Ashley Rains
Lubbock,TX
Summary
Compassionate Nurse Case Manager offering 16 years of diverse experience in direct patient care, staff supervision and department operations. Skilled at multitasking and prioritizing patient needs and daily assignments. Committed to working collaboratively with health plan, leadership and department coordinators to achieve highest quality of patient satisfaction.
Organized, hardworking, passionate, and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals. To seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills.
Overview
13
13
years of professional experience
Work History
RN Case Manager
Pentec Health Inc.
02.2022 - Current
- Conducted Telephonic Start of Care Assessment across multiple states in accordance with Nursing Compact License.
- Enhanced patient care by developing comprehensive care plans and coordinating with interdisciplinary healthcare
- Mentored new nursing staff, facilitating a faster learning curve and increased overall team efficiency.
- Conducted thorough assessments of patients'' needs, enabling more accurate diagnoses and targeted interventions.
- Helped generate revenue through collection of invoices and contracts.
- Improved patient satisfaction scores by providing timely follow-ups and addressing concerns promptly.
- Served as a key liaison between patients, families, and healthcare providers, fostering open communication and trust among all parties involved in the care process.
- Advocated for patients'' rights and preferences, working diligently to align care with individual values and goals.
- Assisted in the development of policies and procedures that improved the efficiency of case management processes within the organization.
- Increased referral rates by providing excellent service and building meaningful relationships with patients and caregivers.
- Gathered and recorded patient health information and data to assess, identify and manage characteristics that affect care outcome.
- Evaluated patient histories, complaints, and current symptoms.
- Educated family members and caregivers on patient care instructions.
- Explained course of care and medication side effects to patients and caregivers in easy-to-understand terms.
- Followed all personal and health data procedures to effectively comply with HIPAA laws and prevent information breaches.
Registered Nurse
Moody Neurorehabilitation Institute
05.2018 - 02.2021
- Improved patient outcomes by implementing evidence-based nursing interventions and individualized care plans.
- Reduced hospital readmissions through effective discharge planning, patient education, and follow-up care coordination.
- Enhanced patient satisfaction by providing compassionate, holistic nursing care that addressed physical, emotional, and spiritual needs.
- Streamlined medication administration processes for increased safety and accuracy during busy shifts.
- Collaborated with interdisciplinary teams to develop comprehensive treatment plans for complex patients with multiple comorbidities.
- Assisted in the training and mentorship of new nursing staff members, contributing to a positive work environment and high-quality patient care.
- Conducted thorough patient assessments to identify changes in condition, promptly notifying physicians and initiating appropriate interventions when necessary.
- Skillfully managed challenging patient situations using de-escalation techniques, crisis intervention strategies, and therapeutic communication skills.
- Contributed to interdisciplinary team meetings by presenting relevant clinical data about patients'' progress toward reaching established goals of care.
- Demonstrated expertise in wound management techniques resulting in accelerated healing times for patients with complex wounds or pressure injuries.
- Implemented evidence-based fall prevention strategies, resulting in a significant decrease in patient falls within the unit.
- Administered medications via oral, IV, and intramuscular injections and monitored responses.
- Administered medications and treatment to patients and monitored responses while working with healthcare teams to adjust care plans.
- Provided direct patient care, stabilized patients, and determined next course of action.
- Managed care from admission to discharge.
- Trained new nurses in proper techniques, care standards, operational procedures, and safety protocols.
- Implemented medication and IV administration, catheter insertion, and airway management.
- Updated patient charts with data such as medications to keep records current and support accurate treatments.
- Evaluated healthcare needs, goals for treatment, and available resources of each patient and connected to optimal providers and care.
- Conferred with physicians to discuss diagnoses and devise well-coordinated treatment approaches.
- Advised patients and caregivers of proper wound management, discharge plan objectives, safe medication use, and disease management.
- Audited charts and reviewed clinical documents to verify accuracy.
- Educated family members and caregivers on patient care instructions.
- Evaluated patient histories, complaints, and current symptoms.
- Documented treatments delivered, medications and IVs administered, discharge instructions, and follow-up care.
- Explained course of care and medication side effects to patients and caregivers in easy-to-understand terms.
- Followed all personal and health data procedures to effectively comply with HIPAA laws and prevent information breaches.
- Used first-hand knowledge and clinical expertise to advocate for patients under care and enacted prescribed treatment strategies.
- Quickly responded to situations impacting safety and security to unit, actualizing crisis prevention interventions to control and de-escalate situations.
