Denise Stewart, RN

**** ** **** ***** ********** Point, FL 33064

305-***-**** - adlpjl@r.postjobfree.com

Qualifications

RN experienced in various healthcare settings. Reliable, strong leadership & critical thinking skills. Extensive knowledge in areas of health plan prior authorization & reimbursement, oncology patient navigator, HiTech CVA/ IV infusion, DME and Skilled / HiTech nursing care in home health care & Bedside nursing inpatient / acute care settings. Outpatient infusion suite / oncology center, physician office setting

Fluent in English & Spanish

BLS Healthcare provider certified

Active member of INS & ONS

HiTech infusion experience

ONS Certified

Navigator Certification in progress

Experience

Holy Cross Hospital – Trinity Health December 2018 to Present

Clinical RN II / Oncology Nurse / Breast Patient Navigator

Breast Patient Navigator:

Provide consultative services to patients with new cancer diagnosis by providing support, education and service linkage.

Track and coordinate care for patients with new malignant diagnosis

Develop relationships with American Cancer Society, Pancreatic Cancer Action Network, Melanoma Research Foundation and other patient support groups.

Track compliance with NCCN guidelines, treatment and surveillance.

Provided teaching and rehabilitation for patient to prepare them for surgery and minimize complications.

Coordinate patient care during in-hospital postoperative recovery to improve transition of care in the hospital to home.

Triage of complications to reduce hospitalization

Proficient at organizing and collecting data pertinent to procedure results and presenting statistical findings to physician and management

Maintain a good rapport and cooperative working relationship with primary physicians, surgeons, and associates of Oncology Center.

Direct nursing care, assessment, implementation & evaluation of patient’s response to prescribed treatments.

Care of Adult oncology patients

CLINICAL RN II - Competent with PIV, CAD, Implanted Ports, Infusion & PCA pump, IV / Chemo medication administration, wound care, Ileostomy, colostomy, wound care and urinary cath care.

Proper documentation in adherence to Nursing & JCAHO standards.

Implementation / execution of plan of care, chemotherapy infusion treatment orders

Triage / monitoring of Specialty infusion / chemo therapy side effects, supportive therapy / medications

Obtain / verify prior authorization for treatments as indicated

Act continuously to improve processes and services.

Time management for performing duties / tasks efficiently and safely

Patient education of specialty therapies, chemotherapy, disease management / medication regimens/ management and supportive care of anticipated symptoms related to therapy.

Support Hospital core values and mission

Jackson Memorial Hospital – Main Campus Miami, FL February 2017 to Dec 2018

RN Clinical Transplant Coordinator for Kidney & Pancreas

Assigned primary responsibility for coordinating Renal & Pancreas transplant aspects of care.

Work with patients and their families beginning with the evaluation for transplantation and continue through and after transplantation, in a compassionate and tactful manner in order to facilitate access to and provide continuity of care.

Interdisciplinary collaboration with other members of the transplant team, including physicians, surgeons, nurses, social workers, financial coordinators, and administrative personnel at the transplant program, goal to reduction of LOS.

Attend daily inpatient post-op multidisciplinary rounds to identify education needs, discharge planning, and initial set-up of outpatient services (ie. Specialty infusion therapies, oral and immunosuppressive medications needed lifelong).

Coordination of follow up clinical appointments as per post transplant protocols & home care needs upon discharge.

Patient education of transplant process, post transplant care, medication teaching & reinforce understanding of importance of adherence to prescribed medication regimen s/s of post op / post transplant complications.

Identifying side effects of medications and management of symptoms.

RN Clinical Staff – Surgical Transplant Unit Transplant

Bedside care of pre & post transplant patients.

Specializing in Liver, Multivisceral, Kidney & Pancreas transplant.

Provide care for Medical Surgical overflow patients

IV Access device maintenance of central IV access and establishment of peripheral IV access.

Care and maintenance of Central IV access devices, surgical drains & devices.

Clinical monitoring of critically ill, fresh post op transplant recipients and living donors.

Implementation and documentation of nursing process, plan of care & delivery of care.

Collaboration with clinical team to ensure positive patient outcomes.

Coram Specialty Infusion Services - Miramar, FL October 2012 to Jan 2017

Clinical Services Liaison RN

Collaborate with case managers, referral sources, payors, and home health agencies to facilitate patient discharge and coordination of care.

