Aviganeht Garza, RN, BSN, MSN

***** *. ***** **

Mission, Texas 78573

956-***-****

adygoe@r.postjobfree.com

Objective: A rewarding and challenging career that allows me to grow and contribute my skills in the nursing profession.

May 17, 2015 to Present – Superior Healthplan

• Assess the member’s current health status, resource utilization, past and present treatment plan and services, prognosis, short and long term goals, treatment and provider options

• Utilize assessment skills and discretionary judgement to develop plan of care based upon assessment with specific objectives, goals, and interventions designed to meet member’s needs and promote desired outcomes.

• Coordinated services between Primary Care Physicians (PCP) specialists medical providers, and non- medical staff and necessary to meet the complete medical socio economic needs of clients.

• Provide patient and provider education.

• Facilitate member access to community based services.

• Monitor referrals made to the community based organizations, medical care and other services to support the member’s overall care management plan.

• Actively participate in integrated care team management rounds.

• Identify related risk management, authorizations, and pertinent clinical information into various medical management systems.

• Perform duties independently, demonstrating advanced understanding of complex care management principles.

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July 9, 2013 to March, 2015 - Director of Nurses- Champion Healthcare

• Serve in an Administrative capacity to assist in supervision of clinical and clerical staff, recruitment process of staff, committee participation (performance improvement, PAC, etc.)

• Assist in policy and procedure development and implementation

• Assure that agency abides by all local, state, and federal regulations, and accrediting body requirements

• Participate in new program development and budget planning

• Supervises and direct s all clinical services.

• Assist in a clinical capacity as needed

• Perform initial assessments, recertifications, resumptions of care, discharges etc., under doctors order

• Promotes, reviews and evaluates the quality and appropriateness of patient care practices.

• Revises nursing care plans for appropriateness and application of physician’s plan of care.

• Reviews patient’s care through on-going communication with nursing staff and case managers.

• Supervises and implements orientation of the agency staff to policy and procedures.

• Educate patients and caregivers on disease process/management, medications, and individualized treatment plans ensuring adherence to patient’s plan of care

• Observe, assess, document symptoms and notify the physician of any abnormal clinical findings

• Monitor reactions and patient progress and fax physician progress note as needed

• Supervises and directs all clinical services in the absence of the DON.

• Receives and acts to resolve complaints from cg regarding policy and procedure.

• Informs and confers with Administrator on all patient, personnel and service management needs and problems.

• Shares responsibility with QA department by responding to Medicare’s request for information to resolve denials.

• Supervises and implements inservice orientation of the agency staff to policy and procedures.

• Assures the confidentiality of all patients, physicians, staff and proprietary information.

• Stays informed about changes in the field of nursing and home health care

• Reviews nursing care plans and evaluates patient care for ongoing nursing services.

• Coordinates and ensures that the patient is well served through the assignment of skilled services and personal care givers whose skills and abilities meet their individual needs.

• Supervises LVNs on their skill competencies and ensure an adequate safe environment.

• Documents phone and in-office case conferences with physicians, disciplines, patients, families, and significant others.

• Compliance in attending case conference on a weekly basis to discuss patient’s condition upon recertification.

October 31, 2013 to June 2013- RN Case Manager- South TX Health Systems at Mcallen Heart Hospital

• Assist in coordination of care for the patient involving discharge planning

• Review patient census, scheduled reports and assess patient status such as inpatient, observation or outpatient

• Enter patient information in MIDAS a web live network and see if they meet Interqual criteria

• Send patient info for further review to EHR, an executive health resource for further determination from medical director

September 16, 2011 to July 6, 2013- Director of Nursing/Alternate Administrator-Family and Friends Home Health Care Inc.

• Serve in an Administrative capacity to assist in supervision of clinical and clerical staff, recruitment process of staff, committee participation (performance improvement, PAC, etc.)

• Assist in policy and procedure development and implementation

• Assure that agency abides by all local, state, and federal regulations, and accrediting body requirements

• Participate in new program development and budget planning

• Assist in a clinical capacity as needed

• Serve as an alternate administrator in the absence of the administrator March 16, 2011 to September 15, 2011 Director of Nursing- Family and Friends Home Health Care Inc.

• Provide guidance and assistance to all nursing staff in all matters relating to the delivery of home health services to assure quality standards are maintained

• Serve as an administrative capacity and presenting utilization reviews and OBQI/QAPI reports on a quarterly basis

• Provide leadership in planning for health services staff education programs and encourage continuing education courses and seminars for all staff.

• Ensure that qualified staff are recruited, hired, oriented and assigned.

• Provide in services on a monthly basis with CHAPs requirements

• Perform all initial visits, recertifications, resumptions of care, transfers, discharges, wound care evaluations, skilled visits including PRN basis assessments

• Be available 24/7 for on call purposes

• Coordination of patient services including DME equipment, evaluation for therapy services, hospice placement, laboratory, etc.

• Assist with annual performance evaluation of all professional staff

• Adhere to Medicaid and Medicare regulations

July 10, 2011 to March 15, 2011-TrueLife Home Health, Director of Nursing

• Directly supervise all disciplines offered by agency: RN, LVNs, PT, OT, ST, MSW, HHA

• Responsible for providing quality care to clients while supervising, guiding and directing nursing staff.

• Work cooperatively with the administrator to publicize services and maintain community relations

• Participate in case conferences in a weekly basis

• Assist in the development and interpretation of philosophy and objectives of the agency

• Furnish OBQI/QAPI reports on a quarterly basis

• Coordinate and take on call as needed

October 2009 to July 2010- Vamos Home Health Care, RN Case Manager

• Provided the provision of nursing home care based on agency policies and procedures through the competent application of nursing process

• Assessed the client’s continual care needs and made necessary revisions to patient’s plan of care as needed

• Utilized agency educational material as appropriate

• Responsible for following all policies and procedures of the agency regarding service delivery, verbalized knowledge of agency policies/procedures but not limited to client education, infection control, management of hazardous wasted and age-related specific behaviors August 2005 to October 2009- Doctors Care Home Health, ADON

• Assisted the director of nursing in directing the activities of licensed and non licensed personnel who provide health care and nursing services

• Assisted in taking referral and verifying orders with physicians

• Assisted in the directing and scheduling case conferences

• Reviewed schedule and assigned RN assignments

• Audited charts on active and non active patients

• Performed supervisory visits to another agency branch

• Acted in the absence of the DON

Education:

1991-1995 Mission High School

1996-1998 STCC- Associates in Social and behavioral Science 1998-2000 STCC- Associates in Biology

2000-2004 UTPA Pan Am- Bachelors of Science in Nursing Graduated with National Honor Society of Nursing

2018-2020 Graduated from Walden University

Special Skills:

• Strong positive image of self own skills, capabilities and judgments

• Ability to make decisions independently

• Recognize complex connections in situations by assessing underlying issues

• Organized, efficient and productive in learning new procedures and methods References: Available upon request

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