Tolea T. Jamar, RN

**** ********* ****

Columbus, Ohio 43224

Phone: 614-***-****

Email: adxysn@r.postjobfree.com

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SUMMARY

Registered Nurse with 25+ years of experience in the field of nursing with 20 years committed to community home care which I am deeply committed to providing quality patient care. I’m proficient and knowledgeable in Medicaid Medicare healthcare rules regulations and case management. I understand health care payer system and can solve complex problems with excellent communication and interpersonal skills while collaborating with multidisciplinary team members in a health care setting. EDUCATION: Columbus State Community: Associate Degree in Applied Science, Nursing 1995-1997 Columbus Public Schools of Practical Nursing: License Practical Nurse 1993-1994 CORE VALUES:

• Experienced with case management of 50- 60 home health patients.

• Demonstrates ability and willingness to learn and be a team player.

• Sound clinical judgement with the ability to prioritize urgent concerns, excellent multisystem physical assessment and communication skills

• Collaboration with physicians, patients and families, nurses, therapists, social workers and other members of the patient’s healthcare team to develop patient specific care and realistic treatment plans with measurable goals.

• Demonstrates expert knowledge in regulatory standards and polices in Medicare Medicaid for home health agencies. Chalmers P. Wylie VA Ambulatory Care Center: Community Care 2021 to Present

Case Manager RN for multiple service lines: Dialysis, Traveling Veteran, Billing Resolution and Urology Back-up Dialysis Coordinator

• Coordinated and provided oversight of nursing care for veterans with acute and chronic renal failure.

• Utilized Referral Authorization System (RAS) for VA payment for services rendered for dialysis and Nephrology oversight providers.

Traveling Veteran Coordinator

• Coordinated care between the alternate and preferred facilities for traveling Veterans.

• Collaborated with Primary Care Management Module (PCMM) Coordinator to ensure proper assignment of Veterans transferring between facilities and requesting Multi-PACT assignments. Billing Resolution

• Researched and submitted veterans VA authorization for billing purposes. Urology, Urology Referral Coordination Initiative (RCI) and Urology Interfacility Consult (IFC)

• Ensures appropriate ICD 10 diagnosis code has been placed on the consult.

• Determines if veteran has been seen in house within the past three years for the same diagnosis.

• Reviews consults to ensure that it clearly states what the purpose is and what is to be expected upon completion of the consult.

• Reviews consults and chart to ensure all required needs are completed before processing.

• Ensure DST tool has been completed before processing. (i.e.: any necessary imaging or testing). completion of consults.

• Process consults, add veteran’s preferred location and appropriate SEOC. Follow Community Care consult processes SOP, ensuring LPN creates and sends Refdoc with MSA follow-up and scheduling. Tolea T. Jamar, RN 2 of 4

J&J’S Consulting and Home Health Care, LLC – Columbus, OH 2003 to 2021

Registered Nurse: Director of Nursing

• Organized specified nursing services to meet the legal, organizational and nursing/HHA staff regulations.

• Reviewed home care policies and educates staff with policy updates.

• Developed home care policies, procedures and disaster pandemic initiatives for staff implementation.

• Executed and keep abreast of all changes in policies and procedures relating to case management and discharge planning.

• Demonstrated excellent understanding of the health care continuum as it relates to home care, insurance policies, and can problem solve and use of professional communication skills.

• Collaborated with physicians and providers to assign correct patient statuses, ensuring compliance to CMS guidelines for reimbursement.

• Documented patient case management plans and identify insurance coverage and sources of payment for treatment and care as it relates to home care.

• Managed RN’S, LPN’S, CNA’s, office staff as well as contracted PT/OT/SLP teams. Scheduling visits to nurses and ensure visits are executed in a timely manner.

• Developed POC’s for patients and coordinate patient services.

• Performed supervisory staff, routine and oasis visits.

• Provided patient education to promote self-management of medical disease processes.

• Performed initial home care patient visit and reevaluation of needs and progress on a regular basis.

• Initiated plan of care under doctor’s orders.

• Performed admissions, transfer, recertification, resumption of care, and discharge Oasis for the home care patient.

• Assessed, document symptoms, monitor reactions and patient’s progress.

• Notified physician and other personnel (Clinical Manager, Therapist, and Case Manager) of change in the patient’s condition

• Presented case conference meetings to clinicians providing care to ensure coordination of care.

• Partnered with community resources to ensure continuation of care after patient discharge. Hood Medical Services-Columbus, OH

2000 – 2003 (FT)

Registered Nurse: Case Manager

• Coordinated integration of social services/case management functions into the patient care, discharge and home planning processes with other hospital departments, external services organizations, agencies and healthcare facilities.

• Collaborated with clinical staff in the development, execution of plan of care and goal achievement.

• Utilization Review, Quality and Compliance Monitoring.

• Conducted concurrent medical record review using specific quality indicators and clinical decision support criteria as approved by CMS, other regulatory agencies and documented findings

• Reviewed all new admissions daily against inpatient screening criteria and communicates necessary changes in status to ordering physician

• Keeps abreast of all changes in policies and procedures relating to discharger planning and case management process.

• Coordinated discharge planning with physicians, manage care agencies, social services, patient and family.

• Performed clinical care coordination assessment within 72 hours of admission on all patients.

