Nurse Practitioner Draw Blood
Resume:
Mary T. O’Neill-Marnecheck, RN, NP, JD
Long Beach, Mississippi 39560
Email: ****@****.******.***
EDUCATION:
BSN/MSN MBA - in process – University of Akron anticipated graduation 2022
Juris Doctor-University of Akron 2008
Dean’s List, Class Officer and SBA Representative
Bachelor of Liberal Arts, Legal Studies, Paralegal 1997, Barry University, Miami, Florida
Pediatric Nurse Practitioner 1981 Metro General Hospital, Cleveland, Ohio
Registered Nurse: Saint Alexis School of Nursing- 1977
BLS certified by AHA. Worked as an instructor for AHA teaching CPR to the public
PROFESSIONAL LICENSES
Attorney- Ohio 2009 Ohio # 0084570
Pediatric Nurse Practitioner- since 1981 ( Metro Health Medical Center)
Registered Nurse- 1977- licensed in Ohio and Mississippi license until 2022 (Compact License)
PERSONAL:
Moved to Mississippi from Ohio to be near Daughter and her family who have been in the military for over 14 years. Son-in-law is a Meteorologist with the Navy based at Stennis, Daughter works at KAFB in marketing ( civilian) . They have been stationed in Biloxi twice, Virginia and Germany.
CLINICAL WORK EXPERIENCE:
Worked with computer systems for healthcare for over 30 years in outpatient and in-patient settings
In many positions it required the ability to assess patients' conditions, looking for normal and abnormal findings and providing appropriate care and notifying the physicians. Transcribing and verifying doctors orders. Monitor patients on going condition over 8-12 hr periods and documenting patients responses and if any need to intervene if there is a drug reaction; Upon discharge ensure patient and family if necessary understand medications and ensure patients ability to obtain medications and DME ordered.
Worked in the areas of Critical Care – CCU, ICU, SICU, Surgery, Recovery, Oncology and Pediatrics
Able to draw blood, start and maintain IV, central lines, administration of Dobutamine, perform EKG and work in stress and cath labs and temporary pacemaker insertion
As a Case Manager ( over 25 years) with Acute Care, Hospice, LTAC, SNF, AL, Behavioral Health and Home Health working with clinical staff, referrals sources, patients, and families.
As Utilization Review Nurse responsible for managing admissions and referrals to SNF, Reha and LTAC facilities. Worked with a variety of Electronic Medical records (20 years) including EPIC, Cerner, Oasis, Care at Home.
Familiar with the Militaries medical records programs including-CHCS, AHLTA, GENESIS, and CliniComp (Essentris)
Familiar with the Military Health System (MHS)
Provided educational programs for Physicians, Nurses, Pharmacists, Residents and Fellows on the topics oh HIT (Heparin Induced Thrombocytopenia and Argatroban), Anticoagulation using the new Factor 10 inhibitor (Aritra), Post-Op nausea and vomiting and Chemo induced nausea and vomiting with Zofran, presented educational seminars on Breast Cancer, NSCL Lung Cancer, Ovarian Cancer, Non-Hodgkin's Lymphoma and the use of Radioisotopes for treatment ( Bexxar).
Developed programs to meet and organizational and staff needs by facilitating guest lecturers and CEU programs
Memorial Hospital of Gulfport
RN Case Manager and Staff RN Oncology- Gulfport, MS ( Sept 2020-present)
Weekend Case Manager (Saturday only) managing hospital discharges ( Feb 2021 - present)
Coordinated discharges and referrals to LTAC, SNF, Rehab, home health and hospice and outpatient followup appointments.
Manages weekend discharge planning for all areas of the hospital.
Work directly with the VA system for follow up visits, referrals to hospice, skilled and rehab facilities.
Ensured follow up appointments are made prior to discharge and appointments were kept
Coordinated prescriptions and equipment as needed when discharged home.
This region has a large population of active and retired military and their families. When managing in-patients I must work with the different programs to refer care to VA, Out-patient clinic and outside entities i.e Rehabilitation, Skilled Care and Hospice. Follow up visits are set-up with VA Doctors before discharge, and equipment is ordered.
Set up outpatient appointments, e-prescriptions to Pharmacies.
Work effectively with co-workers, families, peers and all parts of the healthcare team.
Staff RN- 7a- 7 p 2-3 days/week on the Oncology inpatient unit.( Sept- January 2021)
Responsible for :
direct patient care,
Reviewing and managing Drs orders
medication administration- including IV’s and blood products
lab draws
Peripheral IV insertions
Pt education- disease state, medications, on-going follow-up and equipment.
