Barbara Denham

• Reduced readmission rates by effectively managing patient discharges and following up on post-discharge needs.
• Educated patients and families on available community resources, empowering them to make informed decisions about their ongoing care.
• Provided ongoing education for nursing staff regarding best practices in transitional care management, contributing to a more knowledgeable and skilled workforce.
• Facilitated discharge planning meetings to develop comprehensive care plans tailored to each patient''s unique needs.
• Actively participated in quality improvement initiatives aimed at enhancing the transitional care process within the organization.
• Managed complex cases involving multiple comorbidities, prioritizing tasks based on urgency and risk factors associated with poor transitions of care.
• Served as a liaison between hospital staff, outpatient providers, and community agencies, bridging gaps in communication to optimize continuity of care for patients transitioning between settings.
• Established and maintained effective communication with staff, physicians and community organizations to promote high quality patient care.
• Monitored key performance indicators related to transitional care, implementing continuous improvement strategies as needed.
• Worked effectively in fast-paced environments.
• Proven ability to learn quickly and adapt to new situations.
• Excellent communication skills, both verbal and written.
• Managed time efficiently in order to complete all tasks within deadlines.
• Used critical thinking to break down problems, evaluate solutions and make decisions.
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I was dual trained to do UR and CM discharge planning with patient load 15-18 weekday and 45 on weekends .

Worked 12 hr shifts Surgical /Ortho Unit -13 yrs then float pool

Delivered Outstanding hands on care

Managed all elements of the patients care -

Preceptor for new grads