Proven Inpatient and ED Care Coordinator at Kaiser Westside Medical Center, adept in case management and patient education, reduced hospital readmission rates. Excelled in documentation and organizational skills, ensuring optimal health outcomes and Medicare compliance. Fostered strong patient and community relationships, enhancing care coordination and support. Professional with strong background in care coordination. Skilled in patient advocacy, healthcare planning, and resource management. Known for effective team collaboration and achieving measurable results. Adaptable to changing needs with robust communication and organizational skills. Reliable and focused on delivering high-quality care outcomes.
Overview
16
16
years of professional experience
1
1
Certification
Work History
Inpatient and ED Care Coordinator
Kaiser Westside Medical Center
04.2013 - 02.2024
Managed patient caseloads effectively, ensuring timely follow-up and appropriate interventions.
Developed strong relationships with community partners, facilitating referrals and collaboration on behalf of patients.
Educated patients on self-care strategies, promoting independence and empowering them to manage their health conditions.
Assessed patient needs and connected them with appropriate resources to ensure optimal health outcomes.
Conducted regular evaluations of care plan effectiveness, making necessary adjustments based on feedback from patients and providers.
Maintained accurate and up-to-date documentation of patient records in accordance with HIPAA regulations.
Improved communication among healthcare providers, streamlining the coordination of services for patients.
Coordinated discharge planning, ensuring a smooth transition from hospital to home or other facilities.
Facilitated appointments and transportation for patients, streamlining access to essential medical services.
Determined need for special assessment activities for complex cases, effectively handling care plans.
Contributed to the development of organizational policies and procedures related to care coordination, ensuring alignment with industry standards and best practices.
Conducted thorough assessments of patient needs to devise personalized care plans, addressing both health and social determinants.
Reduced hospital readmission rates by coordinating effective post-discharge care plans.
Negotiated with insurance providers to secure coverage for necessary treatments, alleviating financial stress for patients.
Advocated for patients during care team discussions, ensuring their preferences and needs were prioritized.
Collaborated with social services to connect patients with resources for housing, nutrition, and financial assistance, improving their overall wellbeing.
Coordinated with external healthcare services to arrange necessary patient treatments, ensuring continuity of care.
Developed and maintained strong relationships with patients and their families, providing emotional support and health education.
Ensured compliance with healthcare regulations and standards, maintaining patient safety and confidentiality.
Established and maintained effective communication with staff, physicians and community organizations to promote high quality patient care.
Created customized care plans, working with hospital staff and families to assess and meet individual needs.
Liaised with other healthcare professionals to develop comprehensive patient care plans and provide highest quality of care.
Hospice Registered Nurse Case Manager/team Lead
Kaiser Permanente
11.2007 - 04.2013
Served as a liaison between patients, families, and healthcare providers to ensure seamless delivery of hospice services.
Educated patients and families about illness progression, treatment options, and available resources for additional support.
Ensured timely delivery of medical treatments for optimal symptom management while maintaining a high level of compassion.
Monitored and evaluated patient progress, adjusting care plans accordingly for best possible outcomes.
Cultivated a positive team culture through role modeling, active listening, and open communication with peers and supervisors.
Conducted family meetings facilitating discussions surrounding goals of care, advance directives establishment or modification.
Education
Associate of Science - Registered Nurse
Pacific Union College
Napa, CA
Bachelor of Science - Social Work
Walla Walla University
Walla Walla, WA
Skills
Case Management
Documentation
Patient Education
Organizational Skills
Quality Assurance Controls
Decision-Making
Medicare Compliance
Epic Systems
Patient education and counseling
CPR/AED
Utilization Management
Certification
CCM - expired 2024
Hospice Certification -expired.
willing to renew certification's as needed.
Timeline
Inpatient and ED Care Coordinator
Kaiser Westside Medical Center
04.2013 - 02.2024
Hospice Registered Nurse Case Manager/team Lead
Kaiser Permanente
11.2007 - 04.2013
CCM - expired 2024
Hospice Certification -expired.
willing to renew certification's as needed.
Associate of Science - Registered Nurse
Pacific Union College
Bachelor of Science - Social Work
Walla Walla University
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