Summary
Overview
Work History
Education
Skills
Accomplishments
Certification
Additional Information
Timeline
Generic

Briana Spaur, MSN, RN

Midland

Summary

To always strive to be better. To exceed the expectations that are bestowed upon me. To help patients, families, and staff through my experience, advanced clinical knowledge, and skill set. To continue to learn and gain knowledge. To serve the team and patients in the best way possible. To always remain compassionate and empathetic.

Overview

13
13
years of professional experience
1
1
Certification

Work History

Hospice Case Manager

Angels Care Hospice
01.2025 - Current
  • Improved patient satisfaction by providing compassionate and comprehensive care to hospice patients and their families.
  • Implemented creative pain management strategies tailored to individual patient needs, alleviating discomfort while minimizing side effects from medications.
  • Supported bereaved family members through follow-up visits or phone calls after a patient''s passing, offering grief resources as needed.
  • Served as an advocate for patients'' rights and preferences throughout the end-of-life care process, promoting dignity and autonomy.
  • Conducted thorough assessments of new hospice referrals to determine eligibility for services, facilitating efficient patient admission processes.
  • Collaborated with interdisciplinary team members for optimal patient outcomes in end-of-life care.
  • Developed individualized patient care plans, addressing physical, emotional, and spiritual needs of patients and families.
  • Mentored new hospice case managers, sharing insights and best practices to ensure high-quality care delivery.
  • Streamlined communication among healthcare providers, ensuring timely implementation of treatment modifications for better symptom management.
  • Educated patients and families on disease progression and available resources, fostering a sense of empowerment and informed decisionmaking.
  • Managed caseloads efficiently by prioritizing tasks according to urgency and complexity, ensuring all patients received appropriate attention.
  • Coordinated seamless transitions between different levels of care by collaborating with hospital staff, nursing home personnel, or private caregivers as needed.
  • Evaluated the effectiveness of current patient care plans through regular reviews, identifying areas for improvement and adjusting interventions accordingly.
  • Maintained detailed records of patient progress, documentation of services and case notes.
  • Conducted in-home visits to provide supportive services.
  • Completed psychosocial evaluations and needs assessments.
  • Participated in interdisciplinary care conferences to discuss patient care plans and referrals.
  • Developed individual treatment plans and provided counseling to patients.

Certified Legal Nurse Consultant

Self-Employed
01.2024 - Current



  • Educate attorneys on nursing standard of care issues, resulting in more informed decision-making during case strategy development.
  • Knowledge backed by 12+ years of RN experience and a passion in research and education with a Masters Degree in Nursing Education.
  • Attention to details to assure accurate work products that can easily be used.
  • Increased case success rates with thorough investigation into alleged deviations from accepted nursing practice standards.
  • Develope comprehensive reports that outlined findings from medical record reviews, facilitating efficient case management processes.
  • Identified potential expert witnesses based on their qualifications and areas of expertise, contributing to successful litigation outcomes.
  • Facilitate communication between legal professionals and healthcare providers, ensuring accurate understanding of case details.
  • Supported deposition preparation by creating detailed chronologies and summaries of key medical events related to cases.
  • Enhance client outcomes by providing comprehensive medical record analyses and identifying relevant issues for legal cases.
  • Prepare concise summaries of relevant research articles to support legal teams in developing evidence-based arguments.
  • Serve as a liaison between law firms and healthcare facilities to obtain necessary documents for ongoing investigations promptly and efficiently.
  • Ensure compliance with HIPAA regulations, safeguarding patient privacy during the legal process.
  • Provide valuable insights during settlement negotiations by analyzing the strengths and weaknesses of opposing parties'' medical arguments.

