Case Manager Home Health
Resume:
Tanya Ewing
Nurse physician reviewer - Healthcare Quality Strategies Inc
Elwood, KS 66024
*******@*****.***
Authorized to work in the US for any employer
Work Experience
Hospice RN Case Manager
Freudenthal - Saint Joseph, MO
July 2020 to Present
• Physical Assessment for Hospice Criteria per Regulatory Guidelines.
• Medication Reconciliation and Administration including Titration narcotics.
• Patient Triage and Symptom and Pain Management related to the dying process.
• Supervising, Updating, and Maintaining Care Plans to provide quality care to patients, families and provide regulatory compliance.
• Supervision of Home Health Aides related to patient care and work load.
• Assisted Home Health Aides with education related care for patients, time management and supervisory visits.
• Wound Management of patients with acute and chronic wounds by facilitating wound care and treatment options with physicians and medical director. Department of Health and Senior Services
Annual Federal
December 2011 to July 2020
Facility Advisory Nurse
• Annual Federal inspections for Medicare/Medicaid facility certification.
• Ensure facility compliance of federal regulations in areas of nursing care, CDC guidelines, HIPPA, and environmental safety.
• Documentation audits for compliance related to patient care, pharmaceuticals, CDC guidelines, HIPPA and all state and federal requirements.
• Investigate facility complaints in areas of regulatory compliance and abuse/neglect.
• Issue citations for non compliance, write the legal citation related to the noncompliance and provide the facility and public with a statement of deficiency. Review and determine compliance with the plan of corrections. Write EDL's to send employees suspected of abuse and neglect to a legal review for deficient practice. Observations of facility care and to patients, staff, patient and family interviews to ensure state and federal compliance, resident funds, dietary observations, TB compliance, and Quality assurance review.
RN Case Manager - Hospice
Heartland Health - Saint Joseph, MO
1992 to 2011
• Physical Assessment for Hospice Criteria per Regulatory Guidelines.
• Medication Reconciliation and Administration including Titration narcotics.
• Patient Triage and Symptom and Pain Management related to the dying process.
• Supervising, Updating, and Maintaining Care Plans to provide quality care to patients, families and provide regulatory compliance.
• Supervision of Home Health Aides related to patient care and work load.
• Assisted Home Health Aides with education related care for patients, time management and supervisory visits.
• Wound Management of patients with acute and chronic wounds by facilitating wound care and treatment options with physicians and medical director.
• Lead Member of Marketing Committee to promote Hospice awareness and relationships with facilities to assist with Hospice census and patient family satisfaction.
• Care Plan Committee Member to keep active and closed records accurate related to regulatory compliance for patient care.
• On Call nurse for patient triage for 100+ Patients for home visit as needed for pain and symptom management.
• Facilitated
Education
Hillyard Technical Center Saint Joseph - Saint Joseph, MO 1991
certification in Education
Regents College Albany - New York, NY
Certifications and Licenses
RN License
CPR Certification
BLS Certification
Additional Information
Registered Nurse.
Knowledge with third party appeal audits.
Knowledge with Home Health Oasis Audits.
Knowledge with InterQual guidelines.
Federally Certified Facility Advisory Nurse.
Crisis Nonviolent Intervention Certification.
CPR Certified.
Knowledge and experience in Federal computer programs, ASPEN, ACTS and Cerner hospice programs.
Legal documentation to issue government citations for non compliance with regulatory issues. Knowledge of nursing home state and federal guidelines.
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