Pamela Porter
Harrisburg
Summary
Experienced RN skilled in medical records examination and interdisciplinary collaboration. Demonstrated effectiveness in communication skills and use of programs necessary to complete job. Knowledgeable in Medicaid regulations.
Overview
18
18
years of professional experience
Work History
RN Medical Records Examiner
TulaRay
San Antonio
01.2023 - Current
- Retrospective hospice chart reviews
- Referrals to the fraud unit if indicated
- Working with Medical Director on cases
- Documenting case activities in Fraud Capture
- Working with providers and managed care organizations on Medicaid violations
- Use of Outlook, Excel, and Word documents.
RN
Residential Hospice
Mechanicsburg
04.2016 - 01.2023
- Provided compassionate end-of-life care to patients in residential hospice setting.
- Administered medications and monitored patient vital signs regularly.
- Collaborated with interdisciplinary team to create personalized care plans.
- Educated families on patient care and available support services.
- Assisted in managing pain and symptoms to enhance patient comfort.
- Documented patient progress and changes in condition accurately.
- Trained new nursing staff on hospice protocols and best practices.
- Advocated for patients' needs and preferences throughout their care journey.
- Utilized critical thinking skills to assess clinical situations quickly and accurately.
- Collaborated with physicians, nurses, therapists, social workers and other healthcare professionals to develop individualized treatment plans for each patient.
- Assessed, planned, implemented and evaluated nursing care for assigned patients.
- Maintained a safe environment for all patients by adhering to infection control policies and procedures.
- Monitored vital signs, administered injections, and provided assistance with medical procedures.
- Documented patient progress notes accurately and efficiently in the electronic medical record system.
- Evaluated effectiveness of interventions through ongoing assessment of patient responses.
- Adhered to infection control procedures to facilitate safe, clean patient environment.
- Provided emotional support and comfort to families during difficult times.
- Collected lab specimens, ordering and interpreting diagnostic tests and lab results.
- Participated in multidisciplinary team meetings to discuss patient care plans.
RN Case Manager
Home Remedy Skilled Nursing
Harrisburg
02.2010 - 06.2016
- Coordinated patient care plans with interdisciplinary teams for optimal outcomes.
- Managed healthcare assessments to identify patient needs and interventions.
- Developed educational materials for patients and families regarding health management.
- Monitored patient progress and adjusted care plans accordingly.
- Collaborated with insurance providers to ensure coverage for necessary services.
- Facilitated communication between patients, families, and healthcare professionals.
- Implemented quality assurance measures to enhance service delivery standards.
- Conducted regular home visits to evaluate living conditions and support needs.
- Coordinated medical services between primary care providers, specialists, hospitals and outpatient clinics.
- Developed discharge plans for patients transitioning from acute care settings to home or alternate facilities.
- Educated patients on disease prevention strategies, wellness promotion techniques and lifestyle modifications.
- Maintained accurate documentation of patient progress in the electronic health record.
- Conducted weekly interdisciplinary team meetings to review case management activities for assigned caseloads.
- Assessed patient's physical, mental, and psychosocial health status to develop individualized care plans.
- Provided emotional support and counseling to patients dealing with chronic illness or end-of-life issues.
- Provided direct nursing care such as wound dressing changes, IV therapy, medication administration and patient education.
- Reviewed clinical data including lab results, radiology reports and vital signs to assess appropriateness of treatments.
- Monitored and evaluated effectiveness of treatment plans and interventions.
RN Case Manager
Odyssey Healthcare
Mechanicsburg
01.2008 - 02.2010
- Coordinated patient care plans with interdisciplinary teams.
- Conducted comprehensive assessments of patient needs and conditions.
- Educated families on hospice services and end-of-life care options.
- Managed medication administration and monitoring for patients in hospice.
- Developed and maintained accurate patient records and documentation.
- Provided emotional support to patients and families during difficult times.
- Collaborated with physicians to ensure effective pain management strategies.
- Trained new nursing staff on hospice protocols and best practices.
- Monitored medication regimens to ensure safe administration of medications in accordance with physician orders and nursing standards of practice.
- Ensured timely completion of all required documentation including admission paperwork, discharge summaries.
- Conducted regular visits with assigned patients in their home setting or at long-term care facilities to assess health status changes.
- Educated family caregivers on providing basic nursing care such as wound dressing changes or catheter maintenance.
- Maintained accurate records of patient assessments, treatments, medications, and other relevant information within the electronic medical record system.
- Responded promptly to emergent situations involving hospice patients and provided crisis intervention when needed.
- Evaluated effectiveness of interventions used by nurses while making recommendations for improvement where necessary.
- Performed initial assessments of new patients to determine hospice eligibility.
- Provided guidance on managing symptoms related to terminal illnesses such as pain control techniques or nutrition counseling.
- Provided emotional support to families during difficult times through active listening skills.
- Attended weekly case conferences to review current cases and develop treatment plans for new admissions.
- Facilitated referrals for additional services such as social work counseling or spiritual care when necessary.
- Identified medical equipment and supplies needed by patient; arranged for delivery and set up as appropriate.
Education
Associate of Science -
Harrisburg Area Community College
Harrisburg, PA05-1997
High School Diploma -
Susquenita
Duncannon, PA06-1989
Skills
- Medical documentation
- HIPAA compliance
- Interdisciplinary collaboration
- Electronic medical records
- Communication skills
- Time management
- Hospice care
Timeline
RN Medical Records Examiner
TulaRay
01.2023 - Current
RN
Residential Hospice
04.2016 - 01.2023
RN Case Manager
Home Remedy Skilled Nursing
02.2010 - 06.2016
RN Case Manager
Odyssey Healthcare
01.2008 - 02.2010
Associate of Science -
Harrisburg Area Community College
High School Diploma -
Susquenita