Childbirth Educator: Prepared Childbirth and Better Breastfeeding.

CNA class instructor as a dual credit course in local high school.

Director of Nursing Services, Environmental Services, Dietary Services, Radiology Services, Laboratory Services & Therapy Services. Provided leadership and oversight with the development of functions in direct support for the delivery of health services in an integrated fashion. Hands on effective management and supervisory practices, maintenance of appropriate staffing levels, competence evaluations, staff orientation, ongoing education and development in all areas of responsibility. Obtained Level IV Trauma Certification status, directed and coordinated patient care services, ER, Medical, Surgical, OR, Skilled, Outpatient services, Triage and Pharmacy. Successful implementation of electronic medical records. Informatics, EMR problem-solving. Defined processes. Managed capital and operational budget in support of strategic plans and goals. Grant writing of over $15,000. Durable medical equipment inventory, usage and reimbursement. Pyxis and CareFusion supply station---system administrator, inventory, usage and reimbursement for drug and supplies. Student shadowing program. Initiated LEAN re-model construction project to nursing unit and dietary department.

In-home patient visits documenting full physical assessments including mental recall screening.

Adjunct Faculty Lifespan II & Lifespan IV clinical instructor for Practical Nurse and Associate Degree Nurse. Clinical site: VA Hospital, Omaha, Nebraska

Developed and started a 501-C3 prenatal clinic for patients within the precipice of pregnancy resource center. Recruitment of staff: Physicians, PA-C, Nurse Practitioners, Sonographers, RNs, LPNs, billing, lab and front office receptionist. Certified in limited ultrasonography. Developed the clinic into a Medicaid provider. Childbirth education.

Operations Clinical Director for hospital-based skilled units at Immanuel, Midlands & Mercy (Council Bluffs) Hospitals. Led responsibility of overall operations for care levels of rehabilitation, extended care, special and clinically complex patients.

Developed successful skilled unit from conception, obtaining Medicare certified status. Trained nurses with skills needed to care for clinically complex patients. Assistant Director of Nursing responsibilities,staffing, training, evaluations, quality tracking, ICD-9 coding, trans-disciplinary care planning, inventory and central supply ordering.

Benefits coordinator, OSHA Ergonomics Program, medical surveillance program, hearing conservation pre-employment physicals, management of occupational injuries and illnesses, health coaching & counseling, worker's compensation with follow-up to work related injuries. First-aid treatment, interaction with local EMS and local providers for treatment modalities.