Nicole Schell Email & Phone Number

Gahanna, Ohio

Responsible for establishing standards for the overall quality and completeness of clinical documentation; conducts and oversees audit functions; ensure organizational compliance to federal regulatory requirements; develop various audit tools for quality medical record reviews; update and review agency’s policies and procedures to ensure compliance; primary manager / spoke person for government payment denials; educate all staff of clinical services through evidence-based practices; implementation of Best Practice Guidelines; perform patient assessments; assume Clinical Service Manager’s role/duties as needed.

Columbus, Ohio Area

Promoted a culture of quality and patient safety through education, medication administration; assessed and evaluated patient care utilizing evidence-based practice; participated in daily discharge planning and palliative rounds; collaborated with patient and family to develop and implement a plan of care that included physical, spiritual and educational components; accurate assessment and documentation; performed medical procedures; assisted in emergency situations; all other duties as assigned.

Westerville, Ohio

Managed the operational element of the agency quality improvement program; responsible for agency performance improvement and related process changes; communicated practice standards and assessed client care and clinical services; provided direction in maintaining agency licensure, accreditation and coverage compliance requirements; responsible for analyzing chart documentation and content; preformed ICD-9 coding; responded to payor audits, i.e. Medicare Medical Review or Blue Cross Audits; evaluated chart content before submitting to payor; participated in weekly leadership meetings and provided input for operating and capital budget within Quality Management Department; assisted with development and implementation of agency Best Practice Guidelines; educated staff on clinical services; assisted with patient visits as needed; performed coding/reviews on all clinician visits; assisted and participated in state audits.

New Albany, Ohio

Utilized clinical skills to collaboratively assess, plan, coordinate healthcare for Aetna members; assessed medical treatment to ensure cost-effective outcomes; daily medical documentation review; reviewed and evaluated clinical information and identify needed services; discharge planning; determined appropriate levels of care based on guidelines; medical director referrals; assisted, educated/trained new hires; participated in weekly in-services.

Columbus, Ohio Area

Provided a wide range of nursing care to patients in a home care setting; focused primarily on patient assessment, quality care, teaching of patients and caregivers, and performance of skilled procedures; medical documentation in accordance to Medicare rules and regulation.

Columbus, Ohio Area

Assisted patients to move rapidly, uneventfully, safely and as effectively as possible through their episode of care; completed the admission assessment; documented a plan of care including patient outcome parameters and nursing orders; administered medication; assisted physicians with Botox procedures; collaborated effectively with all health care disciplines to facilitate patient outcome; planned, provided, delegated, and evaluated patient/family education.

Houston, Texas Area

Supervised claim professionals and nurses; performed daily, weekly and monthly onsite and telephonic customer file reviews; recruited new personnel through state job fairs; hired all nurses for the Houston Service Center; ensure excellent customer service. Medical Case Manager (2 months)Assisted and facilitated appropriate medical intervention; medical documentation review;promoted safe, cost-effective outcomes through discharge planning; provided counseling andmedical education concerning injuries and projected outcome; coordinated the return to work forinjured employees.

San Francisco Bay Area

Managed the San Francisco Bay Area Offices’ expenses, budgeting, billing and collections; assisted with new business development, marketing, sales and productivity; recruited and maintained talent; performed and supervised case management responsibilities; performed daily, weekly, and monthly reviews of various reports, invoices, and logs; supervised office staff; managed human resources matters.Bay Area Case Management Supervisor (2 months)Supervised 10 nurses; hired and trained new staff; organized and executed quarterly branch meetings.Medical Case Manager (3 months)Coordinated patient, physician, other health care providers, employer, and referral sources; individualize assessment, planning, implementation, and evaluation of the patient’s progress; extensive review of medical necessity and cost effectiveness of proposed health care plans; performed utilization management.