Alice Shaw
Aubrey,TX
Summary
RN Case Manager with 14 + years of nursing experience focused on home health, case management, care management ,acute care,and skilled rehab. Previously positions included leadership and specialized roles as Director of Nursing, Assistant Director of Nursing, Charge Nurse, Home Health RN Case Manager, and RN Holistic Health Specialist . Now seeking a position in a setting that evaluates and manages both common and complex conditions in all patients.
Overview
14
14
years of professional experience
1
1
Certification
Work History
Holistic Health Manager-Case Manager
HCSC Blue Cross and Blue Shield of Texas
03.2020 - Current
- Team Lead
- Remote Holistic Health Case Manager
- Advocated for patient needs with interdisciplinary team and implemented outlined treatment plans.
- Responsible for performing a variety of functions and is a single source of contact for members, health care personnel and all other entities involved in managing care.
- Identifies alternate treatment programs; consults with physicians, providers, members, and other resources to evaluate options and services required to meet an individual's health needs.
- Promotes quality and cost-effective outcomes; and serves as liaison to physicians and members. Other functions also include determining member assignment of treatment, and pre-admission/post-discharge counseling for an acute condition.
- Establish relationship with the member. Handle immediate post discharge follow-up , until all short-term care needs are met, and develop a POC. Provide education/local resource information and encourage member (self) education.
- Functioning in a clinical care advisory role, assesses members for wellness education and disease management, introduces members to our website tools, educates members regarding wellness and specific conditions, and facilitates the coordination of care for identified members. Provide oversight to holistic health coordinators.
- Triage calls by assessing patients' health condition and determined the level of care needed.
- Educated patients relative to health care urgency and community resources available to meet needs.
- Coordinated with healthcare team to establish, enact and evaluate patient care plans.
Registered Nurse/Assistant Director of Nursing
MacArthur Skilled and Nursing Facility
12.2017 - 05.2020
- Maintains appropriate nursing service obligations, goals, and standards of nursing practices consistent with licensure requirements and the Nurse Practice Act.
- Oversees, directs, and coordinates nursing staff to provide proper resident care consistent with standard nursing practices.
- Participates in screening prospective residents as well as ongoing assessment of resident needs.
- Assures staff adherence to appropriate infection control procedures, quality assurance programs and OSHA procedures are followed.
- Functions as the liaison between facility and other outside caregivers.
- Conducts employee conferences, counseling, and evaluations. Participates in the hiring of new nursing employees and the orientation process to the facility and the residents. Assists in the ongoing in-service education of nursing staff.
- Responsible for adhering to the nursing service budget.
- Assumes responsibility/authority for decision regarding all aspects of nursing care, consulting with the Director of Assisted Living, Nurse Consultants, and other resources.
- Assures provision of appropriate medications, treatments, and nursing services according to care plans and physician’s instructions.
- Monitors/controls inventories of drugs and supplies.
- Audit charts and medication cart for errors ; develop a plan of action for errors noted during audits.
- Notifies the Director of Nursing, physician and family or responsible party in the event of a significant change in the resident’s condition.
- Formulates plan of care based on a resident assessment and completes resident care attendant assignments based on needs of the resident.
- Attends all department head meetings, staff meetings and serves on appropriate committees as deemed necessary by the Director of Nursing.
- Attend month QAPI meetings ,present reports on return to acute and falls ( utilizing root call analysis for falls).
- Implemented infection control measures according to established guidelines.
- Identified process improvements which could enhance efficiency in the organization's operations.
- Documented audit findings through written reports detailing any discrepancies or noncompliance issues found during an examination.
