Krystal Makins MSN RN CRRN

Registered Nurse Leader

adxnr4@r.postjobfree.com

360-***-****

Accomplished nurse leader with strength in clinical nursing care and knowledge. Strength in regulatory compliance and dedication to excellent patient care and outcomes. Commitment to quality metrics, financial acumen, evidence-based practice and intentional leadership, with background in medical coding, billing and documentation auditing for compliance. Recent return to clinical and bedside care to maintain clinical skill set.

Work Experience

Registered Nurse- Memory Care

Martha and Mary Health Services- Poulsbo, WA

August 2022 to Present

Return to direct care bedside nursing to reconnect with the joy of nursing and satisfaction of utilizing clinical strength and the desire to contribute to the quality of life of vulnerable adults to promote optimal health outcomes. While in direct care role, provide advice and support to leadership regarding regulation, policy needs, leadership, and clinical best practices. Sought out for advice regarding difficult clinical and discharge planning situations by leadership. Exhibit flexibility and team-oriented behavior in staffing needs and times of nursing shortage. Clinical mentorship of RN/LPN/CNA staff in an informal but dedicated manner.

Director of Transitional Care and Skilled Nursing Clinical Services

Providence Mount Saint Vincent – Seattle, WA

October 2021 to July 2022

Oversight of Transitional Care Unit (short-term rehab/skilled) staff and clinical activities. Liaison with hospital post-acute network groups, facilitating communication and effective continuity of care transitions. Work closely with Admissions and staffing departments to support operations. As pandemic had effect on available ancillary services, mentored many staff in phlebotomy and intravenous therapy services throughout all units. Direct oversight of Covid-19 treatments regardless of unit per MD request.

Registered Nurse, Direct Care

Northwoods Lodge Rehabilitation Center - Silverdale, WA/Encore Communities, Sante Operations

March 2020 to October 2021

Return to direct patient care, providing RN care to patients in a subacute rehab facility. Assessment, identification of changes in condition, communication with patients, providers and family members. Worked as charge nurse, supervising night shift activities.

Infection Preventionist

Northwoods Lodge Rehabilitation Center - Silverdale, WA/Encore Communities, Sante Operations

October 2019 to March 2020

Coordination and oversight of clinical programs to prevent healthcare associated infections and spread of communicable diseases. Maintenance of records, testing and isolation information for new admissions and employees during COVID-19 pandemic. Monitoring of systems for infection prevention including scheduled testing, monitoring of any staff or resident illness. Communication with Kitsap Public Health District regarding current status of patients during pandemic.

Director of Nursing Services

Northwoods Lodge Rehabilitation Center - Silverdale, WA/Encore Communities, Sante Operations

March 2016 to October 2019

Responsible for the nursing department of a 57-bed subacute rehabilitation facility. Oversight of registered and licensed practical nurses, nursing assistants, social services, admissions, clerical staff, central supply. In any absence of Administrator, stepped in to fill duties, providing support to other departments such as rehabilitation services, housekeeping, dietary and maintenance.

Maintained regulatory compliance and annual surveys well under state averages, with strong focus on quality clinical care and staff motivation for same.

Implemented restructuring to nursing management as well as direct care staffing to more efficiently utilize resources and ease workload. Focus on intentional leadership and support of staff.

QAPI Clinical Coordinator

Martha and Mary Health and Rehabilitation - Poulsbo, WA

October 2015 to March 2016

•Direct supervision, hiring and mentoring of Registered and Licensed Practical Nurses on 45-bed sub-acute rehabilitation unit, reporting to Director of Rehab

•Position created to maintain a blended hierarchy of nursing management on unit with case managers, while allowing a direct focus on quality metrics; including infection rates, psychotropic medication use, incident reporting/investigation and interaction with State regulatory and investigative personnel, clinical support to nursing staff, management of contract pharmacy services including addition of electronic interface, and act as facility nursing expert in organization's electronic medical record, building forms and new portions as determined beneficial.

•Built Restorative Nursing portion of electronic medical record, allowing transition from paper to EMR of this service, and providing all training and education to organization regarding same.

Lead RN Case Manager

Martha and Mary Health and Rehabilitation - Poulsbo, WA

August 2014 to October 2015

•Won "Leadership Award" July 2015

•Direct supervision, hiring and mentoring of Registered and Licensed Practical Nurses, Certified Nursing Assistants on 45-bed sub-acute rehab unit

•With Rehab Director, actively promoted and cultivated culture of Rehabilitation Nursing, bringing nursing and therapy staff into cohesive team within Rehab philosophy.

