Experience

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  Mercy health

  Jan 1999 - Jan 2002

  Rn case manager

  "Home Health Care Quickly Hones Critical Thinking, Judgment, Organization, Prioritizing, and Interpersonal Effectiveness Skills and Creates Self-Reliance Competence"Transitioning the patient from the hospital or any other continuum of care organization to home placed the patient, their family, and clinical home caregiver in a circumstance that is almost wholly-dependent upon the assessment, listening, observation, documentation, and communication skills of the RN.• I managed patient transitions of care through the hospital and then to the appropriate post-acute setting attaining third-party payor approval and proper documentation for any services provided to support the patient's status, level of care, and DRG for complex disease management utilizing nursing assessment, critical thinking, judgment, and clinical skills.• As a Managed Care Nurse, I was boots on the ground liaison between patients, doctors, healthcare providers and insurance companies. • Although it was not planned, I acquired specialization as Maternal/Child and Pediatric Case Manager for patients in challenged inner-city, urban setting.• I managed antepartum/post-partum women, well-baby, premature infants, pediatrics, pediatric oncology, and hematology; and adults with acute, chronic, and multisystem disease processes. Delivering independent in-home care honed clinical problem-solving and decision-making skills.• My keen observation skills was not limited to seeking signs of failing skin integrity. I evaluated patients for signs of abuse during exams and visits, and reported as indicated. • Facilitated care between ancillary services and the health provider was essential to implemented plans of care, tracking pediatric growth and milestones, and wellness promotion/disease prevention education. Show less

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  The university of toledo

  Jan 2003 - Nov 2012

  "Launched and Commercialized a Pediatric Biofeedback Program, Sold the Business Plan to Decision-Makers"Mercy Children’s Hospital Outpatient Pediatric Urology Clinic provides support, expertise, and solutions across 14 or more counties.• Successfully recruited the C-Suite decision-makers, department leaders, physicians, and providers to the concept of a biofeedback program for children with incontinence and dysfunctional elimination syndrome. • Ideated the strategy, proposal, operations, marketing, education, and supplies to launch; influenced the capital purchase of the biofeedback equipment.• Identified and participated in the John Hopkins internship for biofeedback program training.• Developed and implemented treatment plans, protocols, forms, communications, patient billing, and education tools for patients, families, and referring physicians and providers. • Led the clinical integration of the biofeedback program with the urology department for 98% improved outcomes in pelvic muscle relaxation for emptying the bladder and muscle control.• Managed and followed pediatric urology patients streamlining care delivery, enhanced the patient’s experience--obtained patient histories, evaluated urine cultures and other diagnostics. Show less "When Child Incontinence Exists in a Family, the Family Becomes a Quasi-Patient Too"Seeking to understand what is happening or rather not happening is crucial to managing incontinence. Behavioral and/or physiology components can be at the core of voiding symptoms. Uncovering children with oppositional defiant disorder, anxiety, depression or autism (among other conditions) is fundamental to sourcing the causes of urinary incontinence issues. If you are the parent or caregiver of a child of any age with incontinence, get your child evaluated by a pediatric specialist. A child will not grow out of bed-wetting or incontinence voiding if it is a physiological issue.• I oversaw urology clinical protocols for comprehensive diagnostic and therapeutic services for an extensive range of children urological disorders resulting in incontinence at all ages. • Operated a urodynamics laboratory and comprehensive diagnostic radiographic and radionuclide evaluation to assess bladder performance; performed in the OR. • Interviewed patients and families for complete health history, diagnosed and managed acute and chronic conditions; performed history and physicals on preoperative patients. • Ordered, interpreted, evaluated, and integrated findings, records, referrals, and diagnostic tests results. Performed microscopy and bladder ultrasounds; interpreted the results. • Consulted with Physician as needed following assessment; wrote referral letters and reports. • Initiated treatment plans, prescriptions, patient/family education, and urological follow-ups.Life gets better for children when bladder issues are addressed. Anticipate improved self-esteem, socialization and independence following incontinence treatment. Show less

  • Nurse Practitioner Pediatric Urology

    Jan 2004 - Nov 2012

  • Clinical Assistant Professor

    Jun 2003 - Jun 2012

  • Nurse Practitioner-Incontinence Clinic Manager

    Nov 2003 - Jan 2012

  • Clinical Professor-Preceptor Nurse Practitioner

    Jan 2003 - Jan 2012
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  Evolv medical aesthetics

  Jan 2012 - Jan 2014

  Nurse practitioner

  "Cosmetic and Medical Aesthetics Enhancements, Botex, Fillers, and Other Injectables Required Hyper Patient-Centered Care" • Planned and conducted marketing and sales for Skin Care events; performed aesthetic treatments (Botox, fillers, micro-abrasion, other). Assessed expectations to manage outcomes.• The emotional vulnerability of medical and cosmetic aesthetics patients necessitated an empathetic yet straight forth approach.• A thorough intake approach where nothing was assumed was key to planning and attaining the desired and improved patient outcomes.• I conducted patient health history interviews, reviewed records, referral documents, test results, and performed complete and focal physical exams for best-practice, evidenced-based treatments, and patient outcomes, treating patients as the unique individuals that they are. • Performed initial consultations and initiated treatment plans, treatment orders, and wrote prescriptions according to the formulary. • Teamed and collaborated with the plastic surgeon on the in office surgical plan, equipment, pre, and post-surgical care, in advance of each personalized procedure for quality and safety. • Interfaced with the patient and completed pre, and post-surgery care, patient education, and discharge planning for ones undergoing surgical and minimally invasive procedures. • Improved hand-offs for patient safety. Managed and coordinated the RNs, surgical assistants, lab technicians, and diagnostic tech for elective and medically necessary plastic surgery/reconstruction, corrective, and aesthetic procedures, adhering to Standard Care Agreement. • Show less

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  Mclaren st. luke's

  Jan 2013 - Sept 2021

  Nurse practitioner

  "Leading, Collaborating and Partnering to Care for the Patient's Lifecycle at Premier Women Health"• Delivering care in a women's health practice, I provide quality, comprehensive health care for our patients, and oversee change, revitalization, and accelerate company growth, engaging in consultative leadership. I have remained a constant for our patients as Premier Women's Health co-branded with St. Luke's Health System, then Promedica, and now McLaren St. Luke's. The opportunity to partner and collaborate on annual planning, budget, and recognition processes and to make recommendations to the owners and senior leaders has been fulfilling since I like to build and solve. • Here, I specialize in meeting a woman's needs within the context of her life. Every day I lead and provide the day-to-day medical care for obstetrics and gynecology services from the initial exam to childbirth, post-partum, through menopause, and beyond. I improved outcomes with personalized patient and family education consults, mutual trust, and communication. • In every health arena, providing value-based care to directly impact the population's health is expected, thus I manage routine and yearly examinations, adolescent gynecology and counseling, contraception counseling, pap smears and cervical cancer screening, breast cancer exams, premenstrual syndrome, STD screens, urinary incontinence, diagnostic ultrasound, immunization, fitness, dietary, and nutrition counseling. • Keeping pace with prescription formularies and contraceptives is a business necessity and ordering medically-necessity lab and diagnostic radiologic procedures. I analyze results, clinical data, and reports and engage effective interpersonal skills to call patients.• I lead in a matrix environment to direct and ensure cross-training of the RN and medical assistant teams; and collaborate in recruitment, employment, onboarding, training, employee relations, recognition, and performance management. Show less

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  Life connection of ohio

  Oct 2022 - now

  • Director of Hospital Services

    Apr 2024 - now

  • Hospital Services Manager Toledo

    Oct 2022 - Mar 2024