Experienced RN

Marian Presto

Sarasota, Florida, United States

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

linkedin.com/in/marian-presto-82698744

Summary

RN with over 39 years experience in Oncology, Hospice,(including start up of hospice program from ground up with Medicare Accreditation within 5 months).Home Health Care, MD Office, Outpatient oncology, private duty nursing, legal consulting, Quality Assurance, clinical management, medical record review, documentation and more. Knowledgable in key elements necessary to grow a hospice program in a saturated market. Assisted a hospice program in growing from 4 hospice patients to 18 hospice patients in 4 months.

• Expert knowledge and skills in all facets of Hospice services, including successful start up with Medicare Accreditation. Certified in Hospice and Palliative Care.

• Recognized by co-workers as a professional with a high degree of personal integrity and knowledge, a commitment to quality of care, talent for resourceful business solutions, and always visible and approachable to clinical staff as a manager.

• Excellent consumer relationship skills. Experienced in staff education, Experience

Business Owner

Making Magic by Presto

Mar 2019 - Present (4 years 3 months)

Opened an Etsy shop to market and sell handmade items created with resin, preserved flowers and more.

Currently have made over 800 sales, and have achieved "Star Seller" status, with a 100% message response rate (answering messages within 24hours), 100% on time shipping and tracking, and an average review rating of 4.9 out of 5 stars. Many skills are required to maintain an on line presence, be found in search results, provide top quality customer service in addition to creating and producing products that appeal to the marketplace. There are so many facets of running a small business, including utilizing Microsoft Excel software for maintaining an up to date spreadsheet and inventory sheet which is essential to calculating prices and even more so for accurate tax reporting. There is so much more to maintaining an on line business than simply "making crafts", and I am learning

more every day.

Care Manager

Centene, Buckeye Health Plan

Mar 2015 - Jan 2017 (1 year 11 months)

Working with our members, families and providers to assist members in achieving optimum health, and quality of life.

Clinical Director

Marian Presto - page 1

ViaQuest, Inc.

Jul 2014 - Feb 2015 (8 months)

Exciting new opportunities on the horizon! Great Company culture, Since starting just a few months ago, census has grown by 200%. All due to the fantastic, loyal and dedicated staff who have been by my side since 2010. Team work and love for what you do are key to delivering great care. Respecting what each individual brings to the job promotes dedicated staff and a willingness to create something that exceeds our highest expectations. Together we will make ViaQuest Hospice not just another "one size fits all" hospice, but something different, better, and greater than any other company has provided to date. ViaQuest's cutting edge Personalized Medicine Program is just one thing that sets us apart from all the others. We are the only Hospice providing this service at the present time. Testing the DNA of each patient to individualize the medications that will work best for each person we care for is something no one has done in the hospice field before.Our exclusive ability to truly narrow down which medications will be optimal for our patients allows them to spend the precious time they have left pain and symptom free.

Hospice Administrator/Clinical Director

Guardian Angel Home Care and Hospice Services,Inc

Mar 2013 - Jul 2014 (1 year 5 months)

Start up of Hospice Program within a longstanding Home Health Care Agnecy. In 5 1/2 months, prepared documentation, Policies and Procedures, hired and trained staff, hired Medical Director, and passed Community Healthcare Accreditation Program survey for Medicare Licensing. Census increased by 2/3 in a little over one month after survey. Always working to improve and streamline processes for better care management and quality of patient care. Currently studying for the Certification in Hospice and Palliative Care Administration. Private duty nurse

Private Duty Care

Jun 2012 - Feb 2013 (9 months)

Private duty care of lovely woman with end stage ovarian cancer. It was a wonderful experience to care for this lady, and enjoy her company. Care involved extensive dressing changes, gastric drainage tube, PICC line, nightly TPN and hydration IV's. Emergent care for episodes of sepsis and dehydration. Assistant Clinical Director

Crossroads Hospice

Jan 2008 - Jun 2012 (4 years 6 months)

Managed a case load of 12-15 patients, with minimum visit pattern of twice/week. Responsible for building my caseload which resulted in a significant increase in referrals in all of the facilities in my area. Recognized by management for excellent organizational and documentation skills resulting in promotion to Assistant Clinical Director in charge of QAPI.

Improved the accuracy of internal and external reports by utilizing Excel Program to efficiently track this data.

Presided over the quarterly QAPI committee meeting to present the results of the aforementioned data, and key production indicators.

Analyzed outcomes and wrote performance improvement proposals based on the outcomes of the data. Managed a team of 70-80 patients, 7-8 nurse case managers, and 8 STNA’s, providing telephonic support to visit staff, concurrent with position of QAPI nurse. Mentored staff in the field as necessary. Provided support to after hours staff.

Marian Presto - page 2

Reviewed all admission charts for supporting documentation, and assisted billing department in assigning appropriate ICD-9 codes...

