Dedicated RN Case Manager with expertise in care coordination, patient education, and chronic illness management. Proven ability to enhance patient outcomes through effective communication and interdisciplinary collaboration.
Overview
14
14
years of professional experience
Work History
Home Health RN Case Manager
Valley Ridge Home Health
Christiansburg, Virginia
03.2018 - Current
Coordinated patient care plans with interdisciplinary teams and family members.
Assessed patient needs and developed individualized nursing interventions.
Monitored patient health status and documented significant changes in records.
Educated patients and families on disease management and medication use.
Collaborated with healthcare providers to ensure optimal service delivery.
Conducted regular home visits to evaluate patient progress and compliance.
Managed care transitions to enhance continuity between healthcare settings.
Provided training and support to new nursing staff on case management procedures.
Performed case management functions such as referrals to community resources or other healthcare providers as needed.
Assessed patient needs and developed individualized care plans.
Advised families on how best to manage chronic illnesses at home.
Utilized problem solving skills to assess complex medical situations and formulate appropriate interventions.
Participated in interdisciplinary team meetings regarding patient care planning and outcomes assessment.
Recognized when a change in condition warrants further evaluation or intervention and took appropriate action.
Adapted teaching methods based on individual learning styles while providing education on disease processes and self-management strategies.
Coordinated communication between all members of the healthcare team including primary care providers, specialists, family members, caregivers.
Provided emotional support for patients experiencing difficult diagnoses or transitions from hospital to home setting.
Home Health RN Case Manager
Stonerise Healthcare/ MSA Home Health
Bluefield, West Virginia
09.2015 - 03.2018
Assessed patient needs and developed individualized nursing interventions.
Monitored patient health status and documented significant changes in records.
Educated patients and families on disease management and medication use.
Conducted regular home visits to evaluate patient progress and compliance.
Assessed patient needs and developed individualized care plans.
Advised families on how best to manage chronic illnesses at home.
Evaluated the effectiveness of interventions by monitoring changes in patient's condition or behavior over time.
Provided comprehensive nursing care for patients in their homes.
Conducted regular follow up visits with patients in order to evaluate progress towards goals set forth in their care plan.
Conducted regular re-evaluations to address changes in needs and conditions, and introduced revisions to care plans.
Completed initial assessments of patients and family to determine and address individual home care needs.
RN Supervisor
Carrington Place At Wytheville
Wytheville, Virginia
06.2014 - 09.2015
Supervised nursing staff to ensure adherence to best practices and protocols.
Managed staff schedules and assignments to maintain adequate coverage and efficiency.
Conducted performance evaluations and provided constructive feedback to nursing personnel.
Monitored patient conditions and reported changes to physicians promptly.
Ensured compliance with healthcare regulations and safety standards within the facility.
Provided clinical leadership and direction for nursing staff, ensuring that all tasks were completed in accordance with accepted standards of care.
RN Unit Manager
Highland Ridge Rehab Center LOC
Dublin, Virginia
05.2012 - 06.2014
Developed and implemented unit policies to improve operational efficiency and safety.
Monitored compliance with healthcare regulations and standards within the unit.
Trained and mentored new nursing staff on procedures and best practices.
Conducted regular performance evaluations to promote staff development and accountability.
Facilitated communication among team members to enhance patient care delivery.
Certified Nursing Assistant at Mountain Ridge Health and Rehab/Golden Years Nursing HomeCertified Nursing Assistant at Mountain Ridge Health and Rehab/Golden Years Nursing Home