Director of Nursing

Big Spring Center For Skilled Care
07.2024 - 02.2025
  • Participated in management team meetings to discuss resident status, census changes, and resident complaints or concerns.
  • Oversaw and approved recruitment, hiring and orientation of new nursing staff.
  • Modeled innovative solutions to respond to organizational needs.
  • Ensured regulatory compliance by staying current on industry standards and updating policies accordingly.
  • Ensured compliance with regulatory requirements by diligently updating documentation according to changing guidelines.
  • Monitored and evaluated nursing staff performance, providing feedback and guidance to support standards of care.
  • Conducted regular audits of existing documentation to identify gaps or outdated information, keeping all materials current and relevant.
  • Developed positive employee relations, incentives, and recognition programs to promote teamwork and mutual respect.
  • Streamlined documentation processes for increased efficiency in project completion and reduced errors.
  • Facilitated continuing education and training programs to drive staff competency and professional development.
  • Enhanced company compliance with industry standards by conducting thorough reviews of all documentation and making necessary revisions.
  • Enhanced staff performance by conducting regular evaluations, providing constructive feedback, and offering tailored professional development opportunities.
  • Identified department issues to recommend corrective actions.
  • Developed and updated policies and procedures, maintaining compliance with guidelines relating to HIPAA, benefits administration and general liability.
  • Implemented successful healthcare program through professionalism, quality of care, medical teaching and patient satisfaction.
  • Identified audit parameters to comply with quality standards.

Hospice Patient Care Manager/Clinical Manager

Angels Care Hospice
03.2022 - 01.2024


  • Managing all Clinical Operations for 35-40+ employees for 70+ patients in main branch along with assisting with and covering for other branches remotely and on site.
  • Provided valuable insights to healthcare professionals on best practices for creating clear, concise, and accurate medical documentation.
  • Consulted with development team to evaluate technical documentation needs.
  • Assisted in maintaining compliance with industry regulations by identifying areas for improvement in medical documentation processes.
  • Maintained accurate documentation of patient interactions, treatments administered, and progress notes in electronic medical records systems.
  • Enhanced workflow efficiency through thorough analysis of medical records and identification of discrepancies.
  • Developed templates and style guides to maintain consistency across all company documentation.
  • Reduced errors in patient records by implementing stringent review procedures and providing feedback to healthcare providers.
  • Streamlined documentation processes for improved efficiency and reduced turnaround time.
  • Managed budgets and resources effectively to reduce departmental costs while maintaining high standards of care..
  • Developed strong interdisciplinary team collaboration, resulting in better patient outcomes.
  • Oversaw day-to-day operations of the department, ensuring seamless coordination between all members of the care team.
  • Ensured compliance with healthcare regulations by implementing policies and procedures for the highest quality of care.
  • Promoted a positive work environment by fostering effective communication, teamwork, and employee engagement.
  • Enhanced staff efficiency through comprehensive training programs and performance evaluations.
  • Championed a culture of continuous learning within the department by sharing latest research findings and best practices with colleagues.
  • Evaluated staff performance regularly, providing constructive feedback and opportunities for professional growth.
  • Implemented evidence-based practices in patient care, resulting in improved health outcomes and lower complications rates.
  • Participated in team meetings and trainings to stay updated on best practices and new developments in care management.
  • Assessed clients and developed plans to meet needs.
  • Monitored and inspected staff processes to eliminate hazards posed for both residents and staff while ensuring continuous compliance with regulations.
  • Recruited, hired and trained all staff, providing direct supervision, ongoing staff development and continuing education to employees.
  • Promoted high morale and staff retention through dynamic communication, prompt problem resolution, proactive supervisory practices and facilitation of positive work environment.
  • Fostered a positive work culture by recognizing employee achievements and addressing any concerns proactively.
  • Identifying nurse and staff training needs. Developing and implementing training programs based on educational needs for staff to enhance skills and knowledge to close knowledge gaps.
  • Successfully managed clinic operations during periods of change or growth by adapting processes as needed.
  • Identified opportunities to improve clinical practices, devised strategies and implemented plans to increase patient care standards and enhance operational procedures.
  • Implemented new policies and educated staff on changes.
  • Handled job duties for staff members which were unavailable or out of office.
  • Oversaw hiring, onboarding, and evaluation of nursing staff, contributing to a high-performing team environment.
  • Maintained up-to-date knowledge of industry trends and best practices to inform ongoing improvements in clinical management strategies.
  • Interim Executive Director across multiple branches when there is a Director shortage in a branch including main branch.
  • Reviewing financial resources, preparing reports showing resource allocations, and presenting options to lower costs and improve profits.
  • Specific and complete quality chart reviews to assure medicare compliance for the following: Documentation, MAR for accuracy of medication list and payor responsibility, schedule/calendar for visit frequencies, POC and supplies list, etc.
  • Post chart review staff education.
  • Medical Records Review for patient eligibility for hospice services.
  • Documentation review on long-stay (>180 days) patients to determine continued need and qualification for hospice services.
  • Assisting with QUAPI Medical Records reviews and advising on ways to improve on QUAPI areas that need improvement.
  • Updated training material, operation manuals, and technical guides to coincide with current standards.
  • Assisted in the coordination of special projects involving substantial documentation review, compilation, analysis, and presentation preparation.
  • Enhanced the accuracy of diagnostic coding by thoroughly reviewing physician notes and applying appropriate ICD-10 codes as needed.

