JUSTIN RESIL

• A 255-bed public health and teaching hospital in Jamaica Plain (Boston), Massachusetts in the United States. Shattuck provides acute, subacute, and ambulatory care. Shattuck offers outpatient care, surgical services, outpatient clinics, radiological imaging, and laboratory services. The hospital maintains several governmental and academic relationships, such as with the Massachusetts Department of Mental Health, Massachusetts Department of Correction, and Tufts University School of Medicine.

Role:

• Assessed patients to determine individual needs and develop care plans in coordination with multidisciplinary healthcare professionals that included comprehensive patient care, referrals and high-risk management strategies. Used Meditech to create detailed patient reports on patient's condition status and treatments received.
• Reviewing the patients' medical history as provided through the portal, symptoms, allergies, and current medications.
• Asking patients situation-specific questions to formulate accurate diagnoses as appropriate.
• Prescribing suitable medications to patients and providing proper dosage and administration instructions.
• Maintaining accurate records of patient's contact details, medical history, prescribed medications, allergies, diagnoses, and progress.
• Operations; 255 bed shared between long term care and medically acute care.
• Strategic; employee engagement, workforce development, quality improvement, leadership development, translational research

• New England largest non-profit provider of senior health care, research, teaching, and housing. Servicing 769 seniors over a continuum of long-term care and rehabilitation services over two campuses.

Role:

• Responsible for gathering patient health data through interviews and observation, documenting data in electronic records. Performed various nursing interventions such as wound dressing, vital sign monitoring, and specimen collection. Conducted rounds with medical staff to promote improved understanding between patients, nursing staff, and medical staff to support continued quality of communication and care.
• Operations; 655 Long term chronic hospital beds- 50 medically acute beds, 100 skilled nursing beds. ADC of 780
• Financial; annual budget of $140 million and 1200 employees, progressively improved EBITDA with a recent positive year-end result, $220,000 savings with lab and radiology redesign
• Strategic; employee engagement, workforce development, quality improvement, leadership development, translational research
• Management; reduced nursing turnover from 20% to 9%, reduced agency usage by 90% and costs by 75%, achieved or exceeded state and national quality patient outcomes on nurse-sensitive indicators
• Quality; MHA Quality Compass Award, 5 Star Designation for Skilled Nursing Facility’s, Senior Quality Leap Initiative top performer
• Workforce Development; Career Stat WorkForce Development National Award

• A private for-profit adjunct primary care agency headquartered in California that provides senior health care, urgent care, and palliative care to overly complex patients. The agency services multiple seniors within several states and acts to provide care coordination between primary care providers, specialists, social workers, and pharmacies.

Role:

• Managed a small panel of high complexity patients, while fostering relationships with patients’ primary care providers, specialists, pharmacies, and social workers.
• Operations: twelve partners, across 21 markets and 13 states, with approximately 77,000 patients in Medicare Advantage, Medicaid, Duals, and Commercial/Exchange populations. In Massachusetts, they provide care to over 4,000 patients and are expanding rapidly.
• Financial: annual revenue of $170.0 million and 1300 employees
• Strategic: employee engagement, workforce development, quality improvement, leadership development
• Management: reduced hospital admissions by 28% of patients newly engaged in the program. Ninety-seven percent of patients actively engaged in the program have stated the program has kept them out of the hospital
• Quality: 5-star quality ratings by Medicare STARS clinical quality of care report

• A private, non-profit co-educational university located in Massachusetts. It is comprised of four schools including The School of Arts and Sciences, The School of Business and Communication, the Richard and Sheila Young School of Nursing, and the School of Health Sciences.

Role:

• Implemented constructive and innovative educational practices to prepare nurse practitioner students to become independent providers, guiding them through over 600 hours of clinical work within the primary care setting.
• Operations: 3,400+ total enrolled students, 1,300+ undergraduate students, 1,800+ graduate students, and 18k alumni
• Educator: curriculum development, written and oral presentations, educational program design
• Strategic: workforce development, quality improvement, leadership development
• Financial: $1 million grant for Nurse Faculty Loan Program and $1.8 million grant for Behavioral Health Workforce through the U.S. Health Resources and Services Administration
• Workforce Development: Designated Center of Excellence in Nursing Education recognized by the National League for Nursing as of 2004

• A private for-profit home care agency in Massachusetts that provides senior health care to geriatric patients.

Role:

• Clinical experience included caring for complex geriatric patients with conditions such as Congestive Heart Failure, Atrial fibrillation, Stroke, Hypertension, Diabetes Mellitus in a home setting.
• Operations: 200+ patients ranging from middle age to geriatric age
• Clinical expertise: Case management including telephonic and in-person client and family interaction. Oversaw scheduling, admissions, discharge, and transportation. Led end-of-life discussions and provided comfort care at a home setting for clients refusing formal hospice or palliative care. Close collaboration with diverse specialty physicians, case management, social workers, insurance representatives, and outpatient resources.
• Strategic: Skilled Nursing Care, Psychiatric Services, Home Health Aide. Personal Care, Homemaking and Companion Care, Respite Care, Group Adult Foster Care, and Therapy services
• Quality: The Joint Commission Quality Check
• Educator: developed patient care plans that incorporated the use of Meditech medication boxes to aid medication compliance.
• Evidence-Based Practices and procedure development

• A private for-profit medical group practice in Massachusetts that provides primary care, DOT services, immigration healthcare, and cosmetic services to young adults and geriatric patients. The clinic services multiple patients within the Plymouth, Norfolk, and Suffolk counties.

