1. Tonya Snyr RN
Manitou Beach, MI 49253
snyrtonya@yahoo.com - (517) 902-4189
Registered Nurse seeking full time position.
WORK EXPERIENCE
RN Integrated Health Nurse
Lenawee CommunityMental Health Authority-Adrian MI March 2016-Present
Responsibilities
RN Performing AIMS test and vital signs on all Mental Health Consumer ateach visit. Renewing
prescriptions per Doctors’ orders.Coordinating Health care between Mental Health and Primarycare.
Tracking lab values. Managing Clozaril program. Providing patienteducation to consumers on their
medications and health measure requirements.Providing Psychiatric medication injections as ordered
and monitoring for adverse side effects. Correlating appropriate Communityservices for successful outcomes.
Tracking ER visits and following up on necessarycommunityreferrals as needed.
Member of ADT and IHC committees.
RN Case Manager
Alator Home Health,Inc. - Lansing,MI - September 2015 to Jan 2016
Responsibilities
RN Case Management.Field nurse performing various skilled nursing visits as scheduled i.e.Admission,
Recertification,Resumption ofCare,Discharges along with weeklynursing visits.Performing various nursing
skills i.e.wound care,Lab draws,etc. Assessing for and determining the need for other disciplines,i.e.PT,
OT, ST, HHA, MSW to meet patients’ needs and placing orders.Also specializing in Discharge Oasis and
determining ifpatients need further home health care.Inputting data into the Oasis program with computerized
charting.Participating in staff meetings as required.
• Oasis trained.
RN RMRA/Analyst
BCBSM - Lansing,MI - November 2014 to April 2015
Responsibilities
Performing HEDIS reviews for clinical practices as assigned,per HEDIS guidelines.Educating practice staff
personnel on tools to utilize for improved compliance and with HEDIS measures and to improve outcomes with
healthcare.Performing other various HEDIS projects as required.This projectinvolved training,education,
review of records to encompass a variety of initiatives.The nurses were expected to participate in provider
and hospital visits to educate, train and review medical records to determine the following:Verify and help
Providers close treatmentopportunities (HEDIS/Stars measures),assistand train providers on how to close
diagnosis gaps,train providers on the use of HEB, perform clinical reviews with knowledge ofbody systems,
anatomyand physiology.Scan records as required.Generate summaryofactivity as requested.Develop and
maintain a professional working relationship with providers.Contactor answer questions (educate) for instate
and outstate providers.Educate on Appropriateness ofdocumentation for selectconditions,i.e.proper coding
of the patient's condition,physician signature requirements are met(CMS guidelines),patientidentification
documented in the medical records,assistother departments,consultants when visiting providers to discuss
a variety of HEDIS/Stars related issues notlimited to high risk medications for example and conductother
activities as assigned which mayinclude other initiatives beside RMRA and Stars.
Accomplishments Designated projects were successfullycompleted within time guidelines.
Clinical Communications Center Nurse
Inovalon/Med Assurant - Lansing,MI - August 2012 to May 2014
Per job requirements,provided service to vendors placing calls to members ofvarious vendors to gather and
submitdata.Educated members aboutpreventative health topics and importance ofadhering to preventative
health care screening to improve health outcomes.Educated members on standard ofcare re health testing
and frequency of recommended testing per standards ofcare. Adhered to Heidis guidelines per company
policy. Currently licensed in 9 states to perform job responsibilities for this position.i.e.Michigan, Ohio,
Pennsylvania,Florida,Connecticut, Georgia,New Jersey, New York and Minnesota.CEU's up to date for all
states.
Admission/Field Nurse
Promedica Home Health Care - October 2010 to April 2012
Field nurse performing various skilled nursing visits as scheduled i.e.Admission, Recertification’s,and Resumption of
Care, Discharges along with weeklynursing visits.Performing various nursing skills i.e. wound care,working
with Wound Vacs, Lab draws,IV administrations,Flushing and removing PICC lines and Central lines,etc.

2. Assessing for and determining the need for other disciplines,i.e.PT, OT, ST, HHA, MSW to meetpatients
needs and placing orders. Also specializing in Discharge Oasis and determining ifpatients need further home
health care. Inputting data into the Oasis program with computerized charting.
