Summary
Overview
Work History
Education
Skills
References
Timeline
Generic

MIBIE MONTENEGRO, RN, NCM, BSN

Kaiserslautern

Summary

Experienced Registered Nurse with over 17 years of Clinical experience in the adult and pediatric environment. Charge Nurse, Preceptor, Case Manager and Civilian Nurse of the year 2017. Effective clinical manager looking for an opportunity to work as a School Nurse for the the Depart of Defense Education and Activity in Rhineland-Pfalz, Germany. Has an impressive history of working closely with patients in healthy and stressful medical situations. Always attentive to families and patients and managing their medical needs. Energetic and motivated Nurse and leader dedicated to driving top-quality and safe patient care. Compassionate Case Manager adept at handling high caseloads without sacrificing quality of care. Operates in high-pressure environments while recommending best resources and courses of action for better patient and family outcome.

Overview

17
17
years of professional experience

Work History

Clinical Nurse Case Manager/Internal Medicine

Landstuhl Regional Medical Center
05.2022 - Current
  • Senior Nurse Case Manager (NCM) for Primary Care Clinic Department.
  • Worked within applicable standards, policies and regulatory guidelines to promote safe working environment.
  • Precepted 4 NCM new to LRMC.
  • Served as patient advocate, ensuring individual needs were met and concerns addressed promptly.
  • Provided coverage for clinic CNOIC and LRMC Senior Nurse Case Manager when on leave or TDY.
  • Maintained strong working relationships with physicians and ancillary staff, fostering a collaborative approach to patient care delivery.
  • Provided NCM coverage for Kleber Clinic and Family practice clinic for over a year.
  • Works with outlying clinics NCM in KMC area and EUROCOM in coordinating care for patients coming to LRMC. Making sure there is continuity of care for a better patient outcome.
  • NCM for proposed Executive Medicine. Assist with care coordination for senior officers, managing referrals and making sure plan of care is met with time constraint.
  • Prepared variety of different written communications, brochures, reports and documents for health promotion, family and patient education.
  • Created Excel spreadsheets for daily, weekly and monthly reporting to keep track of patients and their progress, making sure medical care plan is met.
  • Proved successful working within tight deadlines and fast-paced multi-faceted atmosphere.
  • Used critical thinking to break down problems, evaluate solutions and make decisions that would best serve patients and their families that would best benefit their medical conditions and same time be financially efficient for patients and facility.
  • Participated in continuous improvement by generating suggestions, engaging in problem-solving activities to support teamwork.
  • Provided families and patients education on medication management, post-op care, Diabetes management, making sure hospitalization is prevented.
  • Provided constant patient and family follow up to make sure needs are met and updating applicable nursing care plans to make sure goals are met.
  • Part of the Process Improvement team in introducing Continuous Glucose Monitors/Dexcom to patients with uncontrolled Diabetes secondary to noncompliance to blood sugar monitoring.
  • Assist patients and their families with comprehensive medical conditions in transitioning to the US making sure that they have continuity of care preventing any negative outcomes to their health. Making sure a warm hand off to make sure there is continuity of their care.
  • Working closely with Primary Care Providers, Host Nation Liaisons and German Guardianship Court System in making sure patients are safe living on their own at home, finding them a safer environment and making sure that someone is ensuring their safety at home.

