Diane W. Email & Phone Number

Pensacola, Florida, United States

Reviewed admissions and service requests within assigned units for prospective, concurrent,and retrospective medical necessity and/or compliance with reimbursement policy criteria. Utilized both InterQual and MCG criteria regularly. Provided case management and/or consultation for complex cases. Assisted departmental staffwith issues related to coding, medical records/documentation, precertification, reimbursement,and claim denials/appeals. Assessed and coordinated discharge planning needs with healthcareteam members. Prepared statistical analysis and utilization review reports as necessary.Oversaw and coordinated compliance with federally mandated and third-party payerutilization management rules and regulations.

Pensacola, Florida, United States

Collected data to determine care plans, comply with treatment norms and privacy standards,and supply information to third parties. Ensured the accuracy of patient charts and medicaldata. Worked as part of an interdisciplinary team to monitor Case Mix Index (CMI) scores,looking for potential risks and/or changes that may affect Medicaid reimbursement.Participated in all aspects of the CMS survey process, including pre-survey preparation, actualsurvey, and post-survey plan of correction when requested. Monitored Medicare assessmentschedules and nursing documentation to ensure accuracy and timely submission. InputICD-10 codes on all patients and updated codes as indicated. Trained individuals to develop acomprehensive care plan for facility residents in coordination with the MDS that accuratelyaddresses the needs of residents. Familiarized new nurses with the electronic health record aspart of the orientation process. Educated and assisted the floor nurses with various procedures,such as inserting peripheral IVs and changing complex wound dressings as needed.

Pensacola, Florida, United States

Assess and coordinate patient's discharge planning needs with members of the healthcare team.Monitor and assess surgical incisions/wounds, applying and changing dressings/bandages, colostomy and drainage bags, etc. as ordered.Admit, transfer, and discharge patients as needed.Prepare and administer medications: including, but not limited to by mouth, subcutaneously, intramuscularly and intravenously.Insert, monitor and maintain peripheral IVs. Monitor, maintain and remove PICC lines/dressings. Review every patient chart nightly to ensure every order received throughout the day has been inputted into EMAR accurately and has been carried out appropriately.Assess patients for changes and consult with physicians on call using SBAR to receive and carry out orders.Obtain blood/urine/stool/other lab specimens using appropriate techniques.

Pensacola, Florida, United States

Manage each case and provide clinical directions to the interdisciplinary team, physician and familyParticipate in the implementation/development/documentation of the Plan of Care to ensure quality and continuity of care and proper discharge planning.Provide care utilizing infection control measures that protect both the staff and the patient.Assess home health patients to identify the physical, psycho social and environmental needs as evidenced by documentation, clinical record, case conference, team report and evaluations.Assure continuity of quality patient care is delivered.Supervise and provide direction to the home health aide and LPN to ensure quality and continuity of service provided.Communicate with patients and their family members at all levels of organization.

Milton, Florida, United States

Collaborate with primary care providers and other health care providers to ensure continuity, timeliness and appropriateness of care to inmate patients.Prepare and administer medications, therapeutic agents, treatments, to inmate patients as ordered by the clinician in accordance with policy.Examine inmates reporting for sick call, includes gathering medical information from the inmate, taking vital signs, drawing blood as necessary, and otherwise assisting the physician.See inmate patients for medical emergencies and determine appropriate follow-up. Change bandages and provide other immediate assistance. Review the medical background and condition of inmates including physicals, administration of TB skin tests, and other testing. Assist in maintaining both an accurate inventory of medication(s) to ensure ample quantities for inmates and a control process in order to purchase additional medical supplies and prescriptions in a timely manner. Promote a therapeutic environment to ensure inmates are treated in a professional, ethical and tactful manner.Educate on ways to reduce the risk of contracting diseases within prison as well as outside of prison.Promote and encourage self-care.Perform monthly chart review on all inmates in the assigned Clinic to ensure completion of all necessary lab work, follow-ups, immunizations, etc. essential to said clinic.

Pensacola, Florida, United States

Direct the day-to-day functions of the nursing assistants in accordance with current rules, regulations, and guidelines that govern the long-term care center.Make daily rounds of your unit/shift to ensure that nursing service personnel are performing their work assignments in accordance with acceptable nursing standards.Ensure that all nursing personnel comply with the written policies and procedures established by this center.Make written and oral reports/recommendations concerning the activities of your shift as required.Cooperate with other resident services when coordinating nursing services to ensure that the residents’ total regimens of care are maintained.Admit, transfer, and discharge residents as required.Complete and file required record keeping forms upon the residents’ admissions, transfers, and/or discharge.Receive telephone orders from physicians and transcribe as required by center policy.Perform routine and required documentation/charting duties in accordance with established policies and procedures.Prepare and administer medications as ordered by the physician in accordance with federal, state, and local regulations as required by center policy.Ensure that narcotics are handled in accordance with federal, state, and local regulations and as required by center policy and ensure that narcotic records are accurate for your shift.Consult with the resident’s physicians in providing the residents’ care, treatment, rehabilitation, etc. as necessary.Administer professional services such as catheterizations, tube feedings, suction, applying and changing dressings/bandages, colostomy and drainage bags, etc. as required.

Master Of Science - Ms, Nursing Informatics

Bachelor Of Science - Bs, Nursing

Associate Of Science - As, Registered Nursing/Registered Nurse