Home Health Case Manager
Resume:
Laura Spencer
** ***** ** **** ****** Care/Quality/administration
Katy, TX 77493
*************@*****.***
I have extensive experience in all aspects of Home Health. I am currently seeking a position that is work from home/remote such as clinical auditing of charts, patient resources or call center type work. I love people and communicate well. I find it easy to establish professional relationships. I am willing to entertain other offers. I look forward to becoming a member of your team. I was Clinical Manager for Katy area for several years until the COVID pandemic. At that time, all of my field nurses resigned. Therefore I volunteered to go back to the field and perform the duties of RN Case Manager as I wanted to care for the patients in such need for care. I started back in the field eight months before vaccines were available. All of my patients recovered well and I never contracted COVID.
Thank you for your consideration
Work Experience
RN IV
Memorial Hermann Health System - Houston, TX
July 2015 to Present
Duties include by not limited to:
• Direct client care
• Wound care including Wound Vac
• PICC line management and removal of PICC lines
• Foley catheters
• Direct supervision of LVNs, and Home Health Aides
• Create and establish Plans of Care 485
• Coordinate client care between field staff and labs, MDS, DME companies and all other needed care. Administrator/Director of Nursing
A Plus Family - San Antonio, TX
June 2014 to June 2015
Responsibilities
Duties include all aspects of properly running the Agency to include but not limited to:
· Establishing & maintaining appropriate policies & procedures to ensure agency’s compliance with all applicable Federal & State Guidelines.
· Create and update relevant forms for accurately documenting agency functions.
· Establishing a Quality Assurance Program that accurately captures areas of weakness & strength in practice & documentation.
· Personally work directly with external auditing bodies for review of agency licensure compliance.
· Coordinate/Delegate direct Client care.
· Maintain current working knowledge of ICD-9 coding and OASIS assessment skills.
· Organize and direct the agency’s ongoing functions.
· Ensure that the documentation of services provided is accurate and timely.
· Employ or contract with qualified personnel.
· Ensure adequate staff education and evaluations in accordance with State and Federal guidelines.
· Ensure accuracy of public information materials and activities.
· Supervise and evaluate client satisfaction survey reports on all clients served.
· Participate in annual review activities.
· Review financial activities.
· Ensure accuracy of billing activities.
· Participate in activities relevant to services furnished, including the development of qualifications and assignment of agency personnel.
· Ensure that a client’s plan of care is accurate, appropriate and executed as written.
· Provide direct client care when needed in accordance to agency policy and procedures. To include but not limited to: OASIS assessments, & ICD-9 coding
· Ensure that appropriate coordination of care occurs and is documented.
· Remain available for on call services as needed and establish an alternate. RN Field Case Manager
Millennium - San Antonio, TX
July 2013 to June 2014
Responsibilities
Duties include by not limited to:
• Direct client care
• Wound care including Wound Vac
• PICC line management
• Direct supervision of LVNs, and Home Health Aides
• Create and establish Plans of Care 485
• Coordinate client information between field staff and labs, MDs, DME companies
• ICD-9 coding
RN Field Case Manager
Outreach Home Health - San Antonio, TX
January 2013 to July 2013
Duties include by not limited to:
• Direct client care
• Wound care including Wound Vac
• PICC line management
• Direct supervision of LVNs, and Home Health Aides
• Create and establish Plans of Care 485
• Coordinate client information between field staff and labs, MDs, DME companies
• ICD-9 coding
RN Field Nurse
Superior - San Antonio, TX
October 2012 to January 2013
Duties include by not limited to:
• Direct client care
• Wound care including Wound Vac
• PICC line management
• Direct supervision of LVNs, and Home Health Aides
• Create and establish Plans of Care 485
• Coordinate client information between field staff and labs, MDs, DME companies
• ICD-9 coding
RN - Case Manager
Texas Home Health - San Antonio, TX
April 2012 to October 2012
Duties include by not limited to:
• Direct client care
• Wound care including Wound Vac
• PICC line management
• Direct supervision of LVNs, and Home Health Aides
• Create and establish Plans of Care 485
• Coordinate client information between field staff and labs, MDs, DME companies
• ICD-9 coding
• OASIS reviews
RN Case Manager/Supervisor
LifeSpan - San Antonio, TX
September 2010 to February 2012
Direct client care
Direct supervision of LVNs, and Home Health Aides
Create and establish Plans of Care
Coordinate client information between field staff and labs, MDs, DME companies Review all interim orders
Review all 485/Plan of Cares
Ensure staffing for all cases
QA chart reviews
Assist clerical staff with medical terminology and medical supply orders Coordinate On Call schedules and staffing
ICD-9 coding
OASIS reviews
Administrator/Director of Nursing
Basic Nursing Services - San Antonio, TX
February 2003 to September 2010
Duties include all aspects of properly running the Agency to include but not limited to:
· Establishing & maintaining appropriate policies & procedures to ensure agency’s compliance with all applicable Federal & State Guidelines.