Staff Registered Nurse - Endocrinology/Chemotherapy Nurse, Subspecialty Clinic

Landstuhl Regional Medical Center
11.2020 - 05.2022
  • Primary Nurse for Endocrinology Clinic in Sub-Specialty Clinic. Managed patients that are seen on a consult basis by two Endocrinologist in the European Combatant Command. Assist patient in setting up appointments, ensuring pre-appointment labs are done, managing ACTH Stimulation test, assisting with fine needle biopsies. Coordinates care with local DME companies for Insulin pumps and Continuous Glucose monitor, making sure patients have proper education on utilization and trouble shooting of pumps, adequate supplies and technical support when needed.
  • Works closely with Behavioral Health department and PCMH Nurse Case Managers in making sure that patients undergoing hormone replacement therapy have proper follow up care and are following treatment plan. Contacting patient making sure that proper pre-appointment labs are done and making sure questions and concerns are addressed during their treatment phase. Managing continuity of care for the beneficiary populations.
  • Monitors closely newly diagnosed diabetes patients, pregnant diabetic patients, thyroid cancer patients, managed by Endocrinology clinic, providing every two week follow up call making sure that they are doing well with treatment plan or changes in treatment plan or if they have questions or concerns with treatment plan.
  • Coordinating care with Host Nation providers and CONUS providers when treatment plan requires further specialty care that is not provided in LRMC.
  • Chemotherapy Certified for Oncology Clinic. Coordinates and performs infusion nursing care for patients in clinical setting and works cooperatively with patient, family, multidisciplinary team and Host Nation providers to establish priorities and goals of patient care.
  • Provide Chemotherapy education to patient and family members. Making sure all questions and concerns are addressed. Assist provider in pre- and post-chemotherapy infusion care and education. Provide safe and proper chemotherapy infusion making sure that staff, patient and self are properly protected from hazardous medications. Proficient in PICC line and Port care. Trained on proper step by step process in handling chemotherapy medications, infusions, spills, donning on and off of PPE during chemotherapy treatments.
  • Work closely with multiple providers from different department in LRMC footprint in administering ordered IV fluids and or IV medications ie: IVIG, blood products, antibiotics, Renflexis, Entyvio, Reclast, Solumedrol, Iron Dextran to name a few. Also provide a variety of Chemotherapy IM and SQ injections to patients.
  • Serves as Liaison and Care Coordinator with Host Nation Oncologist making sure that continuity of care is provided. Coordinating appointments for patients and with Provider to Provider warm handoff, providing needed radiology images, laboratory results and encounter notes needed for continuity of care.
  • Works closely with Infectious Disease and Rheumatology Providers making sure that patients are following through with their treatments and plan of care.
  • Attends multidisciplinary meetings when multiple specialties are involved in a patient care to make sure that everyone agrees on health planning assessments, plan of care, proper points of contacts are available for both patient and respective departments.
  • Assign work to subordinates based on priorities, difficulty of assignments and capabilities of employees in the department.
  • Assigned work to Medics, MSA's based on daily clinic priorities, difficulty of assignments and capabilities of employees.
  • Directs and manages patient that are on consult basis in Endocrinology Clinic. Assist with management of referrals for Endocrinology Clinic. Coordinates care for patients that are in Tricare Remote Areas that are being managed by Endocrinologist. Make sure that proper follow up care is provided and coordinates with patient with appointments when on medical TDY in LRMC.
  • Provide patient and family education on medication management, pre-post chemotherapy infusion care, self-administration of injection, diabetes education and management, infection control management.
  • Working with HN DME companies to make sure that patients insulin pumps and continuous glucose monitoring device needs are met. Proper Rx and referrals are submitted in the system. Providing oversight and input to nursing practice matters.
  • Making sure that advanced practice clinical Nursing, administrative and organizational skills in managing the continuity of care for the beneficiary populations are met.

