Delphine D. Kappen

**** * ***** ***. ****** CA **711

adixtm@r.postjobfree.com 559-***-****

Overview

I am a dedicated ethical registered nurse professional with specialty experience in psychiatric/mental health nursing and in correctional nursing. I have talent and skill in being a change agent and in problem solving. Developed strong psychiatric evaluation and treatment planning skills through more than 10 years of direct clinical nursing, Experienced in program development in the expansion of community based psychiatric inpatient and outpatient programs Strong leadership skills in the coordination, scheduling, supervision, evaluation and training of multidisciplinary staffing. Demonstrated experience in compliance programming and development of policy and procedures to meet JCAHO standards. Proven performer in successful implementation and performance in newly created positions such as DRG Coordinator, Psychiatric Community Liaison and Patient Advocate . The majority of the roles I have held have strong components of utilization management, concurrent review and overall case management to determine necessity, plan, compliance and the appropriateness of resources available. I communicate well with all levels and disciplines as well as patients and families.

WORK EXPERIENCE

Registered Nurse Supervisor- OHU, Staffing, PTs’, Complex 3 - Avenal State Prison

08/18/2012-present

Initially requested by Director of Nursing to accept role of Supervisor II for staffing, OHU, PT and to assist with Specialty Clinics. To supervise and direct all functions related to the above assigned areas. I assigned and review all staffing needs for the medical/nursing areas of the facility.( At the time there were over 90 employees),including Registered and Licensed Vocational as well as Licensed Psychiatric Techs. I also supervised and assisted the Utilization Management RN, the Onsite, Offsite RN, the Clerical technicians and the Teleclinic RN. I was responsible to provide direction and support for their job performance, to assure compliance with all federal, state and departmental policies and procedures and mandates. I review staffs work performance, responsible for evaluations and disciplinary actions as well as monthly audits to assure that standards are being met.

Since 2015 I have been the Supervisor for a Complex. This consists of two 16 hour medication clinics, 2 RN clinics, 2 Care Coordinator positions, 2 MH staff, 2 Primary Care Providers, 2 Mas’ as well as 2 Office Technicians. This position includes management of all clinic aspects. As SRNII I am responsible to oversee that all the patients who were identified as chronic care received their mandated tests, medications and were seen on a regular basis. The chronic care conditions included HTN, Diabetes, Asthma, COPD, DME, Hepatitis, TB, End Stage Liver Disease and Cancer. In reviewing these patients I need to ascertain and assess their current conditions and what future interventions or accommodations need to be made.

I am consistently reviewing the utilization of our resources clinically. This includes the chronic care but also the acute situations which necessitates further treatment or transfer out to another facility. I need to assure that we have the appropriate clinical staff to see the patient and that the staff perform as a team to work jointly to manage the care of the patient. In doing this I send weekly reports to upper management and direct the Case Managers as to what is needed with the individual. Another concurrent and utilization area I review are those patients with ADA issues or needing accommodation.

If in performing the concurrent reviews and assessing the utilization management of the patient I find issues that aside from being sent weekly in report I will send to the Quality management committee, the medication management committee and the patient resource committee which may be infection control, transfer out as high risk review and also if needed document in an incident report. These committees are chaired by the Chief Medical Executive, Chief Physician and Surgeon and the Chief Nurse Executive and consists of member from all disciplines.

Registered Nurse

1/9/2012-08/18/2012 TB Coordinator, CDCR - Avenal State Prison

I have the responsibility for all activities relating to TB testing, monitoring and evaluation of treatment plans for all I/P. This responsibility also includes the coordination of the annual TB testing program for I/P. I perform monthly audits and in person assessment on all patients who are actively taking or have taken INH .Process all new conversions and communicate with PCP on any untoward events regarding the patient and their treatment plan. I also have a responsibility for assisting in all Infection Control measures within the institution including but not limited to annual flu vaccinations, reporting of all infectious diseases occurring at the institution, Recently completed the T for T training and provide training to staff at their annual IST block training and other occasions when called upon.

Registered Nurse

1/18/2006-1/9/2012 Onsite Specialty Services, CDCR, Avenal State Prison

I was responsible for the management and operation of all onsite specialty clinics. Responsible for the systematic and smooth operation of the onsite clinics which consisted of ; orthopedics, neurology, optometry, orthotics, podiatry, physical therapy, pain management, GI, minor surgery, general surgery evaluations, ADA, prosthetics, hearing evaluations, EMG/NCS, MRI, ultrasound, CT scan and Doppler studies. I responded to all first level appeals. Additional responsibilities were; ordering and dispensing of all medical appliances, reviewing all RFS, directing staff in the department in specialist scheduling and triaging of clinic appointments, responded to inquiries or issues with specialist, providers and clients, reviewed all billing with contracts, medical budgets and inmate accounts. I have experience in telemedicine, off site appointments and in utilization management.

