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Skills

  • Unit administration
  • IV drug therapy management
  • Communication skills with multidisciplinary teams
  • Medicare policy updates and compliance training
  • Patient grievance management
  • Broad medical terminology knowledge
  • Fall prevention system implementation
  • Intake and discharge
  • Emergency response readiness
  • Geriatric treatment knowledge

Work Experiences

  • Achieved a 63% improvement in patient adherence.
  • Monitored diet, physical activity, behaviors, and other patient factors to assess conditions and adjust treatment plans.
  • Achieved reduction over 2019.
  • Worked with the healthcare team to develop, implement, and evaluate patient care plans.
  • Evaluated patient conditions, observed behaviors, and reported observations and concerns to supervising physicians.
  • Used the facility's EMR system to update patient records, transmit prescriptions, and transfer files.
  • Achieved a 37% reduction in errors.
  • Achieved reduction within the one year.
  • Kept track of the patient's condition, vital signs, progress toward recovery, and medication side effects.
  • Provided patients with heart failure, pulmonary hypertension, pulmonary embolisms, and end-stage renal disease with high-quality care and comfort.

Summaries

  • Ability to recognize system issues and integrate standard solutions to achieve initiative.
  • Demonstrated ability to assess patients, deliver treatments, and delegate tasks quickly and accurately.
  • Medicare Charge Nurse is a hardworking Medicare Charge Nurse who is used to treating a wide range of patient needs while managing changing conditions.
  • Looking forward to taking on a new challenge with a successful team.
  • Clinical expertise, leadership skills, and technical knowledge are all demonstrated by this experienced nursing professional.
  • Communicative and team-oriented, with Microsoft Excel expertise.
  • Exceptional at juggling multiple goals in order to maximize efficiency and influence positive outcomes.
  • Category, process, and framework are all available.
  • Nursing professional with 17 years of experience caring for patients and collaborating with other healthcare professionals.
  • Demonstrated ability to build and maintain relationships with healthcare professionals in order to improve patient care.

Accomplishments

  • Educated Medicare patients on their healthcare rights and eligibility, improving self-management of chronic diseases and reducing ER visits by 75%.
  • Resolved 12 Medicare billing disputes within three years, securing $12 in recovered claims for the healthcare system and improving payment accuracy.
  • Spearheaded audit readiness protocols for Medicare patients, leading to a flawless regulatory inspection and maintaining facility's certification status.
  • Developed an innovative tracking system for Medicare patient chronic conditions, enhancing care consistency and reducing hospital readmission rates by 82%.
  • Revamped the preceptorship program for new nurses, increasing onboarding efficiency by 25% and aligning training with Medicare guidelines.
  • Streamlined Medicare patient intake procedures, reducing processing time by 52% and enhancing patient satisfaction by 26% points, ensuring smoother onboarding.
  • Monitored and ensured adherence to Medicare-established documentation protocols, leading to a 62% decrease in billing discrepancies.
  • Partnered with social workers and case managers to ensure Medicare patients received necessary home health services, increasing compliance with post-discharge care plans.
  • Advanced interdisciplinary care planning, resulting in improved patient outcomes and a 54% decrease in readmission rates under Medicare guidelines.
  • Optimized patient documentation workflows, cutting documentation time by 58% and increasing compliance with Medicare standards for reimbursement claims.

Affiliations

  • Participant, Medicare Billing and Coding Bootcamp 2017 - Acquired advanced knowledge on proper coding for optimizing approvals for Medicare claims.
  • Co-chair, Facility’s Infection Control Committee - Worked collaboratively with team members to meet Medicare infection control standards and ensure continued reimbursement eligibility.
  • Certified, Registered Nurse Assessment Coordinator (RNAC) - Specializing in the creation and management of Medicare-compliant care plans within Skilled Nursing Facilities.
  • Participant, The Joint Commission National Patient Safety Initiatives - Took part in initiatives ensuring compliance with Medicare’s infection control and patient safety guidelines.
  • Volunteer, Gerontological Advanced Practice Nurses Association (GAPNA) - Focused on promoting best practices for caring for the aging Medicare population in long-term care environments.
  • Member, Sigma Theta Tau International Honor Society of Nursing - Contributed to thought leadership on Medicare compliant care plans for medically complex patients.
  • Active Participant, National Council of State Boards of Nursing (NCSBN) - Engaged in initiatives focused on nursing licensure and best practices related to Medicare audits and claims.
  • Certified Nurse Leader (CNL) - Specialized in improving patient outcomes within senior care facilities through Medicare-focused care plans.
  • Member, American Nurses Association (ANA) - Collaborated with national nursing peers to advance nursing standards and advocate for enhanced patient care within Medicare-covered populations.
  • Certified in Medicare and Medicaid 101 through the American Health Care Association (AHCA) - Gained insight into properly managing billing processes specific to Medicare services.

Certifications

  • Association for Project Management (APM)
  • Certified Nursing Assistant Educator (CNAE)
  • Certified Business Analysis Professional (CBAP)
  • Certified Public Accountant (CPA)
  • Apple Certified Associate (ACA)
  • Certified Legal Nurse Consultant (CLNC)
  • Certificate in Telemedicine from Beacon Labs
  • Salesforce
  • Certified Case Manager (CCM)
  • Cisco Certified Network Associate (CCNA)

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