Lead Registered Nurse - Patient Centered Medical Home, Internal Medicine Clinic

Evans Army Community Hospital
07.2018 - 11.2020
  • Lead Nurse for a team of three Internist, two LPN and one CNA. Managed seven thousand patients assigned to IM clinic, patients with myriad of medical conditions. Assigned work to team members based on daily clinic priorities, difficulty of assignments and experience and capability of teammates.
  • Directs and managed patients not enrolled with Nurse Case Management. Provided them with professional case management and health management services but still empowering them on their treatment plan.
  • Provided advance practice clinical nursing, administrative and organization skills in managing continuity of care for empaneled patients. Serve as an advocate for both patients and healthcare team to facilitate better outcomes.
  • Worked closely with Nurse Case Managers with coordination of care of patients and DME companies, Home Health Care, PT and OT. Discussed with team providers and NCM on potential case management patients through health planning assessments.
  • Provided direct patient care, patient education, prepared and administered oral, intravenous, topical, intra-muscular, intradermal and subcutaneous medication, monitored and documented medications administered ordered within the guidelines of nursing practice.
  • Reviewed immunization records and provided immunizations to patient when needed under Providers orders.
  • RN for Endocrinologist in EACH. Managed referrals, coordinated care, collaborated with RNs in starting ACTH Stimulation Test for Clinic, managed the test and follow up care.
  • Piloted Reset Program/Telemedicine with Baylor Students and OIC in capturing data during trial phase to show that Air Force program can be utilized in Army facilities; increases access, prevent multiple visits to clinics, decrease telephone consults and meet metrics.
  • Initiated Transition Care Clinic preventing readmission of patients. Worked with Hospitalist and Discharge Planner for follow up care.
  • Initiated Nurse Run Infusion Clinic with lead RNs and Clinic Pharmacist. Provided IV infusion for Iron, Reclast, Solumedrol and ACTCH stimulation to patients, recaptured clinic RVU's and for continuity of care for patients.
  • Triaged walk-in patients, urgent telephone consults. Completed full nursing assessment for acute or chronically ill patients with a multiple medical issues.
  • Established Nurse run clinic to address simple acute issues: Urinary tract infection, Strep-Throat, Influenza, Wound Care, Foley Care.
  • Assisted Providers on procedures: Cryotherapy, Joint Injections, Punch or Shave Biopsies, IV hydration, blood draw, ACTH Stimulation test, Lipoma, Skin Tag and Lesion removal, Botox injections incision and drainage of abscess.
  • Worked closely with CNOIC in making sure staff and patients are protected for the COVID-19. Ensuring that the latest guidelines and SOP's are provided to staff. Also providing oversight and input to clinic's nursing practice when needed.
  • Participated in Nursing Skills Fair. Educated nurses on IV insertion and programming Alaris Pump, EACH IV insertion protocols and SOP. Provides oversight and input in nursing practice and education needed in clinic.
  • Part of the Nurse Practice Council provide oversight and input on nursing practice that needs improvement in the clinic.

Lead Registered Nurse Patient Centered Medical Home Clinic, Family Practice Clinic

Guthrie Primary Care Clinic
04.2018 - 07.2018
  • Easily adjusted to a Family Practice Clinic setting, lead nurse for the White team in 4 weeks.
  • Lead Nurse for three Providers, four LPN's, two Medics. Assist in clinic daily operation. Ensured adequate flow and prompt attention to individualized patient needs or condition. Screened patients chart to assessed medical history and determine health care needs. Assigned work to teammates based on clinic priorities, difficulty of assignments, skill set and experience.
  • Liaison between patients, family members and physicians; educating patients on their treatment plans and follow up care. Contacted parent's of Newborn, triaged for concerns post-partum, newborn care, lactation, immunizations, daily health screening of children and youth, sudden infant death syndrome, tummy time, medication administration to infants, toddlers and children, diaper changing. Assist parents in promoting health and academic success and lifelong achievement of school aged patients.
  • Triage Nurse, assessing patients concerns via phone or in person. Making independent nursing decisions providing care by assessing high risk patients and establishing priorities for nursing care needs. Plan and oversee and facilitate nursing triage within ambulatory care arena.
  • Assisted in preparation for Joint Commission inspection. Scribed for Mock Joint Commission and provided feedback to leadership and staff at end of day report.
  • Assisted in preparing for school year and sports physical for school aged patients. Made sure that team is properly staffed, proper paperwork is filled out for school and immunizations are complete. Performed intake and vitals of patients for well visits and sick visits.
  • Reviewed immunization records with parents and provided education on appropriate age to be administered, on symptoms to monitor for adverse reactions.
  • Administered medication and breathing treatments under the direction of Primary Care Doctor.
  • Assessed condition of patients, provide nursing care and advise patient and family members on overall health care needs.
  • Assisted physician with examination of newborns, medication administration or assisting with procedures; room set-up, patient and family post-procedure education, assisting with instruments and clean up.
  • Managed patients with newborns making sure both have follow up appointments post-partum and assisted with any questions or concerns for newborn and post-partum.

