RN Charge Nurse
Resume:
Monica Sambar Molah
Forney TX 75126 aduhqr@r.postjobfree.com
PROFESSIONAL SUMMARY:
Monica is an experienced RN/BSN Charge Nurse in Rehabilitation, Geriatric, Medical/Surgical nursing, and Home Health Skilled Nursing with 13 years of proven results. Presently in school to further my education as PMHNP 4th year. Also i do have experience in utilization review manager/nurse with 3 years of proven results. My strengths include extensive utilization review experience, high level of competence in concurrent and Retrospective review of cases when conducting utilization review, and brings extensive knowledge of working with Medicare/Medicaid population. In addition she has extensive knowledge of Milliman, ECM,Aerial, FYI Blue, ICD19 codes, Kinnser, Matrix, Axxess, and CCM training. I hold active Licensure with Texas Board of Nursing.
SKILLS & ABILITIES:
PMHNP Student practice under the preceptor provides psychiatric services ie diagnostic evaluations, medication management across the life span via telehealth and in-patient clinic.
Empower oth
Can orchestrate multiple tasks at once to accomplish goal
Uses resources effectively and efficiently
Builds constructive and effective relationships
Health plan industry business acumen
ICD-9/ICD-19 CPT-HCPC
Computer skills MS office and multifaceted database
Milliman(MCG), ECM (view image),Aerial
Encoder Pro,Rfax
Revenue cycle Management
Competence in effective communication and cultural sensitivity
Clinical Appeals
Multilingual (French).
PROFESSIONAL EXPERIENCE: RN, UM/CM 12/2017 - 06/2018
Blue Cross Blue Shield Contract
Create inpatient request
Predetermination and Preapproval of cases
Review initial and concurrent request fro adults,Peds, and Newborns
Extension, clinical variance, work flow variance, gloss of cases
Review cases for acute inpatient care, Hospitals, LTACH,SNF, HHH
Familiar with I-Exchange dept
Refers cases to MDR for denial outcome
Follow up with discharge planning and auto close cases as required.
In Touch Psychiatry Consultants (Mental Health Clinic
Student PMHNP 3rd year. 05/01/22 till present
La Brisas SNF/LTAC/Rehab 08/01/2019 - Present
RN Charge Nurse
CC Young SNF/LTAC 12/14/2017 – 07/31/2019
RN Charge Nurse
OnPointe Transition/Rehab Care, Presby Hospital Dallas 2016 – 12/31/2017
RN Charge Nurse
Assessment and administrations of IV and PO medications
Insert and D/C IV access lines
Perform and evaluate wounds and wound Vac therapy
Monitor potential meds and side effects for patients to be stabilized.
Advocate on behalf of my clients, resolved immediate, pending and emergency client issues
Coached and mentored and provide leadership for staff
Assist in oversight of field and clinical office staff
Provide the direction and oversight of all clinical quality improvement (QI) ACTIVITIES WITHIN THE ORGANISATION, INCLUDING PERFORMANCE MONITORING AND STRATIGIC DATA analysis.
Collaborate and assisted in the development, implementation,training and maintenance of systems of measurement for on-going performance improvement activities.
Joseph/Mary Home Health 2009 - 2014
Interium Home Health 2013 – 2015
Case Manager/Utilization Review Nurse
Performed case management, utilization review and discharge planning responsibilities
Reviewed admission/pre-admision screening fro approiateness of admission and continued stay.
Concurrent reviewed of inpatients, discharge planning and community resources needs.
Acted as patient advocate
Concurrent review select admissions to identify most appropriate principal and secondary diagnosis to accurate reflect the patients severity of illness.
Conduct initial and on-going assessment of the patients health status.
Assess the patients initial and ongoing needed for other services i.e physical therapy, speech therapy, occupational therapy, respiratory therapy, medical social services, home health aide services, nutritional guidance, supplies and/or equipment Instructs, Supervise and counsels the patient and/or caregivers regarding patient’s rights, Advance Directives, Patient’s needs, self-care techniques, safety and other factors related to care for the patient at home.
Evaluates patient/or caregiver knowledge level and ability to learn.
Involves patient in the formulation of the patient care plan with specific goals, interventions and time frames for attaining goals.