Thorough knowledge of core therapy referrals and qualifying criteria

Conduct in-services and continuing education programs of referral sources and/or their support staff as well as home health agency staff.

Introduce new services, therapies, drug protocols and products to referral sources

Obtain prior authorization of specialty therapies

Collaborate with referrals source in obtaining required documentation / supporting clinical information for reauthorization of specialty therapies.

Coordination with payor sources to expedite referral process, obtain clear path to payment & prompt initiation of needed medical care post discharge

Track, monitor & report lab values for specialty therapies according to referral source protocol

Bedside hook-up of continuous infusion therapies for discharge to home, decreasing length of hospital stay.

Bedside teach and train of infusion therapies and infusion equipment supplies.

Medication reconciliation and reinforcement of medication regimen post discharge.

Accomplished considerable growth of transplant business with increased patient compliance of ordered therapies, positive outcomes and decreased readmissions.

Coram Specialty Infusion Services - Miramar, FL May 2011 to October 2012

Nursing Supervisor

Admissions and Nursing care for HiTech infusion patient services / medication administration.

Monitor all performance improvement indicators and risk management activities.

Monitor compliance to ensure the timely completion and receipt of nursing documentation and POT.

Improved nursing performance and productivity by reducing OT hours, travel time and non-productive / non-visit hours.

Oversee field clinician’s development, implementation and evaluation of patient plans of care.

Present / prepare in-services for entire infusion staff, as well as hands-on training and education, competency assessments and related documentation, communication, and action planning provided to nursing staff.

Provide clinical support to sales team.

Oversee/manage daily activities of Ambulatory infusion suite.

Miami Children’s Hospital – Miami, FL Dec 2009 to May 2011

Registered Nurse Neurology/Neurosurgery/ MedSurge unit

Assessment, implementation, evaluation of patient’s response to prescribed treatments.

Care of pediatric patients needing neurological care for seizures, post-op brain surgery, PCA pump, IV mediation administration, wound care, Ileostomy, colostomy, and urinary cath care.

Proper documentation in adherence to Nursing & JCAHO standards.

Perform and document discharge planning as per policy.

Participate and conduct committee meetings.

Factor Health Management – Boca Raton, FL Sept 2008 – May 2009

Intake Supervisor

Insurance verification, obtain authorization, coordination of benefits. Data entry.

Monthly eligibility re-verification and authorizations. Monitoring of LTM maximums.

MS Excel spreadsheet for risk management.

Coordination / facilitation in transitioning patients to qualify & obtain Medicaid benefits.

Rate negotiation for sub-contracted LOAs.

Provided support for billing & collections department.

Atenda Specialty Infusion – Weston, FL Feb 2004 – Sept 2008

Intake Supervisor

Supervise central intake department of 15 employees.

Benefits verification, obtain necessary authorization & coordination of benefits

Case management of catastrophic patients

Provided support for billing & collections department.

Rate negotiation for sub-contracted LOAs.

Ensure compliance of JCAHO guidelines.

Work as an on-site liaison for various newly contracted insurance payors.

Seratech Pharmacy – South Miami, FL Jan 2002 – Feb 2004

Lead Patient Account representative

Processed referrals from various referral sources for home IV / injectable therapies.

Benefits verification and obtain necessary authorizations to secure path to payment.

Monthly eligibility re-verification and authorizations. Monitoring of LTM maximums.

Medicaid verification and submission of claims for Medicaid Share of Cost activation.

Data entry.

Assisted nursing departing in staffing HH referrals.

Customer service for inquires of delivery status, insurance benefits, or prescription refills.

OptionCare/OptionMed, Inc. – Miami, FL March 1995 – Jan 2002

Intake Coordinator / Information analyst

Insurance verification & obtain authorization for requested infusion / HH nursing services.

Data entry / patient registration, billing & diagnostic code quality assurance

Developed MS Excel spreadsheets of patient data for risk management tracking.

Medication shipment tracking

Customer service of patient delivery or refill inquiries.

Researching of non-paid claims, obtain authorization adjustments and retro-authorizations.

Provided in-services for in-house and field personnel.

Referral coordination and follow up for needed DME equipment and home nursing services

Education / License

Miami Dade College, Miami FL, AS in Nursing

Florida RN License #: RN9309824

MultiState/Compact Licensed

ONS Certification

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