Case Management Quality Assurance
Resume:
Staci Garner
*********@*****.***
Stockbridge, GA 30281
SUMMARY
I am a compassionate RN with ER, PACU, Director of Nursing and Case Management experience, dedicated to maintaining the highest standards of nursing practices and policies. I have a track record of being an excellent leader, mentor and recruiter, supporting my team and the local community. I demonstrate a strong clinical skills and working knowledge of regulatory compliance. A proven mature RN with 15+ years of clinical and nursing leadership experience. I exhibit a strong knowledge base in federal, state and local guidelines. I have excellent communication skills and I collaborate with the team to improve productivity. Effective at improving revenue, team productivity and policies to keep operating at a sustainable and profitable level. Well-versed in motivating, recognizing/retaining employees, building relationships with patients/ families while promoting continuity of care. I am results-oriented, knowledgeable and organized.
SKILLS
RN LICENSE - Georgia
ACLS Certification
BLS Certification
Diabetes Educator
Proficient in Microsoft Windows, Excel,
PowerPoint, Managed Care
Applications and Outlook.
Electronic Medical Record Experience
with EPIC, McKesson, Cerner, Lotus
Notes, Yardi and Point Click Care.
EXPERIENCE
Pre-op and PACU RN
Atlanta, GA
MEDELY AGENCY/ Jul 2017 to Current
PACU and Pre-Op RN in hospitals and ambulatory surgery centers Caring for patients before and after general surgeries maintaining their airway, pain, neurological status, cognitive status, and discharge planning. Delivered individualized care to post-operative patients by monitoring pain levels, checking vital signs and explaining next steps to recovery. Evaluated patients recovering from surgeries and coming out of anesthesia. Utilized effective communication skills to educate patients and family members on side effects from both surgery and anesthesia.
Helped patients regain independence with clear recovery goals and guidance. Responded to emergency situations with speed, expertise and level-headed approaches to provide optimal care, support and life-saving interventions. Helped patients and families feel comfortable during challenging and stressful situations, promoting recovery and reducing compliance issues. Director of Resident Care
Atlanta, GA
Sunrise Assisted Living/ Mar 2014 to Jun 2017
Provided leadership and case management experience directing a team of RN's, LPN's, med techs and cna's in sustaining the health and well-being of geriatric residents within our assisted nursing and memory care community. Ensured quality assurance and regulatory compliance while promoting the highest degree of quality care and service for my residents. medication program management, conducted routine assessments in-house and out in the community to determine appropriate levels of care and compliance with admission criteria. Helped develop and implement promotional strategies to bring in new residents. Led and motivated 100+ employees through supervision, training and coaching on duties and daily operational activities.
Participated in daily meetings with department heads to discuss census information, admissions and discharges for residents.
Recruited well-qualified candidates to fill vacancies and offer residents unparalleled care.
Formulated and implemented testing and interpretation practices and procedures to maintain standards of care and quality assurance benchmarks. Clinical Manager
Atlanta, GA
Visiting Nurses Association/ Jun 2012 to Aug 2014
Encouraged high morale and staff retention through effective communication, prompt problem resolution, proactive supervisory practices and facilitation of proactive work environment.
Supervised team members and provided periodic performance evaluations. Employed active listening and interpersonal talents to effectively interact with various individuals, including physicians, patients and fellow employees. Interviewed applicants and made recommendations for new hires. Managed clinical operations and procedures and enforced adherence to federal and state regulations and healthcare law requirements. Enforced compliance with local, state and federal healthcare regulations, including Medicare and Medicaid requirements, HIPAA and OSHA. Managed overall operation of nursing services and patient care by handling financial management, quality assurance, patient care, safety risk management and facility maintenance.
Evaluated quality index scores and key performance indicators to identify opportunities for improvement.
Implemented highly effective onboarding and coaching program for new and existing staff members and promoted cross-training in other areas. Case Manager - Disease Management
Alpharetta, GA
Aetna/ Mar 2007 to Mar 2012
Facilitated ongoing case management services to support successful outcomes and meet stabilization goals.