Educated new nursing staff to the documentation and developed a form for staff to utilize which provided organization of workflow.

Assisted billing department in assigning appropriate ICD-9 code at time of admission. Resolved patient/facility complaints.

Staff RN, angiography

Akron City Hospital

Nov 2002 - Oct 2008 (6 years)

Routine duties of angiography nurse, assisting Interventional Radiologist in procedures and caring for patients before, during and after procedure.

Took call on regular basis for emergent procedures, including traumas and stroke team. Maintained ACLS as required while working in this department. Coordinated the angio schedule on a rotational basis, working in emergent cases while maintaining the Smooth operation of the scheduled procedures and seeing that procedures were completed in 8 hour time frame.

Wrote the policy and procedure manual for angiography/special procedures department along with 2 other nurses.

Performed periodic chart audits for our department for compliance. Medical Legal Nurse Consultant

Eshelman Legal Group

Oct 2001 - Nov 2002 (1 year 2 months)

Organized 2-3 years worth of charts in chronological order in preparation for review. Did extensive chart review and research on a large number medical malpractice and worker’s comp. cases.

Educated legal staff on medical terminology, and what records would be important to retrieve and review.

Screened all medical intake calls for merit

Continued contact with clients to update them on progression of case. Accompanied attorney to depositions and developed deposition questions. Wrote chronological outline of events for attorney to reference. Recognized by attorney for “generating the revenue” in the office. Due to extensive research and preparation, was integral in helping this legal team win one of their largest case awards. Care Coordinator

Cleveland Clinic Akron General

Jul 1978 - Oct 2001 (23 years 4 months)

Assisted in development of the Care Management Department. Awarded the position of Care Coordinator in the Resource Center. In this position, served as clinical resource for the reimbursement specialists who called in the insurance reviews.

Responded to all denials by reviewing records and initiating letters of appeal. Recovered a significant amount of revenue in the first three months of initiating this appeals process. Facilitated resolution of daily operational barriers within the Resource Center. Collaborated with multi- disciplinary team members in all phases of the discharge process. Marian Presto - page 3

Facilitated covered-day reimbursement certification for patients using Interqual Criteria and resolved problems with payers as needed.

Served on the Quality Assurance Committee and sat on the Steering Committee for Denial Management.

Obtained pre-authorizations as necessary.

Reviewed all manner of patient charts, including psychiatric cases, and submitted appropriate information to the payers.

Worked as a staff nurse at Akron General prior to Care Management. While a staff nurse, area of expertise was Oncology, with chemotherapy certification. Floated to every area of the hospital as needed, which helped me to develop a strong background in every area of nursing.Working the 12 hour every weekend shift for 15 years afforded me the opportunity to develop a very diverse and well rounded background by working in home IV therapy, home health care, and in physician’s offices during the week.

RN, case manager and discharge planner

Visiting Nurse Service of Akron

1996 - 1999 (3 years)

Review of patient chart and worked with patient and family to begin planning for discharge from acute care setting beginning at time of admission and following throughout the hospital stay. Focus on getting patients in the most appropriate setting at the most appropriate time, to meet their needs by setting up DME, medication, and health care assistance for a smooth transition from hospital to home, ICF or ECF.

Education

Akron General Medical Center School of Nursing

Diploma (3 year nursing), Nursing

1975 - 1978

Licenses & Certifications

Certified Hospice and Palliative Care Nurse - National Hospice and Palliative Care Society

Issued Jun 2012 - Expires Jun 2016

Certified Legal Nurse Consultant - Medical Legal Consulting Institute Skills

Home Care • Medicare • Elder Care • Nursing • Palliative Care • Medicaid • Case Managment • Nursing Management • End of Life • Healthcare

Honors & Awards

Employee of the Month - Crossroads Hospice

Jul 2009

Marian Presto - page 4

Mardi Gras Mask Contest - Faith in Action, Medina County Mar 2012

Represented Crossroads Hospice in designing and crafting a Mardi Gras mask for Faith in Action "Fat Tuesday and all that Jazz" Contest and won first place. Best of Festival - Akron Children's Hospital Holiday Tree Festival Nov 2013

Crafting is my hobby and keeps me sane. Every year I develop and create an entry for the Akron Children's Hospital Holiday Tree Festival. These trees and miniatures are donated and auctioned off with the proceeds going to benefit Akron Children's Hospital. I have entered a miniature every year for the last 10 years or so. So far I have won three ribbons for "Most Original", two for "Best in Show", and this year was pleased to receive "Best of the Festival"! It is truly a labor of love to enter an item each year. I recommend others join in the fun and donate a decorated tree, wreath or miniature to represent their own company, or as I do, just for the pure joy of it. Each year I am astonished at all the talented people in our area who come up with new and original Christmas trees and other items for such a worthy cause.

Who's Who Among Professionals

three years in a row for Medical Legal Consulting

Marian Presto - page 5

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