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Registered Nurse Quality Assurance

Location:
Venice, FL
Posted:
September 23, 2023

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Resume:

Gloria Ramirez

Registered Nurse, BSN, CLNC, WCC

Education

Bachelor of Science in Nursing

University of Toronto

1995

Bachelor of Science in Microbiology/Human Biology

University of Toronto

1988

Skills

• Registered Nurse

• BLS for Healthcare Providers Certification

• Nursing staff management and development

• Legal compliance

• Long-Term Care

• Planned Healthcare Treatment

• Interpersonal Skills

Professional Experience

Director of Nursing

Siesta key Health & Rehab – Sarasota, FL

April 2023 - Present

• Survey plan of correction prep, routine DON duties for 120 bed SNF, on call 24/7, staff evaluations/hiring/disciplinary actions. Clinical review, medication management coordination of services (interdisciplinary) for day-to-day operation of SNF Rehab and Memory units. Director of Nursing

Fountains at Lake Point Wood ALF – Sarasota, FL

Oct 2022 – March 2023

• Care and nursing services for 45 bed ALF to include routine med pass/lab reconciliation/admissions, discharges/scheduling of staff. Senior Director of Legal Affairs/Chief Corporate Compliance Officer Palm Healthcare Management LLC – Sarasota, FL

Oct 2019 – Aug 2022

• Claims Management all Legal Affairs for Palm Healthcare Management & Compliance/HIPAA Officer.

• Created and implemented Share Point Legal Matters data base for all PHM Legal documents and ongoing litigation files.

• Reviewed Hedis/CarePlus/Keppro/IDR/ALJ /LTC Insurance facility submissions for 14 SNF’s, 1ALF.

• Responsible for updates of Arbitration Agreement, consulting/contractors agreements, disclosure statements, DNR policy, elder law, Social Service Manual, HIS manual, Quality Assurance.

• Provided Regional Oversight of Health Information & Social Services directors.

• Participated in AHCA SNF Surveys, plans of corrections, 2567 submissions for 14 SNF’s. Senior Director of Education

Palm Healthcare Management LLC – Sarasota, FL

April 2019 – Oct 2019

• Responsible for planning, organizing, and directing all center orientation and in-service education in accordance with current applicable federal, state, and local guidelines and regulations for SNF.

• Provide oversight to Palm Garden’s Directors of Education. Registered Nurse

Central Vermont Medical Center – Berlin, VT

Oct 2018 – March 2019

• 153 Bed Skilled Nursing Facility and Hospital Relief RN in Psychiatric Unit. Senior Director of Quality Assurance

Palm Healthcare Management LLC – Sarasota, FL

Jan 2015 – Agu 2018

• Back up to the Vice President of Clinical Services, Responsibility for Risk Management and Quality Assurance, Social Services, Health Information and Clinical Services of 14 Skilled Nursing Centers and one Assisted Living Facility (ALF); Reviewed/wrote AHCA Plans of Corrections & IDR’s.

• Quality of Care and Risk Assessment, weekly data analysis of metrics, PBJ staffing; Reviews SNF.

• Insurance ADR and all legal chart requests, works closely corporate attorneys and insurance carriers; Provide weekly PHM activity report to lenders; Corporate Compliance Officer for PHM; assisted PHM with the application process for Certification of Need (CON); Responsible for Policy and Procedure revision/updates and implementation of new CMS regulations for: Nursing, Risk Management, Social Services, Corporate Compliance, Ethics; Ongoing training of the above at each facility.

Interim RN Consultant

Palm Healthcare Management LLC – Sarasota, FL

Oct 2014 – Dec 2014

• Responsible for updating of policy and procedure manuals for SNF and Corporate Office.

• Assisting Regional team Nursing Team with writing of SNF survey plans of corrections and follow up.

• Assisting with Audits, Chart Reviews, Nursing Rounding at facility level PRN. Interim Director of Nursing

Apollo Health & Rehabilitation Center – St Petersburg, FL June 2014 – Oct 2014

• Responsible for all Clinical Care of 99 Bed SNF. Interim Director of Nursing

Lady Lakes Specialty Care – Lady Lakes, FL

• Responsible for all Clinical Care of 145 Bed SNF; Successful management of Annual AHCA Survey

(2 Tags)

• PPD staffing and rebuilding nursing culture.

Interim Director of Nursing

Magnolia Healthcare Center – Sarasota, FL

May 2014 – June 2014

• Responsible for the daily Clinical Care Operations of 120 Bed SNF. Interim Director of Nursing

Southern Healthcare Management – Sarasota, FL

Dec 2013 – April 2014

• Responsible for Nursing Department “startup” of 120 Bed SNF.

• Duties include: - hiring at department head and floor staff levels, daily direct care staffing to PPD’s, building a central supply formulary in concert with budget, hands on training of nurses in clinical assessments and procedures.

• Implementation of routinely scheduled visits for lab, pharmacy, wound care, oxygen, psyche services etc., for enhanced delivery of patient care.

• Management and initiation of Southern’s clinical processes, i.e., weekly focus meeting, structured daily clinical meeting, care plan meetings, weekly wound rounds.

• Daily audits of computerized nursing documentation via new EHR-PCC. Director of Nursing

Harbor Health – Port Charlotte, FL

2001 - 2013

• Responsible for the daily operations of a 120 Bed Skilled Nursing Facility.

• Achievements include: Zero lawsuits, have “won” all IDR’s /ALJ’s for AHCA state surveys 2013 SNF State Survey with 2 citations at a D Level, overtime current to budget at 1%.

• Implementation of computerized documentation of POS, MARS/TARS, utilizing American Data software.

• Start-up of facility SNF post Hurricane Charley, start-up of two Home Health Clinics during this critical time.

• Responsible for oversight of Harbor Health Systems’ ALF and Home Health Clinic from 2001 – 2006.

• 5 Star Rating.



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