Surgical Nurse

Basin Surgical
03.2021 - 03.2022
  • Prep patients for surgery.
  • Monitor patients during surgery.
  • Recover patients after surgery.
  • Assist doctor with clinic duties such as wound care, staple/stitch removal, drain removal, etc.
  • Calling in prescriptions for provider.
  • Drawing blood for blood work.
  • Performing EKGs.
  • Completed pre-op paperwork/consents with patients.
  • Give injections.
  • Perform Biote pellet insertions.
  • Educate patients about procedures that are available.
  • Educate patients about what to expect after procedures.
  • Educate patients about diets to follow before and after procedures.
  • Educate patients on exercise and diet regiments for weight loss.
  • Assist manger in performing tasks.
  • Do anything that needs to be done from cleaning OR, cleaning office, to doing tasks requested by provider or manager.
  • Organized and lead the team
  • In charge of training new staff
  • Held NP position for over 6 months where I managed many patients weekly.
  • Trained new NP.
  • Maintained sterile surgical environment and secured confidential data to protect patients' health and privacy.
  • Communicated medical information and discharge instructions to patients and families to reduce return visits.
  • Evaluated patients to detect contraindications before anesthesia or scheduled surgery.
  • Monitored patient reactions after administering medications and IV therapies.

Covid Rapid Response RN

GQR
11.2020 - 02.2021
  • Travel Assignment Massachusetts.
  • Go into Long term care, skilled, and rest care facilities when a COVID-19 outbreak began,.
  • Help separate the positive from the negative residents.
  • Educate staff on proper PPE.
  • Set up COVID-19 units to help stop the spread.
  • Assist management in putting policies into place that decreased the risk of spreading COVID-19.
  • Assist in the care of the COVID-19 patients.
  • Took the place of staff as they quarantined.
  • COVID-19 testing of staff and patients.

RN Consultant/ Telephonic Triage Nurse

Citra Health Solutions/ Carenet Solutions
01.2019 - 09.2020
  • Utilized SHP- Sharepoint system.
  • Triage callers in order to get them to the next appropriate level of care that symptoms require.
  • Making outbound calls to educate people on what is considered an emergent situation where an emergency room visit is warranted.
  • Precepting newer nurses to Citra in order to help them learn the process and gain confidence as triage nurses.
  • Took calls from many Alaska communities as we were their 911.
  • Lead/ Charge Nurse- managed the shift which included staffing, monitoring the queue, monitoring the incoming calls to determine which ones needed moved up due to seriousness of situation, elderly, or infants. Also, managed the staff by organizing breaks and making sure they were doing their jobs. I managed staff breaks along with time away from queue to work on other things such as continued education or licensure's. Therefore, I had to monitor the incoming call volume and adjust thing accordingly. Once you are in that position they expect you to make decisions and take initiative without being told what to do.
  • Education- when the Citra was bought out by Carnet, I was the only nurse chosen to learn Carenet's systems and I then had to turn around and teach the system to other Citra nurses.
  • Was involved in several special projects that required me to learn many different operating systems.
  • Was asked on many occasions to do an education excerpt for monthly meetings that included making a presentation and presenting it.
  • Onboarded new employees through orientation meetings and training sessions before deployment to different departments

