Autumn Chaffins
Cedar Bluff,VA
Summary
Accomplished Registered Nurse Case Manager with nearing 8 years of nursing experience dedicated to quality care of diverse patients. Utilizing both hands-on skills and advanced clinical background. Successful at working with all levels of healthcare providers, physicians and administrators to address patient needs. Backgrounds including CCU, hospice and home health, case management, and oncology/med surg.
Overview
11
11
years of professional experience
Work History
Registered Nurse Care Manager
Acentra Health
Honaker, Virginia
08.2023 - Current
- Conducted home visits to assess the health status of patients in their homes or other community settings
- Assessed and evaluated patient needs, developed individualized care plans, and coordinated with other health care providers to ensure quality of care.
- Participated in multidisciplinary meetings to discuss complex cases and develop effective strategies for resolving problems encountered by patients.
- Monitored patient progress through chart reviews, physician contacts, and regular communication with family members.
- Performed initial assessments on newly referred patients to determine eligibility for case management services.
- Maintained detailed documentation of all patient interactions in accordance with agency policies and standards of practice.
- Identified high risk patients requiring intensive case management interventions based on diagnosis or other factors affecting their ability to manage their own healthcare needs.
- Facilitated referrals to appropriate social service agencies when needed.
- Advised families about available resources in the community that could provide assistance with medical bills or other financial concerns.
- Attended continuing education classes to stay abreast of current trends in healthcare delivery systems.
- Actively participated in Quality Improvement initiatives within the organization.
- Provided emotional support to families dealing with difficult situations involving illness or death.
- Helped patients and families feel comfortable during challenging and stressful situations, promoting recovery and reducing compliance issues.
- Maintained strict patient data procedures to comply with HIPAA laws and prevent information breaches.
- Monitored diet, physical activity, behaviors and other patient factors to assess conditions and adjust treatment plans.
- Referred patients to specialized health resources or community agencies to furnish additional assistance.
- Coordinated discharge planning activities including arranging for home health services and post-hospital follow up appointments.
Registered Nurse Case Manager
Appalachian Agency For Senior Citizens
Cedar Bluff, VA
02.2022 - 08.2023
- Developed patient care plans, overall patient health assessments and evaluations.
- Actively participated in family and patient planning processes.
- Determined and coordinated appropriate level of care to meet individual patient needs.
- Updated and maintained discharge plan of care with physician, members of healthcare team, patients and families.
- Collaborated with physicians on patient medications, medical needs and performance.
- Incorporated appropriate nursing methods to create individualized care plans.
- Assessed and reviewed patients for discharge and planning and integrated services for patients requiring home care, home infusion and durable medical equipment (DME).
- Collaborated in consults, patient care plans development, patient monitoring and evaluations.
- Administered medications and treatment plans in accordance with physician orders.
- Advocated for patients by identifying insurance coverage, communicating care preferences to practitioners and verifying interventions met patients' treatment goals.
- Conducted weekly evaluations to address changes in patient needs, conditions and medications.
- Participated in on-call rotations, delivering daily continuous quality care to patients.
- Arranged placement of new patient admissions and transfers according to clinical standards and guidelines.
Home Health Registered Nurse
Interim Home Health
Cedar Bluff, VA
05.2020 - 02.2022
- Notified physicians of changes in patients' conditions.
- Developed care plans, covering goals based on nursing diagnosis and incorporating therapeutic, preventive and rehabilitative nursing actions.
- Utilized learned nursing skills for wound care, vital sign checking and medication assistance.
- Provided home health aide care providers with training, guidance, support and supervision to achieve objectives.
- Asked open-ended questions and delivered high level of attention to reliably assess patients' conditions.
- Resolved issues in field by notifying supervisors and physicians immediately to determine course of action.
- Completed initial assessments of patients and family to determine and address individual home care needs.
- Conducted regular re-evaluations to address changes in needs and conditions, and introduced revisions to care plans.
- Assisted patients with activities of daily living and functional mobility to increase comfort and quality of life.
- Addressed patient care needs, collected vitals, dressed wounds and managed catheters.
- Collected biological samples for routine laboratory testing to assist diagnostic processes.
- Participated in on-call rotations and delivered after-hours care.
- Administered prescribed medications and started intravenous fluids to address patient symptoms and underlying etiologies.
- Answered patient calls, identified issues and determined how best to provide assistance within parameters established by facility and supervisor.
- Helped patients and families feel comfortable during challenging and stressful situations, promoting recovery and reducing compliance issues.
- Advocated for patient needs with interdisciplinary team and implemented outlined treatment plans.
- Coordinated with healthcare team to establish, enact and evaluate patient care plans.
- Administered oral, IV and intra-muscular medications and monitored patient reactions.
- Delivered information regarding care and medications to patients and caregivers in comprehendible terminology.
- Maintained strict patient data procedures to comply with HIPAA laws and prevent information breaches.
- Observed strict safety measures, including checking medication dosages before administration to patients.
- Utilized computerized Resource and Patient Management System (RPMS) and Electronic Health Record (EHR) system.
- Referred patients to specialized health resources or community agencies to furnish additional assistance.
