Carole Jones

ED, ICU, PACU, NICU, mother baby, labor and delivery

• Evaluated patient progress and adjusted care plans accordingly, ensuring continuity of care across all healthcare settings.
• Provided education and support to patients and families, empowering them to make informed decisions regarding their healthcare needs.

• Performed accurate documentation of patient assessments, interventions, and outcomes in compliance with regulatory standards.
• Promoted a safe and comfortable healing environment by addressing patient concerns promptly and professionally.
• Remained calm during high-stress, critical situations, demonstrating sustained focus and problem-solving in real-time.
• Educated patients on disease management, self-care techniques, and wellness strategies to improve long-term health outcomes.

Sound team

ED, ICU, med surg, cardiology, ortho, surgical, oncology

Pulmonology, cardiology

cardiology, neuro

entire hospital

• Worked with utilization review to establish prior authorization for timely discharges.
• Participated in ongoing professional development opportunities to stay current with trends and best practices in utilization review, bringing new insights back to the organization.
• Reduced instances of denied claims due to insufficient documentation by meticulously verifying the accuracy of all submitted materials during the utilization review process.
• Increased efficiency of the utilization review process through regular communication with insurance companies for timely authorizations.
• Implemented evidence-based practices in the utilization review process, improving overall decision-making accuracy and effectiveness.

• ICU, ED, PACU, Trauma
• Managed complex cases involving multiple comorbidities, requiring close monitoring and coordination of various healthcare services.
• Collaborated closely with physicians to develop individualized treatment plans, supporting optimal patient outcomes.
• Educated patients and families on available community resources, facilitating access to necessary support services.
• Reduced hospital readmission rates through effective case management and patient education on self-care techniques.
• Served as a key liaison between patients, families, and healthcare providers, fostering open communication and trust among all parties involved in the care process.
• Coordinated care conferences with interdisciplinary team members, ensuring all perspectives were considered in the development of comprehensive treatment plans.
• Advocated for patients'' rights and preferences, working diligently to align care with individual values and goals.
• Improved patient satisfaction scores by providing timely follow-ups and addressing concerns promptly.
• Educated patients and caregivers on healthcare protocols and processes.
• Mentored new nursing staff, facilitating a faster learning curve and increased overall team efficiency.
• Navigated regulatory requirements effectively, ensuring proper documentation and compliance with relevant laws and guidelines.
• Participated in quality improvement initiatives aimed at enhancing the delivery of nursing care within the organization.

• Promoted a safe and supportive environment for both patients and staff by enforcing policies and addressing concerns promptly.
• Established open lines of communication with patients'' families; regularly updating them about progress and discussing treatment options thereby promoting trust and cooperation.
• Enhanced staff retention rates by fostering a supportive work culture; recognizing achievements, providing constructive feedback and promoting professional growth opportunities.

• Administered medications safely according to established guidelines while closely monitoring for side effects or adverse reactions requiring intervention.

• Company Overview: REMOTE - PRN
• REMOTE - PRN

• Collaborated with multidisciplinary teams to facilitate client care and reduce case management barriers.
• Streamlined, standardized and implemented case management processes and techniques to maximize revenue cycle.
• Created care plans that addressed clinical and financial challenges, family requirements and facilitated patient quality of life.