Independent Legal Nurse Consultant – June 2008- present- PRN
Review Medical Records for attorneys
Participate in Discovery, Depositions and Mediation ( licensed Attorney in Ohio)
Worked as a CASA/GAL for Summit County juvenile court when children were removed from their home by CSB where abuses, neglect, child endangerment, drugs or domestic violence or mental health issues existed.
Worked in coordination of the court, CSB, outside providers and families to work through the case plan to successfully reunite children with a parent(s)
Responsible for family and children and school visits. Wrote reports to the Court with recommendations.
Responsible to ensure families worked their case plan.
Built effective relations with supporting social service and emergency organizations,
Average length of cases 12 months
CSI/ CVS – COVID-19 vaccination support RN January 2021-April 2021
Contract position with CSI- vaccinated residents and staff in Nursing homes, Assisted Living Facilities
Completed vaccinations in all assigned SNF and AL in Mississippi with Pfizer COVID 19 vaccine
St. Joseph Hospice- RN On-call Case Manager and Inpatient unit, Gulfport, MS ( May 2020- January 2021)
On call evenings and weekends
Managed cases at home to provide care and supervision as needed for patients and families that chose to remain at home.
Handle admissions for Hospice services
In-patient Unit Staff RN
Dealt with patients declines and death worked with local Coroner and Funeral Home when patient dies at home or in a facility
Provided ongoing support with Social Services, Chaplin and family support programs.
Gulfport Behavioral Health Hospital- Case Manager - November 2019- February 2020
Behavioral Health Hospital is an Acute Care Mental Health Facility
Responsible for managing hospital admissions to the Hospital
Worked with Insurance Companies- Case Managers and Utilization Review Nurses for approval of Hospital stay.
Aetna- Utilization Review Nurse Consultant ( Sept 2017-April 2019)
●Remote position
●Responsible for assigned hospitals and approval of hospital and rehabilitation program, Skilled Care Facilities and Long -Term Acute care programs
●Managed Acute-care and ER admissions for approvals of events
●Managed in-patient days working directly with hospitals and physicians and Medical Directors for case management calls and peer to peer calls as needed and referrals for approvals to LTAC, SNF, Rehab, home health and hospice.
●Oversaw all types of admissions: Adult, Geriatric, Pediatrics and all disease states. Worked with UM to plan and develop programs for beneficiaries to meet MTF goals and objectives.
●Reviewed previous and present trends of medical care and services for patients to identify trends, patterns, incidents of over/under utilization of hospital resources. Prepares reports for UR patterns and present to applicable team members.
●Averaged 35-40 patient reviews daily
United Healthcare Care-Case Manager Cleveland ( June 2016- December 2016)
Responsible for assigned Skilled facility and review of admission, care and length of stay.
Remote position
United HealthCare- Registered Nurse Akron, Ohio ( June 2014- December 2014)
Remote position
Contract position through the JUDGE MEDICAL STAFFING GROUP
Nursing Home Assessment nurse for residents residing in Nursing Homes
Responsible for assessments of assigned residents with the MyCareOhio Medicaid- Medicare
Concordia Care – Compliance Officer
Joint venture with MetroGeneral Hospital and public service company
Program found to have significant deficiencies when audited by CMS and program closed for new admissions
CMS mandated a Compliance Officer be brought in so I was hired to fill that position
Worked directly with Clinical Managers and CMS to correct deficiencies and reopen the program for admissions
Presented processes of improvement to Board of Trustees and CMS
Developed policy and procedures in areas of deficiency.
Improved clinical services to residents/patients in the day care program and at home
Developed a Medical record review system to ensure organized system to ensure services and care rendered were located within the record
Developed processes to improved measured patient outcomes
recruit and train volunteers, promote resilience and financial literacy through targeted life skills training, and the development of human resources program referral networks, in any position that required compiling reports, letters, memorandum, etc., and required person-to-person contacts to convey information.
Developed daily schedules, monitor activity and ensure ongoing training as needed.
MetroGeneral County Hospital -Legal Nurse Intern- HIPAA, Risk Management and Compliance (Sept. 2006-Feb. 2009)
Worked directly for the Director
Reviewed cases for risk and/or compliance issues
Researched using EMR- EPIC to review and present cases to the Directors and Physicians at weekly staff meetings and MMR meeting
Assisted in the development of the hospital’s policy for Surrogates.
Wrote a White Paper on “ Surrogacy in the Acute Care Setting”.