- Responded to emergency situations with speed, expertise and level-headed approaches to provide optimal care, support and life-saving interventions.
- Monitored diet, physical activity, behaviors and other patient factors to assess conditions and adjust treatment plans.
- Modified patient treatment plans as indicated by patients' responses and conditions.
Home Health Registered Nurse
MSA
Richlands, VA
02.2020 - 05.2020
- Notified physicians of changes in patients' conditions.
- Developed care plans, covering goals based on nursing diagnosis and incorporating therapeutic, preventive and rehabilitative nursing actions.
- Utilized learned nursing skills for wound care, vital sign checking and medication assistance.
- Provided home health aide care providers with training, guidance, support and supervision to achieve objectives.
- Asked open-ended questions and delivered high level of attention to reliably assess patients' conditions.
- Resolved issues in field by notifying physicians immediately to determine course of action.
- Completed initial assessments of patients and family to determine and address individual home care needs.
- Conducted regular re-evaluations to address changes in needs and conditions, and introduced revisions to care plans.
- Assisted patients with activities of daily living and functional mobility to increase comfort and quality of life.
- Addressed patient care needs, collected vitals, dressed wounds and managed catheters.
- Collected biological samples for routine laboratory testing to assist diagnostic processes.
- Participated in on-call rotations and delivered after-hours care.
- Assisted with client personal care needs to foster independence and well-being.
- Charted changes in patient conditions and discussed concerns with supervising healthcare provider.
- Administered prescribed medications and started intravenous fluids to address patient symptoms and underlying etiologies.
- Answered patient calls, identified issues and determined how best to provide assistance within parameters established by facility and supervisor.
- Helped patients and families feel comfortable during challenging and stressful situations, promoting recovery and reducing compliance issues.
- Advocated for patient needs with interdisciplinary team and implemented outlined treatment plans.
- Coordinated with healthcare team to establish, enact and evaluate patient care plans.
- Administered oral, IV and intra-muscular medications and monitored patient reactions.
- Delivered information regarding care and medications to patients and caregivers in comprehendible terminology.
- Maintained strict patient data procedures to comply with HIPAA laws and prevent information breaches.
- Assessed patient conditions, monitored behaviors and updated supervising physicians with observations and concerns.
- Observed strict safety measures, including checking medication dosages before administration to patients.
- Utilized computerized Resource and Patient Management System (RPMS) and Electronic Health Record (EHR) system.
- Referred patients to specialized health resources or community agencies to furnish additional assistance.
- Responded to emergency situations with speed, expertise and level-headed approaches to provide optimal care, support and life-saving interventions.
- Interpreted and evaluated diagnostic tests to identify and assess patient's condition.
- Monitored diet, physical activity, behaviors and other patient factors to assess conditions and adjust treatment plans.
- Modified patient treatment plans as indicated by patients' responses and conditions.
Critical Care ICU Registered Nurse
Johnston Memorial Hospital
Abingdon, VA
10.2018 - 02.2020
- Maintained thorough, accurate and confidential documentation in electronic medical records.
- Advocated for patients by supporting and respecting basic rights, values and beliefs.
- Alerted physician of diagnostic study results and changes in patient condition.
- Communicated and collaborated with healthcare team and patient to identify and meet physical, emotional and spiritual needs.
- Implemented treatment plans, monitored vitals and administered medications for patients in ICU.
- Assessed patient conditions, implemented care plans and reassessed conditions continuously.
- Collaborated with interdisciplinary team to develop care plans for patients with complex medical needs.
- Monitored efficacy of nursing interventions and revised care plans based upon patient response.
- Distributed medications in accordance with patients' medical charts.
- Formulated knowledgeable diagnoses based on direct patient assessments, laboratory results and evaluations of medical histories.
- Organized discharges and educated patients about continuing care requirements to boost long-term outcomes.
- Identified significant health and medical risk factors with potential negative impacts on treatment plans.
- Supervised cardiac monitors, mechanical ventilators and alarms and oxygen delivery devices.
- Detected emerging problems by monitoring patients' behavior, vital signs and fluid intake and output.
- Checked on patients regularly to track progress with treatments, changes in symptoms and need for emergency interventions.
- Observed strict safety measures, including checking medication dosages before administration to patients.
- Identified abnormal and critical respiratory patterns through direct pulmonary assessments.
- Kept track of patients' changing pain levels and proactively worked to minimize excess pain or discomfort.
- Utilized computerized Resource and Patient Management System (RPMS) and Electronic Health Record (EHR) system.
Medical Surgical Staff Registered Nurse
Bristol Regional Medical Center
Bristol, TN
07.2017 - 10.2018
- Assessed patients using comprehensive evaluation techniques and sound clinical judgment.
- Delivered physician-ordered treatments and monitored responses to quickly spot complications and side effects.
- Cared expertly for individuals with wide array of medical issues such as pulmonary, cardiology and infectious disease patients.
- Recorded actions or behaviors of clinical significance in EMR system charts and kept physicians informed.
- Developed and implemented individualized care plans to meet each patient's unique needs.
- Administered treatments, therapies and medication according to prescribed methods and protocols.
