Registered Nurse Manager
Resume:
Tanya Chargois
Alpharetta, GA 30005
adkrof@r.postjobfree.com
Professional Summary
Healthcare professional with over 20 years of experience in the health care industry with experience in improving patient and agency outcomes and assisting healthcare professionals in reaching their fullest potential.
Work History
Quality Assurance Manager, Gentiva/Kindred At Home 12/2016-11/2020
Fosters an environment of growth to develop the nursing and management skills of the clinical team improving staff retention. Promotes care delivery systems to define needs and facilitate solution strategies utilizing knowledge of theory, principles, or technology of nursing practices while embracing compliance with company, state and federal regulations. Was able to improve agency star ratings.
Develops and expands clinical capabilities and continual performance improvement within the nursing department and related interdisciplinary team coordinated efforts. Promotes continuity of quality care through the utilization of nursing process,, disease management, guidelines, quality assurance and assessment process, patient education, outcomes management and regulatory compliance.
Precepting and educating clinical staff and leading and guiding weekly case conference. Managed the PPS and non-PPS unbilled report, missed visit report and LUPA utilization report
Registered Nurse Home Health Contractor PRN, Supplemental Home Health, 3/2018- Present
Provide one on one skilled nursing care to patients in their home.
Communicate and collaborate with patients, caregivers, physicians and home health staff. Assess, monitor and document patient’s health and condition using point of service technology.
Interpret referral information, reviewing appropriate past history, documenting patient concerns, performing an appropriate examination applying specialized evaluation skills. Discuss treatment plan with patients to establish goals and communicate treatment plans with clinic support staff. · Provide patient education to inspire healthy living. ·
Willingness to develop and advance professional skills through regular continuing education. Served as the clinical case manager, monitoring patient health outcomes. Performed procedures such as urinary catheterization, lab draw, wound care, and educate on drainage systems such as Pleurix
Monitored, interpreted and intervened for patients experiencing cardiac arrhythmia, working in collaboration with medical teams
Admit, recertify and discharge patient to home health services to provide health care needs and add in additional disciplines as needed
Managed medications and performed medication set up. Evaluate plan of care along with patient compliance with all medications and treatments
Provided skilled nursing to patients and family support services utilizing a patient-focused care model
Maintained aseptic technique during procedures in home. Perform nursing procedures including but not limited to medication administration, PICC line management, place peripheral intravenous line in home, administer and prepare intravenous antibiotics for infusion.
Registered Nurse Hospital Subcontractor Southeastern Regional Staffing Solutions 02/2019 - 03/2020
Records patient histories, documents on Epic, performs admissions, various diagnostic tests, administers medications and develops plan of care. Provides professional nursing care to assigned patients on Medical-Surgical Unit. Observes patients' progress and records observations in patient medical records.
Assists physicians during examinations and procedures, operating and monitoring medical equipment as necessary. In addition, promotes patients' independence by teaching patients and families to understand conditions, medications, and self-care skills.
Quality Assurance (QA) Manager Kindred At Home 12/2016 - 10/2020
Maintaining confidentiality in all areas, reviewing all Oasis documentation prior to locking. Monitored star ratings and educated staff on how to improve patient healthcare outcomes.
Participate in the initial orientation of the clinical associate staff regarding Medicare Conditions of Participation and relevant requirements for care and documentation and provide education during the orientation, Participate in staff meetings, department meetings, team meetings, in-services, committees and other related activities
Participate in the recruitment, interviewing, selection, and orientation of team members; evaluate performance relative to job goals/requirements. Complete and conduct annual performance evaluations in a timely manner and completes any corrective action plans through the HR Department
Facilitate the ICD-9/10 coding of the Plan of Treatment based on OASIS data and patient assessment documentation, Provide professional development for staff and positively motivates the team to achieve service and performance excellence in all areas of the program. Ensure the completion of all required audit results and reports (per QAPI Plan)
Utilize Gentiva Health Services approved reference materials to resolve inadequacies. Participate in Company's mandatory HIPAA privacy program/practices and Business Ethics and Compliance programs/practices
Coordinate the initial and annual HA Competency Training and Evaluations. Inform the Branch Director and Branch staff of noticeable trends or relevant issues. Providing appropriate and accurate patient care. Discussed and performed mock survey report with management staff and coordinate the plan of correction. Attend A/R meetings and daily stand-up meeting, Monitor the Employee Competency Evaluation tracking report. Adhere to all Company policies and procedures and the Employee Handbook. Participate in evening/weekend call as required, conducting on-call services in a clinically competent and responsive manner
Clinical Manager (Management) Lhc Group, Inc. 12/2015 - 12/2016
Assure compliance with and ensure timely follow up on daily external vendor clinical edits, outcome support, and coding edits. Liaised between patient/ caregiver and doctor to ensure patient comprehension of treatment plan.