Registered Nurse/Psychiatric
Horizon Rehabilitation Center
08.2016 - 04.2017
- Participate in a multidisciplinary team
- Document and processed physicians orders
- Provide direct patient care, observation and management of behavioral health patients
- Assessment, plan and implement care and evaluating patients' progress towards expected outcomes
- Takes primary responsibility for the patients' care as delivered by the Care Team
Registered Nurse/Charge Nurse
Ridgecrest Nursing Home and Rehabilitation
07.2016 - 04.2017
- Delegating tasks to nursing staff
- Educating staff on expected patient care
- Planning nurse and support staff rosters
- Investigating complaints
- Ordering required supplies
- Maintaining compliance with key policies
- Carrying out disciplinary action of nursing staff when required
- Providing guidance and support to staff
- Maintaining a clean working environment
- Directing nursing staff
- Monitoring patients
- Providing education
- Assist where needed
- Reporting to the director of nursing
- Assisting with staffing needs wherever they’re needed
- Monitored vital signs, administered injections, and provided assistance with medical procedures.
- Collaborated with physicians, nurses, therapists, social workers and other healthcare professionals to develop individualized treatment plans for each patient.
- Administered medications and treatments, monitoring patients for reactions and side effects.
- Adhered to infection control procedures to facilitate safe, clean patient environment.
- Maintained thorough, accurate and confidential documentation in electronic medical records.
- Acted as patient advocate and implemented total patient care through team nursing process.
- Administered medications, tracked dosages and documented patient conditions.
Registered Nurse Case Manager
Synergy Home Health
12.2015 - 06.2016
- Assessing the patient’s physical, psychological, and social needs
- Assess and chart observations of the patient’s condition at each visit.
- Complete evaluation tasks, including reviewing medication and vital signs.
- Developing an individualized care plan for each patient and providing care that is in accordance with the plan
- Administer Physician-prescribed medication.
- Dress or redress wounds and assess the healing progress.
- Provide education to patients and families on proper home health care procedures and strategies.
- Teaching basic self-care skills to patients or their caregivers to help them manage chronic conditions at home
- Coordinate with Physicians, Physical Therapists, Occupational Therapists and other individuals in the patient’s care plan.
Registered Nurse/Psychiatric
Seaside Health System
09.2015 - 10.2015
- Oversaw care of suicidal patients and acted swiftly to reduce risk of harm to themselves or others
- Explained useful coping methods to relieve depression and anxiety
- Responded to numerous volatile situations and violent outbreaks to restore safety and security of patients and staff
- Provided direct quality care to patients by monitoring, recording and evaluating psychiatric conditions
- Advocated for and strived to protect health, safety, and rights of patient
- Performed patient assessments to monitor expected response to medications and altering treatment plans
- Monitored vital signs, nutritional intake and signs and symptoms of complications to report deviations to supervisor.
Registered Nurse/Director of Nursing
Amcare Pro Home Health
04.2015 - 07.2015
- Managing and leading all nursing personnel operations.
- Developing short and long-term goals for the entire nursing department.
- Establishing new policies and updating existing policies to improve the standard of care for patients.
- Planning and overseeing admission, nursing, and patient care processes.
- Maintaining department budgets and recording all expenses.
- Responding to any nursing-related issues in a timely manner.
- Coordinating with medical staff and other departments to ensure hospital efficiency.
- Overseeing all record-keeping processes and ensuring all necessary documents are accurate and up-to-date.
- Hiring and training new nursing staff members.
- Evaluating staff performance and preparing accurate reports detailing your findings.
Registered Nurse Case Manager
Brookdale Home Health
04.2014 - 04.2015
- Assessing the patient’s physical, psychological, and social needs
- Assess and chart observations of the patient’s condition at each visit.
- Complete evaluation tasks, including reviewing medication and vital signs.
- Developing an individualized care plan for each patient and providing care that is in accordance with the plan
- Administer Physician-prescribed medication.
- Dress or redress wounds and assess the healing progress.
- Provide education to patients and families on proper home health care procedures and strategies.
- Teaching basic self-care skills to patients or their caregivers to help them manage chronic conditions at home
- Coordinate with Physicians, Physical Therapists, Occupational Therapists and other individuals in the patient’s care plan.
