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Medical Officer Admissions Coordinator

Location:
Mooresburg, TN
Posted:
August 12, 2022

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Resume:

Shonda Green

*** ***** ****

Mooresburg, TN *****

***************@*****.***

Objective

Reliable, ethical healthcare provider with ability assess clinical, apply clinical to criteria, Call providers for additional clinical, to collaborate on multidisciplinary teams and perform face to face assessments. Proven ability to build positive relationships with patients, family members, physicians and other medical professionals.

August 2020 to February 2022

Adoration Health and Hospice

Home Health

. Medication Management

. woundcare

. process doctors or orders

. assessments

. charting of treatments and outcomes

. care for total care patient.

. G.I. tube care

. cathether care

March 2020 to August Jubilee Hills

LPN-Supervisor nights

. Medication MGMT

. wound care

. Shift management over patient care technicians

. Process doctors orders

. Charting of treatments

. assessments

February 2020 to March 2020

Maxim Healthcare

. LPN travel Nurse

. Travel to homebound patients

. Medication management

. Vent managememt

. Trach care

. G.I. feeding and ostomy care

. Wound care

. Receive and process orders

. Medication Mgmt

December 2019 to August 2020

Gallatin Health and Hospice

. Assessment

. Wound care

. breathing treatments

. medication management

. care planning

. range of motion

. documentation of treatments

. collaboration with other desciplines for care planning.

August 2019 To December 2019

ADON at Portland Health and Rehabilitation.

. Education on process and procedure

. Chart auditing

. Collaboration with Various desciplines for better patient outcomes

. Patient and staff grievence resolution

NHC Place Gallatin, Tennessee

April 2019 to August 2019

LPN-Supervisor

●Head to toe assessment of patients.

●Paperwork completion which includes medical history, DNR status, inventory of belongings, wound care.

●Collaboration with Management, Admissions Coordinator, Physician, Physicians assistants, Pharmacy, Dietary, Social Work regarding care planning.

●Processing of physician orders

●Creation and implementation of care plans

●Collaborating with hospital and physical office staff regarding transition of care from inpatient acute care facility or home setting to NHC Place rehab or long-term care units.

●Building patient chart.

●Transition of care from admissions nurse to floor nurse.

●Clarification of orders with physicians, hospital staff and physician offices.

January 2018 to April 2019

NHC Home Care

· Performing physical head to toe assessment with real time report to healthcare providers to meet patient medical and psychosocial needs and achieve optimum health.

· Patient teaching on disease process to empower patient in being active in their own healthcare.

· Routine Laboratory draws

· Communication to providers regarding condition and needed resources.

· Communication to Vendors to obtain patient DME and medical supplies

. Co-Aguacheck for checking PT/INR, Accu-check for testing blood glucose

. Wound care which including application of wound vac system KCI and Smith Kline

. PICC Line dressing change.

. Case conference with all medical disciplines, Nursing, Physical, Occupational and Speech therapy, MD, DON, DOS and social worker .

Nurse The Hearth November 2018 to January 2018

. Head to toe assessment

. Medication reconciliation

. Medication Management

. Documentation of treatment

. Supervision of Nurses Technician

July 2017 to November 2018 Guardian Health and Home Care

· Performing physical head to toe assessment with real time report to healthcare providers to meet patient medical and psychosocial needs and achieve optimum health.

· Patient teaching on disease process to empower patient in being active in their own healthcare.

· Routine Laboratory draws

· Communication to providers regarding condition and needed resources.

· Communication to Vendors to obtain patient DME and medical supplies

. Co-Aguacheck for checking PT/INR, Accu-check for testing blood glucose

. Wound care which including application of wound vac system KCI and Smith Kline

. PICC Line dressing change.

. Case conference with all medical disciplines, Nursing, Physical, Occupational and Speech therapy, MD, DON, DOS and social worker .