Nurse Case Manager - Lead Registered Nurse Patient Centered Home Clinic, Internal Medicine

Landstuhl Regional Medical Center
05.2014 - 04.2018
  • Served as Nurse Case Manager, followed-up on discharged patients from Host Nation (HN) Facilities and in LRMC. Coordinated care between families, PCM and embedded ancillary staff and Subspecialties. Worked with inpatient Nurse Case Manager and provided coverage on discharge planning when short staff. Provided professional case management health planning services. Attended the Nurse Case Manager Conference 2018 held in LRMC.
  • Provided advance practice clinical nursing, administrative and organizational skills in managing continuity of care for the IM Clinic patient.
  • Attended multidisciplinary meetings, reviewed health assessment, database to identify potential patients that require case management and provided oversight and input to nursing practice being the most senior nurse. Directs and manages a case managed patient population.
  • Facilitated HN visiting Wound Care Nurse to provide home care needs for patients. Liaison between LRMC providers, HN Wound Care Nurse, and patient.
  • Instrumental in developing the first Diabetes Clinic in Internal Medicine which is the first of its kind in the entire European Combatant Command. Worked with Disease Specialist Physician, Nutritionist, Pharmacist and Behavioral Health Specialist to ensure that Patient Centered Diabetes Care was provided.
  • Collaborated with the Transition Care Coordinator Case Manager in transferring patient care to and from LRMC and HN hospitals, providing continuity and communication to patients, HN providers and family members. Empowers patients and family members serving as an advocate for both patient and the healthcare team for positive outcomes.
  • Prepared and administered, oral, IV, IM, topical rectal, intradermal and subcutaneous medications under providers discretion and charted on medications given.
  • Served as head nurse in her absence. Ensured that patients had access to care, approved 275 referrals and minimized disruption to work flow and maintained patient and staff satisfaction.
  • Lead the 24hour Blood Pressure Monitoring Program that extended services to outlying clinics with the total of at least 80 Studies completed. Managed referrals from outlying clinics and coordinated appointments.
  • Awarded Civilian of the Quarter and Civilian of the Year 2017 for the services, dedication and hard work in the clinic.
  • Point of contact for the Retiree Committee in Germany and surrounding areas due to my extensive knowledge and years of experience taking care of the retiree population.
  • Trained five staff nurses, seven technicians, and two Chief Nurse on the Patient Centered Medical Home procedures and policies.
  • Responsible for the re-certification of the Joint Commission Patient Centered Medical Home for the clinic.
  • Assisted Physicians with clinic procedures: Joint injections, skin tag removals, lesion removal, sutures, suture and staple removal.
  • Assists clinic with patient and staff education.
  • Managed patients assigned to clinic with multiple medical issues: cardiac, pulmonary, urological, gastroenterological and gynecological issues to name a few. Directs and manages a case managed patient population.
  • Assist in the daily operation of the clinic to ensure adequate flow and prompt attentions to individualized patient needs or condition. Plan, oversee and facilitate nursing triage within the clinic.
  • Identified developmental training needs of coworkers and coordinate arrangement for training and development.

Staff Registered Nurse - Peri and Post Anesthesia / Same Day Surgery Unit

Landstuhl Regional Medical Center
06.2012 - 05.2014
  • Performed Charge Nurse duties, supervising a team of Nurses and Medical Technicians on their efficiency in patient flow from the pre-op unit to the operating room, ensuring OR start time is not delayed.
  • Managed the Process Improvement Project (PI). Made sure that the new standard of practice was maintained and evaluated on effectiveness in clinic and patient flow. Briefed leadership, PI Team, on progress and if goals were met and maintained.
  • Managed daily clinic assignments, assigned work to staff based on experience, skills set, daily priorities, and difficulty of assignments.
  • Nominated to lead the Unit Practice Council that addressed unit and staff issues and implemented solutions were voted on by staff and made sure continuation of implementation.
  • Assisted special needs children and their families in preparation for IV sedation procedures. Responsible for pre- and post-procedure for continuity of care. Help ease the stress for patients and their family. Provided in-depth education pre- and post-procedure care for the family. Assisted parents in providing appropriate documentation for school.
  • Prepared procedure rooms, maintaining aseptic environment and infection control, safety and readiness of medical equipment needed. Prepared specimens for processing and served as chaperone when needed.
  • Counseled and educated patients on protocols and SOP's, procedures to be performed, complications, outcomes, pre-op: laboratory and radiologic testing and plan of care.
  • Prepared and administered, oral, intravenous, intra-muscular, topical rectal subcutaneous and intradermal routes as ordered by Surgeons.
  • Trained 20 new staff of nurses and 6 technicians on clinic procedures and standards of practice and clinic flow.
  • Collaborated with the Post-Anesthesia (PACU) leaders in joining APU and PACU unit and improving the d/c process post-op. Facilitated in the implementation of new Unit Standard of Practice and educated staff on new process.
  • Awarded Civilian of the quarter 2013 for providing staff education and streamlining the integrated PACU and APU unit.
  • Assist in daily operation of the clinic to ensure adequate flow and prompt attention to individualized patient needs or conditions.
  • Educated patient on pending procedures and what is to be expected. Made sure proper documents are filled out and signed and patients pre-op clearance are done and has been evaluated by Anesthesia.
  • Implemented patient safety policies and activities. Made sure patient safety is maintained and improved at the same time reduce patient harm errors,
  • Coordinated care with multiple surgical services in the clinic making sure that pre- and post-op care was provided to patient to assure proper outcome post-op to prevent re-admission.