Process Plan of Cares for physician review and signature.
Manage field staff consisting of nurses, therapists, home health aides
Developed and implemented nursing care plan. Provide direct patient care, as necessary, in accordance to scope of practice and physician orders
Run the notification of medication interactions report and submit weekly to physicians. Act as a liaison between staff, patients, the medical community, and upper management to ensure information. Ensure that adequate staffing is maintained for census.
Assisting with employee training, disciplinary procedures, evaluation and termination. Ensure completion and ongoing maintenance of HR/medical files for clinical employees and contract staff
Improve self-management strategies for chronic disease(s) through ongoing clinician education. Ensure all orders that address frequency have appropriate calendar modification. Supervise all patient care activities to ensure the delivery of safe, economical, and efficient patient care, which adhere to relevant standards of accepted nursing and medical practice.
Take necessary action to correct adverse findings and communicate trending to branch direction and regional director. Process all wound score deviations documenting any action and/or follow-up. Assist the Executive Director and/or Clinical Director as needed in other agency processes and functions
Assist with processes and clinical guidelines related to the telehealth program and chronic disease management. Provide supervision to direct reports on an on-going basis to ensure compliance. Take necessary action to correct adverse findings and communicate trending to branch manager
Field Registered Nurse, Visiting Nurses Health Systems, 06/2013-12/2016
Develop, integrate, and manage the plan of care with the interdisciplinary team and attending physician to assure optimal patient outcomes. Make referrals to other disciplines such as medical social workers. .
Provide nursing interventions to home health patients within the accepted standards of practice of the industry and profession. Teach patients and/or caregiver the skills needed to care for the patient in their place of residence.
Make field visits to evaluate appropriateness, determine eligibility for services, and present home care program to patients referred for services. Assist in leading case conferences and staff meetings as assigned.
Participate in the Performance Improvement Program. Assume on-call duties as assigned. Supervise care provided by Licensed Practical Nurses, Home Health Aides, making supervisory visits at least every 14 days or as required by regulations. Meet agency productivity standards. Utilize time and resources effectively and efficiently. Provide the primary nursing care for home health patients. Assume full responsibility for professional management of assigned patients. Maintain clinical records in accordance with federal, state and agency regulations and guidelines.
Branch Director, Suncrest Home Health (Marietta, GA), 08/2012- 5/2013
Supervise day-to-day clinical and office operations. Ensure patient referrals are complete and assigned to appropriate clinical personnel and evaluations are performed within 48 hours, unless sufficient clinical documentation exists to warrant a delay in care.
Ensure plans of treatment are reviewed and assessed for appropriateness of clinical content frequency goals and referrals to other disciplines.
Supervise office and clinical staff to ensure patient care is performed and clinical health outcomes are met.
Executive Director Midtown Nursing Career Center 02/2007 - 08/2012
Recruit healthcare professionals
Acted as director to recruit and recruit health care staff. Provided oversight for healthcare staffing. Ensure compliance with personnel management, disciplinary actions and as needed field supervision as needed.
Managed budge, billing and collections, quality improvement, clinical operations, compliance with accreditation and regulatory requirements, business development, human resources and clinical program.
Acted as compliance liaison to provide leadership and support.
Branch Director, DPM Home Health, 2/2006-3/2008
Review and analyze clinical and operational performance and worked with administrator and owner to develop and implement action plans to improve health care outcomes. Ensure that quality services is provided by auditing and monitoring activities to improve quality improvement processes.
Audits patient charts, review patient surveys and oversee service delivery to improve customer service to ensure timely delivery of patient care. Comply with legal requirements, policies and procedures including HIPAA and documentation standards.
United State Army Nurse Corp, Captain Military Service 09/1996 - 09/2005
Served as Team leader, charge nurse, performance improvement officer and gastric bypass support leader
Joined Army Enlisted Commission Program as E-4, Executive Administrative Assistant -Inform personnel of changes in regulations and policies, implications of new or amended laws, and new techniques of police work.
Served in the 5th Special Forces Group under Staff Sergeant and unit commander, Monitor and evaluate the job performance of subordinates, and authorize promotions and transfers.
Prepare work schedules and assign duties to subordinates. Investigate and resolve personnel problems within organization and charges of misconduct against staff.
Meet with civic, educational, and community groups to develop community programs and events, and to discuss law enforcement subjects.
Education
Majored in Nursing, Texas Woman’s University, 1990-1993
Bachelor of Science in Nursing, Austin Peay State University, 1998-2000
Master of Science in Nursing, Walden University, 2013-2015
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