical team regarding approved criteria, practice guidelines and alternative treatment options

08/2014 to 01/2016 MAXIM HEALTHCARE SERVICES

Clinical Supervisor/Case Manager

Provided orientation and training to the newly hired SN on different nursing skills and procedures such as central line care, PICC line care, blood draws, ventilator care, trach care, g-tube care, catheter care, wound care, diabetes management, seizure precaution, pediatrics, gerontology, medication administration through different routes, etc.

Conducted regular home visits at patient’s home to ensure quality of care provided by the SN at home

Ensured that the plan of care is followed meticulously by the SN and agreed by the patient and family

Evaluated patient condition and coordinated care with therapists and physicians

Performed annual performance evaluation to SN

Checked nursing documentation on a regular basis to ensure quality, appropriateness and completeness

Involved in the hiring and interview process of new SN

12/2013 to 06/2014 VINTAGE COVENTRY

Assisted Living Director

Assured that the residents and their families are treated with dignity and respect.

Completed monthly Vital Factors report by the 12th of each month and report any discrepancies to the Executive Director with a correction plan (Goals and Controls).

Held monthly staff meetings and ensured that each employee attends an in-service training program.

Required each employee to wear a name badge and appropriate uniform daily.

Counseled and addressed all employee issues immediately, notified Executive Director or Business Manager of such actions.

Provided clear direction and goals to each staff member provide tools, training and support to ensure all vital factors are met.

Managed the income and expense expectations within the departmental budget.

Ensure all new employees have met the required training hours mandated by the State. Tracked ongoing mandatory training hours of employees.

Scheduled staff to effectively balance the workload and provide adequate coverage to meet the standards of guidelines within your budget.

Under the direction of the Executive Director, reported to our Corporate Office and Licensing agencies any deaths, incidents or accidents as requested by State Health and Safety and Title 22 on a timely basis.

Reviewed resident care and service plans on a monthly basis, or as needed, and follow-up accordingly.

Assessed rates and level of residents’ care on a regular basis.

Contacted physician and family of resident regarding any change of condition.

Supervised distribution of medication.

Maintained current medication records.

Investigated all resident’s issues and concerns; taking appropriate and correct action.

Involved and participated in the selection and retention of high quality staff.

Supported sales efforts to maintain high occupancy.

Adjusted work schedule, rotating from evening to noc shift for quality assurance and training.

Assessed all prospective residents prior to move-in to determine the appropriateness of the community according to their level of care.

Completed the service plan for new residents prior to move-in.

Completed all departmental employees’ performance evaluations in a timely manner.

Provided a safe working environment for all employees, including safety training and managing workers compensation insurance.

Performed any other related duties as requested by the Executive Director.

10/2012 to 04/2014 NCP COLLEGE OF NURSING

LVN Program Instructor/Skills Lab Coordinator

Instruct students both theory and clinical ensure students are knowledgeable on the different nursing skills such as central line care, PICC line care, blood draws, ventilator care, trach care, g-tube care, catheter care, wound care, diabetes management, seizure precaution, pediatrics, gerontology, medication administration through different routes, etc.

Substitute for some instructors when needed on different classes such as medical-surgical and pharmacology

Teach assigned theory classes (Nutrition, Nursing Process, Anatomy and Physiology, General Psychology) and assigned clinical sites (Laguna Honda, Jewish Home, Pacifica Nursing rehab)

Participate in meetings with theory and clinical faculty members.

Support the campus program director in the organization of the programs and implementation of the program standards.

Participate in developing and updating program's syllabi and training methods and materials.

Maintain continuing education

10/2011 to 12/2012 THE OAKS ALZHEIMER’S AND DEMENTIA

Director of Staff Development, Infection Control Nurse, Charge Nurse

Provided orientation and training to the newly hired SN on different nursing skills and procedures such as central line care, PICC line care, blood draws, ventilator care, trach care, g-tube care, catheter care, wound care, diabetes management, seizure precaution, pediatrics, gerontology, medication administration through different routes, etc.

