Registered Nurse Case Manager
Roswell Park Comprehensive Cancer Center
Buffalo, NY
8/01/15 - 2/8/22
- Participated in team meetings to discuss treatment options for complex cases.
- Provided education and counseling on health promotion, risk reduction strategies, disease prevention and self-care techniques to patients and their families.
- Utilized critical thinking skills when assessing new information or changes in a patient's condition.
- Determined and coordinated appropriate level of care to meet individual patient needs.
- Evaluated effectiveness of treatments provided by consulting specialists or other providers involved in a patient's care plan.
- Maintained accurate records of all patient interactions according to established protocols.
- Collaborated with physicians on patient medications, medical needs and performance.
- Assessed, planned, implemented and evaluated individualized nursing care plans for each patient.
- Coordinated discharge planning with multidisciplinary teams ensuring safe transitions back into the community.
- Monitored patient progress through regular follow-up appointments and assessments.
- Managed caseloads involving multiple chronic illnesses across various settings such as hospitals, long-term care facilities or private homes.
- Updated and maintained discharge plan of care with physician, members of healthcare team, patients and families.
- Coordinated home care, home infusion and durable medical equipment.
- Promoted continuity of care by advocating for patients within the healthcare system.
- Advocated for patients by identifying insurance coverage, communicating care preferences to practitioners and verifying interventions met patients' treatment goals.
- Secured insurance authorizations to rehabilitation facilities or long-term care placement.
- Collaborated with physicians, social workers and other healthcare professionals to coordinate care for patients.
- Facilitated referrals for specialized services such as physical therapy or hospice care when needed.
- Implemented interventions based on evidence-based practice guidelines while working collaboratively with interdisciplinary teams.
- Participated in on-call rotations, delivering daily continuous quality care to patients.
- Collaborated with physicians during medical rounds, updated treatment plans and provided plan of care to patients and families.
- Arranged placement of admissions and transfers in accordance with clinical standards and guidelines.
- Collaborated in consults, patient care plans development, patient monitoring and evaluations.
- Acted as an advocate for patient rights during hospital stays or other clinical encounters.
- Developed relationships with patients to ensure they received the highest quality of care.
- Collaborated with doctors to plan post-treatment home care and prevent return hospitalization.
- Oversaw patient admission and discharge processes to coordinate related paperwork.
- Maintained thorough, accurate and confidential documentation in electronic medical records.
- Advocated for patients by supporting and respecting basic rights, values, and beliefs.
- Helped patients and families feel comfortable during challenging and stressful situations, promoting recovery and reducing compliance issues.
- Utilized computerized Resource and Patient Management System (RPMS) and Electronic Health Record (EHR) system.
- Achieved departmental goals and objectives by instituting new processes and standards for in-patient care.
- Developed patient care plans, overall patient health assessments and evaluations.
