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Joan Castellano MBA MSN BSN RN
Aliso Viejo, CA 92656 /joancastellanorn@gmail.com
Objective
To positively transform the experience of health care. To recognize nurses as highly skilled and compassionate
healthcare professionals. Dedication to caring and excellence in healthcare and in business.
Education
Masters of Science inNursing with a focus on NursingEducation 2015
University of Phoenix
Masters of Business Administration/Health CareAdministration 2015
University of Phoenix
Bachelors of Science in Nursing 2004
Statue University of New York Stony Brook
Associateof Applied Science in Nursing 2000
SuffolkCommunity college
Skills & Abilities
LEADERSHIP / MANAGEMENT / COMMUNICATION / TRANSITIONAL CARE / CLINICAL DOCUMENTATION / NURSING
Microsoft Office Suite/ Kronos / SAP / 3M Coding Grouper / Carecast / Epic super
User/Cerner/Citrix
Experience
Director of Clinical Operations May 2016 – Present
GlobalTransitional Care (GTC). Irvine California
 Responsible and accountable for the delivery of transitionalcare nursing services (prevent hospitalreadmissions)
 Leads and supports care programs and research, assists in marketing, business development,outreach, education,
and quality improvement
 Collaborates with physicians, facilities, community agencies, and institutions to improve the quality of services
and to resolve identified problems
 Oversees nursing and nurse practitioner's schedules toassure patients’ needs are met and at budgetary standards
 Provides training, oversight, and supervision of ancillary staff, RNs, and NPs
 Manage payroll, initiating policy and procedures and systems to increase revenue and support a LEAN working
environment
 Billing reconciliation
 Assessment, planning, implementation and evaluation of quality patient care
RN Auditor (part-time remote) October 2015 Present
ManagedResource Inc. (MRI) Long BeachCalifornia
 Inpatient/Outpatient validation
 Audits for Clinical Documentation
 Appeals/Denials
 Lead implementation of new Clinical Documentation Program
Manager – Clinical Documentation November 2013-April2016
Montefiore MedicalCenter, Bronx, NY
 Responsible for business administration and financial activities within the documentation department
 Serve as key adviser to nurses on union issues
 Collaborate with Physicians, Medical Directors, HIM Administrators, and other senior management to develop,
guide, and improve operation services in order to increase patient revenues, assure accurate patient billing,
enhance the hospitals case mix index, as well as improve and maintain quality patient care
 Provide direction, leadership, and oversight to the operations team and nursing staff
 Develop and provide guidance to documentation nursing team that will result in strong operational performance,
exceptional teamwork, quality care, as well as growth in programs and services
 Actively participate in the development of strategicplans to encompass patient satisfaction, system improvement,
program development, quality and safety, financial management, work culture enhancement and internal
communication
 Interpret and recommend appropriate action steps as a result of reports and analysis setting forth progress,
adverse trends and appropriate recommendations or conclusions
 Develop and foster effective collaborative relationships between clinical departments and other affiliated services
to ensure an integrated approach to providing services and fulfilling fiscal goals and objectives
 Conduct Medicare/Medicaid/APR chart audits
 Develop and implement ICD 10 documentation guideline education for clinicians and Nurses
 Montefiore scheduling/Time cards/Kronos
Clinical Documentation Specialist July 2010-November 2013
New York Presbyterian Hospital,New York City, NY
 Review concurrent and retrospective documentation to assure quality charting and accurate case mix index
 Generate monthly impact reports
 Educate/In-service residents and Attending Physicians regarding specificity and accurate documentation
 Serve as a resource for the physicians relating to ICD 9 and coding guidelines
 Work in collaboration with HIM department, coders, validating department and Clinical Data Coordinators to
assure correct provisional and final MSDRG assignment and identify opportunities for improvement
Clinic Site Manager/Utilization Review Nurse July 2009-July 2010
IPRO, Lake Success, NY
 DRG Validation Medicaid
 Quality Assurance
 Medicare/Medicaid utilizing “interqual” criteria and ICD9 coding verification
 Utilization Review
Chart Investigator August 2008 July 2010
ManagedResource Inc., StonyBrook, NY
 Accurately and efficiently perform medical chart reviews
 Chart auditing, and using results for quality improvement
 Perform review utilizing advanced Excel features such as functions and formulas
 Investigate medical record and adjust charge discrepancies
 Coordinate work flow between client and auditing team and establish revision control guidelines
 Collaborate with care provider offices, clinics and other hospital departments
 Serve as contact person for consulting firm
Risk Management Surveyor and Reviewer September 2007–August 2008
PRI Administrators for the Professions, Inc., Manhasset, NY
 Review cases and files for physicians with alleged medical malpractice issues
 Risk assessment for Physicians
 Assess cases for merit
 Early investigations and assessment of claims
Trauma/Emergency Nurse/Level III ER Staff Nurse June, 2005 – September 2007
St. Charles Hospital, Port Jefferson, NY
Provided:
 Resuscitation, stabilization, and triage care of levels of ill and critically ill patients.