· Create and update relevant forms for accurately documenting agency functions.
· Establishing a Quality Assurance Program that accurately captures areas of weakness & strength in practice & documentation.
· Personally work directly with external auditing bodies for review of agency licensure compliance.
· Coordinate/Delegate direct Client care.
· Maintain current working knowledge of ICD-9 coding and OASIS assessment skills.
· Organize and direct the agency’s ongoing functions.
· Ensure that the documentation of services provided is accurate and timely.
· Employ or contract with qualified personnel.
· Ensure adequate staff education and evaluations in accordance with State and Federal guidelines.
· Ensure accuracy of public information materials and activities.
· Supervise and evaluate client satisfaction survey reports on all clients served.
· Participate in annual review activities.
· Review financial activities.
· Ensure accuracy of billing activities.
· Participate in activities relevant to services furnished, including the development of qualifications and assignment of agency personnel.
· Ensure that a client’s plan of care is accurate, appropriate and executed as written.
· Provide direct client care when needed in accordance to agency policy and procedures. To include but not limited to: OASIS assessments, & ICD-9 coding
· Ensure that appropriate coordination of care occurs and is documented.
· Remain available for on call services as needed and establish an alternate. Education
BSN, RN in Nursing
UTHSCSA - San Antonio, TX
1991 to 1994
Nursing Licenses
RN
Expires: November 2024
Skills
• wound vac, PICC care, wound care, HCHB,assessment, OASIS, Kinnser, 485, 486, ICD-9
• Nursing
• Nurse Management
• Case Management
• Auditing
• Home Care
• Medication Administration
• Quality Assurance
• Data collection
• Training & development
• Medicare (10+ years)
• Documentation review
• Medical Records
• Microsoft Excel
• Motivational interviewing
• Computer skills
• Patient monitoring
• Home health
• Microsoft Outlook
• Microsoft Office
• Microsoft Word
• Communication skills
• Medical terminology
• Customer service
• Time management
• Utilization review
Certifications and Licenses
RN License
BLS Certification
CPR Certification
Compact State Nurse License
Assessments
Protecting patient privacy — Proficient
March 2022
Understanding privacy rules and regulations associated with patient records Full results: Proficient
Medical billing — Proficient
March 2022
Understanding the procedures and forms used for medical billing Full results: Proficient
Medical terminology — Proficient
March 2022
Understanding and using medical terminology
Full results: Proficient
Patient-focused care — Proficient
February 2022
Responding to patient concerns with sensitivity
Full results: Proficient
Attention to detail — Proficient
March 2022
Identifying differences in materials, following instructions, and detecting details among distracting information
Full results: Proficient
Supervisory skills: Motivating & assessing employees — Proficient March 2022
Motivating others to achieve objectives and identifying improvements or corrective actions Full results: Proficient
Indeed Assessments provides skills tests that are not indicative of a license or certification, or continued development in any professional field.
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