**** ******** **, ******, ** *****

CELL 973-***-**** E-MAIL adlykk@r.postjobfree.com

KRISTIN LUEBKE, MSN, BSN, RN

EDUCATION

**** ***** ****** ********** *******, AZ

BSN- Bachelor of Science in Nursing - Summa Cum Laude

MSN- Master of Science in Nursing -2020 completed

2011 Graceland University Lamoni, IO

BA/MA- Health Care Administration

Bridge program discontinued by University

1997-1999 Kaplan University Boca Raton, FL

AAS- Paralegal Sciences

Specialty Certifications received in Tort Law, Litigation, Legal Research and Legal Nurse Consulting

1978 – 1980 Oregon Institute of Technology Klamath Falls, OR ADN-Nursing

PROFESSIONAL EXPERIENCE

12/19-2/20 First Stat Nursing Agency Union, NJ

Employee Health Nurse

Provided education to new employees, current employees

Gave vaccinations

Performed fit testing

Monitored employees on disability, workers comp claims

Monitored employees for appropriate serology titers

Performed 6-8 nursing assessments on employees daily

10/2019 to 12/19 First Stat Nursing Agency Union, NJ

Diabetic Educator

Provided education to newly diagnosed diabetics

Injections

Injection sites

Medication education

Ongoing communication with patients

4/11/2013 to 9/2019 Robert Wood Johnson Barnabas Health Rahway, NJ

Clinical Quality Specialist

Daily rounds on all units to encourage compliance with TJC/CMS/NJ State standards of care and clinical indicators. Educate staff as to compliance needs/metrics.

Review Verge data; convert to PEER module. Follow up with MD’s and responses. Refer to CMO/expert when needed.

Perform case review on all quality measures via Nuance; monitor eCQM

Ensure upload of standard documentation to Nuance which publishes to government sites

Review and present potential legal issues to on site counsel/risk manager

Case review and investigation of all MD related complaints or issues

Present quality improvement reports to Medical Outcomes Committee, Patient Outcomes Committee, Department of Medicine,

Tissue Committee, Cardiology Committee, HQSI, Family Practice Committee and Pulmonary Department

Provide education and support to Senior leadership regarding quality outcomes.

Provide reports to ensure facility meets it financial, clinical and regulatory goals.

Risk Management coverage as needed

All mortality reviews for Acute MI, Heart Failure, COPD, and Pneumonia. Sepsis cases reviewed

Lean Six Sigma program training started

12/12/11- 4/11/2013 Robert Wood Johnson University Hospital Rahway, NJ

Emergency Room Case Manager transfer to Quality Dept

Daily reviews of admitted patients as assigned.

Case review of all patients- particularly ED cases; assess for needs to flourish in their communities

Prepare patients for discharge including education on new and current diagnosis such as CHF, Diabetes, COPD, wounds

Set up behavioral health contacts and appointments, both inpatient and outpatient

Assess psych patients for special needs

Kindred Acute Care/LTC Hospital- case management

Care Connection LTC patient needs

Communicate with insurance companies, other case managers

Set up ED/SDS infusion cases

Participate in case management committees

Attend family meetings; contact families to assist with any issues

4/11 – 12/11 Comprehensive Home Care South Orange, NJ

Director of Clinical Operations- Company closed- continued as a consultant for Accreditation

Worked with management to develop, track and report on 6 clinical indicators in line with TJC/NJ Patient Safety Goals including infection control, emergency management; clinical chart review, patient and employee satisfaction surveys

Developed and implemented new Infection Control policies in line with patient population served, CDC and DOH guidelines

Responsible for all TJC communication including surveys and (MOS) measure of success reporting

Responsible for documenting and tracking all OSHA events

Follow any Worker’s Comp cases

Follow DYFS cases; review paperwork

Interface with any legal matters & corporate attorney

Conducted educational programs for staff- Accreditation preparation

9/10/10–4/11/11 Grace Healthcare Edison, NJ

Hospice Nurse/ Team Leader

Review patient medical history; obtain MD orders and provide care via hospice philosophy. Oversee various disciplines, LPN, social workers, chaplain, volunteers, etc. Music therapy, reiki therapy, pet therapy as needed

Team leader for Essex County- attend biweekly team meetings, prepare reports, make assignments, see patients and families as needed

Cover LTC patients in Riverview, Paterson

Cover LTC patients in Arden Courts

Cover cases in Essex and Bergen Counties

11/04-8/10 Phoenix Health Care Rochelle Park, NJ

RN per diem

Critical Care; Emergency Room; Endoscopy; PACU; Open Heart Surgery, special procedures and Case Management in various NJ hospitals

Instructed and trained new personnel in Emergency Room nursing, and the care of multiple traumas. Maintained, operated and instructed other Critical Care RN's in the use of invasive monitoring equipment.

