Krystal Ryhal
MYRTLE BEACH,SC
Summary
Registered Nurse offering over 30 years of experience in the healthcare field with concentrated areas of knowledge in all clinical positions in a Inpatient Rehabilitation setting and hold an active RN license in Pennsylvania and compact license in South Carolina.
Overview
32
32
years of professional experience
3
3
Certification
Work History
IRF Clinical Rehab Specialist
HCA/Grand Strand/Myrtle Beach
01.2022 - Current
- Responsible for reviewing referrals for admission to inpatient rehab unit with adherence to CMS guidelines and qualifying specific criteria
- Responsible for educating all potential admission candidates on the IRF admission
- Responsible for the day to day operations of reports, MDR meeting and insurance submissions
- Responsible for admission specific MOR data.
IRF Unit Manager
HCA/Grand Strand/Myrtle Beach
01.2019 - 01.2022
- Responsible for management of day to day operations of Inpatient Rehab nursing unit and care and safety of patients and staff within
- Responsible for staffing, staff hiring, evaluations/reviews, coaching/discipline, medication and chart oversee with auditing for compliance, attendance of required meeting and committees to incorporate and maintain compliance of Rehab specific as well as hospital rules and regulations.
Director of Nursing Transitional Care Unit
01.2018 - 01.2019
- Responsible for overseeing all day to day operations of unit program and all care needs delivered by staff to all residents
- Responsible for staffing, assignments, staff hiring, staff evaluations/reviews, staff disciplinary actions, financial oversight, marketing support, quality assurance/performance improvements meetings, infection control meetings specific to unit along with hospital wide meetings and committees
- Performed unit specific staff education in preparation for licensing inspections, QAPI projects and new CMS PDPM (patient driven payment model).
Program Director Inpatient Physical Rehab Unit
01.2017 - 01.2018
- Responsible to oversee the entire unit program to include fiscal/financial, marketing oversight, outcomes, patient satisfaction, clinical process, CMS compliance and IRF standards
- Responsible to oversee and manage the timely completion of all required documents/IRF for submission to CMS for payment
- Works directly with Physician Director on communication of patients on unit, census accruals, marketing needs, maintaining standards and completion of required documents for compliance.
PPS Coordinator/Admission Coordinator/Case Management Inpatient Rehab Unit
01.2016 - 01.2017
- Responsible to oversee the entire process of admissions to include CMS required screens, collaboration with physician director, case management and social workers for admission
- Worked in direct collaboration with physician director of unit for all areas of patient needs, regulatory needs and admission and discharge needs
- Worked in direct collaboration with Physical, Occupational and Speech therapists for patient specific goals, equipment, and discharge planning needs
- Responsible to perform all case management and social work responsibilities for unit to include dc planning with patients and families
- Responsible to gather all information and complete all PPS documents, IRF-PAI with submission to CMS as per guidelines for payment
- Responsible to gather and submit all pertinent patient information to private insurance for review of hospital stay, perform insurance continued stay authorization requests and at discharge for completion of payment
- Responsible for chart auditing for regulatory compliance.
Director of Nursing Personal Care Home
01.2013 - 01.2016
- Registered Nurse, Director of Nursing performing duties in a Personal Care Home for 6 levels of care needs for residents along with certification as Certified Rehab RN and Certified Dementia Practitioner
- Responsible to oversee and manage the clinical needs for all residents
- Responsible to manage and oversee all trained med-techs and medication administration for residents
- Responsible to perform all required yearly educational in-services and new employee training
- Responsible to complete all required corporate financial and clinical paperwork
- Example: assessments and negotiated service plans
- Responsible to be in constant communication with Director and all other staff to ensure quality, safe care of all residents
- Responsible to manage and oversee all third party providers involved in the care of residents
- Responsible to serve as the resident advocate, and coordinate all care needs while involving resident, family and physician
- Responsible for coordination of all physician clinical services in PCH community.
RN Case Manager
01.2011 - 01.2013
- Registered Nurse Case Manager: Responsible for all admissions and discharge practices in assigned areas of hospital
- Responsible to obtain all insurance authorizations and follow-up on all plans
- Personally responsible to complete all weekly Medical Assistance reviews with DPW for inpatient insurance authorizations for entire Case Management Team/Hospital
- Member of the Hospital readmission Project under BC/BS program with award of $250,000.
Physical Rehab Inpatient Unit Staff RN
01.2008 - 01.2013
- Registered Nurse, Certified Rehab Registered Nurse: Performing required duties on an inpatient clinical setting which include daily care, med management, shift charge nurse responsibilities and unlimited patient /family teaching and education.
Home Healthcare Branch Supervisor
01.2007 - 01.2008
- Responsible for all day to day operations overseeing the office structure, nurses, therapists, internal personnel, clients, insurance claims/denials, implementation and adherence of all policies and procedures, staff in-services/education, personnel files, and client records
- Serviced clients in Butler, Armstrong and a portion of Westmoreland County
- Increased and maintained this branch office client care census from 52 to 140 within a four month period
- Ensured compliance with all Medicare, Medicaid, and private insurance long-term care regulations
- Supervised a staff of 14, assessing, evaluating and determining the proper course of treatment for all Homecare patients, maintaining and providing accurate and complete documentation of care, coordinating medical orders, planning patient care with staff, and caring for patients with complex wounds, multi-symptom illnesses and conditions
- Coordinated patient education, serving as a liaison between patients, families, physicians, and other health care professionals, problem-solving and complaint resolution, enhancing patient emotional and physical comfort, participating in treatment planning and staffing, and evaluating and charting patient progress.