Registered Nurse
Private Duty Nursing
02.2012 - 04.2014
- Providing in-home medical assistance to assigned patients
- Assessing the physical and emotional needs of each patient
- Administering medications
- Assisting with feedings
- Monitoring patient vitals and taking blood pressure readings
- Assisting with other total nursing care duties
- Completing patient care documentation and other paperwork
- Making independent clinical decisions when necessary
Registered Nurse Case Manager
Abundant Home Health
07.2013 - 12.2013
- Assessing the patient’s physical, psychological, and social needs
- Assess and chart observations of the patient’s condition at each visit.
- Complete evaluation tasks, including reviewing medication and vital signs.
- Developing an individualized care plan for each patient and providing care that is in accordance with the plan
- Administer Physician-prescribed medication.
- Dress or redress wounds and assess the healing progress.
- Provide education to patients and families on proper home health care procedures and strategies.
- Teaching basic self-care skills to patients or their caregivers to help them manage chronic conditions at home
- Coordinate with Physicians, Physical Therapists, Occupational Therapists and other individuals in the patient’s care plan.
Telemetry/Med Surg - Registered Nurse/Charge Nurse
E.A. Conway Medical Center
05.2011 - 01.2012
- Monitoring patient’s vital signs
- Checking blood pressure
- Administering IVs and other medications
- Using tests to diagnose medical issues
- Evaluating assigned patients and planning, implementing and documenting nursing care
- Assisting physicians during examinations and procedures
- Reviewing and interpreting data measured by sophisticated medical equipment
- Providing care for critically ill patients
- Monitoring the condition of patients in telemetry units
- Advising patients and their families on post-hospital care
- Updating Nurses on other shifts
- Charting
- Assessing progress
- Passing medications
- Communicating directly with patients
- Prepping patients for surgery and assisting with recovery in a surgical center.
Telemetry/Med Surg - Registered Nurse
St. Francis Medical Center
11.2010 - 05.2011
- Monitoring patient’s vital signs
- Checking blood pressure
- Administering IVs and other medications
- Using tests to diagnose medical issues
- Evaluating assigned patients and planning, implementing and documenting nursing care
- Assisting physicians during examinations and procedures
- Reviewing and interpreting data measured by sophisticated medical equipment
- Providing care for critically ill patients
- Monitoring the condition of patients in telemetry units
- Advising patients and their families on post-hospital care
- Updating Nurses on other shifts
- Charting
- Assessing progress
- Passing medications
- Communicating directly with patients
- Prepping patients for surgery and assisting with recovery in a surgical center.
Education
Master of Arts - Health Care Administration
Ashford University
San Diego, CA12.2014
Bachelor of Science - Nursing
Grambling State University
Grambling, LA05.2010
Accomplishments
- 2022-Standard Achievement Award at HCSC
- 2023- Standard Achievement Award at HCSC
Certification
- TX RN License
- CA RN License
Timeline
Holistic Health Manager-Case Manager
HCSC Blue Cross and Blue Shield of Texas
03.2020 - Current
Registered Nurse/Assistant Director of Nursing
MacArthur Skilled and Nursing Facility
12.2017 - 05.2020
Registered Nurse/Psychiatric
Horizon Rehabilitation Center
08.2016 - 04.2017
Registered Nurse/Charge Nurse
Ridgecrest Nursing Home and Rehabilitation
07.2016 - 04.2017
Registered Nurse Case Manager
Synergy Home Health
12.2015 - 06.2016
Registered Nurse/Psychiatric
Seaside Health System
09.2015 - 10.2015
Registered Nurse/Director of Nursing
Amcare Pro Home Health
04.2015 - 07.2015
Registered Nurse Case Manager
Brookdale Home Health
04.2014 - 04.2015
Registered Nurse Case Manager
Abundant Home Health
07.2013 - 12.2013
Registered Nurse
Private Duty Nursing
02.2012 - 04.2014
Telemetry/Med Surg - Registered Nurse/Charge Nurse
E.A. Conway Medical Center
05.2011 - 01.2012
Telemetry/Med Surg - Registered Nurse
St. Francis Medical Center
11.2010 - 05.2011
Master of Arts - Health Care Administration
Ashford University
Bachelor of Science - Nursing
Grambling State University
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