
Dedicated Registered Nurse with over six years of experience in acute care, maternal newborn nursing, and outpatient behavioral health. Skilled in comprehensive patient assessments, care coordination, patient education, and discharge planning. Collaborates effectively with multidisciplinary teams to address complex medical and psychosocial needs, ensuring optimal patient outcomes.
• Complete comprehensive maternal and newborn assessments and identify clinical, educational, and psychosocial needs
• Coordinated individualized care and discharge plans with physicians, social workers, case management, lactation consultants, and healthcare team members to ensure comprehensive support for patients
• Identified barriers affecting safe discharge, such as limited family support, mental health concerns, transportation needs, health literacy, and access to follow-up care to facilitate smoother transitions
• Provide education regarding medications, postpartum recovery, newborn care, feeding, warning signs, follow-up appointments, and available community resources
• Coordinated patient care as charge nurse during shifts by coordinating patient assignments, admissions, staffing needs, and unit operations
• Use clinical judgment to recognize changes in patient condition, escalate concerns, and coordinate appropriate interventions or transfers
• Advocated for patients with complex medical, behavioral health, and social needs, ensuring necessary resources and support were in place for safe transitions of care
• Maintain accurate clinical documentation while following hospital policies, regulatory requirements, and patient safety standards
• Assessed postpartum patients and newborns for medical, emotional, educational, and discharge planning needs
• Coordinated care with physicians, social workers, lactation consultants, neonatal providers, and other clinical departments
• Developed and reinforced individualized discharge education based on patient needs, health literacy, and identified risk factors
• Recognized changes in patient condition and initiated timely communication and clinical interventions
• Supported patients experiencing pregnancy complications, postpartum concerns, mental health needs, and newborn feeding challenges
• Coordinated follow-up care, referrals, and transitions to appropriate outpatient or higher-level services
• Documented assessments, interventions, education, and patient outcomes in the electronic medical record
• Supported patients with behavioral health conditions through telephone communication, medication follow-up, care coordination, and patient education
• Gathered patient histories, symptoms, medication information, and treatment concerns for provider review
• Identified urgent behavioral health concerns and communicated changes in patient condition to psychiatric providers
• Coordinated referrals, prescription requests, prior authorizations, follow-up appointments, and access to community resources
• Assisted patients in overcoming barriers related to insurance coverage, medication access, appointment availability, and continuity of care
• Collaborated with psychiatric providers, pharmacies, insurance companies, patients, and families to support treatment plans
• Maintained confidential and accurate documentation while following regulatory and organizational requirements
Comprehensive patient assessment
Care coordination and discharge planning
Identification of barriers to care
Patient education and health coaching
Behavioral health support
Complex and coexisting conditions
Referrals and community resources
Medication reconciliation and education
Interdisciplinary collaboration
Transition of care planning
Clinical documentation
Insurance authorizations
Telephone communication and follow-up
Patient advocacy
Charge nurse leadership
Electronic medical records