Diana Prevail has over 20 years of experience in home care nursing, case management, and program coordination. She has a background in assessing patients' eligibility for Medicaid coverage of nursing facilities and home care programs. Her most recent roles include transition coordinating the Money Follows the Person program and quality assurance work. She is skilled in client assessments, care planning, documentation, and working with families.

1. DIANA PREVAIL
15310 Pine Orchard Drive # 1G
Silver Spring, MD 20906
dprevail@gmail.com
Tel: 508-745-8711
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OBJECTIVE
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Organized, self-disciplined, , responsible, articulate, courteous, kind, personable professional with a lengthy background in home care nursing. Excellent communication and coordination skills. Competent
computer skills and able to learn new applications. Independent decision maker. Longtime interest in geriatric population. Especially enjoy working with families.
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PROFESSIONAL EXPERIENCE
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10/2013 - 5/2015
Boston Senior Home Care Boston , MA
Clinical Assessment and Eligibility Nurse
-performs onsite assessments at two nursing facilities for clinical eligibility for all MassHealth ( Medicaid) payment of nursing facility stays.
- timely completion of eligibility determinations and associated computer documentation
- coordination with nursing facility social work staff
-consumer interviews
- identification of nursing facility consumers who wish to return to the community
-identification of potential consumers eligible for Money Follows the Person Program
-participation in discharge planning meetings at nursing facilities , problem solving and resource identification
-self-scheduling with timely and precise completion of workload
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7/2014 - 3/2015
Boston Senior Home Care Boston, MA
Transition Coordinator for Money Follows the Person Program
-provided outreach and education about MFP program to nursing and rehab facilities
-communicated with other CAE nurses concerning potential MFP candidates
-participation in dischargeplanning meetings at nursing facilities
-coordinated consumer transition from nursing and rehab facilities to community settings, including housing search and facilitiation, service plan identification and coordination, purchasing of medical
equipment, furniture, housewares and all other necessary items needed for the consumer setting, coordination of transportation, communication with other resources and family
-maintained current reports for the program
- assessed individuals for appropriate waiver or state programs
-timely and precise computer and paper documentation
-maintenance of complete and acurate paper record for each consumer
-education of ASAP staff on MFP program
-case management of caseload of active consumers
-maintenance of excellent working relationships with nursing facilties
-responsible for growth of program from 6 consumers to an average of 23 consumers
4/2012 - 9/2013
Parmenter Community Health Care Wayland, MA
Performance Improvement And Quality Assurance Specialist
-Provided OASIS review, and medical coding of documents being submitted to Medicare and other insurances for reimbursement.
-Collected data and provided identification of agency quality improvement needs.
-Monitored cmpliance to agency policies.
-Provided focused staff training on quality improvement needs identified.
-Provided timely, accurate computer documentation and computeried transmission of information to CMS.
-Provided ongoing staff training on case management skills.
4/2011 - 4/2012
Visiting Nurse and Community Health Arlington, MA
RN Case Manager
-Provided nursing case management of 25 to 35 home care patients, including nursing procedures, health assessment and monitoring.
-Provided timely HHA care plan development, supervision , and training
-Provided care coordination with interdisciplinary team
-Provided timely, accurate, detailed computer documentation
-OASIS-C proficient
1/2006 - 1/2010
Springwell, Inc Watertown, MA
Coordination of Care RN
- Performed Medicaid eligibility screenings and determinationsfor nursing facility admission, Home and Community Based Waiver, State Home Care Program candidates.
-Preformed nursing facility screenings and determinations of Medicaid recipients in 11 nursing facilities, both short and long term.
- Interviewed and assessed nursing facility residents who expressed a desire to return to the community for program appropriateness. Coordinated with nursing facility and aging services personnel to implement
safe discharge.
-Developed personal care plans for State Home Care clients, performed timely reviews and updates.
-Successfully implemented new Personal Care Attendant program.
-Precepted new employees.
-Served as resource for case management and admission coordination staff.
-Successfully documented in the field using laptop computer.
1/2004 - 1/2006
Springwell, Inc. Watertown, MA
Housing Care Coordinator
- Provided in-house coordination of homemaking, personal care, chore service needs of residents of a 150 apt senior housing site.
-Provided states home care case management for eligible residents in the building as well as clients in the community.
-Effectively assisted all residents with initial enrollment in Medicare D program.
- Coordinated closely with residence staff to ensure safety fo residents.
-Proficient in timely and accurate computer documentation.
- Proficient in knowledge of programs offered by ASAP and eligibility requirements.
10/1995 - 10/2002
Visiting Nurse Association of Boston Boston, MA
Community Health Nurse
-Performed nursing case management of urban populations, 35 patients per week.
-Performed nursing procedures, health assessment and monitoring, patient and family education, detailed documentation.
-Developed nursing and aide care plans, supervised aides.
-Precepted new employees.
-Piloted use of computers in the field for agency.
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EDUCATION
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1980 Nursing
Bachelor of Science - Columbia University, New York, NY
1975 French
Bachelor of Science - Georgetown University, Washington, DC

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CERTIFICATIONS
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Active Maryland RN license