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0-5 years of experience
- Provided health consultation to six school districts as well as one online school and served as a Child Care Health Consultant for seven preschools, one Headstart program, and two daycares
- Educated and trained school staff on management of student health concerns
- Supervised school personnel on managing health tasks performed at school
- Created and maintained health care plans for students with health needs
- Taught classes on Standard Precautions and Medication Administration
0-5 years of experience
- Perform assessments on the nursing facility and provide expert testimony concerning the activities and duties associated with nursing and healthcare.
- Offer information and risk management, and other areas.
- Reviewing facility policies and procedures and investigations of allegations of Abuse/Neglect/Misappropriation of Property/Drug Diversion, etc. conducted by the Administrators prior to sending to the Office of Long Term Care/DHS and making recommendations as necessary to assist facilities in maintaining state and federal compliance.
- Assigned to and overseen 8 different facilities, proactively communicated with Administrators and DONs regarding the procedures and process of the facility's daily practices and suggestions interventions as necessary to promote higher standards of care.
- Reported any negative findings to the Director of Operations.
- Familiar with PointClickCare - Computer Program
6-10 years of experience
- Worked cross functionally to identify patient needs
- Delivered disease state educational presentations to nurses, physicians, and patients
- Partnered with national, state, and local nursing organizations to support education
- Assisted in the development of disease state educational resources
- Ensured education and supported the needs of patients during transition from the acute care setting to home based care
- Identified and managed resources available to patients
0-5 years of experience
Collaborate with attorneys on medical malpractice, personal injury, and any case involving medical or nursing issues. Identify deviations, and adherences to and from the applicable standard of care, causation, and damage issues. Specialize in Neurolaw: TBI, chronic pain, spinal cord injury, psychiatric cases.
- Review/analyze medical records and assess pt's injuries to help identify causation issues and contributing factors.
- Prepare written summaries and chronologies to support case analysis. [company name] plans.
- Identify and locate medical expert witnesses to strengthen the credibility of a case.
- Instrumental in case winning $7 million dollar verdict from original offer to settle at $300 thousand.
- Attend Defense/Independent Medical Exams with clients.
0-5 years of experience
Responsible for administering medical services program for 55 clients in 34+ group homes and one vocational site in Lincoln and Omaha, providers of community-based treatment of developmental disabilities/dual diagnosis patients.
- Manage all Worker Compensation cases.
- Hire, train, schedule and supervise 308 medication aides (MA), a registered nurse, a licensed practical nurse, and a medical coordinator; conduct competency assessments of staff, particularly with regard to administration of medications.
- Manage inventory of drugs and supplies; and order as needed.
- Serve as a liaison with physicians, families/guardians, and service coordinators.
- Provide leadership on medical questions, non-routine procedures, and other concerns.
- Teach classes in BLS and Blood-borne Pathogens to professional rescuers, RHD staff, and other interested parties.
0-5 years of experience
- Lead outside consultant for hospital in PA. Provided education and advice for their quality assurance and loss control/mitigation cases. Contributed in the development of policy suggestions and changes that resulted in a reduction in medical errors and filed complaints/lawsuits.
- Lead consultant for education provided to insureds on loss prevention, risk mitigation, event management and patient safety services which resulted in lower physician premiums, improved patient outcomes, and provider satisfaction.
- Provided consultative on-site educational services to healthcare organizations and physician practices to examine the quality, efficiency, and structure of those organizations as it relates to patient safety. Generated patient risk and safety assessments to healthcare organizations and educated staff on strategies designed to decrease their liability exposure.
6-10 years of experience
Assess, plan and facilitate outstanding patient care management that promotes quality care with cost effective solutions.
- Demonstrate skilled nursing for patients of diverse and cultured backgrounds.
- Authorize and coordinate individual nursing plans to fit within a regulated healthcare program.
- Collaborate and negotiate with interdisciplinary teams, such as primary care practitioners and family members to ensure optimum delivery and coordination of services.
- Perform UAS assessments for members to determine service needs and eligibility.
0-5 years of experience
Facilitate and collaborate with physician practices to develop practice specific strategies designed to improve all aspects of quality including HEDIS and STARS reports.
- Identify specific practice needs to provide support for these efforts.
- Review medical records and identify needed improvements.
- Effectively coach provider office staff to maintain quality measures.
- Develop quality measures presentations for leadership and peers.
- Chair, Training and Development Committee.
- Trains new employees for quality specific practices.
0-5 years of experience
Provide Care Coordination to medically fragile, technology dependent children who may be ventilator dependent, have G-Tubes/GJ-tubes, tracheostomies, and receive Total Parental Nutrition.
- Provide in home visits to adequately assess child's medical status and family's ability to care for the child in the home.
- Make home/environmental assessments to ensure safety of the child while in the home.