Participated in case conferences with multi-disciplinary team to discuss client care planning and progression.
Cooperated with local service providers, outreach workers, case managers and collaborative agencies to facilitate services for members. Developed comprehensive client-driven case plan with short and long-term goals. Conducted assessments to obtain information for participant-centered plan of care. Advocated for members and families to coordinate care and navigate resources. Determined functional status, activity, acuity and self-management levels to make proper care referrals.
Performed audits of objectives and case progression for case management team. Identified strengths and opportunities for staff improvement based on audit results. Collaborated with healthcare team to improve care quality, reduce costs and gauge patient progress.
Reviewed treatment plans against individual goals and healthcare standards. Developed trusting relationships with social services, health care providers and governmental agencies.
Maintained logs and electronic client records following department and agency policies for effective monitoring.
Participated in regular team meetings and in-house training sessions to boost group effectiveness.
Transitioned clients to different providers based on progress or needs. Advocated for clients by obtaining information regarding treatment options and clinical status.
Provided case management services including intake, assessment, crisis intervention, advocacy, referral and monitoring of families.
Coordinated support services and optimized communication between healthcare workers and patients.
Assistant Director of Nursing and Interim Director of Nursing Lawrenceville, GA
Life Care of Lawrenceville/ Dec 2004 to Dec 2007
Assessed competency of clinical staff to promote quality, continuity and safety. Administered executive supervision, exercising independent judgment to select proper course of action in policies and procedures.
Monitored development, implementation and updates of individualized care plans. Initiated training and education programs for supporting healthcare staff. Implemented new hire training to further develop skills and initiate discussions on task prioritization.
Headed clinical oversight to devise and establish policies, procedures and best practices in alignment with regulatory requirements. Formulated and implemented testing and interpretation practices and procedures to maintain standards of care and quality assurance benchmarks. Discharge Planner / Hospital Liason Part-time
Atlanta, GA
Visiting Nurses Association/ Jan 2003 to Jan 2004
Collaborated with interdisciplinary team of professionals as well as patients and families to determine appropriate treatment options. Gathered community resources and coordinated referrals to obtain services. Provided education and support to patients' family members. Helped patients navigate healthcare system and care options by educating on relevant subject areas and answering questions throughout treatment process. Prepared required treatment records and reports.
Coordinated psychosocial assessments, treatment plans and progress notes. Utilized computerized Resource and Patient Management System and Electronic Health Record system.
Performed psychosocial assessments to identify barriers in patients to obtain or use medications.
Med Surg RN and ER Charge Nurse
Columbus, GA
Martin Army Military Hospital/ Sep 1998 to Jan 2003 Cared expertly for individuals with wide array of medical issues such as pulmonary, cardiology and infectious disease patients.
Delivered physician-ordered treatments and monitored responses to quickly spot complications and side effects.
Assessed patients using comprehensive evaluation techniques and sound clinical judgment.
Improved care outcomes with proactive education, communication and guidance for patients and family members.
Demonstrated high degree of confidentiality, positive interpersonal skills and adaptability in fast-paced and unpredictable medical environment. Deployed therapeutic communication and active listening and teaching to establish relationships with patients, families and health care team for optimum patient care. Performed nursing tasks to deliver high level of care and comply with procedures and regulations.
Participated in bedside reporting and handoff at change of shift and for patient transfers.
Administered medications and treatments as directed and as appropriate for patient's medical care in collaboration with multi-disciplinary team. Assessed and prepared patients for procedures, performing initial and ongoing patient assessments.
Performed comprehensive assessments to identify patient needs, devise care plans, modify care solutions and support patient rights.
Collaborated with multidisciplinary healthcare professionals to administer therapies and maintain continuum of care.
EDUCATION AND TRAINING
Associate of Science: Nursing
Columbus State University Jun 1998
Columbus, GA
Master of Science: Nursing
Walden University
Minneapolis, MN
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