NURSE ABSTRACTOR Resume

SUMMARY:

Experience in development and implementation of educational programs for managerial personnel professional staff and patients.
Skill and proficiency in managing departments in acute care, outpatient services and home care, departmental budget management, special project direction and implementation, providing administrative direction a support to a variety of departmental managers.
Expertise in interfacing effectively with professional organizations, educational institutions, other healthcare agencies, physicians, managers, employees of other departments within the organization, community leaders and members of the public.
Experience in facilities major renovations and health services relocation, from planning through implementation and evaluation phases.
Education and experience in planning, developing and implementing Performance Improvement and Utilization Review Programs in two acute care community hospitals, a multi - functional Outpatient Program and a large Home Care Agency.

EMPLOYMENT HISTORY:

NURSE ABSTRACTOR

Confidential

Responsibilities:

This temporary position involved reviewing physician office patient records to ascertain if documentation met Confidential required data for payment for services.
The Confidential Project is an annual occurrence for all providers receiving payment form health insurance companies.

PERFORMANCE IMPROVEMENT DEPARTMENT MANAGER

Confidential, Chesapeake, VA

Responsibilities:

Coordinates the preparation and implementation of the agency’s Confidential accreditation, Medicare surveys and audits by other regulating bodies.
Quality Improvement Nurses who conduct on-site Clinical Reviews for active patient records to evaluate documented clinical practices against current evidence-based best practice standards. The department also includes 2 Document Review Specialists who review discharged and open patient care records to insure maintenance of Confidential and Medicare documentation standards and appropriate billing processes.
Coordinates the preparation and implementation of the agency’s Confidential accreditation, Medicare surveys and audits by other regulating bodies.

DIRECTOR OF NURSING

Confidential, Oakland, MD

Responsibilities:

Primary responsibilities included management of the Quality Improvement program, development. Implementation of systems to measure patient acuity and staff productivity, as well as nursing standards, policies and procedures, maintenance of current job descriptions.
Performance Review tools, all within an electronic format.
Functioned as Clinical Supervisor for all patient care units 2 days per week.
Functioned as supervisor for the Scheduling Coordinator and the Clinical Supervisors for the evening and night shifts.
Instituted a program to insure continuous departmental compliance with JCAHO standards and those of other licensing and accrediting agencies.

ASSISTANT ADMINISTRATOR

Confidential, Frostburg, MD

Responsibilities:

Provided administrative direction and support for the Nursing Department, Emergency Services, Pharmacy Services, Anesthesia Services, Social Services, Utilization Review/ Quality Assurance departments and a free-standing Outpatient Clinic.
Developed and put into operation a computerized patient acuity, staffing, scheduling and nursing care planning system.
Facilitated conversion to a Unit-dose medication administration distribution system and an IV Admixture program within the Pharmacy and Nursing departments.
Instituted a hospital-wide quality assurance (quality improvement) program which continues to serve as a model for small rural hospitals in Maryland.
Directed the planning, renovation, staffing and opening of a 15-bed Extended Care Unit for rehabilitation and transitional care for patients from several acute care facilities in the area.
The hospital has closed and is now a Long-term Care facility, but the Extended Care Unit continues to function as it was designed.

ASSISTANTDIRECTOR OF NURSING -CLINICAL SERVICES

Confidential, Oakland, MD

Responsibilities:

General responsibilities included management of the Staffing, Scheduling and Quality Assurance Programs for the Nursing Department, hospital-wide Infection Control Program and functioning as House Supervisor on the day shift several days each week.
Developed and presented, with the Staff Development Director, a Customer Relations Program for all hospital employees.
Functioned as the Assistant Director of Nursing on the evening shift part-time for several months.
This role emphasized responsibility for direct clinical nursing in high-tech. or complicated care situations, requiring sound clinical judgements and a variety of clinical skills.