March 2017 July 2017

Hickory HillsAlzheimer’s Special Care Center

●Head to toe assessments of patients

●Medication administration

●charting

●would care

●Staff supervision

●staff scheduling

February 2016 to March 2017 Admissions

Nurse NHC Place Gallatin

●Head to toe assessment of patients.

●Paperwork completion which includes medical history, DNR status, inventory of belongings, wound care.

●Collaboration with Management, Admissions Coordinator, Physician, Physicians assistants, Pharmacy, Dietary, Social Work regarding care planning.

●Processing of physician orders

●Creation and implementation of care plans

●Collaborating with hospital and physical office staff regarding transition of care from inpatient acute care facility or home setting to NHC Place rehab or long-term care units.

●Building patient chart.

●Transition of care from admissions nurse to floor nurse.

●Clarification of orders with physicians, hospital staff and physician offices.

February 2014 to February 2016

Wellcare

Utilization MGMT Nurse

●Review of clinical sent in from hospitals and physician offices utilizing interqual and ICD 9 & 10

●Collaborating and conferencing with social worker, facility physical and behavioral health teams, Inpatient utilization management team and facility physical and behavioral health physcians.

●Coordination of care

●Communication with service providers to obtain clinical for review and to fax clinical review outcome or to coordinate teleconference with facility physical and behavioral health physicians

August, 2013 to February 2014

NHC Home Care Nurse

· Performing physical head to toe assessment with real time report to healthcare providers to meet patient medical and psychosocial needs and achieve optimum health.

· Patient teaching on disease process to empower patient in being active in their own healthcare.

· Routine Laboratory draws

· Communication to providers regarding condition and needed resources.

· Communication to Vendors to obtain patient DME and medical supplies

. Co-Aguacheck for checking PT/INR, Accu-check for testing blood glucose

. Wound care which including application of wound vac system KCI and Smith Kline

. PICC Line dressing change.

. Case conference with all medical disciplines, Nursing, Physical, Occupational and Speech therapy, MD, DON, DOS and social worker .

May 2013 to June 2013

Navi Health (agency contract)

Serving as a Telephonic Case Manager

· Performing transition of care calls to members post D/C from inpatient facilities.

· Medication reconciliation

· Safety check

· Education on health diagnosis and or illness

· Strategies for managing a member’s individual health empowering members by providing information and education regarding services available to them.

· Health navigation assisted members with connection with providers and services.

January 2013 to March 2013

Mission Point Clinical Health Partners

Served as a Health Care Partner LPN Responsible for :

· Health coaching performing beside visits pre-discharge to discuss D/C plan and to set-up post D/C home visit

· Health navigation assisted members with connection with providers and services.

· Home visits to ensure safety check, medication reconciliation and education to member regarding health diagnosis.

· Preventive health services education to members regarding well visits to ensure continuity of health and services

· Strategies for managing a member’s individual health empowering members by providing information and education regarding services available to them.

November 2012 to January 2013

The Columbus Organization

Served as a ( Agency contract) LPN @ Clover bottom Developmental Facility

· Administered medication, therapy and monitored individuals in the on-campus work program as well as at their residence.

· Performed medication reconciliation, Wound Care

· Responsible for development of care plan goals and interventions to be included in residents individual service plan.

· Ensured that doctors’ orders were effectively carried out, including testing, medical procedures, consultations.

Amerigroup Real Solutions, Nashville

From company go live 2/2007 to May 2012

Served as a Case/Utilization manager at Managed Care Company in physical and behavioral health.

· played a key role in helping the underserved population obtain quality health care.

. Assisted in creating step by step training job aid for utilization mgmt new hire.

. Case studies currently used in company training of new hires for case and utilization mgmt.

· Conducted review of clinical sent in by providers using ICD9, Milliman, DSMV and interqual guidelines.

. Communication with providers regarding whether services were approved or denied including coordination of denial or approval letter being sent to provider and member.