Initiates preventive and rehabilitative nursing processes appropriate for the patient’s care and safety.
Assigns, supervise, evaluated and documents the care given by home health aide.
Reviews and updates the aide assignment at least every (2) weeks.
Maintains a current folder in the home, which includes information about the agency, consents, care plan, medication schedule, and visit schedule and community resources.
Performs patient care and documents according to Agency policy and procedures.
Oasis C assessment start/ROC/Discharge of care
Knowledgeable of ICD 10 codes
Strong background working with medicare/medicaid patients in the community
SUMMARY of
QUALIFICATIONS:
Believe in empowering patients by delivering health education and nursing care that enhance wellness and quality of life.
Proven ability to build positive relationships with patients, family members, physicians, and other medical professionals.
Known as a patient advocate.
Knowledge of medication administration, management and training.
Facilitate group and education seminars.
Collaborate on multidisciplinary teams.
Reliable, ethical healthcare provider with ability to stay calm and intervene during crises.
Assesses and triages immediate health concerns
Identifies problems or gaps in care offering opportunity for intervention
Coordinates services and referrals to health programs
Provides health education and coaches consumers on treatment alternatives to assist them in decision making
Supports consumers in selection of best physician and facility to maximize access, quality, and to manage heath care cost
Prepares individuals for physician visits
Manages utilization through education
Assists members in sorting through their benefits and making choices
Knowledgable with Oasis data entry with electronic charting ie kinnser,axxess,Matrix,and PCC.
SKILLS
Case Management Utilization Review Nurse
Rehabilitation Assessment Critical Care Patient/Parent/Family Education
Medical/Surgical Nursing Quality and continuity Care Standards and Compliance
Psychiatric Nursing Medication Administration Nursing Patient Advocacy
EXPERIENCE
Anti-Coagulation Therapy
Cancer Care
Care for New or Exacerbated Diagnoses
Coordination of Medical Supplies
Dehydration Awareness
Foley Catheter Care
Influenza Management
IV Therapy
Medication Management
Pain Management
Stroke Management
Wound Care// Wound Vac therapy
Trach insertion and trach care.
G-tube care and G- tube feeding
Patient and/or caregivers regarding patient’s rights, Advance Directives, Patient’s needs, self-care techniques, safety and other factors related to care for the patient at home.
Evaluates patient/or caregiver knowledge level and ability to learn.
Involves patient in the formulation of the patient care plan with specific goals, interventions and time frames for attaining goals.
Initiates preventive and rehabilitative nursing processes appropriate for the patient’s care and safety.
Assigns, supervise, evaluated and documents the care given by home health aide.
Reviews and updates the aide assignment at least every (2) weeks.
Maintains a current folder in the home, which includes information about the agency, consents, care plan, medication schedule, and visit schedule and community resources.
Performs patient care and documents according to Agency policy and procedures.
Strong background working with medicare/medicaid patients in the community
RN provincial Hospital, Cameroon 1998-1999
Offered direct patient care to Medical/Surgical, cancer patients in a 500-bed hospital Oversaw and administered patient medication dosage and interpreted physician instruction
Carefully monitored and promptly treated med/surg, chemotherapy complication including pain management, infections, and hypocalcaemia
Assessed client needs and provided customized treatment plans
Provide patient education issues including health, wellness, cancer recovery, smoking Cessations, parenting, and wound care.
Student Nurse/Clinical Rotation: Provincial Hospital Cameroon 1995 - 1998
Worked under the supervision of an RN provide beside care
Treatment and clinical documentation for patients on cardiac, oncology, and medical/surgical floor, ICU, Operating room, Pediatric floor, Ambulatory care, Women health
Handled medications
Dressing change
IV and other aspects of nursing care
Facilitated admission, discharges, and transfer
Prepare chart notes and other documentation
Participated on interdisciplinary team.
AWARD: Baylor Institute for Rehabilitation 5-star Spirit for patient satisfactory survey
LICENSES, CERTIFICATIONS AND EDUCATION:
RN License California Board of State Registered Nursing 01/09
NCLEX
RN License Texas Board of Nursing Endorsement 03/09
RN Diploma Cameroon Training School for State Registered Nurse 11/98
CPR Certification
US Citizen Naturalization 05/04
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