Assurance Health System



D’Jara South2393 Queensway Dr Miami Township, OH 45342Phone: (513)267-8556Email: djr_davis@Objective: Seeking an experienced RN position in a well established facility to apply my skill set in patient care Summary of Qualifications: Considerate and empathetic Mental Health Nurse with more than two years of professional experience in providing age-appropriate care for acute and crisis stabilization as well as planned and implemented professional nursing care for patients in accordance with hospital policies and regulations. Independently performed job functions, executed nursing processes based on expanded knowledge and experience, coordinated and provided safe patient care with an understanding and awareness of age appropriate and culturally aware needs, tolerantly responded to patient messages and queries related to psychotropic medication problems, routine reports, concerns about mood or behavior or other urgent issues that fall within the nursing scope. In addition to that possess considerable knowledge of modern psychiatric nursing theories, principles, practices, procedures as well as problems of mental illness and its treatment theories and techniques.KEY COMPETENCIES??● Individual counseling● Family conferences● Medications Administration● Documentation● Functional supervision ● Development of program policies ● Records maintenance ● Crisis intervention ● Mental Health AssessmentCredentialsRegistered NurseCrisis Intervention Nursing Skills: Excellence in computer skills; Proficient in electronic and paperwork documentation/record maintenance to ensure accuracy and patient confidentiality.Wound care, application of dressings, Ventilator experience, Intravenous therapy, and maintain records and charts, phlebotomyProfessional Experience: CareSource, Dayton OhioPatient Care Coordinator (2015-2016) Clinical Quality Care Analyst (2016-Present)Review, track and trend QI and grievance issues for all programs and in all states in addition to prep work for Quality Executive Committee (QEC)Maintain reports for QI trends and metrics, as well as prepare reports for Delegation Oversight Ensure all clinical quality issues are resolved within specified timeframes as indicated by the states served and programs therein, CMS and all accrediting entitiesPerform reviews, tracking and trending of Potential Member Risk (PMR) cases, referring appropriate cases to Fraud & Abuse and preparing reports for presentation to senior managementReview and maintain compliance of Quality Improvement policies with NCQA standardsMaintain case files for all Quality of Care (QOC) issuesAssist management with annual Encounter Data Validation (EDV) studiesRequest medical records, review documentation and assign a severity level to each Quality of Care case or forward to appropriate medical/dental/specialty reviewerMaintain SharePoint database of QOC casesAppropriately refer QOC cases to Fraud & AbuseAct as liaison with the Case Management and Behavioral Health Develop materials and provide education on the reporting of Quality of Care Grievances and Sentinel Events to other appropriate departments within CareSourceFunction as a resource for educating and resolving questions related to documentation requirements for QOC issuesAssist the Provider Relations staff with corrective action plans (CAPs) for affected providersReview QOC cases, as needed, with the Medical Director/Chief Medical Officer (CMO) and carry out actions as indicated by the CMOMaintain accurate individual Excel spreadsheet, showing the status of each open QOC caseTrack and monitor provider QI issues for monthly reporting of provider re-credentialing to Network OperationsPerform External Quality Review (EQR) record retrieval, research record and reviewConduct performance improvement studies for various areasAssist in the development of work plans and measurement strategies including those of other departmentsState of Ohio (Summit Behavioral Healthcare), Cincinnati, OhioPsychiatric Charge Nurse(RN)/Nurse Coordinator October 2012-April 2015Assess & evaluate patient nursing & medical needs based on established nursing standards of care per population (e.g. adult, acute, intermediate, gerio-psych, forensic, MI/MR, SAMIAdministered oral and injectable medications and oversaw the dispensing of oral and topical medications and treatments Kept accurate written records of patients care provided including nursing assessments,Treatment plans, progress notes, medications administered and discharge planning Educated patients and their family members about the patient’s illness, including medications and daily living skills Observed and assessed changes and trends in physical or mental condition of the patient as well as planned and implemented therapeutic interventions and evaluated response to such interventionsConducted and evaluated classes and psycho-educational groups for patients, nursing or therapy staffUses Patient Care System to formulate Nursing Care Plan (NCP) to include goals & interventions unique to each patient, directs implementation & evaluates NCP effectiveness, revises as objectives are met &/or plan becomes ineffectiveCareStar, Columbus, Ohio Independent Provider/Case Manager (LPN), May 2009- February 2012 (RN) February 2012-July 2012Coordinated with doctors for implementing treatment plans Skilled at providing continuous care to patients in critical condition in home care setting Instruct patients regarding medications, preventive care and health management Report to the respective physicians regarding the patient's condition and matters of concern promptly Act as a liaison between physicians and patients to resolve any issues/problems Responsible for reporting and charting procedures of patients & updating patient data East Galbraith Health Care Center, Cincinnati, OhioLicensed Practical Nurse , Apr 2008 - June 2009Administered Narcotics and assumed full responsibility for possession of keysAssist staff nurses with daily admissions and assessmentsResponsible for the care 30 geriatric patients and delegated duties to 4 nurse aides dailyEducate patients regarding medications, disease state management and health management Administered daily treatments and medicationsEducationBachelor’s of Science in Nursing, Ohio University (March 2012-May 2015)Associate of Science in Nursing, Galen College of Nursing, Cincinnati Ohio (October 2011)Licensed Practical Nursing, Butler Tech, Fairfield Township Ohio (March 2008) ................
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