- Demonstrated high degree of confidentiality, positive interpersonal skills and adaptability in fast-paced and unpredictable medical environment.
- Maintained aseptic environment to prevent patient infections or other unwanted outcomes.
- Informed patients, family members and caregivers of physician instructions for post-operative at-home care.
- Deployed therapeutic communication and active listening and teaching to establish relationships with patients, families and health care team for optimum patient care.
- Monitored unexpected patient events, interactions or outcomes and recorded incident report in certain situations.
- Coordinated with patient and attending physician in facilitating discharge and continuing needs for home care or transfer to extended care facility.
- Responded to emergency situations with speed, expertise and level-headed approaches to provide optimal care, support and life-saving interventions.
- Administered oral, IV and intra-muscular medications and monitored patient reactions.
- Assessed patient conditions, monitored behaviors and updated supervising physicians with observations and concerns.
- Maintained strict patient data procedures to comply with HIPAA laws and prevent information breaches.
- Monitored diet, physical activity, behaviors and other patient factors to assess conditions and adjust treatment plans.
- Utilized computerized Resource and Patient Management System (RPMS) and Electronic Health Record (EHR) system.
- Prepared medical equipment and tools to aid physician during examination and treatment of patients.
- Stocked clinical workstations and procedure rooms with necessary supplies.
Personal Care Assistant
Commonwealth Memory Care
Cedar Bluff, VA
02.2015 - 07.2017
- Maintained daily living standards by assisting clients with personal hygiene needs.
- Made beds, swept floors and sanitized surfaces to support activities of daily living.
- Provided ongoing compassionate patient care for each client.
- Laundered clothing and bedding to prevent infection.
- Reported concerns to nurse supervisor to promote optimal care.
- Recorded patient temperature, pulse and blood pressure to monitor health and well-being.
- Coordinated doctor appointments, exercise, recreation and family visits to maintain schedule.
- Met with various caregivers to promote continuous professional development and implement quality treatment strategies.
- Supported bathing, dressing and personal care needs.
- Observed patients for changes in physical, emotional, mental or behavioral condition and injuries.
- Maintained clean and well-organized environment for client happiness and safety.
- Followed safe lifting and transferring techniques to transport residents.
- Encouraged residents to participate in activities of daily living to enhance personal dignity.
- Created safe and positive living situations for clients by communicating with family and other staff about concerns or challenges.
- Aided with mobility and independence for disabled individuals and continually monitored safety.
Jewelry Sales Associate
Kmart, Sears Holding
Cedar Bluff, VA
10.2013 - 02.2015
- Provided excellent service to customers through active engagement, direct eye contact and listening skills.
- Arranged merchandise for display to highlight new styles, attract customers and enhance sales.
- Cleaned jewelry cases daily with glass cleaner and dusters to keep displays pristine.
- Engaged positively with each customer, providing professional and polite support for sales and service needs.
- Restocked merchandise from inventory during downtime when items upfront became low.
- Calculated pricing, applied discounts and collected payments to process transactions.
- Managed and processed customer payments made by credit and debit cards as well as cash and provided correct change if applicable.
- Followed store opening and closing procedures as per company guidelines.
- Counted cash, made change and stored coupons to keep organized and balanced cash register drawer.
- Processed payments and maintained accurate drawers to meet financial targets.
- Trained and coached newly hired associates on store return policies and customer service techniques.
- Kept calm and applied strong problem-solving and interpersonal skills to resolve conflicts.
- Honed conflict resolution skills as result of diffusing tense situations with unhappy customers.
Education
Associate of Science - Nursing
Southwest Virginia Community College
Richlands, VA05.2017
High School Diploma -
Richlands High School
Richlands, VA06.2014
Skills
- Medical Assessment
- Patient Care Planning
- Critical Thinking
- Patient Condition Monitoring
- Creative Problem Solving
- Compassionate and Caring
- Care Coordination
- Patient Care Oversight
- Student Precepting
- Decision Making
- Monitoring Vital Signs
- Medication Administration
- Specialized Healthcare Referrals
- Accurate Documentation
- Blood Draw and Sample Collection
- Immunizations and Vaccinations
- Diet and Nutrition
- Cardiac Monitoring
- Infection Control Procedures
- Direct Patient Care
- Treatment Plan Modification
Timeline
Registered Nurse Care Manager
Acentra Health
08.2023 - Current
Registered Nurse Case Manager
Appalachian Agency For Senior Citizens
02.2022 - 08.2023
Home Health Registered Nurse
Interim Home Health
05.2020 - 02.2022
Home Health Registered Nurse
MSA
02.2020 - 05.2020
Critical Care ICU Registered Nurse
Johnston Memorial Hospital
10.2018 - 02.2020
Medical Surgical Staff Registered Nurse
Bristol Regional Medical Center
07.2017 - 10.2018
Personal Care Assistant
Commonwealth Memory Care
02.2015 - 07.2017
Jewelry Sales Associate
Kmart, Sears Holding
10.2013 - 02.2015
Associate of Science - Nursing
Southwest Virginia Community College
High School Diploma -
Richlands High School
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