Telephonic Nurse Case Manager

11.2017 - 07.2018
  • Educate claimants on treatments, medications, interventions, and workers compensation process.
  • Managed claimant files to assure treatment and return to work remains in guidelines.
  • Follow up after all appointments with provider, employer, and claimant to obtain medications and conduct assessments.
  • Send timely update reports to insurance adjuster and employer account contact within 48 hours after appointment.
  • Send letters to providers, claimants, and attorneys as needed to determine plan of care, inform of appointments, and educate about narcotic and ODG guidelines.
  • Interfaced with third-party payers, insurance companies and providers for utilization review activities and submitted timely reports to clients and providers
  • Collaborated with other health care professionals regarding plan of care and variances in plan implementation to achieve outcomes
  • Collected and inputted case data in managed care system and timely and accurately generated required correspondence and review notification for management
  • Evaluated patients referred for case management to determine physical, mental, financial and psychosocial status by utilizing comprehensive, standardized criteria to identify existing and potential needs
  • Assessed current treatment plan to identify barriers, clarify or determine realistic goals and objectives and seek potential alternatives
  • Screened medical records and information for necessity and appropriateness and referred for physician review cases not meeting medical criteria
  • Organized clinical documentation, treatment plans, and referrals
  • Documented case notes daily and coordinated follow-up for seamless case management
  • Provided ongoing counseling to help patients deal with conditions and processes
  • Preserved and prepared reports and treatment records

Midland Memorial Hospital
04.2016 - 11.2017
  • RN: L&D.
  • Assess outpatients for signs of labor.
  • Assist patient in the labor process and report any issue and needs to the physician.
  • Manage patient's needs.
  • Document all assessments and admissions.
  • Completing all needed paperwork on and off the computer.
  • Prep for Surgery.
  • Circulate during c-sections.
  • Recovery of c-section patients.

RN Case Manager/ Weekend Call Nurse

Amedisys Hospice
01.2015 - 03.2016
  • Assisting patients and family members in the dying process.
  • Managing patient care in the home.
  • Managing medications in the home.
  • Assessing patients and reporting to the doctor.
  • Documentation of assessments and visits in computer system.
  • Recertification visits and documentation in paper and computer form of improvement or decline in patient status in order for patient to stay on services.
  • Managing the office during the weekend while management was off.

RN Supervisor

Heritage Hall Nursing Home
09.2014 - 01.2015
  • Checking orders.
  • Medication administration.
  • Staffing.
  • Checking for appropriate documentation.
  • Overseeing and assisting with incidents and other situations that may arise.
  • Making sure residents are well taken care of and staff are performing their jobs appropriately.
  • Putting paperwork together for doctor's appointments.
  • Admissions/Discharges.
  • Assessments.
  • Managing during nights and weekends when DON was off.
  • Pronounced residents who pass away.
  • Manage staffing which includes running a med cart at times when staff was low.
  • I was responsible for the whole building when I was there.
  • Protecting my staff and residents against anyone who came onto the grounds that was not supposed to be there.
  • Firing staff if caught doing things that were not allowed such as sleeping on the job, etc.
  • Gave flu vaccines to all staff who desired one on my shift
  • Responsible for checking the crash carts and assuring all medication were not expired and all equipment was there.
  • Making the decision and sending residents to the hospital if it was warranted.

Nursery RN

Bluefield Regional Medical Center
06.2014 - 09.2014
  • RN.
  • Care of newborns and postpartum patients.
  • Documentation.
  • Assisting with breastfeeding.
  • Assessments of both newborn and postpartum patients.

Labor and Delivery Registered Nurse

Stonewall Jackson Memorial Hospital
10.2012 - 06.2014
  • Outpatient NST, Assessment.
  • Labor and Delivery assistance.
  • Postpartum assessments.
  • Newborn assessment and assistance as needed at birth.
  • Documentation.
  • Restocking.
  • Assisting with breastfeeding.
  • Prep for surgery.
  • Circulate surgery if needed.
  • Recovery of patient post c-section surgery.
  • Manage patient and infant throughout stay until discharge.

