Advanced Clinical Assessment & Care Management
- Performed comprehensive, ongoing assessments of complex clients, identifying changes in condition and promptly communicating findings to physicians, facility leadership, and interdisciplinary care teams.
- Applied expert clinical judgment and critical thinking to prioritize nursing interventions based on acuity, risk stratification, and individualized client needs.
- Delivered holistic, client-centered nursing care addressing physical, emotional, and psychosocial needs to optimize outcomes and satisfaction.
Care Coordination & Interdisciplinary Collaboration
- Led the development, implementation, and modification of individualized care plans for high-risk clients with multiple comorbidities.
- Collaborated closely with interdisciplinary teams—including providers, social work, therapy services, facility staff, and administrators—to ensure continuity of care across settings.
- Actively participated in and facilitated quarterly care plan meetings, driving alignment between clinical goals, treatment strategies, and follow-up actions.
Client & Family Advocacy and Education
- Educated clients, families, and caregivers on diagnoses, treatment options, and care plans to promote informed decision-making and adherence.
- Served as a trusted liaison during complex medical situations and end-of-life care, supporting families through difficult decisions with compassion and clarity.
Crisis Intervention & Risk Management
- Responded swiftly to safety-related incidents involving clients, utilizing crisis prevention, de-escalation strategies, and therapeutic communication to manage high-risk situations.
- Conducted ongoing behavioral and condition monitoring, adjusting plans of care as clinically indicated and escalating concerns appropriately.
Quality Improvement, Leadership & Mentorship
- Identified care gaps and operational challenges, developed action plans, and partnered with multidisciplinary teams to execute and track outcomes.
- Led and contributed to quality improvement initiatives that enhanced care coordination, workflow efficiency, and client satisfaction.
- Mentored and supported nursing staff, reinforcing best practices, standards of care, and a culture of accountability and collaboration.
- Partnered with leadership to implement initiatives focused on client satisfaction, retention, and staff morale.
Compliance & Professional Standards
- Maintained strict adherence to HIPAA, regulatory requirements, and organizational policies to protect client confidentiality and ensure ethical care delivery.
- Championed evidence-based practice and standards of care to drive consistent, high-quality clinical outcomes.