- Monitor nursing agencies /skilled nurses for quality of care and to ensure that the Nursing Plan of Care is being implemented.
- Review medical records to provide and coordinate medical assessment of needs.
- Assist with resources that are needed to care for the child, such as stair lifts, hoyer lifts, sleep lifts
0-5 years of experience
- Medical record research and review
- Fought for children's rights and access to medical and mental health care
- Maintained records and logs to ensure that all children were up to date with medical care
- Consulted on a myriad of medical issues from Maple Syrup Urine Disease to Cerebral Palsy to Head Lice
0-5 years of experience
Provides consulting services to United States attorneys on medical malpractice cases:
- Organizes, reviews, and analyzes medical records to identify issues pertinent to the medical issues raised in the lawsuit.
- Prepares medical reports, chronologies, and reviews of deposition transcripts.
- Researches medical literature for topics relevant to defense of the case.
- Recommends types of medical experts to be retained.
0-5 years of experience
- Provide Nurse Consulting services to contracted Long Term Care and Assisted Living Facilities
- Prepare Facilities for State Survey
- Assist facilities in the development and implementation of Plan of Corrections
- Conduct nurse education and training in-services
- Audit Medications, Physician Orders and Med Administration Records
0-5 years of experience
Serves as a recognized authority in the specialty area of nursing and is responsible for developing medical training and objectivities. I appraise programs and initiate requirements for various medical training programs. Provide leadership for a project team and serves as a Nurse Consultant in the review of assigned projects.
- Coordination of the development and training of rapid reaction medical teams to respond to major disasters
- Manage Information System programs; medical records/patient tracking, impacting national response capabilities
- Directs triage, pre-hospital, medical-surge and evacuation of patients affected by major disaster
0-5 years of experience
- Credentialed as an underwriter for LTD, STD and Life Insurance
- Utilized various tools: I-MetLife Guide, MIB Guide, use of Star Trek as our main entry portal. Opportunity to read how medical cases are managed nationally and internationally. Followed trends in disease management.
- Emphasis was placed on dates of proof, meeting deadlines and quality markers. I learned how to code back illnesses requiring coding back to the medical information bureau.
- My vast clinical background was an asset to making clinical decisions particularly on difficult cases.at times more information was needed either through labs or MD input via history and physical.
- Ultimately underwriting or declining short and long term disability cases and low dollar to million-dollar policy approvals.
10+ years of experience
Review medical cases for merit, adherences and/or deviations of professional standards of care
- Prepare chronologies, timelines and list requests for production
- [company name] and legal staff on medical terminology, concepts and related medical issues
- Audit medical records for tampering and identify any questionable chart changes or omissions
- Evaluate, analyze, and render informed opinions on the delivery of health care and its outcomes
0-5 years of experience
- Call Center team member; performed screenings for families and provided support/techinical assistance for families and providers
- Programmatic oversight of contracts with healthcare facilities throughout the state
- Assisting with program transition/development and standard/policy development
- Assisting with referrals for state Brain and Spinal Cord Injury Program
0-5 years of experience
- Policy development
- Claims review (approval & denial) for Medicaid eligibility
- Working knowledge of CPT codes, ICD-9 and HCPCS codes
- Knowledge of Medicare coverage & guidelines
- Assisted with review and implementation of 2008 CPT code updates for state Medicaid program.
0-5 years of experience
- Accountable for overseeing 24 hour operations of 29 bed women's oncology unit with a focus on improving and sustaining positive patient outcomes, the patient experience, facilitating patient throughput, staff engagement, and change management.
- Assists in the day-to-day administrative functions of the nursing administration department.
- Functions as advisor, resource, preceptor and leader for other members of the patient care team.
- Collaborates with multi-disciplinary providers to establish, implement, and maintain quality patient care and services while effectively managing human, material, capital, and financial resources.
0-5 years of experience
Serving as a RN nurse consultant for the provider compliance group
- Plans, develops, and implements recovery auditing techniques in the Medicare fee-for-service program
- Works with Medicare fraud and abuse project implementation
- Plans, develops, and implements new Medicare fee-for-service projects
- Medicare Claim reviews
0-5 years of experience
- Provides consultative services to boards/commissions.
- Documents findings for use in answering facility complaints.
- Performs follow up inspections to assure correction of identified problems.
- Participates in the development, revision, evaluation and interpretation of agency program policies, procedures and guidelines.
- Consult with institutions or associations regarding issues or concerns relevant to the practice and profession of nursing.
0-5 years of experience
- Collaborating with medical staff and family members to develop nursing home health care plans.
- Performing assessments of patient's home health care requirements
- Providing and implementing customized home health care to patients.
- Education patients and families regarding disease process, medications, and current treatments.
- Evaluating and updating healthcare providers of patient's clinical progression.
- Evaluating and modifying treatment plans to achieve optimal healthcare outcomes.