Home Healthcare QA/QI Manager
01.2003 - 01.2007
- Responsible for reviews and audits of all Homecare cases
- Includes all Medicare, managed care, private, subcontracted and IV cases
- Responsible for intense Medicare review for release of billing
- Responsible to complete and report with follow-up all monthly adverse event audits
- Responsible to complete all internal audits with analysis regarding performance improvements, track and trend, identify problems with resolutions and track results
- Responsible for all staff in-services: includes mandatory (OSHA, HIPPA, ELDER ABUSE) and educational
- Spent first year obtaining Homecare field experience for company and was trained in all case types including Peds
- Pediatric Homecare qualified and was responsible for central line care and med administrations.
Oncology Research Division Supervisor
01.2000 - 01.2003
- Oversaw complete Oncology Research division for company including all internal data staff, field nurses, 32 physician’s compliance to studies and coordination of all care and compliance, regulatory and ethical values with federal, institutional and company standards using human subjects
- Responsible for all information collected, reviewed and audited for all offices and participants in trials.
Clinical Research Coordinator level ll
01.1998 - 01.2000
- Responsible for assigned physician office clinical trials and participants
- Responsible for the collection and management of all subjects data, med management, med administration and trial analysis and results.
Staff RN
Jameson Memorial Hospital
01.1992 - 01.1998
- 1992-1995 Inpatient staff RN Med/Surg unit specialized in Oncology and Inpatient Dialysis
- 1995-1996 Cross-trained in Outpatient Chemo services
- Performed specialized chemo treatments in both inpatient and outpatient clinical settings
- 1996-1997 Full time Outpatient Chemo Clinic
- 1997-1998 Cross-trained to Oncology Research
Education
Bachelor’s degree in Nursing - Currently Enrolled
Grand Canyon University
High School Diploma Graduate -
Lakeview High School
Duquesne University School of Nursing and Cyril H. Wecht Institute of Forensic Science and Law
01.2006
Bachelor of Nursing - Credits Towards BSN
Carlow College
01.1998
Diploma/Associate’s Degree Registered Nurse Graduate -
Jameson School of Nursing
01.1992
Undergraduate courses -
Slippery Rock University
01.1990
Skills
- Patient chart and records review
- Stroke Rehabilitation
- Geriatric Rehabilitation
- Rehabilitation Planning
- Orthopedic Rehabilitation
- Analytical and Critical Thinking
- Rehabilitation treatment planning
Professional Background
Registered Nurse offering 30 years of experience in the healthcare field with concentrated areas of knowledge in nursing leadership, nursing team development and clinical practice. Specific areas of experience as a Director of Nursing on a Transitional Care Unit, Program Director Inpatient Rehabilitation Unit, previous and current admissions experience, IRF-PAI coordinator as well as 3 decades working with insurance companies to achieve patient coverage with payment. My 30 years of experience in leadership and management combined with my knowledge of inpatient rehabilitation setting, will be a specific benefit and asset to this valuable position. I am hardworking with a dedicated work ethic committed to achieving success, exceeding goals and quality results to all areas of job requirements.
Personal Information
Title: REGISTERED NURSE
References
- Nicole Runyon, #843-539-9152
- Brad VanSickles, #724-866-8453
- Julie Yost, #724-494-0895
Certification
2021 Certified Rehabilitation Registered Nurse- Current
2017 Certified Legal Nurse Consultant - Current
2014 Certified Dementia Practitioner- Current
Timeline
IRF Clinical Rehab Specialist
HCA/Grand Strand/Myrtle Beach
01.2022 - Current
IRF Unit Manager
HCA/Grand Strand/Myrtle Beach
01.2019 - 01.2022
Director of Nursing Transitional Care Unit
01.2018 - 01.2019
Program Director Inpatient Physical Rehab Unit
01.2017 - 01.2018
PPS Coordinator/Admission Coordinator/Case Management Inpatient Rehab Unit
01.2016 - 01.2017
Director of Nursing Personal Care Home
01.2013 - 01.2016
RN Case Manager
01.2011 - 01.2013
Physical Rehab Inpatient Unit Staff RN
01.2008 - 01.2013
Home Healthcare Branch Supervisor
01.2007 - 01.2008
Home Healthcare QA/QI Manager
01.2003 - 01.2007
Oncology Research Division Supervisor
01.2000 - 01.2003
Clinical Research Coordinator level ll
01.1998 - 01.2000
Staff RN
Jameson Memorial Hospital
01.1992 - 01.1998
Bachelor’s degree in Nursing - Currently Enrolled
Grand Canyon University
High School Diploma Graduate -
Lakeview High School
Duquesne University School of Nursing and Cyril H. Wecht Institute of Forensic Science and Law
Bachelor of Nursing - Credits Towards BSN
Carlow College
Diploma/Associate’s Degree Registered Nurse Graduate -
Jameson School of Nursing
Undergraduate courses -
Slippery Rock University
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