Registered Nurse

6/1/05-1/18/06 Maxim Registry

Assigned to CDCR-Avenal full time to work in offsite specialty and then in onsite specialty Obtained a strong grasp of the needs and operation of both departments and the necessity of collaboration with custody and other departments within CDCR.

04/1989- 08/1995 Coordinator Adult Inpatient Psychiatric Unit, Monmouth Medical Center

This position was multifaceted it involved the management of all aspects of administration, budget, supervision, maintenance, nursing practice, social work, psychiatric aids, occupational and recreational therapist. Developed and refined the therapeutic milieu, documentation, nursing care plans and standards of practice to meet with compliance for state, federal and JCAH compliance. Facilitated expansion from 33 bed unit to 3 units composed of 55 beds to include adult, STC (adult Involuntary), adolescent and children. I actively participated in all aspects of expansion from the actual building changes, furniture and color choices to the therapeutic milieu and scheduling of all the disciplines. Instrumental in the development of an in-service training program for all staff in all disciplines that was current and applicable to the clinical setting we were in. Specific Accomplishments-JCAHO accreditation, Development of a managed care manual, Policy and procedure manual with care plans,, Patient questionnaire for patient satisfaction, Coauthored a Quality Improvement calendar, and we were successful in the opening of the three units and the subsequent operation of these patient care areas. As coordinator I was also responsible for review of all incident reports and their outcome. I additionally had the responsibility to do all disciplines performance evaluations except for the psychiatrist.

Registered Nurse, Auditor

02/1987-02/1989 CIGNA Insurance

As an auditor we were responsible for the review and auditing of all patient accounts within a designated area that were covered by Workmen’s Compensation or No Fault Auto .Health records and charts, appointments and review of all documentation, tests, procedures etc. related to the individual. We would make specific and accurate reports to our carrier and in certain circumstances we were authorized to make arrangements regarding payments and early billing. In severe cases we would have to do life cost containment studies and make these reports accessible to the insurance company as well as the patient and their provider.

Executive Administrative Assistant

01/1985-12/1986 Sigarms’ Inc.

I was responsible for all office management of the company including communication with the government agencies and accounting reports. This was an import company of firearms.

Delphine Kappen

10/1980-1/1985 Monmouth Medical Center

DRG Reimbursement Coordinator – 1980-1985

As the first RN in the county to hold this type of position it was flexible as to what the duties would entail. I was responsible for the training and supervision of all ICD-9 coders and data entry staff. We shortened our coding time to 24 hours for same day procedures and within 3 days for most cases except the very complicated and those would be done within 5 days. I developed training and coding manual for their use and actively participated in the coding process. I attended all insurance company audits and payment arbitrations. We also were able to have most of the physician staff complete their health records with a 10 day window. In reviewing health records I would alert risk management to events that might become legal issues and then participated in the risk management, utilization review committees.

Patient Advocate- 1978-1980

Reported to the Chief Executive Office and the Chief Medical Officer all reports of financial, patient care and staff complaints. I responded to all codes and the emergency room to assist the staff in the care of the patient and their significant others. I would visit all preoperative patients the night before surgery. Worked closely with admitting and the ER as well as ICU for bed assignments.

Psychiatric Community Liaison -1976-1978

Reporting to the Director of Psychiatry the objective was to develop community based psychiatric programs that would utilize the services of our clinic. The development of an adolescent group for pregnant teens was started as well as an educational group for the fathers of the babies. In conjunction with the schools, the churches and the hospital as well as city leaders, I coauthored a grant from the Department of HEW for a multidisciplinary multifaceted adolescent teen pregnancy program. A grant was awarded for a Psychiatric Social Worker and a Partial Hospitalization program. We initiated group in the outpatient dialysis unit for the patients and for their families.

With much diligence we were able to start a bereavement program within the hospital for those with a terminal diagnosis as well as for stillbirths. We took this a step further and would make community visits to the homes of those who lost their loved ones.

Head Nurse Psychiatric Inpatient Unit - 1974-1978

Team Leader- 1969-1974

Medical –Surgical Units, Teenage unit, Psychiatric unit.

Community Involvement-

Elected to Board of Education 1978-1981

Organization of tax payers group 1976

Organized fund raising parents group for Christian middle and high school 1996-2000

Additional training

Grant writing seminar- week long training in Washington DC under the HEW Department

Certification in ICD-9 coding

Seminar on relaxation training

Certification in Quality Improvement and Management through MMC 1987

Ethics Training through MMC Inservice

Completion of Case management Certification through Kaplan University -2007

Telemedicine Training, Sacramento CA. 2007

EEO training and counseling, CDCR Avenal State Prison, 2007-2010

T for T training, Avenal State Prison CDCR 2012

Training certification for ADA, and Clark

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