Extensive experience in managing complex caseloads, advanced wound care, and reducing hospital readmissions. Skilled in patient assessments, medication adherence, and care coordination, with a strong background in nursing leadership and compliance. Bringing expertise in patient education and interdisciplinary collaboration to drive improved healthcare outcomes.
• Created detailed patient care plans post thorough client evaluations & assessments, utilizing Medicare OASIS expertise to achieve a remarkable 15% reduction in readmission rates & enhance care efficiency through OASIS software, adherence to Medicare guidelines, & specialized patient care software
• Achieved a 20% increase in patient satisfaction & a 15% reduction in readmission rates by collaborating with a multidisciplinary team to implement & review care plan goals centered on patient education, personalized care plans, & follow-up protocols, leveraging EMR software & data analytics tools
• Cultivated robust relationships with staff & clients in diverse work environments, seamlessly integrating with new teams, & flexibly adapting to varying work settings through active listening, consistent communication, & rapport-building, resulting in a 15% increase in team productivity & enhanced cross-team collaboration
• Oversaw diverse nursing contracts across various specialties, leading to improved patient outcomes
• Coordinated weekly comprehensive assessments & evaluations for 18-25 cardiac patients, facilitating referrals for 16-20 procedures, including surgery, interventions, physical therapy, & testing
• Ensured accurate record keeping for medical history, medications, allergies, & comprehensive/focused assessments by documenting patient information obtained from 6-10 interviews per shift in Meditech EMR Software within the Electronic Health Record system
• Educated & counseled patients on specific cardiac disease processes, procedures, & medications utilizing visual aids such as brochures & videos to enhance compliance with treatment & improve patient understanding, resulting in better treatment outcomes
• Educated patients & family members on discharge care, safety, & disease management techniques encompassing medication, diet, & exercise,
averaging 100-200 individuals per month