 Skilled at PICC line care, phlebotomy wound care, intensive care as well as advanced intravenous line insertion
 Additional skills include nasogastric tube insertion, echocardiograms, and telemetry
 Excellent assessment skills and stellar bedside manner
Trauma/Emergency Nurse/Level III ER Staff Nurse August, 2003 – August, 2005
Brookhaven Memorial Hospital, Brookhaven, NY
 Provided resuscitation, stabilization, and triage care of levels of ill and critically ill patients
 PICC line care, phlebotomy, wound care, intensive care as well as advanced intravenous line insertion
 Additional skills include nasogastric tube insertion, echocardiograms, and telemetry
 High trauma volume patient care and maintenance care of chronic illness populations
 Rotating charge nurse
Rehabilitation/ Level II Staff Nurse July, 2002 – August, 2003
SmithtownHealthCare Facility, Smithtown, NY
 Complete nursing care for postoperative and post stroke patients
 Skilled wound care specialist and advanced in rehabilitative care
 Rotating charge nurse
Postoperative/Medical Surgical /Level II Staff Nurse July, 2000 – July, 2002
StonyBrook Hospital, StonyBrook, NY
 Complete nursing care for all postoperative and orthopedic care patients
 Rotating charge nurse responsibilities assumed for a 48 bed unit
 Proficient at managing PPN, TPN, IV and blood transfusions
 Skilled arterial and venous punctures and care of arterial, radial, PICC and peripheral lines
 One of my daily duties was to assist the physicians and physical therapists with daily patient therapy
 Skilled at pneumovac, hemovac, and woundvac care
 Rotating charge nurse
Certifications
RN CA license 95080816 2015-2017
RN license 516843 NYS 2000-2018
BLS 15438 NYS 2014 – Present
Legal Nurse Consultant Certified in 2007
Volunteer
MSN Mentor (Practicum Mentor for MSN students) University of Phoenix 2017-Present
Practicum and Capstone Mentor 2017-Present
Organizations
Association for Clinical Documentation Improvement Specialists, Member 2013 – Present
New York State Nurses Association, Member 2013 – Present

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2016 joan castellano mba msn bsn rn (2).doc x

  • 1. Joan Castellano MBA MSN BSN RN Aliso Viejo, CA 92656 /joancastellanorn@gmail.com Objective To positively transform the experience of health care. To recognize nurses as highly skilled and compassionate healthcare professionals. Dedication to caring and excellence in healthcare and in business. Education Masters of Science inNursing with a focus on NursingEducation 2015 University of Phoenix Masters of Business Administration/Health CareAdministration 2015 University of Phoenix Bachelors of Science in Nursing 2004 Statue University of New York Stony Brook Associateof Applied Science in Nursing 2000 SuffolkCommunity college Skills & Abilities LEADERSHIP / MANAGEMENT / COMMUNICATION / TRANSITIONAL CARE / CLINICAL DOCUMENTATION / NURSING Microsoft Office Suite/ Kronos / SAP / 3M Coding Grouper / Carecast / Epic super User/Cerner/Citrix Experience Director of Clinical Operations May 2016 – Present GlobalTransitional Care (GTC). Irvine California  Responsible and accountable for the delivery of transitionalcare nursing services (prevent hospitalreadmissions)  Leads and supports care programs and research, assists in marketing, business development,outreach, education, and quality improvement  Collaborates with physicians, facilities, community agencies, and institutions to improve the quality of services and to resolve identified problems  Oversees nursing and nurse practitioner's schedules toassure patients’ needs are met and at budgetary standards  Provides training, oversight, and supervision of ancillary staff, RNs, and NPs  Manage payroll, initiating policy and procedures and systems to increase revenue and support a LEAN working environment  Billing reconciliation  Assessment, planning, implementation and evaluation of quality patient care RN Auditor (part-time remote) October 2015 Present ManagedResource Inc. (MRI) Long BeachCalifornia  Inpatient/Outpatient validation  Audits for Clinical Documentation  Appeals/Denials  Lead implementation of new Clinical Documentation Program Manager – Clinical Documentation November 2013-April2016 Montefiore MedicalCenter, Bronx, NY  Responsible for business administration and financial activities within the documentation department  Serve as key adviser to nurses on union issues  Collaborate with Physicians, Medical Directors, HIM Administrators, and other senior management to develop, guide, and improve operation services in order to increase patient revenues, assure accurate patient billing, enhance the hospitals case mix index, as well as improve and maintain quality patient care  Provide direction, leadership, and oversight to the operations team and nursing staff