• Oasis trained.
Full time Admission/Field Nurse
Great Lake Home Health & Hospice - Jackson,MI - November 2009 to July 2010
Full-time Case Manager working in the field assessing and performing various clinical skills i.e.wound care,
working with Wound Vacs, Lab draws,IV administrations,Flushing and removing PICC lines and Central lines,
etc. Assessing for and determining the need for other disciplines,i.e.PT, OT, ST, HHA, MSW to meetpatients
needs and placing orders.Specializing in Admission Oasis and setting up patients'Plan ofCare for Certification
period to meets individual patientneeds.Also specializing in Discharge Oasis and determining ifpatients need
further home health care.Inputting data into the Oasis program on PDA (McKesson).Monitoring and setup
Of Telehealth monitors in patients homes.
• Oasis trained McKesson program utilized with this job.
Registered Nurse/Pharmacovigilance Coordinator
I3 Drug Safety - Ann Arbor, MI - November 2006 to May 2009
Ingenix
Pharmacovigilance Coordinator
Responsible for processing and reporting adverse events.Develop and maintain a safety events tracking
system.Enter safety information into the safety database and develop a medicallyprecise and succinct
narrative. Attend project meetings and Investigators'meetings as requested.Develop and maintain a working
knowledge ofassigned projects. Participate as required in the preparation ofdocuments intended for
Submission to regulatoryagencies,e.g. Med Watch reports,final clinical summaries and IND and NDA
submissions.Ensure compliance with companypolicies,procedures and standards.Participate in the process
of developing and review of SOP's. Interact with other Ingenix functions,such as projectmanagement,
Field monitoring,data management,etc.to ensure the highestlevel of clientsatisfaction through successful
Execution of projects.Maintain a high level of expertise with clientprojects and marketplace developments
through participation in internal meetings,including projecttracking and attendance at professional seminars
and workshops.
Full time Admission/Field Nurse
Great Lake Home Health & Hospice - Jackson,MI - March 2004 to November 2006
Began as Full-time Case Manager working in the field assessing and performing various clinical skills i.e.
wound care, working with Wound Vacs, Lab draws,IV administrations,Flushing and removing PICC lines and
Central lines,etc. Assessing for and determining the need for other disciplines,i.e.PT, OT, ST, HHA, MSW
to meetpatients’ needs and placing orders.Promoted to Admission Nurse,Salaried position,specializing in
Admission Oasis and setting up patients'Plan ofCare for Certification period to meets individual patientneeds.
Also specializing in Discharge Oasis and determining ifpatients need further home health care.Working with
Case managers from insurance companies performing assessments to assistin determining patient’s coverage
needs.Inputting data into the Oasis program via computer (McKesson).Monitoring and setup of Telehealth
Monitors in patients homes.Chartaudits,Chartreview and Assessing outcomes.
• Oasis trained, McKesson program utilized.
MDS Coordinator
Provincial House - July 2003 to March 2004
MDS Coordinator:Departmenthead/Case manager for Medicaid/Medicare/Private pay residents as (MDS)
Minimum Data Set Coordinator completing assessments per MDS requirements.Completing Raps and Care
Plans,scheduling and conducting care conferences with patients,disciplines and familymembers,performing
required assessments i.e.Admission,Braden,Fall,Pain assessments on admission to facility. Chairman
of Quality Indicator/Quality Measure Committee.Member of Safety, Reimbursementand QualityMeasure
Committee's.Have attended basic and advanced PPS and RAI training along with other various seminars
relating to MDS.
Coordinating care with insurance companies and performing assessments for Insurance companies to help
determine ifpatients qualifyfor continuation ofcoverage.
Minimum Data Set Coordinator
Adrian Health Care - Adrian, MI - September 2001 to July 2003
MDS Coordinator/Medicare Case Manager: Completing Medicare and Medicaid MDS's. Completing Raps and
Care Plans,Admission assessments,as well as Fall,Braden,Lift, AIMS and Pain assessments.Scheduling
and conducting Care Conferences with patient,disciplines and familymembers.Leading Medicare/Therapy
meetings.Reviewing Rugs.Attending Dietary, Safety, Behavior managementand Restorative meetings.