Full time contracts at Palisades Medical Center, Robert Wood Johnson and Englewood Hospitals in Case Management Department. Performed retro reviews, appeals, concurrent reviews using both Interqual and Milliman criteria. Performed radiology, cath lab special procedures in Palisades Hospital, Englewood, and East Orange Hospital. Recent critical care and ED nursing contracts at Hackensack Hospital

2/22/09 to 12/6/09 Best of Care Jersey City, NJ

Director of Operations-FT continued as a Consultant for Accreditation

Successfully awarded CAHC accreditation

Successfully Medicaid certified

Obtained contracts with DDD, DYFS

Increased cases from 40 to 100 with annual gross revenue exceeding $1 million.

Worked with management to develop, track and report on 6 clinical indicators in line with TJC Patient Safety Goals including infection control, emergency management; clinical chart review, patient and employee satisfaction surveys

Responsible for setting up and tracking quarterly ORYX data for TJC reporting

Developed and implemented new Infection Control policies in line with patient population served, CDC and DOH guidelines

Responsible for all TJC communication including surveys and (MOS) measure of success reporting

Responsible for documenting and tracking all OSHA events

Follow any Worker’s Comp cases

Follow DYFS cases; make visits as needed

Interface with any legal matters & corporate attorney

Conducted educational programs for staff- Accreditation preparation

9/5/07 – 12/16/08 Microtech Jersey City, NJ

Educator- LPN/Medical Assistant/Massage Therapist programs- evenings

Responsible for Anatomy and Physiology education programs

Created curriculum and all training materials

7/5/05 – 2/16/09 ACCESS Nursing Services Jersey City, NJ

Regional Director of Clinical Services-FT

TJC AND CAHC ACCREDITED

Responsible for 3 branch locations with $25M in revenue

Recognized by NJ Medicaid program for noticeable improvements in the billing practices and the manner of documentation for current Medicaid clients

Responsible for marketing new revenue sources- 5 new contracts first year and annually

Worked with Senior Management to develop, track and report on 6 clinical indicators in line with TJC Patient Safety Goals including infection control, emergency management: clinical chart review, patient and employee satisfaction surveys

Responsible for setting up and tracking quarterly ORYX data for TJC reporting

Developed and implemented new Infection Control policies in line with CDC and DOH guidelines

Responsible for documenting and tracking all OSHA events

Supervised over 650 employees, oversaw the scheduling of work hours, resolved conflicts and determined salaries. Oversaw supervision and management of over 1000 medically impaired clients.

Brought weekly billing from 65% to 98.5% collected on initial billing

Launched New Jersey State Board of Nursing Home Health Aide training program.

Develop and maintain a comprehensive Risk Management Program to include maintenance of data; educate other staff members as needed; interface with regulatory agencies as needed.

Follow any Worker’s Comp cases

Follow all DYFS cases; make visits as needed

Interface with any legal matters & corporate attorney

Conducted educational programs for staff- Accreditation preparation

Facilitate instruction, as needed, to all offices in preparation for contracts or regulatory visits such as CAHC, TJC and client audits.

Responsible for all compliance of home care and staffing services with all applicable federal, state and local statutes, rules and regulations and accreditation entity standards.

Developed and implemented entire compliant Policy and Procedure Manual that met Commission on Accreditation for Home Care standards.

Consistently maintained 98% compliance statistics for more than 650 active clinical personnel.

Developed and implemented Personnel Chart Review Tool for use in monitoring ongoing compliance during monthly personnel chart audit.

Developed and implemented all Clinical Chart Forms- 4-page Patient Assessment Form; Personal Services Care Plan; Caregiver Activity Time Sheet

Active in all committees within Access Nursing Services, frequently assuming the Senior Nursing Leadership role.

1991 to 1999 & 11/04-9/10 Phoenix Health Care Rochelle Park, NJ

RN per diem

Critical Care; Emergency Room; Endoscopy; PACU; Open Heart Surgery and Case Management in various NJ hospitals

Instructed and trained new personnel in Emergency Room nursing, and the care of multiple traumas. Maintained, operated and instructed other Critical Care RN's in the use of invasive monitoring equipment. Full time contracts at Palisade Medical Center, Robert Wood Johnson and Englewood Hospitals in the Case Management Department. Performed retro reviews, appeals, concurrent reviews using both Interqual and Milliman criteria.

5/04 –11/04 Patient Care, Inc. West Orange, NJ

Intake Nurse Specialist- Department was decentralized/closed

Review patient medical history, obtain MD orders and process into new referral for professional field staff

6/02 – 5/04 Skadden, Arps, Slate, Meagher and Flom NY, NY

Client Specialist- Legal Nurse Consultant

Review medical records and process into work product for attorney review.

Facilitated data analysis and records collection by assisting attorneys recognize when additional medical records are needed from providers or plaintiffs.

