LORELLE SMITH, BSN, MSN, CNS, APRN-BC

**** *** ****, ********* ****, Florida 34731

727-***-**** • adt806@r.postjobfree.com • Linkedin.com/in/lorismitharnp/

SUMMARY OF QUALIFICATIONS

●Dedicated seasoned Nurse

●13 years’ experience as a Board Certified ARNP

●Relates well to people from a variety of cultures and socioeconomic conditions

●Flexible, quick learner, adapts easily to new situations

●Professional and self-motivated

●Proven record of reliability and responsibility

●Strong communication and computer skills

●Natural ability to build rapport with patients and families

●Proficiency in the special needs of patients ages 50-100 years’ old

●Evidence based holistic practice

PROFESSIONAL EXPERIENCE

MATRIX Scottsdale, Arizona

Nurse Practitioner 01/02/2018 – Present

●Completes Health Risk Assessments electronically for many different insurance companies.

●Works independently with a diverse underserved population as part of the Clinical Operations Team.

●Provides Clinical Assessments and care to patients in their homes identifying quality improvement activities and planning care consistent with practice guidelines.

●Responsible for Care Plans, accurate diagnosis, treatment plans and coding utilizing policies and current protocols.

●Assessing patients and family’s prior knowledge, skill level and the complexity of learning needed. Presenting education in a method to allow patient and family members to quickly develop proficiency in the topic or skill.

●Provide referrals to quality, case management and disease management.

●Work collaboratively with physicians, social workers, family, key care givers and appropriate ancillary medical personnel.

●Review and interpret laboratory data and order additional laboratory investigations.

●Compliant with OSHA, CLIA, SBON AND DEA Regulations.

●Participates in mandatory compliance and related standards.

POP HEALTHCARE Jacksonville, Florida

Nurse Practitioner 5/2019-5/2020

●Provide independent primary care to patients in their home and facilities.

●Complete comprehensive history and physical exams.

●Order Medications, Lab Studies and Radiologic Studies

●Refer to Community Services, Therapy, Specialists and DME.

●Proactive visits with the intent of decreasing hospitalization and morbidity for an insurance company.

●Address recommended preventative and quality measures to close potential care gaps.

●Monitor chronic conditions to minimize exacerbations or treat in place.

●Identify, assess and treat acute changes in condition.

●Conduct telehealth visits, initial visits, maintenance, followup and screening visits.

●Counsel for the COVID 19 outbreak.

●EMR

COMMUNITY MEDICAL Brooksville, Florida

Nurse Practitioner 10/2017-12/2017

●Provide primary care to patients in homes and Assisted Living Facilities ages 13-105. Utilized web based EMR. Independent contractor 1099.

INGENIOS HEALTH Jacksonville, Florida

Nurse Practitioner 3/16/2016-4/21/2017

●Complete Health Risk Assessments and Benefits Determinations, in order to evaluate need of Long term care for insurance policy holders in LTC Facilities, Assisted Living Facilities and at home to ensure patients receive the care they need.

●Documentation done on an advanced technology tablet.

●Assess level of ADL and IADL through demonstrated tests.

●Evaluate cognitive status through completing cognitive exams.

LIFEPATH HOSPICE Tampa, Florida

Nurse Practitioner 3/10/2014-10/2/2015

●Provide comprehensive health assessments, differential diagnosis and prescribe treatments under the protocol in the direct management of acute and chronic illness and disease.

●Act as resource to the clinical team to discuss patient care issues.

●Share on call rotation with medical director, other medical doctors and nurse practitioners providing 24 hour, seven days a week coverage to patient/family/ team members as necessary.

●Follow ethical and legal standards established by the medical and nursing communities as the basis for patient advocacy.

●Maintain up to date patient records through web-based charting systems (EMR) so that problems, plans, actions and goals are accurately and clearly stated and changes are reflected as they occur.

PHYSICIAN GROUP Sarasota, Florida

Nurse Practitioner 8/27/2007-12/31/2013

●Performed comprehensive history and physical exams.

●Identified normal and abnormal characteristics.

●Formulated diagnoses and developed treatment plans, ordered treatments, diagnostic tests, medical management and referrals to specialist based on findings.

●Evaluated care outcomes by performing focused orthopedic exams, reviewing specialist’s reports, diagnostic tests and procedures.

●Ensured compliance to guidelines, protocols and standing orders.

●Incorporated psychosocial elements to provide nursing education, anticipatory guidance and health promotion education.

●Counseled clients regarding health risk factors: i.e., smoking cession, stress management, physical activity, exercise and risk reduction.

● Utilized translators, translation medical text and foreign language educational material to provide care to non-English speaking clients.

●Coordinated physical therapy and related therapeutic procedures.

●Maintained protocols received and implemented constructive directives according to the health care policy as documented by the facility and the district/state health department and JACHO (Joint Commission on Accreditation of Health Care Organizations)

DOCTORS AT HOME Brooksville, Florida

Nurse Practitioner 5/2006-8/2007

●Managed a wide variety of acute illnesses, chronic complex multisystem disease processes in an internal medicine environment.

●Managed client care throughout the continuum of care in multiple settings: Office, Home, Alf, and Nursing Homes.

●Evaluated health status by performing health histories, physical exams, psychosocial assessments and other screening when necessary on initial and subsequent visits for adult patients of all age groups.

●Interpret test results and treat as necessary.

●Conducted routine tests appropriate to the services provided and based on the age group development and other identified needs: i.e., electrocardiogram, dementia screenings.

●Formulated a diagnosis and plan of care or made alterations in treatment modulates or medication modifications based on findings.

●Compile medical data to ensure all necessary information is accurate, complete and in compliance with regulations, guidelines and supports confidential standard (HIPA).

●Provide referrals for clients with special needs.

●Counseled patients and family in nutrition, health risk factors, disease management, health promotion, risk reduction, medication and home safety.

●Assess clinical problems faced by the patient and his care needs.

●Monitor conditions of the patient, making adjustments in care if necessary.

EDUCATION

University of South Alabama Mobile, Alabama

Masters of Science/ Nurse Practitioner/ Geriatric ARNP/ 2005

Clinical Nurse Specialist/ Diabetic Care Manager

Florida Southern College Lakeland, Florida

Bachelors of Science in Nursing 1998

Hillsborough Community College Tampa, Florida

Associate of Science Nursing 1993

HONORS, CERTIFICATIONS AND AFFILIATIONS

●Board certified Gerontological ARNP-BC (ANCC)

●American Nurses Credentialing Center (2005-2022)

●Invited member Sigma Theta Tau- Nurses Honor Society

●Alzheimer’s Association

EXPERIENCE AS RN INCLUDES

●Intensive Care Unit (ICU)

●Management experience- House supervisor and relief DON for 300+ bed Nursing Home, supervising all levels of personal. Charge Nurse for Surgical Step-Down Unit. Hospice Supervisor.

●Extensive family and crisis intervention experience.

●Assist setup of newly formed Step-Down Unit.

●Assist with research for a new procedure and new medication including obtaining consent and monitoring treatments.

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