Medical Records Practical Nurse

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

(H) 410-***-**** Gwynn Oak, MD **207

(C) 301-***-****

*******@*******.***

SKILLS

EPIC (Orders Certified) EPIC ClinDOC experience. Electronic Medical Records, CPOE (Computerized Physician Order Entry), Implementation Consultant, Essentris, Composite Health Care System (CHCS, CHCSII), FACETS, CaseTrakker, HIPPA, OSHA, Windows 3x and 9x, DOS, Windows NT/Win 2000, Win 2000 Server/Active Directory, Unix, Microsoft Word, Access, Excel, PowerPoint, Outlook/Exchange, Remedy and Unicenter.

EDUCATION

Strayer University June 2003

BS, Computer Networking Summa Cum Laude

Howard County Community College 1998

Operating Systems, Computer Repair 1&2 GPA 4.0

Academy of Health Sciences 1984

Practical Nurse Course

EXPERIENCE

CSL Plasma

Licensed Practical Nurse

June 2022-Present

Responsible for the evaluation of donor suitability for automated pheresis procedures. Administration and supervision of approved immunizations other than red blood cell immunizations .Provides limited emergency medical care to donors and staff, including the administration of medication or treatments in accordance with licensure or certification. Promotes positive customer relations with all donors. Responsible for the successful transition and roll-out from paper medical records to an electronic medical record system. Conducts confidential and effective interviews with donors to obtain necessary information regarding suitability to donate plasma. In conjunction with the Center Medical Director and/or Center Physician responds to medically related questions from staff including donor suitability and provides information to staff on medically related issues. Performs medical history reviews and health assessments on donors. Performed documentation in the electronic medical record, gathered information from the patients' visit to the ED or clinic, and partnered with the physician to create a more efficient process for patient care. Assesses results of donor screening and laboratory tests to determine initial and continuing donor suitability. Notifies and counsels donors regarding reactive test results. Refers donors to community facilities for follow-up and counseling. Utilized Electronic Health Records (EHR) to determine criteria for Medicare patients and Humana Medicare Replacements. This includes explanation of procedures, hazards and potential adverse events; explanation of immunization schedules, dose and antibody response; providing clear opportunity for donor to refuse participation; obtaining signature and date certifying informed consent. Handles medical emergencies at the Center by providing routine care as outlined in Standard Operating Procedures (SOPs); elevates situations to Center Physician or local medical service providers as required. Periodically checks emergency kits to assure supplies are present and in-date. Follows SOPs regarding acceptable ranges of four-month required test (PE/STS) reports. Used Electronic Medical Record (EPIC) for clinical documentation. Maintains knowledge of and apply all rules regarding four-month approvals and grace periods. Assess signs and symptoms a donor may exhibit that may result in the inability to continue donating. Manages employee hepatitis B and influenza immunization program, including administration of immunizations. Documented assessment, care provided, change in status, patient education, and physician communication in electronic medical records (EMR). Understands the policies and procedures associated with hyper immune programs at the center where applicable and oversees donor immunization programs. Reviews antibody titer results as required. Maintains awareness of appropriate immunization schedule for each antigen.

MAXIM Healthcare

School Nurse

Dec 2021-Apr 2022

This is a 1:1 school nurse position to provide medical cares throughout the day. Hours are 7a-4p. Responsibilities: Utilizes the nursing process to assess, plan, implement and evaluate patient care. Assess signs and symptoms indicating physiologic and psychosocial changes in the patient’s conditions. Collectes, analyses, and interprets data and information from Heath care members and documents actual and/or potential nursing diagnoses. Documents the patient’s plan of care using identified nursing diagnoses, expected patient outcomes, and selected nursing interventions. Recording patient information as necessary on an electronic medical record. Performs interventions according to identified priorities, plan of care, and the hospital policies and patient care outcome standard. precisely gathered, entered, and maintained a high degree of compliance with patient data in electronic health records. Timely document findings and treatment course in patient using the electronic medical record. Revises the plan of care according to evaluation, changes in medical plan of care, and effective/ineffective nursing interventions. Uses clinical judgment in evaluation activities to meet patient care needs of an assigned unit/floor including establishing priorities.

