Medicare Clinical Operations at Louisiana Healthcare Connection

Medicare Clinical integration at Louisiana Healthcare Connection

Regional Program Director, La, Tx, Al, Ark, NC, VA, TN• Plan, organize, and direct, the development and implementation of complex case management across the region.• Ensure staff is properly trained, oriented, and provided with regular professional development. Identify opportunities for improvement, both clinical and administrative, and plan strategic processes for implementation.• Recruit, hire, onboard, educate, and train incoming nurse case managers.State Program Director, Louisiana• Provide all operations for Louisiana branch of the expanding company.• Travel throughout the State to interview, hire and train new employees.• Prepared agendas and conduct meetings for all company executives and assisted in the formation of the business plan. Developed and implemented the processes and policies that are currently in use by the company for day to day operations.

• Provide Patient Centered Medical Home complex care management to 30 – 45 Medicare members on a weekly basis. Utilizing multiple sources of information including EHR, icd9 and 10 codes, cpt codes, claims and authorizations as well as info assessed from interdisciplinary health team members. • Provide training of new care managers in day to day operations of visits, coordination, resource sharing, and documentation training. • Provide assessment, advocacy, education, resource referral, benefits and entitlements navigation and continuous engagement to represent the highest quality service. • Performed all training, continuing compliance and learning in compliance with best practices.

Operating Room Charge Nurse, 7 on/7 off trauma programBaton Rouge General Health Systems, Baton Rouge Louisiana• 24 hr on call status rotating 7 days on and 7 days off for 2 hospital campuses within the health system. • Communicated with ethics and risk management departments during and after near misses or events to ensure accuracy of risk identification and assist to implement change to reduce future risk.• OR coordinator, charge nurse, circulator, and scrub nurse as needed during emergency and traumatic cases as brought in from the surrounding community.• Coordinate all services such as anesthesia, surgeon, ancillary staff, sterile environment, anticipating needs and provide equipment, supplies, assistance and best practices care for the anesthetized patient. • Uphold standards of high reliability and reduce / eliminate risks of patient harm.• Maintain communication with outside departments for resource availability.• Maintain contact with family for update reporting and recovery.Operating Room Circulator, CNORBaton Rouge General Health Systems, Baton Rouge Louisiana• Principal Preceptor for incoming new RN staff to provide education, training, mentorship, supervision and support for a period of not less than 6 months per preceptorship in addition to a full caseload and the duties of a primary circulating nurse.• Participated in lean and six sigma projects obtaining a yellow belt by increasing workplace productivity, creating sop for practice and standardizing central sterile procedure to streamline processes and decrease risk of contamination and waste. • Obtain professional certification in specialty as CNOR.• Managed all the necessary care inside the operating suite, assisting the team in maintaining and creating a comfortable, safe environment for the patient and observing the team from a wide perspective.

Roasting, packaging and distribution as well as storefront management