Role:

• Provided patient care upon admission to the clinic and maintenance of care. Clinical experience included caring for patients with cardiac, renal, gastrointestinal, endocrine, and pulmonary diseases.
• Operations; 3000+ patients ranging from late adolescence to geriatrics.
• Clinical expertise: Internal Medicine, DOT services, immigration services, and cosmetology services, Completed admissions and regular wellness visitation with associated documentation. imaging and phlebotomy ordering and interpreting
• Experience working as a telemedicine Nurse Practitioner.
• Educator: developed competencies, provided education and training.
• Evidence-Based Practices and procedure development

Medical Secretary role:

• Responsible for scheduling new and return appointments, maintenance of patient charts, writing and editing of professional correspondence, memoranda, and email, managing incoming calls, emails, and faxes per day from customers, addressing clinical, operational, and financial questions; collecting co-pays and deductibles and reviewing and maintaining charts to ensure completeness and EMR guidelines.

• A for-profit healthcare technology medical organization based in Texas. It is the nation’s largest network of mobile clinicians, providers, facilities, community-based services, and valued-based programs.

Role:

• Conducted yearly health-risk assessment visits for middle age to geriatric age patients with complex issues.
• Operations: Network of 3,500 valued-based provider sites, 200 clinical and social care coordinators and 200 community organizations, and 24 Medicare Advantage Plans
• Financial: $6.1B spend managed under Episodes of Care program and 9,000 employees.
• Clinical expertise: Comprehensive medication reviews+ (CMR+), Peripheral Artery Disease (PAD) testing, Bone density testing, Lab collection (e.g., HbA1c, LDL, Microalbumin, FOBT), and Diabetic eye exams.
• Strategic: Use of amulti-disciplinary approach to reduce costly re-admissions using predictive analytics, post-acute member engagement, and coordinated readmission reduction programs. Proactively address social determinants of health (SDOH), behavioral health, skill needs, and clinically appropriate hospice transitions through an integrated approach. Connect members to an interdisciplinary care team that builds trust and coordinates with the facility team, PCP of record, and other key stakeholders to improve quality of life.
• Quality: Fast Company: Most Innovative Company 2021

• A healthcare staffing firm in the New York and California area, specializing in temporary, temporary to permanent and permanent placement.

Role:

• Responsible for patient care from admission to discharge on the field Hospital floor. Clinical experience included caring for patients with acute symptoms of COVID-19 and working with homeless clients.
• Operations: Boston Hope Center in collaboration with Mass General Brigham system- a 1,000 bed medical center for patients who are recovering from coronavirus infection (COVID-19) and unsheltered individuals who are also infected.
• Financial: Annual Revenue $338,702.00 and 200+ employees.
• Clinical expertise: Worked as a nurse with an interdisciplinary team which included a medical provider (MD, DO, NP, PA), nurse manager, medical assistance, and social workers to effectively manage and treat COVID-19 positive patients, with mild to moderate symptoms. Providing acute care and transfer to a step-down unit.
• Strategic: provided high-standard direct care, education on healthcare needs, conditions, options, and other considerations were among primary responsibilities. Assessed patient status and notify medical providers of critical changes and interdepartmental communication regarding patient care and responded promptly to events of an emergent and critical nature. Case management, social work, and medication administration.
• Quality & Regulatory: quality improvement to help free up capacity at acute care hospitals within the Greater Boston Area.

• A subacute rehabilitation & healthcare center in Massachusetts. The organization provides services such as post-Acute care, Urgent SNF, Cardiopulmonary Care, Memory Care, and Respite Care.

Role:

• Responsible for patient care from admission to discharge on rehabilitation medical unit. Clinical experience included caring for patients with cardiac, pulmonary, and neurological diseases and disorders.
• Operations: 120-bed subacute rehab, part of the Marquis
• Clinical expertise: Post-Operative Subacute Care, Cardiopulmonary Care, Stroke Recovery, Alzheimer’s / Dementia Care, Wound Care, TPN & IV Antibiotics, G-Tubes, IV Therapy, Pain Management, and Tracheostomy Care.
• Management: lower than national average rate of re-hospitalization. Embraced and superseded all ACO criteria to assure the highest level of resident care.
• Quality: Eden Alternative ® certified nursing home, The Joint Commission National Quality Approval, #1 Hometown Best 2018 award, U.S. News Best Nursing Homes Long-term Care 2020-2021, U.S. News Best Nursing Homes Short-term Rehabilitation 2020-2021, and National Quality Award 2018
• Identified unit areas of inadequacy and adjusted procedures to close gaps and improve policies