. Collaboration with Chief Medical officer regarding cases that fell outside of criteria.

· Responsible for performing face to face visits with members at inpatient hospitals, psychiatric facilities, supportive housing facilities and at patients homes.

· Presentation of complex cases in clinical rounds with interdisciplinary team of Psychiatrists, Chief Medical Officer RNs, and Social workers.

· Responsible for development and implementation of individual patient centered care plans for patients with broad range of mental/physical health issues.

· Ensured that doctors’ orders were effectively carried out, including testing, medical procedures, consultations.

. Connection of members to services and providers and coordination of care

Key Accomplishments:

Charter employee in Managed Care Company start up in Tennessee Market.

Helped refine Health plan policies and procedures in the area of new hire training software, discharge planning and documentation.

Assisted in reduction of inpatient admissions by coordination of members services and frequent communication with providers, earning the respect of physicians and co-workers for cost saving and good patient outcomes.

Completed training in team building, management of assaultive behaviors and psychotropic-medication .

Developed strong psychiatric-evaluation and treatment-planning skills through employment at Amerigroup Real Solutions.

Knowledge of psychotropic medication administration, management. Utilization of Milliman and interqual criteria, ICD 9 to ensure that clinical and diagnosis met criteria, Right fax macess, X-medius, care compass, and CCMS software for charting Medical clinical and claims processing.

Nursing through agency at various hospitals on floors, on units and in clinics.

Employment in area hospitals on med surg units, and Clinic setting through staffing agency.

Employment in Ltach facilities and shift Mgmt in Health Medical rehabilitation facility.

Travel Nurse /Various Medical facilities

6/2003 - 2/2007 Intellistaff, Nashville, TN

· Worked under the supervision of an RN providing bedside care, treatment and clinical documentation for patients on cardiac, oncology, medical-surgical floors and outpatient clinics.

· Conducted medication administration, dressing changes, IVs and all other aspects of nursing care.

· Responsible for preparing for admissions, discharges and transfers.

· Prepared chart notes and other documentation; and participated on interdisciplinary team.

Key Accomplishments:

Responsible for care of average of 6 to 8 patients daily in hospital Setting

PICC Nurse performing assessment and dressing changes.

Provided Set up, operation, and /or monitor invasive equipment and devices such as colostomy or tracheotomy equipment, mechanical ventilators, catheters, gastrointestinal tubes, and central lines.

Earned a reputation for excellence in service delivery. Supervisor comments: "Shonda will be an outstanding RN. She has excellent interpersonal skills and readily establishes rapport with diverse patient population…her clinical skills are impressive…Shonda would be an asset to any nursing team."

Education

6/2003 Tennessee Technology Center, Hartsville, TN

Licensed Practical Nurse (LPN), GPA: 3.0

Senior Practicum: University Medical Center, Area Nursing Homes and physician practices for clinical. 150 hours, Psychiatric Unit, University Medical Center Mc Farland Psychiatric Hospital: Worked intensively with patients to promote their interest and participation in reality, identify problems and solutions, and enhance their coping skills. Provided a safe and therapeutic environment for psychiatric/medical patients.

Course Highlights: Family and Community Nursing, Healthcare Delivery Models, Clinical and Chemical Therapeutics, Biophysical Pathology, Psychosocial Pathology, Human Anatomy and Physiology, Nursing Research

Currently pursuing RN Degree Excelsior College

Affiliations

2/1992 – Tennessee Wheelchair Athletic Association, Volunteer

8/2008 - 2012, Station camp Band Booster, Member

Skills

Case Management

Utilization mgmt

Critical-Care Nursing

JCAHO Standards/Compliance

Medication Administration

Parent/Patient/Family Education

Patient Advocacy

Patient Assessment

Psychiatric Nursing

Quality & Continuity of Care

Additional Information

Known as a patient advocate and team player; believe in empowering patients by delivering health education and nursing care that enhances wellness and quality of life.



Contact this candidate