Conducted Training and continuing education, In-services to staff regarding nursing/patient care

In-charge of Infection Control in the whole building

Performed Direct Patient Bedside Care when the floor is short-staffed

Highly responsible for staff Performance Evaluation and staff Physical Exams

Employee of the Month Awarded

04/2010 to 07/2011 CLOVERDALE HEATHCARE

MDS Nurse Coordinator

08/2009 to 04/2010 CHICARO RIDGE NURSING AND REHAB

MDS Nurse Coordinator

Promoted the physical and emotional well-being of nursing facility residents.

Gathered information from residents and their families during initial and periodic interviews. Covered such areas as the patient's mood, behavior patterns, cognitive ability, and nutrition needs.

Formulated individualized care plans that include support from social services, dieticians, rehab specialists, and medical staff.

Implemented and monitored these care plans to ensure their effectiveness.

Ensured all strategies comply with Medicare requirements and ethical standards.

Conducted case conferences with families and patients to provide feedback regarding the current status of patients and to discuss the needs of patients to promote a patient centered plan of care

Participated in Interdisciplinary care team meeting to discuss patient’s current needs and progress

Reviewed documentation and provided In-services to Nurses and CNA’s

10/2008 to 08/2009 GLENBRIDGE NURSING AND REHAB

Charge Nurse

01/2007 to 10/2008 ST ANTHONY MOTHER AND CHILD HOSPITAL

Charge Nurse

Alleviated patient conditions through provision of direct patient care (i.e. vital signs monitoring, provision of prescribed medication, provision of wound care, performing blood sugar checks, monitoring and managing pain and other symptoms related to the disease process of each patient.

Achieved daily clinical tasks through excellent performance of:

Skillful assessment of patient condition and communication with families, doctors and different departments involved in the patient care

Administration of medications through different routes (Oral, SQ, IM, IVTT)

Provision of wound care (stage 1 through 4, UTD and DTI)

Gastrointestinal tubing care (nasogastric,, gastrostomy and jejunostomy)

Ostomy care (colostomy, ileostomy)

Monitoring and care for patients with pace maker

Catheter care (Foley, straight and suprapubic)

Post-operative care (all medical-surgical cases)

Diabetic management

Respiratory management (ventilator, chest percussion vest, suction and nebulizer treatments)

Pain management

Effectively monitored patient status and thoroughly communicated with physicians, and significant others of patient’s clinical changes.

Educated patients and families on patient’s health care needs, conditions, options etc. to assist clients in making an informed decision.

Assisted in providing quality to the remaining years of patient’s lives.

STUDENT NP CLINICAL ROTATION:

06/2017 to 08/2017 UCSF ONCONLOGY Inpatient Department

08/2017 to 09/2017 SUTTER ORTHOPEADIC Inpatient and Outpatient Department

09/2017 to 10/2017 VA CLINIC SANTA ROSA Outpatient/Ambulatory Department

11/2017 to 02/2018 DR. FLASH GORDON MDVIP CLINIC

02/2018 to 04/2018 TOM WADELL URBAN HEALTH CLINIC

04/2018 to 05/2018 UCSF PEDIATRICS RHEUMATOLOGY Inpatient and Outpatient Department

Provided quality care services to a variety of patients, with different chief complaints, through history taking, physical examination, planning, diagnostic evaluation, provision of education, medication prescription, and referral as necessary per patient needs.

LICENSES AND CERTIFICATIONS:

California NP License: 95010447

AANP FNP Board Certification

DEA Certification : MM5060493

Buprenorphine Provider Certification : XS5060493

Current CA RN License: 789635

BLS/CPR for Healthcare Providers

Director of Staff Development

Minimum Data Set 3.0

AWARDS AND HONORS:

Employee of the month on multiple occasions

LANGUAGES:

English

Tagalog

Spanish (ongoing classes)

REFERENCES AVAILABLE UPON REQUEST

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