Resume (HOSPICE) CARMELA PERCONTRA RN MS CNS BC 8.21.16
1. CARMELA PERCONTRA RN MS CNS-BC
4 Linden Court, Apt 4 C
Old Bridge, N.J. 08857
732-963-5561
EDUCATION & PROFESSIONAL EXPERIENCE
Wagner College
Bachelor of Science in Nursing 1985
Long Island University/C. W. Post Campus
Master of Science in Nursing 2007
Licensed in NY & NJ
2015-Present VNA Health Group
VNA/RWJ Visiting Nurses Hospice Level 3 Nurse/Case Manager:
Provide field case management including physical assessment
(KPS/PPS, FAST scoring), disease process management, end-of-life
symptom management, medication education, wound care, and
pronouncement.
Provide services that are necessary for palliative care.
Understanding of Medicare Conditions of Participation for hospice.
Identify decline in clinical status.
Responsible for Recertification Assessment for next benefit period
eligibility.
Documentation based on Local Coverage Determinations that
supports terminal illness in electronic medical record using Point
Care software.
2. Interdisciplinary communication and bi-monthly team meeting
participation. Responsible for comprehensive IDG meeting
documentation.
Cross trained as Hospice Clinical Manager Assistant.
Cross trained as VNA Home Care Nurse
Care Coordination Coach for the Central New Jersey Care
Transitions Program:
Perform in-hospital screening in order to recognize patients at
increased risk for readmission, outreach to supporting offices for
supplemental services, and collaborate with the interdisciplinary
care team to prevent 30-day readmissions and ER utilization in the
attributed population. VNA Health Group is the lead organization,
in partnership with twelve other Community Based Organizations,
to form the Central New Jersey Care Transitions Program (CNJCTP)
- the only demonstration project in the state of New Jersey to
receive funding from the Centers for Medicare and Medicaid
Innovations through the Community Based Care Transitions
Program (CCTP). CNJCTP was awarded a 2-year service contract
which was recently extended through August 2016. CNJCTP aims
to reduce hospital 30-day readmission rates for at-risk Medicare
beneficiaries by fostering patient self-management.
Present case presentations for the CCTP Project ECHO (Extension of
Community Healthcare Outcomes). Project ECHO is an
interdisciplinary team-based model that facilitates the professional
development of community based providers with didactics and case
presentations using videoconferencing technology to connect RN
and SW coaches in the field with an expert multi-disciplinary team
for professional guidance.
Participation in Nurse’s Week 2015 video interview discussing
fragmented care and patient experience.
3. VNA - Delivery System Reform Incentive Payment Program
(DSRIP) at Raritan Bay Medical Center:
Participation in hospital wide quality initiation under CMS
guidelines. Provided in home education to patients and families in
an effort to avoid unnecessary readmissions. Communicates with
HCIC/Liaisons to ensure continuity of care.
2012-2014 Reformed Church Home
Sub-Acute Skilled Rehabilitation & LTC Facility
Unit Manager:
Provides clinical oversight of a 36 bed sub-acute skilled rehab
nursing unit
Responsible for day to day activities in coordination with
Rehabilitation, Social Services, Dietary, Pastoral Care, and
Therapeutic Recreation
Supervises RNs, LPN’s, and nursing assistants
Fulfills completion of MDS nursing assessment coding
Develops care plans, discharge planning and case
management to ensure continuity of care and safe return to
the community
Closely works with medical director during transition from
hospital to rehab to home or alternate level of care setting
Leads face-to-face family meetings with interdisciplinary team
Coordinates with visiting nurse and transitions in care nurse
to avoid re-hospitalization rate
Post-op and specialty office visits and transportation
arrangements
Works closely with pharmacy consultant to ensure completion
of medication reconciliation and manage medication profile
Collaborates with Hospice nurse and Pain Management doctor
for Palliative Care and End-of-life Care as indicated
Coordinates with Restorative Nurse and Podiatrist
Wound Rounds with WCN
4. Completes census and conditions and acuity matrix
monitoring as per CMS Guidelines
Quarterly QI participation
1995-2012 Metropolitan Jewish Health Systems
Adult Day Health Center
Nursing Supervisor/Clinical Educator:
Clinical oversight and supervision of a 300 client Adult Day
Health Care Program
Office management and scheduling
Created pre-diabetes screening program and diabetes
prevention health education program for disease management
and prevention
Participated in policy and procedure development and
implementation
Lead multiple sclerosis health education group
Monthly Health Education Program (i.e. Women’s Heart
Health, Osteoporosis, Self-breast exam)
Special Care Dementia Unit nursing and medication
management; Elopement Prevention Program
Annual health fair vaccination initiative
Created multi-cultural physical education program
Corporate QM coordinator for Respiratory Corporation
Compliance
Hospice medical chart reviews for reimbursement
Pre-employment screening
Employee Health record maintenance
Pre-Admission surgical testing program
Diagnostic & Treatment Program
Specialty Clinic Referral Coordination
Restorative Nursing Program
Infection Control
Annual Corporate Compliance Education
Disciplinary Actions and HR collaboration
QI Projects
Special projects committee
5. 1989-1990 Island Peer Review Organization
Quality Management Coordinator:
Medical chart reviews for Medical Director
Second Surgical Opinion Program
Gross and flagrant level medical record review and reporting
for insurance company
1983-1988 Staten Island University Hospital
RN – Med/Surg, Gyn/Surg and Oncology:
Post-op care for high risk OB/GYN surgery
Medical/surgical care
Women’s Health & post-op plastic surgery
Oncology-administration of chemotherapy and End-of-Life
Care
Excellence Plus Unit
SPECIAL SKILLS & AFFILIATIONS
Sigma Theta Tau International - Epsilon Mu Chapter
National Association of Clinical Nurse Specialists
Community Health Initiatives:
Flu Vaccine Program for independent company
Chain of custody pre-employment drug testing for independent
company
REFERENCES - Available upon request
BCLS Certified