UMMS-Baltimore Washington Medical Center

Clinical Liaison/Clinical Analyst Mar 2013-Jan 2021

Under limited supervision gathers and analyzes user needs for developing and modifying clinical or business applications in the healthcare environment. Includes providing complex application support, writes documentation and specifications. Analyzes complex results, proposes solutions and/or recommendations in addition to building, configuring and/or modifying applications using existing application tools. Duties include: Performs and coordinates complex analysis, design, development, testing and support services for assigned application applications, Responsible for and oversees day to day tracking and follow-up on issues and questions of daily operations, Performs and coordinates application analysis and impact analysis of new or different applications, processes or changes, Provides complex application support and guidance to end users and provides technical guidance to less experienced personnel. Serves as point of contact for resolution of complex application problems. Used Electronic Medical Record (EMR) to extract useful information regarding patients for claim submission to the insurance company. Able to quickly assess problems and identify resolutions, Coordinates development of application testing scripts and conversion plans. Participates in testing as assigned, Prepares written documentation of various types; application documentation, analytical reports, functional specifications, training manuals, status reports, etc. Creates, evaluates and instructs/teaches other, Participates and/or leads projects, estimates costs, time frames, and staffing requirements and prepares cost justifications for assigned project.Uses status reports for project oversight, validates the designing for each application assigned, under the control of the change management application and user development request, Prepares and validates complete applications documentation for operations and sets programming specifications for user departments. Provides input and assists with the development of departmental policies and procedures as they relate to the use of clinical applications. Information resource for project teams, 2nd tier support to troubleshooting tickets behind NI/DCI Ticket reviews, Monitors Inpatient charges, Support Downtimes and BCA process, resource for NI staff, Coordinates monthly IS&T release testing, Coordinates monthly regression testing, Partners with business users Performs some build, Provides tip sheets as needed, Participates in Super User meetings, May be asked to attend Executive IT Steering meetings, Project manages new projects, Coordinates opening/closing new units/departments/services, Performs testing for Epic and other integrated systems, Other duties as assigned

Amerigroup Corporation

Supervisor Clinical Training June

2010-March 2013

Select, develop and evaluate staff to ensure the efficient operation of the function. Provide leadership and direction to assigned staff as appropriate to ensure the quality of departmental work outcomes and deliverables.

Manage team capacity to support training needs of the business. Expand facilitation capabilities across clinical and non-clinical audiences, building bench to maximize coverage. Partner across the Organizational Development (OD) team to support analysis, design, development, and implementation of performance solutions/training. Partner with business owners to ensure training is part of an integrated approach to performance improvement and supports key business objectives. Respond to training requests by asking appropriate questions and gathering relevant data to determine if there is a skill/knowledge gap and engage appropriate resources. Facilitate training in both classroom and desktop (remote) environments to build associate proficiency from entry to expert. Collaborate with business partners to ensure transfer of learning to the job, monitoring trainee performance and assessing impact of training to business results/goals. Use appropriate training methods, techniques, and equipment to align with adult learning theories and provide an effective associate experience. Ensure associate readiness on key initiatives and implementations (“same-store” growth, new market expansion, acquisition activities, and system design enhancements).Build relationships with business partners to establish team/personal credibility and maintain strong business acumen. Provide feedback to business partners on areas (e.g., processes and systems) impacting productivity. Monitor key business indicators in order in order to identify training needs.

Amerigroup Corporation

Regional Corporate Clinical Trainer

Sept 2006-June 2010

Responsible for the development and delivery of initial and ongoing technical and professional skills training programs, with emphasis in the VA and Health Plan Medical Management departments. Principal liaison to Virginia Beach and Health Plan medical management departments. Work closely with business partners. Develop, implement and deliver training program utilizing adult learning theories and principles. Conduct needs analysis studies and confers with leaders to determine training needs; develop programs designed to address needs. Liaison with various departments to design and deliver very specific product training programs. Design and develop instructional materials. Monitor key business indicators in order to identify training needs. Utilize appropriate methods, techniques, and equipment. Monitor effectiveness of programs and progress of trainees. Support business operations. Partner with associates and leadership to ensure training and development needs support key business objectives. Took vital signs, patient histories, and entered information into the MedTeam electronic medical record (EMR). Form partnerships with business unit to ensure training and development needs are effectively met while seeking out and implementing cost savings and efficiencies. Provide feedback to business partners regarding challenge areas to improve productively and procedures. Investigate available training methods and procedures to determine the most effective manner in which to conduct programs. Utilize superb platform skills to present technical information effectively in a classroom setting, one on one or using distance learning technology. Maintain ongoing communications with clients, facilitators and team.