Identified potential experts in medical specialty, assisted in interview

Educated attorneys, paralegals in medical aspects of cases

Created timelines, spreadsheets depending on Attorney preference and experience in specific topics

Performed literature research and assisted attorneys to recognize when alternative avenues may be developed or if potential defensive strategies are more suitable.

Review depositions for inaccuracies or deviations from previously disclosed facts, provided deposition summaries, attend depositions as needed.

8/02 – 2/04 Commission on Accreditation for Home Care Verona, NJ

Surveyor Consultant – Per Diem

Provide Clinical and Human Resource audits on agency charts and professional documentation.

Review for compliance with CAHC and State regulatory agencies and organizations.

Provide written reports to Board of Directors, with recommendations for accreditation, requests for probation or withdrawal of accreditation

8/00 – 6/02 Priority Nursing Services Hackensack, NJ

Director of Clinical Operations/Risk Management and Quality Assurance

Applied knowledge of health care administration and regulatory issues in the management of one of the largest and most successful CAHC accredited Home Care Agencies in northern New Jersey.

Worked with management to develop, track and report on 6 clinical indicators in line with industry Patient Safety Goals including Infection Control, Emergency Management: clinical chart review, patient and employee satisfaction surveys

Developed and implemented new Infection Control policies in line with patient population served; CDC and DOH guidelines

Responsible for all accreditation communication with CAHC

Responsible for documenting and tracking all OSHA events

Supervised over 400 employees, oversaw the scheduling of work hours, resolved conflicts and determined salaries.

Launched New Jersey State Board of Nursing Home Health Aide training program, training and providing people with new marketable skills.

9/99 – 6/02 McCarter and English Newark, NJ

Legal Nurse Consultant

Advised attorneys on standards of care issues in health care and pharmaceutical matters, and potential deviations from these standards.

Contact medical experts and provide certificate of merit, or contradictory statements.

Compiled, analyzed and presented medical records review, processed into medical chronology, and attorney work product.

Reviewed many different types of cases, including products liability, workers compensation, and professional malpractice.

Helped in review of deposition questions, synopsis and review of answers for discrepancies.

Facilitated data analysis and collection of medical records by assisting attorneys to recognize when other avenues may be researched or if potential defensive strategies are suitable.

Identify missing providers and recognize when witnesses deviate from previously identified facts.

9/99 – 6/00 St. Joseph Hospital and Medical Center Paterson, NJ

Management/Utilization Review/ Appeals

Coordinated work between Case Management Department and Insurance providers.

Developed and implemented process to assist presenting of patient medical information to insurance providers in a more efficient manner to insure ongoing approval of patient stay.

Contributed to department profitability by successfully appealing previously denied insurance claims, with an approximate 75% approval rate on overturned denials.

Familiar with M and R and InterQual criteria.

Used Midas system for documentation

Provide pre-authorization for extended hospitalizations and unusual procedures.

7/98-9/99 St. Joseph Hospital and Medical Center Paterson, NJ

Nurse Manager- Pre/Post Open Heart Surgery

Developed and implemented all aspects of patient centered delivery of care.

Supervised over 70 FTE's, scheduled work hours, resolved conflicts, determined salaries, provided professional development opportunities.

Delivered oral and written presentations for professional staff.

Expedited communication between upper level management and general personnel.

Forecasted accurate budget with successful analysis and variance tracking.

Developed a new staffing system, providing staff retention and job satisfaction.

Consistently met or exceeded facility goals, including the highest patient satisfaction rating in the entire Medical Center within a 6-month period from the start of the position.

Coordinated education and development, fostered communication between various departments.

Maintained responsibility for unit budgeting- annually approximately $2,480,000.

7/97-7/98 St. Joseph Hospital and Medical Center Paterson, NJ

Administrative Supervisor, Adult Medicine and Critical Care Units

Delivered oral and written presentations for professional staff.

Maintained appropriate staffing levels for Adult Critical Units/Med Surg/Psych. Covered Maternal Child/ Peds/ PICU/ NICU as needed

6/95-7/98 Musculoskeletal Transplant Foundation Edison, NJ

National On-Call Coordinator

Screened potential bone and soft tissue donors for Transplant Programs

Participate in Program educational community programs

Interacted with Recovery Programs throughout the United States

MEMBERSHIPS

HHSSA- Home Health Staffing Service- former Board Member

HHSA Foundation – former Board member

International Sigma Theta Tau Member

National Association for Healthcare Quality

CERTIFICATIONS

CTBS- Certified Tissue Bank Specialist

CCRN- American Association of Critical Care Nurses- inactive

CPR- healthcare provider exp 1/2021

IV Certification

Conscious Sedation Certification

Notary Public- exp 4/21

REFERENCES

Available on request

Contact this candidate