RN- CCU

Raleigh General Hospital
05.2012 - 10.2012


  • Assessment of patients.
  • Continuous monitoring and having the ability to take care of critically ill patients.
  • Communicating with doctors about overall pt care.
  • Communicating with families.
  • Patient care.
  • Patient hygiene
  • Quick response team to any patient going downhill on other floors.
  • Running the quick response team when I went because when CCU shows up you are in charge.

Education

Master of Science - Nursing Education

Purdue Global University
Online
04.2021

Bachelor of Science - Nursing

Kaplan University
Online
01.2015

Associate of Science - Nursing (RN)

Bluefield State College
Bluefield, WV
05.2012

Advanced Diploma For Votech -

James Monroe High School
Lindside, WV
05.2008

CNA Certificate -

Mercer County Vo-Tech
Lindside, WV
03.2008

Skills

  • Documentation Review and Post Education
  • Medical Records Review for Medicare to Determine Eligibility and as a Legal Nurse Consultant
  • Operational Standards Knowledge & Implementation of Standards/Strong Clinical Judgment
  • Exemplary Written & Verbal Communication Skills
  • Interdisciplinary Collaboration/ Teamwork/ Flexible & Adaptable
  • Accurate & Proficient Documentation/Attention to Detail
  • Operating Systems/ EMR Systems/ HCHB/POINTCARE/Sharepoint/Tech-Savvy
  • Eager & Quick Learner with New Tasks/Projects/Systems
  • Home care/ Hospice Care/Case Management/Chronic Disease Management/QUAPI/CHAPS
  • Direct Supervision/ Management/Leadership/Patient Care & Staff Oversight
  • Staff, Patient, & Family Education Development & Training/Project Implementation
  • Appropriate Delegation and Staff Motivation/Maintaining Morale and Retention

Accomplishments

    Organizations/Honors

    · Phi Eta Sigma Bluefield State Collage Honor Society

    · Magna cum Laude honors with BSN degree

    · National Honors Society James Monroe High School

    Licensure

    · RN in Texas (COMPACT)

  • Certified Biote Practitioner as of 2021.
  • Certified Legal Nurse Consultant as of 2022

Certification

  • CPR
  • Legal Nurse Consultant Certification
  • Biote Provider Certification


Additional Information

References

Jessica Dameron

Amedysis- Corporate

304-960-9221


Janie Kelley

Bereavement Coordinator- Angels Care Hospice

Phone #: 325-650-3741


Michelle Woodruff

HHA at Angels Care Hospice

432-213-7218


*More Available at Request

Timeline

Hospice Case Manager

Angels Care Hospice
01.2025 - Current

Director of Nursing

Big Spring Center For Skilled Care
07.2024 - 02.2025

Certified Legal Nurse Consultant

Self-Employed
01.2024 - Current

Hospice Patient Care Manager/Clinical Manager

Angels Care Hospice
03.2022 - 01.2024

Surgical Nurse

Basin Surgical
03.2021 - 03.2022

Covid Rapid Response RN

GQR
11.2020 - 02.2021

RN Consultant/ Telephonic Triage Nurse

Citra Health Solutions/ Carenet Solutions
01.2019 - 09.2020

Telephonic Nurse Case Manager

11.2017 - 07.2018

Midland Memorial Hospital
04.2016 - 11.2017

RN Case Manager/ Weekend Call Nurse

Amedisys Hospice
01.2015 - 03.2016

RN Supervisor

Heritage Hall Nursing Home
09.2014 - 01.2015

Nursery RN

Bluefield Regional Medical Center
06.2014 - 09.2014

Labor and Delivery Registered Nurse

Stonewall Jackson Memorial Hospital
10.2012 - 06.2014

RN- CCU

Raleigh General Hospital
05.2012 - 10.2012

Master of Science - Nursing Education

Purdue Global University

Bachelor of Science - Nursing

Kaplan University

Associate of Science - Nursing (RN)

Bluefield State College

Advanced Diploma For Votech -

James Monroe High School

CNA Certificate -

Mercer County Vo-Tech

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Briana Spaur, MSN, RN