Healthcare Intranet Technologies

Implementation Consultant

Nov 2005-July 2006

Responsible for implementation of Ophthalmology software suite to end users.

Conducts the initial implementation meeting with the client to ensure understanding of the process. Gathers individualized software configuration specifications that meet the clients’ needs, and ensures the configuration is alpha tested prior to installation on clients’ server. Ensures all equipment interfaces meet network specifications, and are properly interfaced prior to taking client live. Responsible for scheduling of all training, pre-live and live sessions. Prepares all course materials (course outline, background material and training aids). Prepares all student materials (course manuals, workbooks, handouts, completion certificates, and course evaluation forms). Entered the patient room with the physician during patient visit to capture and transcribe medical record documentation utilizing electronic medical record applications. Conducts training in formal and informal settings IAW clients’ needs. Conducts Pre-live sessions prior to taking client live on software to ensure understanding of software and equipment interface capabilities. Configures software on site during live sessions to further customize software IAW clients’ specifications. Ensures adherence to HIPPA standards. Maintains and administers password security policies and procedures, issue accounts and passwords. Provides support post implementation IAW contractual agreements.

Health link, an IBM Company

Implementation Consultant/ Composite Health Care System II

Sept 2004-Oct 2005

Develops, plans, and provides sophisticated Information System or ADP, end-user training on highly complex computer hardware, application software, new systems, or related procedures. Conducts the research necessary to develop and revise training courses and prepares appropriate training materials. Prepares all course materials (course outline, background material and training aids). Prepares all student materials (course manuals, workbooks, handouts, completion certificates, and course evaluation forms). Trains personnel by conducting formal classroom courses, workshops, and seminars. Define problems and analyze and develop plans and requirements in the subject matter area for simple to moderately complex systems in the subject matter area. Coordinates and manages the preparation of analysis, evaluations, and recommendations for proper implementation of programs and systems specifications in the areas of risk management; life-cycle management; policy development, methodologies, and modeling, and simulation in the functional area being addressed.

Lockheed Martin/ Composite Health Care System II

Senior Information Management Specialist

Jan 2004-Sept 2004

Develops, modifies, applies, and maintains standards for quality operating methods, processes, systems and procedures. Provides coordination and guidance in preparation of technical appraisals of programming languages and systems, computational software and related technology, and the integration of computers into the overall functions of scientific computation, and data acquisition, transmission, and processing. Ensures that corrective measures meet acceptable reliability standards. Develops overall operating criteria to ensure implementation of the software quality program according to project, process and contract requirements and objectives. Ensures that project and process control documentation are compliant with requirements, objectives and/or contract. Reviews software design, change specifications, and plans against contractual and/or process requirements. Reviews include applicable specifications, materials, tools, techniques, and methodologies. Performs or directs verification of software requirement allocations, traceability, and testability concerning CHCS II readiness for Operational Test & Evaluation and subsequent deployment.

Kelly Technical Services/Johnson Controls-

Walter Reed Army Medical Center

Clinical Information Systems Technical Assistant

Oct 2001-Dec 2003

US Army Dec 1981-Jan 2002

Practical Nurse Technical Assistant, Administrative-Logistical Manager/Instructor

Administrative Nurse Manager

Instructor, Practical Nurse Course

Administrative-Logistical Manager

Practical Nurse Shift leader

CLEARANCE

TS- Completed 22 July 03

PROFESSIONAL ORGANIZATIONS

HIMMS – National and Maryland Chapters

AWARDS

Meritorious Service Medal (1) Army Commendation Medals (4)

Army Achievement Medals (4) Good Conduct Medals (6)

Army Superior Unit Award Soldier of the Year, USA MEDDAC Panama 1985

References available upon request.

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