•Oversight of patient care from admission to discharge, facilitation of communication within interdisciplinary team to promote optimal patient outcomes. Discharge planning to include ensuring patient and caregiver teaching, care conferencing, follow-up appointments, equipment and medication ordering.

•Communication with patient insurance companies to periodically review and extend inpatient authorization. Completion of Minimum Data Set, (MDS) during patient stay with maximization for Resource Utilization Group (RUG) level to achieve optimal reimbursement.

•Member of Kitsap County Cross Continuum Care Transitions Project (KC4TP) Hospital Readmission Case Review Group; meeting with hospital and SNF representatives to review and decrease unnecessary hospital readmissions.

Weekend House Supervisor

Martha and Mary Health and Rehabilitation - Poulsbo, WA

June 2013 to August 2014

•Supervise nursing staff on three units in the 176-bed facility during weekends

•Coordinate admissions from both hospitals and the community, cultivating relationships with hospital care managers to ease transitions and referral process.

•Won "Rising Star" award July 2013.

Staff RN

Martha and Mary Health and Rehabilitation

Rehabilitation Unit - Poulsbo, WA

October 2012 to June 2013

•Utilized the nursing process to provide care for patients on the rehab/sub-acute unit with float experience to long-term care and the dementia unit.

•Collaborated with a multi-disciplinary team including physicians, nurse practitioners, physical therapy, occupational therapy, speech therapy and case management to coordinate and evaluate care while maintaining communication with patients and patient families/representatives.

•Assisted patients with chronic illnesses or new disabilities reach maximum potential for functional independence and quality of life.

Nursing Technician

Harrison Medical Center - Bremerton, WA

June 2011 to May 2012

Orthopedics

•Assisted Registered Nurses in performance of nursing duties under supervision. Performed dressing changes, removal of surgical drains, IV starts, Foley and straight catheter insertion, medication administration, as well as all nursing assistant duties.

•Worked a full-time schedule through nursing school while maintaining a GPA of 3.84.

Patient Accounts Representative IV

The Doctors Clinic - Bremerton, WA

September 2006 to September 2010

•Worked as a liaison between the business office and the clinic staff. Medical coding and documentation review, physician education regarding current billing regulations and appropriate coding. Insurance denial appeals.

•Obstetrics-Gynecology, Pediatrics, Gastroenterology, General Surgery, Ear, Nose and Throat with Facial Plastics, Ambulatory Surgery Center, Endoscopy Center.

Medical Billing Program Instructor

Bryman College - Gorst, WA

2006 to 2007

Taught entirety of Medical Billing Program including:

CPT and ICD-9 coding

Anatomy, Physiology and Medical Terminology

Insurance Claims, Forms and Appeals

Maximization of reimbursement for services provided

Medical Law, Ethics and Bioethics HIPAA compliance

Medicare Reimbursement Specialist, Documentation and Coding Auditor

Digestive Health Specialists - Tacoma, WA

2003 to 2006

•Maintained all Medicare Accounts Receivable for 10 clinics and 4 Ambulatory Surgical Centers, keeping A/R under 5%; down from 20% upon my receipt of the position. Maintained charges and insurance appeals for 80 physicians, ARNPs, PAs.

•Was involved in transition to electronic medical records and the opening of a new facility in Arizona managed from our office in Tacoma.

•Audited selected physician billing samples and employee coding samples to ensure appropriate billing/coding, provided education as necessary to maintain compliance with federal and local payer regulations.

Education

Second Masters of Science in Nursing in progress-

Family Nurse Practitioner

Masters of Science in Nursing- Health Systems Administration

Gonzaga University - Spokane, WA May 2018

Bachelors of Science in Nursing Olympic College - Bremerton, WA

Associates in Nursing

Olympic College - Bremerton, WA

Certifications and Licenses

CRRN

Certified Rehabilitation Registered Nurse

Association of Rehabilitation Nurses

DNS-CT

Director of Nursing Services – Certified

CDC- Nursing Home Infection Preventionist Training Course

Washington State Registered Nurse license RN60288987

Memberships/Organizations

Association of Rehabilitation Nurses

AMDA- American Medical Directors Association

AAPACN- American Association of Post-Acute Care Nursing

Sigma Theta Tau International Honor Society of Nursing

Contact this candidate