  • 2.  Develop and provide guidance to documentation nursing team that will result in strong operational performance, exceptional teamwork, quality care, as well as growth in programs and services  Actively participate in the development of strategicplans to encompass patient satisfaction, system improvement, program development, quality and safety, financial management, work culture enhancement and internal communication  Interpret and recommend appropriate action steps as a result of reports and analysis setting forth progress, adverse trends and appropriate recommendations or conclusions  Develop and foster effective collaborative relationships between clinical departments and other affiliated services to ensure an integrated approach to providing services and fulfilling fiscal goals and objectives  Conduct Medicare/Medicaid/APR chart audits  Develop and implement ICD 10 documentation guideline education for clinicians and Nurses  Montefiore scheduling/Time cards/Kronos Clinical Documentation Specialist July 2010-November 2013 New York Presbyterian Hospital,New York City, NY  Review concurrent and retrospective documentation to assure quality charting and accurate case mix index  Generate monthly impact reports  Educate/In-service residents and Attending Physicians regarding specificity and accurate documentation  Serve as a resource for the physicians relating to ICD 9 and coding guidelines  Work in collaboration with HIM department, coders, validating department and Clinical Data Coordinators to assure correct provisional and final MSDRG assignment and identify opportunities for improvement Clinic Site Manager/Utilization Review Nurse July 2009-July 2010 IPRO, Lake Success, NY  DRG Validation Medicaid  Quality Assurance  Medicare/Medicaid utilizing “interqual” criteria and ICD9 coding verification  Utilization Review Chart Investigator August 2008 July 2010 ManagedResource Inc., StonyBrook, NY  Accurately and efficiently perform medical chart reviews  Chart auditing, and using results for quality improvement  Perform review utilizing advanced Excel features such as functions and formulas  Investigate medical record and adjust charge discrepancies  Coordinate work flow between client and auditing team and establish revision control guidelines  Collaborate with care provider offices, clinics and other hospital departments  Serve as contact person for consulting firm Risk Management Surveyor and Reviewer September 2007–August 2008 PRI Administrators for the Professions, Inc., Manhasset, NY  Review cases and files for physicians with alleged medical malpractice issues  Risk assessment for Physicians  Assess cases for merit  Early investigations and assessment of claims Trauma/Emergency Nurse/Level III ER Staff Nurse June, 2005 – September 2007 St. Charles Hospital, Port Jefferson, NY Provided:  Resuscitation, stabilization, and triage care of levels of ill and critically ill patients.  Skilled at PICC line care, phlebotomy wound care, intensive care as well as advanced intravenous line insertion  Additional skills include nasogastric tube insertion, echocardiograms, and telemetry  Excellent assessment skills and stellar bedside manner Trauma/Emergency Nurse/Level III ER Staff Nurse August, 2003 – August, 2005 Brookhaven Memorial Hospital, Brookhaven, NY  Provided resuscitation, stabilization, and triage care of levels of ill and critically ill patients  PICC line care, phlebotomy, wound care, intensive care as well as advanced intravenous line insertion  Additional skills include nasogastric tube insertion, echocardiograms, and telemetry
  • 3.  High trauma volume patient care and maintenance care of chronic illness populations  Rotating charge nurse Rehabilitation/ Level II Staff Nurse July, 2002 – August, 2003 SmithtownHealthCare Facility, Smithtown, NY  Complete nursing care for postoperative and post stroke patients  Skilled wound care specialist and advanced in rehabilitative care  Rotating charge nurse Postoperative/Medical Surgical /Level II Staff Nurse July, 2000 – July, 2002 StonyBrook Hospital, StonyBrook, NY  Complete nursing care for all postoperative and orthopedic care patients  Rotating charge nurse responsibilities assumed for a 48 bed unit  Proficient at managing PPN, TPN, IV and blood transfusions  Skilled arterial and venous punctures and care of arterial, radial, PICC and peripheral lines  One of my daily duties was to assist the physicians and physical therapists with daily patient therapy  Skilled at pneumovac, hemovac, and woundvac care  Rotating charge nurse Certifications RN CA license 95080816 2015-2017 RN license 516843 NYS 2000-2018 BLS 15438 NYS 2014 – Present Legal Nurse Consultant Certified in 2007 Volunteer MSN Mentor (Practicum Mentor for MSN students) University of Phoenix 2017-Present Practicum and Capstone Mentor 2017-Present Organizations Association for Clinical Documentation Improvement Specialists, Member 2013 – Present New York State Nurses Association, Member 2013 – Present