Caroline Swihart
Fredericktown,OH
Summary
Professional nurse consultant prepared for this role. Proven track record in healthcare consulting with strong focus on patient care and clinical operations. Adept in team collaboration and delivering results under changing circumstances. Skilled in clinical assessments, regulatory compliance, and process improvement. Known for reliability, flexibility, and achieving impactful outcomes.
Overview
15
15
years of professional experience
1
1
Certification
Work History
Nurse Consultant and Educator
Choices Behavioral Healthcare
Toledo, Ohio
01.2022 - 06.2024
- Developed and implemented individualized care plans for clients, enhancing treatment effectiveness.
- Conducted comprehensive assessments to identify patient needs and recommend appropriate interventions.
- Collaborated with multidisciplinary teams to ensure integrated care delivery and optimal client outcomes.
- Facilitated training sessions for staff on best practices in behavioral health care management.
- Reviewed and analyzed client progress data, adjusting treatment plans as necessary for improved results.
- Provided ongoing support and consultation to families, fostering understanding of behavioral health issues.
- Led quality improvement initiatives aimed at enhancing service delivery and client satisfaction rates.
RN Case Manager/ Care Coordinator
Professional Edge Nursing
Toledo, OH
01.2020 - 11.2020
- Assessed patient needs to develop individualized care plans ensuring optimal health outcomes.
- Coordinated interdisciplinary team meetings to enhance communication and streamline patient care processes.
- Monitored patient progress, adjusted care plans, and documented changes in electronic health record systems.
- Educated patients and families on treatment options, self-management strategies, and available resources.
- Facilitated referrals to specialists and community resources, improving access to comprehensive care services.
- Implemented quality improvement initiatives that enhanced patient satisfaction scores and reduced readmission rates.
- Analyzed data trends to identify areas for process improvement and inform strategic decision-making in patient care 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.
- Collaborated with physicians and other healthcare providers to ensure appropriate resource utilization for complex cases.
- Streamlined care coordination processes to reduce hospital readmissions and emergency department visits.
- Improved patient outcomes by consistently providing comprehensive assessments and developing tailored care plans.
- Participated in ongoing professional development opportunities focused on refining case management skills in alignment with industry bestpractices.
Complex Care RN Case Manager
United Health Group/Optum
Minneapolis, MN Remote Position
07.2009 - 09.2019
- Coordinated patient care plans to enhance health outcomes and ensure continuity of services.
- Conducted comprehensive assessments to identify patients' needs and develop tailored intervention strategies.
- Collaborated with interdisciplinary teams to streamline communication and improve patient engagement.
- Monitored treatment compliance and provided education on disease management to empower patients.
- Implemented quality improvement initiatives that enhanced operational efficiency within case management processes.
- Mentored junior nurses in best practices for patient advocacy and care coordination strategies.
- Analyzed data trends to drive evidence-based decision-making in clinical practice and resource allocation.
- Facilitated training workshops focused on clinical documentation standards and regulatory compliance for staff development.
- Authored initial assessments of patients and family to develop plans for individual home care needs.
- Enhanced interdisciplinary team communication through regular case conferences, promoting effective collaboration for optimal patient care.
- Conducted comprehensive assessments of patients'' physical, emotional, and social needs in order to develop individualized care plans that facilitated optimal health outcomes.
- Developed care plans based on nursing diagnosis and incorporated therapeutic, preventive and rehabilitative nursing methods.
- Maintained detailed documentation of patient encounters, supporting accurate billing practices and data-driven decision making.
- Implemented evidence-based nursing interventions, contributing to improved quality of care and patient satisfaction scores.
- Led process improvement initiatives aimed at enhancing efficiency in case management operations while maintaining excellent clinical outcomes.
- Assisted in the development and implementation of departmental policies and procedures related to case management, ensuring alignment with organizational goals and regulatory requirements.
Education
Master of Science -
Associate of Applied Science - Nursing
North Central State College
Mansfield, Ohio06-1996
Skills
- Interprofessional collaboration
- Case documentation
- Clinical expertise
- Medical documentation
- Quality improvement
- Staff training
- Data analysis
- Records review
- Report writing
- Performance improvement
- Clinical supervision
- Healthcare service delivery
- Reviewing risk exposure
- Reviewing standards of care
- Care analysis
- Analyzing documentation
- Care summaries
- Teamwork and collaboration
- Problem-solving
- Attention to detail
- Effective communication
- Electronic health records
Certification
- Certification in Case Management. CCM. Currently active.
Timeline
Nurse Consultant and Educator
Choices Behavioral Healthcare
01.2022 - 06.2024
RN Case Manager/ Care Coordinator
Professional Edge Nursing
01.2020 - 11.2020
Complex Care RN Case Manager
United Health Group/Optum
07.2009 - 09.2019
Master of Science -
Associate of Applied Science - Nursing
North Central State College
ATTRIBUTES
- Motivational Interviewing experience
- Strong listening and interpretive skills
- Participates in a timely manner
- Professional behavior
- Aware of targets, process improvement, and assists to drive growth and improvement margins.
- Efficient with time management
- Works well independently and promotes team efforts to succeed.
- Adapts to change well and able to prioritize work.