Staff Registered Nurse - Medical Surgical Unit

Landstuhl Regional Medical Center
03.2010 - 06.2012
  • Senior Staff Nurse on a 24 bed Medical Surgical Unit with high acuity trauma patient care and rotation. Managed wounded service members from Iraq and Afghanistan Conflict. Handled multiple trauma high intensity care with frequent turnover of patients.
  • Cared for patients post-op elective and emergency procedures, medical patients with multiple comorbidities and oncology patients.
  • As charge nurse managed caseload of 24 patients to 5 nurses and 3 technicians, ensuring that high quality and compassionate care is provided.
  • Mentored Nursing Students and Novice Nursing staff on Unit Standard of Practice. Providing guidance on sound, ethical and independent decision making ability while maintaining medical protocols and assuring the best outcome for the patients.
  • Collaborated with the primary Wound Care Nurse in the entire hospital, provided in depth wound care to patients and making sure that units were properly educated and trained on wound care and management. Provided education to patient, family member and spouse on proper wound care and dressing changes, Foley care and management and medication management.
  • Conducted screening, diagnostic treatment and rehabilitative and supportive services as the senior nurse. Managed patients with multiple blast injuries: wound care, internal and external fixations, wound care and dressing changes, TBI's, foley care: insertion removal and management, Concussions.
  • Provided extended post-op care for patients: fracture repair, plastic surgery procedures, urological procedures: TURP, ureter stent placement, Cystocele, Vaginal Sling; Gynecological procedures: Hysterectomy Leep, Oophorectomy; multiple orthopedic procedure to name a few.
  • Provided direct patient care, patient education, prepared and administered oral, intravenous, topical, intramuscular, intradermal and subcutaneous medication, monitored and documented medications administered ordered within the guidelines of nursing practice.
  • Rounded with providers, monitor, asses, interpret, and record vital signs and document nursing care given according to the Standards of Nursing Practice.
  • Closely observed postoperative and seriously ill patients as well as those under therapy for adverse conditions and reactions and take appropriate action.
  • Assist providers with a variety of procedures to include but not limited to, diagnostic procedures, administration of prescribed treatments, oropharyngeal/nasal suction, blood specimen collection and wound irrigation.