Unit manager supervising Nursing staffand CENA's, daily unit rounds along with other assigned nursing
duties required as a DepartmentHead.Attended monthlyCorporate Medicare meetings per Tendercare
requirements.Have attended basic and advanced PPS and RAI training along with other various seminars

3. relating to MDS. Certificates available upon request.
Coordinating care with insurance companies and performing assessments for Insurance companies to help
determine ifpatients qualifyfor continuation ofcoverage.
Floor nurse/RN Care Coordinator
Foote Memorial Hospital - Jackson,MI - April 1999 to September 2001
Floor nurse:6NW/Cardiac/Respiratoryunit as RN Care Coordinator,coordinating the care of patients
from admission to discharge.Worked with Telemetry, pushing IVP Cardiac medications,Central lines,
Wound irrigations and packing,Insulin,Heparin and Aminophylline drips.Worked with Computerized charting
of assessments and Care Plans.Attended weekly discharge planning meetings.Assessing pain and
administering pain medications along with non-pharmacological methods ofpain control.Floated to other
Various units as required,i.e. Floated to 6SE NephrologyOncologyand 7/Lock-down unit.
Floor Nurse on Head Pain unit
Chelsea CommunityHospital - Chelsea,MI - March 1998 to April 1999
Worked on the Head Pain unit with Chronic Pain patients.Daily rounds with Dr. Joel Saper/director of Head
pain unit and his team including his P.A., Sahar Swydan/Dr of Pharmacology,Dr Biondi,Dr. Silverman/
Neurologist,D.O.N. and unitmanager on patients after daily care conferences with all of the above staff.
Starting IV's, administering IVPain protocols,i.e. droperidol,toradol,benadryl,etc. Worked with Duramorph
infusions along with oral pain protocols.Patientteaching on Pain management,pharmacological as well as
non-pharmacological techniques i.e.relaxation,nutrition, pain scale and avoiding triggers and medication
overuse.Teaching withdrawal of Narcotics along with other pain managementand coping teaching.
Part-time Field Nurse
Great Lakes Home Health & Hospice - Jackson,MI - September 1997 to February 1998
Performed Admissions assessments as well as all other required Oasis assessments.Performed various
clinical skills i.e.wound care,working with Wound Vacs, lab draws,IV administrations,i.e., flushing and
removing PICC lines and Central lines,etc.Assessing for and determining the need for other disciplines,i.e.
PT, OT, ST, MSW, HHA and Nursing to meet patients’ needs and placing orders.Communicating with Doctors
as well as Team conferences with all other disciplines to help establish patients progress and thatpatients
goals are being metthroughoutplan of care.
Staff Nurse
Bariatric TreatmentCenter - Addison,MI - June 1996 to August 1997
Staff nurse on Medical-Surgical unitworking with telemetry, arterial/central lines,CVP readings.Performed
dressing changes i.e.wound irrigations and packing.Worked with nasogastric and gastrostomytubes,
breathing treatments,i.e.,IPPB's and NMT's. Foley catheter maintenance and changes as needed,Jackson
Pratt drains.Heparin and Aminophylline drips.Monitoring and removing Central lines as well as peripheral IV's,
Starting IV's when needed.Administering and instructing patients on use ofPCA's and other pain management
techniques,i.e.nonpharmacological methods.Documentation ofassessments and care plans per policy
standards.Patientand familyteaching and discharge planning.
EDUCATION
Associate in Registered Nurse
Jackson College
Currently looking in to obtaining BSN
ADDITIONAL INFORMATION
SKILLS AND ABILITIES
Licensed in MI and OHIO
TB Certification,BLS Certification. CEU’s up to date.
Currently working on obtaining certification for ICD-10 Medical Billing and Coding.
Experience working with job specific computer programs with HEDIS reviews,Drug Safety,
(MDS) Minimum Data Set as MDS Coordinator, (Basic and Advanced PPS and RAI training),
Oasis Assessments for Home Health Care,(McKesson) (Kinnser).
Along with various computerized charting per organization requirements.
Familiar with InterQual.