Manor Care Health Services- Florida, Ohio, Indiana and Michigan- Manager of Managed Care and Admissions
Contracted with managed care insurers for services to LTAC, Sub-Acute, Skilled services in multiple state area
Worked with Contracting Department and Case Managers to facilitate admissions to our facilities
Developed per diem contracts and outliers as needed for the referral sources
Presented departments progress to Directors, Nursing Home Administrators and staff.
Managed, hired and trained staff for an average of 15 facilities.
Vencor Hospital- Fort Lauderdale, Florida- Case Manager Aug 1993- December 1994)
Long term Acute Care facility
Reviewed Acute-Care patients in the hospital setting for appropriateness of admission to the LTAC or to a Sub-Acute Care Unit
Akron Children’s Hospital- Clinic Manager for Cystic Fibrosis Clinic and Pediatric Nurse Practitioner (Sept. 1981-Janu 1984)
Managed clinical services to patients within 17 county areas approximately 250 children with CF.
Carried my own patient caseload as a Nurse Practitioner- responsible for patient exams, obtaining medical histories, documenting subjective and objective complaints and developed plans of treatment, planning appropriate services and documenting findings.
Developed several innovative programs to better care for our children and families.
Satellite Clinic in Holmes County to serve our large Amish population.
Home Infusion Program- Developed program writing training manual, contracted with vendors to provide support services including medications and nursing support. Presented the Program at the International CF Convention 1984. Recognized as one of the first centers to have this program.
Family newsletter to improve communication with patients and families.
Participated in several research studies and papers published with our Drs on “Bronchial Washings in the Acute Patient”.
Developed daily schedules, monitor activity and ensure ongoing training as needed.
Home Nutritional Services- National Home Infusion Company- Ohio Clinical Manager- ( 1986- 1993)
Developed clinical team to administer home infusion therapy to patients at home.
Educated physicians and Insurance Case Managers to the types of infusions that can be successfully administered at home including: Dobutamine, Prolastin, Antibiotics and others
Wrote contracts with Managed Care Insurance Companies to provide services to their members.
LifeScan- Diabetic Nurse Educator and National Sales Trainer ( March 1984- October 1986)
Identified and developed distribution programs for patients and hospital s for a brand new blood glucose monitor “GlucoScan” for Ohio and Michigan
Worked with Physicians and Educators on the use of this new blood glucose monitor
Promoted to develop national sales training program for this start up company.
Parmadale Children’s Village- Director of Healthcare Services (1979-1981)
Coordinated services for approximately 120 children;s placed in the Village for and average of 6-12 months by the Court for abuse, neglect, truancy and other family issues i;e drug abuse and domestic violence
Provided care daily to the children ensuring that they were up to date on vaccinations, medical and dental care.
Developed referrals sources for children when services were beyond the clinics capability
Developed educational programs for Staff on CPR, medication administration and management as well as healthcare issues that needed to be monitored
Developed daily schedules, monitor activity and ensure ongoing training as needed.
References:
1. Antone Crasto – VP at Manor Care Health Care Services. I reported to him when I did managed care contracting for the Skilled Facilities (13 facilities) in Florida (1994-1998)
6379 Belgrand Drive Tallahassee, FL 32312
Tel: 850-***-****
************@*******.***
2. Dr. Richard Crownover MD, PhD- Radiation Oncologist Cleveland Clinic, customer with GSK -Oncology (1999-2006) Now at MD Anderson in San Antonio
Professor and Residency Program Director- Department of Radiation Oncology
Cancer Therapy and Research Center- University of Texas Health Science Center San Antonio
7703 Floyd Curl Drive MC7889 San Antonio, TX 78229-3900
210-***-**** office 210-***-**** FAX
*********@*******.***
3. Dean Rooney, Esq. – Partner at HKW, Defense Attorney, Worked together at Parmadale Children’s Village. He influenced me to go to law school. (1989- present)
*******@******.***
4. Pam Mahaffey RN, MSN, DNP – was a customer with LifeScan, Inc. 1996- 1999. Now works at Grant Medical Center Columbus, Ohio – Vascular Services Clinical Manager.
********@**********.***
5. MetroHealth Medical Center, Director of Compliance and Risk Management- worked with Mary intermittently as a legal intern researching patient complaints, attorney requests, HIPPA concerns. Helped to develop surrogacy policy and procedures for hospital. (2006-2009).
2500 MetroHealth drive Cleveland, Ohio 44125.
7. Gary Himmel, Esq.- worked with him as co-counsel on several medical cases (2009-2012)
80 S Summit Street #400 Akron, Ohio 44308 330-***-****
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