Staff Registered Nurse - Medical Surgical Unit

Presbyterian Hospital Lower Manhattan
07.2007 - 03.2010
  • Disciplined, energetic newly graduated nurse who quickly established rapport with patients and colleagues.
  • Achieved departmental goals and objectives by instituting new processes and standards for in-patient care.
  • As Charge Nurse implemented new floor assignments based on evaluation of staffing requirements and also managed staff patient assignments and breaks.
  • Managed the four bed ventilated step-down unit embedded in the medical surgical unit. Cared for high-acuity patients. Served as bed manager for floor on Charge RN days, coordinating the flow of patients from the ED or Recovery room to the inpatient wards.
  • Provided pre- and post-procedure nursing care for Orthopedic, Oncology, Urology, Gynecologic and Neurosurgical patients in a 30 bed Medical/Surgical Unit.
  • Implemented total patient care through a team of nursing process, covering 8-11 high acuity patients and was charge nurse. Cared for patients with multiple comorbidities and surgical histories.
  • Part of the Nursing Council Committee that reviewed, revised and created operational policies within the entire nursing staff.
  • Administered oral, intramuscular, subcutaneous, topical, medications and assisted in diagnostic testing, managed medications, IV therapy care. At the same time accurately documented all elements of nursing assessment, treatments, medications, discharge instructions and follow up care.
  • Implement policies and maintain the standards of continuity of nursing care, assuring quality and safe patient care in accordance with medical and nursing plans and orders.
  • Partnered with team of RN's and Nurse Assistant to ensure overall well-being of patients are provided and at the same time following policies and procedures.
  • Inventory and ordered supplies as need in collaboration with NCOIC, ensure proper stock of emergency drug cart and keep track of and secure unit narcotics.

Education

Bachelor of Science - Nursing

New York University
New York City
2006

Associate of Applied Science - Practical Nursing

Union County College Cranford Campus
Cranford, NJ
2003

Skills

  • Triage Nurse Expert
  • Skilled in conducting pediatric and adult physical examinations
  • Medication administration expert
  • Strong patient and family education on chronic and acute medical issues: Diabetes, Asthma, Wound Care, Dressing Change, Foley Care, Allergies
  • Health promotion and Family education
  • Implementing Care plans for chronic patients
  • SuperUser: AHLTA,CHCS, Essentris, Asutype, GENESIS, DEERS
  • Vascular, port and PICC care understanding
  • Wound care expertise
  • Urological Care understanding
  • Trained in out- and in-patient care
  • Resource Utilization
  • Computerized charting super-user
  • Relationship and team building leader
  • Critical thinking proficiency
  • Staff training, education and development
  • Case Managed High Acuity Complex patients
  • Assisted providers during Telemedicine appointments
  • Care Coordination with Host Nation Providers
  • Multilingual: English, German, Tagalog, Bisaya

References

  • Tanja Clemons, RN, USAF Capt, CNOIC, 314, 590 4416 tanja.clemons2.mil@health.mil
  • Megan Donald, LTC AN, 314 590 6225, megan.d.donald.mil@health.mil
  • Jessica Rouse, MD, USAF Maj, OIC, 314. 590 7208, jessica.rouse.mil@health.mil
  • Kara Keck, RN, CNOIC, +1 719 2004338, kara.keck.civ@mail.mil
  • Nathan Evans, MD, +1719 3511363, nathan.evans@uchealth.org
  • Antonette Rose, RN, USAF LTCOL, DSN 315 7842737, antonette.t.rose.mil@mail.mil
  • Rosemary Baugh, RN, USA LTCol, +1915 8731780, rosemary.e.baugh.mil@mail.mil


Timeline

Clinical Nurse Case Manager/Internal Medicine

Landstuhl Regional Medical Center
05.2022 - Current

Staff Registered Nurse - Endocrinology/Chemotherapy Nurse, Subspecialty Clinic

Landstuhl Regional Medical Center
11.2020 - 05.2022

Lead Registered Nurse - Patient Centered Medical Home, Internal Medicine Clinic

Evans Army Community Hospital
07.2018 - 11.2020

Lead Registered Nurse Patient Centered Medical Home Clinic, Family Practice Clinic

Guthrie Primary Care Clinic
04.2018 - 07.2018

Nurse Case Manager - Lead Registered Nurse Patient Centered Home Clinic, Internal Medicine

Landstuhl Regional Medical Center
05.2014 - 04.2018

Staff Registered Nurse - Peri and Post Anesthesia / Same Day Surgery Unit

Landstuhl Regional Medical Center
06.2012 - 05.2014

Staff Registered Nurse - Medical Surgical Unit

Landstuhl Regional Medical Center
03.2010 - 06.2012

Staff Registered Nurse - Medical Surgical Unit

Presbyterian Hospital Lower Manhattan
07.2007 - 03.2010

Bachelor of Science - Nursing

New York University

Associate of Applied Science - Practical Nursing

Union County College Cranford Campus

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MIBIE MONTENEGRO, RN, NCM, BSN