0-5 years of experience
- Assist with implementing tools to monitor and evaluate the quality of care given at the facilities.
- Provide assistance to facilities with interviewing clinical/nursing candidates if requested.
- Responsible for coordinating clinical and or nursing committees (to include Peer Review) as needed.
- Provide facilities with updated information regarding survey process. Encourage networking among the facilities.
- Maintain effective relationships with Directors of Nursing and Administrators through periodic meetings and facility visits.
- Assist with the coordinating and planning of the Director of Nursing new employee orientations and regular meetings throughout the year.
- Perform other related assignments as required.
0-5 years of experience
Screen or investigate cases for merit.
- Summarize, translate and interpret medical records to include the identification of relevant medical records, hospital policies, adherence to standards of care and other essential documents.
- Define the applicable standards of care, deviations and adherences to standards of care.
- Conduct literature searches, applying authoritative and nursing literature and standards of care into case analysis.
- Assess alleged damages and/or injuries to include identification of causative factors.
- Serve as a liaison between attorney and healthcare providers.
- Assist in the identification of testifying experts for plaintiff and/or defense.
- Provide medical and nursing opinions as an expert on health, illness and injury.
0-5 years of experience
- Review medical records and preparation of Medical Chronologies for two attorneys.
- Research LexisAdvance to locate potential expert witnesses. Interview potential experts.
- Interfaced with a team committed to professional development.
- This firm represents the defense, including nursing home cases involving frequent falls, wound care, standards of practice, along with nurses and doctors.
0-5 years of experience
- Project Management Team member responsible for executive adoption of Cerner electronic health record system.
- Responsible for physician and nurse executive project presentations and education.
- Responsible for expense reports, budget items and time cards.
- Instrumental in developing and mentoring employees in professional as well as personal growth.
10+ years of experience
Consult with eight attorney law firms on their defendant and plaintiff cases.
- Review medical negligent and malpractice cases.
- Participate in depositions and preparing cases for trial.
- Specialize in medical personnel and state licensure and regulations
0-5 years of experience
- Educate facilities on policy and procedures
- Provides in-services
- Follows nurses to ensure proper technique for medication administration is done
- Performs triple check per request
- Audit facility for medication room and medication cart for compliance with expiration dates and regulations
6-10 years of experience
- Performs Concurrent review using Milliman criteria.
- Analyzes data and make determination if patients are acute
- Assess the patient’s progression in the hospital and follow for consistent plan of care.
- Utilizes clinical skills to coordinate, document and communicate all aspects of the utilization management process.
- Ability to use a computer and multiple programs.
0-5 years of experience
- Provide medical, drug and patient education information with high quality customer service. Research and respond to inquiries and documents appropriately according to PPD and client guidelines. Identify and record adverse events (AEs) and product complaints (PCs). When needed, provide clinical trial information, and after-hours on call support.
- Prepare and processes medical information requests to be delivered via mail, fax and e-mail.
- Maintains knowledge of policies and procedures including client products, SOPs, protocols, and all applicable regulatory requirements.
- Aid new hires and fellow coworkers in understanding client specific electronic documentation systems, and serve as a mentor.
- Foster team cohesion by serving on the social committee team organizing quarterly team projects.
6-10 years of experience
- Patient advocate/Educator
- Nurse Monitor for [company name] (TDSHS) Health Facility Licensing & Compliance Group
- Participate in Austin Community College's (ACC) Adjunct Faculty Pool.
- Develop a Hemodialysis Specialist training program in collaboration with Austin Community College's Allied Health Institute.
- Provide direct support to dialysis facilities requesting education, advocacy, and patient intervention.
- Teach Nephrology section of Nurse Re-Entry Program at ACC
- Manage and coordinate claimant healthcare for Insurance providers, primarily chronic kidney disease (CKD) and therapeutic interventions
0-5 years of experience
- [company name]s and ostomy patient care consults
- Resource for interdisciplinary teams
- Mentor of staff, graduate nurses, new hires, and nursing students.
- Member of New Product Committee. Responsible for budget and new products hospital purchases.
0-5 years of experience
- Project manager for a full line of hospital products, including infusion pumps, and IV
- Educator for cardiovascular and anesthesia products for all clinical staff.
- Worked as team member of hospital staff, including administration and upper level
0-5 years of experience
- Part of large medical malpractice defense team providing medical counsel in nursing home, personal injury, medical malpractice, and worker's compensations claims by answering complaints, identifying experts, cost analysis, trial preparation, deposition preparation, identifying standards of care, literature research
- Prepare brief to comprehensive reports outlining medical treatment and breaks in standards of care
- Collaborate with legal counsel to identify areas of concern
0-5 years of experience
- Screen Cases (finding out what is happening in the chart)
- Write reports (short, moderate, comprehensive)
- Research medical cases
- Interpret medical documentation
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