• Made referrals community hospitals for collaboration and assistance in discharge planning.

• Identifies problematic care patterns or cases and make referrals to the Supervisor and the department involved.

• Providing patient education to assist with self-management of their medical condition or disease process.

• Designed and monitored personalized care plans for caseload of up to 50 patients, considering medical history, transportation/mobility issues

• Tracked and evaluated treatment progress, focusing on maximizing patient safety and comfort.

• Served as a patient advocate, communicated with private insurance companies, Medicare and Medicaid, wavier programs, passport and senior-options programs.

• Utilized the nursing process to reevaluate plan of care to reflect changes in medical condition and lifestyle. Tolea T. Jamar, RN 3 of 4

• Connected vulnerable populations, such as uninsured and homeless, to outpatient healthcare and community resources.

• Documented case management plans and identified insurance coverage and sources of payment for treatment and care.

• Identified patient health risk factors, such as allergies, pre-existing conditions, or prior treatment, to anticipate obstacles to care.

East Central Health Care Center: Community Base Health Care Center: OB/GYN Clinic- Columbus, OH 1998-2000 (FT)

Registered Nurse:

• OB\GYN RN specialized in women’s health and reproduction.

• Responsible for treating women with abnormal labs results, treatments, follow-up, performed walk-in pregnancy and STD tests, and conducted contraception counseling and education.

• Initiated appropriate referrals to high-risk clinics, family planning, social services, nutrition, WIC, ultrasound, breast and dental care.

• Communicated with women from diverse nationalities, in varied socioeconomic, cultural, and ethnic backgrounds, in age groups ranging from adolescences to elderly.

• Always maintained HIPPA and confidentially.

• Maintained and updated patient records.

• Triaged needs of patient before physician evaluation.

• Assisted physician with examinations, minor surgeries and provided patient after care instructions.

• Performed physical assessment and collected patient history.

• Responsible for post-partum education for infant and mother.

• Educated women and relatives on childcare and safety.

• Educate adolescents on personal anatomy, reproductive function and health, STI prevention, contraceptive options and hygienic procedures.

• Ordered lab tests with patient follow-up.

• Up-date clinical records according to policy/procedures.

• Provided educational materials to patients in person and through USPS. The Bryden House: Long-term Care Facility -Columbus, Ohio 1997-1998 (FT)

Registered Nurse: Skilled

• Delivered high-quality, compassionate nursing care for 15-20 nursing home patients on a skilled nursing unit.

• Excellent interpersonal skills, good communication and critical thinking skills.

• Charge nurse responsible for RN/LPN, delegating and assigning care appropriately to ensure day to day operations are executed.

• Preceptor to newly hired RN’s and LPN’s.

• Mentor and continued resource for nursing staff after probationary status.

• Triaged patient calls from Physicians related to medication changes, lab orders and outside referrals.

• Obtained accurate medical history and current medication regimen.

• Notified physician and other disciplines of changes in patient condition.

• Utilized nursing process to development and implement nursing care plans

• Coordinated care within multi-disciplinary team.

• Completed admissions and coordinated discharge planning with multidisciplinary healthcare team when discharge criteria have been met.

• Disease and wound care management.

• Wound care champion.

• Incorporated teaching in delivery of care with the focus on health promotion.

• Responsible for IV insertions, CVC and PICC lines, IV push medications, and patient education. Tolea T. Jamar, RN 4 of 4

• Managed and monitor G-tube patients and assessed for changes and or complications and report all changes to physician as well as call 911 when appropriate.

• Advocated for needs of patients and their families when difficult situations arose. Children’s Home Care Home Health Agency- Columbus, OH 1996-1997 (FT)

LPN Visiting Nurse

• Provided complete pediatric nursing care for one child in home with multiple chronic diagnosis.

• Primary care, assessment and evaluation of pediatric patients.

• Ensured HIPAA compliance.

• Followed infection control protocol.

• Set-up and administration of respiratory treatments including nebulizer, 02 administration in home including monitoring of vital signs.

• Assessed for signs and symptoms of infection, precautions and documented findings

• Educated on care and condition.

• Coordinated with health care team to evaluate plan of care.

• Reported all changes to team leader.

• Educated family on signs and symptoms to report to physician and when to call 911.

• Educated family on sign and symptoms of 02 toxicity and calling 911 with cognitive changes.

• Assessed, monitored and documented patient progress and goals.

• Educated family on safe treatment of injuries, illness and healthcare condition.

• Provided age-appropriate activities for 6-year female patient. Oakfield Nursing Home: Long-term Care-Columbus, Ohio 1994-1996 (FT)

LPN Supervisor Unit A

• Directed team functions of the nursing department shifts according to established policies and procedures.

• Made certain enough staffing levels are met to ensure delivery of quality patient care.

• Conducted regular staff meetings and training sessions.

• Delegated responsibilities accordingly.

• Aided in the development and implementation of plan of care.

• Conducted supervisory rounds with medical director.

• Conducted chart audits.

• Collaborated with team members of management to ensure patient needs were met

• Direct patient care when needed.

Certifications and Community Accomplishments

CPR BLS

Trainer to Trainer

Health fairs conducted at senior buildings quarterly: Mount Vernon Plaza, Jenkins Terrace Million Man March health fair

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