- Facilitated therapeutic communication, conflict resolution and crisis intervention by redirecting negative behaviors and helping patients regain or improve coping abilities.
- Collaborated with leadership to devise initiatives for improving nursing satisfaction, retention and morale.
- Sustained quality standards by performing routine medication audits and upholding internal and industry best practices.
Quality Assurance Analyst
Accolade Home Care And Hospice
09.2010 - 05.2018
- Enhanced patient care by providing compassionate and individualized attention, leading to improved health outcomes.
- Administered medications accurately and in a timely manner, ensuring proper treatment for various conditions.
- Collaborated with interdisciplinary healthcare teams to develop comprehensive care plans tailored to patients'' needs.
- Monitored vital signs and assessed patients regularly, swiftly identifying any changes in condition and addressing concerns promptly.
- Provided high-quality wound care, reducing the risk of infection and promoting timely healing.
- Educated patients and their families on disease management, medication administration, and at-home care techniques, empowering them to take control of their health.
- Performed IV therapy treatments safely and accurately, administering fluids and medications as ordered by physicians.
- Streamlined documentation processes by maintaining accurate medical records through electronic charting systems.
- Facilitated efficient patient admissions, transfers, and discharges while maintaining clear communication with all parties involved.
- Maintained thorough knowledge of emergency procedures, effectively responding to urgent situations when required.
- Participated in quality improvement initiatives aimed at enhancing overall patient experience within the facility.
- Demonstrated strong clinical judgment by assessing symptoms quickly and prioritizing appropriate interventions accordingly.
- Mentored new LVN hires through the orientation process, sharing expertise to support their integration into the team successfully.
- Promoted a positive work environment among nursing staff through collaboration, open communication, and support.
- Provided emotional support to patients and their families during difficult times, fostering trust and rapport with those under my care.
- Continuously pursued professional development opportunities to stay current on best practices in the nursing field, ensuring optimal patient outcomes.
- Managed patient care through closely monitoring respiration, blood pressure, and blood glucose levels.
- Collaborated with interdisciplinary team of healthcare and social service providers to address patients' needs through effective intervention and care planning.
- Cared for wounds, provided treatments, and assisted with procedures.
- Used aseptic techniques to provide sterilized wound care and dressing applications.
- Monitored, tracked, and conveyed important patient information to healthcare staff to help optimize treatment planning and care delivery.
- Gathered lab specimens, ordered testing, and interpreted results to diagnose patients.
- Educated patients and caregivers on medical diagnoses, treatment options, chronic disease self-management and wound management.
- Answered incoming phone calls from patients to provide basic assistance and triage medical concerns.
- Monitored patient health conditions to report changes to assigned physician.
- Worked with multidisciplinary team to carry out successful treatment plans for diverse acute and chronic conditions.
- Developed and implemented individualized patient care plans.
- Enhanced communication between clients and providers through consistent follow-ups and progress updates.
- Collaborated with multidisciplinary teams to address client needs and formulate tailored support strategies.
- Participated in regular professional development opportunities to stay current on best practices within the field of case management.
- Assisted clients in setting achievable goals while providing ongoing encouragement and support throughout the process of reaching those objectives.
- Referred clients to appropriate team members, community agencies and organizations to meet treatment needs.
- Participated in community events to promote services and engage with public.
Education
Bachelor of Science - Nursing
Lubbock Christian University
Lubbock, TX12.2022
Associate of Science - Nursing
Covenant School of Nursing
Lubbock, TX04.2021
Associate of Science - Practical Nursing
South Plains College
Levelland, TX08.2008
High School Diploma -
Coronado High School
Lubbock, TX05.2002
Skills
- Telephonic Start of Care
- HIPAA Compliance
- Case Management
- Healthcare Regulations
- Utilization Review
- Interdisciplinary Collaboration
- Quality Improvement
- Care Coordination
- Clinical Assessment
- Team collaboration
- Multidisciplinary approach
- Time management
Timeline
RN Case Manager
Pentec Health Inc.
02.2022 - Current
Registered Nurse
Moody Neurorehabilitation Institute
05.2018 - 02.2021
Quality Assurance Analyst
Accolade Home Care And Hospice
09.2010 - 05.2018
Bachelor of Science - Nursing
Lubbock Christian University
Associate of Science - Nursing
Covenant School of Nursing
Associate of Science - Practical Nursing
South Plains College
High School Diploma -
Coronado High School
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