Dynamic nursing professional with over 14 years of case management experience. Proven expertise in coordinating complex care and implementing effective communication strategies. Skilled in EMR and adept at fostering strong relationships with patients and interdisciplinary teams, ensuring optimal health outcomes through comprehensive care plans.
Overview
15
15
years of professional experience
1
1
Certification
Work History
Care Partner
Commonwealth Care Alliance
Springfield, MA
08.2023 - Current
Provide hybrid/in-person complex care to members with significant health care needs that require intensive care coordination services and activities geared toward addressing the members' physical, behavioral health, and social needs.
Perform MDS assessment and Time for Task Tool, geared towards activities of daily living.
Director of Nursing
Excelsure Homes Healthcare Solutions
Springfield, MA
03.2023 - 03.2024
Case manage and provide clinical oversight to interdisciplinary team.
Implements/develops/documents the plan of care and revises as necessary.
Provides care utilizing infection control measures that protect both the staff and the patient (OSHA).
Provides effective communication to patient/family, team members, physicians, and other health care professionals.
Evaluates the effectiveness of nursing interventions by performing ongoing assessments and reassessments of patient problems, conditions and treatments. Modifies the plan of care focusing on age and developmental status.
Performs clinical and technical aspects of care in accordance with established policies, procedures, standards of practice and within limits of the Massachusetts Nurse Practice Act.
Develop department goals, policies and procedures, and quality assurance programs.
Participate in the ongoing quality improvement process.
Provide oversight for employees.
MRC Program Coordinator
Excelsure Homes Healthcare Solutions
Springfield, MA
11.2022 - 03.2023
Serve as a liaison between the agency, the MRC Waiver Program, patients, and their families.
Coordinate medical and health services in compliance with MRC regulations and policies.
Liaise with the interdisciplinary team to ensure patient needs are met.
Provide care to patients via in-person and telehealth technologies (video, chat, etc.).
Review medical documentation, consent forms, and attach forms to the EMR.
Branch Manager
Century Home Care
Springfield, MA
02.2015 - 12.2022
Provided leadership, coaching, and mentoring to clinical personnel.
Served as a liaison between the agency, insurance companies, community resources, patients, and their families.
Assessed patients for the appropriateness of home health services, obtained additional orders for care, and referral services as needed.
Provided clinical care to patients with chronic and acute conditions via in-person and telehealth technologies (video, chat, etc.).
Conducted crisis assessments, and deployed assistance as needed.
Performed patient admission assessment, recertification, resumption of care, discharge, and subsequent visits.
Utilized the SBAR communication technique.
Performed quality assurance, and assisted with improvement efforts.
Completed prior authorizations, reviewed approvals/denials, and appropriateness based on client needs.
Reviewed all medical documentation and consent forms, and attached forms to the EMR.
Case Manager
Holyoke VNA
Holyoke, MA
07.2012 - 02.2015
Ensured home care was provided in accordance with the agency.
Performed patient admission assessment, recertification, resumption of care, discharge, and subsequent visits.
Planned and implemented patient health teaching and health counseling regarding the disease processes, self-care techniques, and prevention.
Performed the following technical skills: wound care/wound vac, blood draws, INR management, IV management, medication administration, and collection of specimens.
Maintained thorough, accurate, and confidential documentation in electronic medical records.
Registered Nurse
Holyoke Health Center
Holyoke, MA
09.2010 - 06.2012
Educated patients, caregivers and families on diagnoses, treatment options and disease prevention.
Liaised between patients and doctors, completing comprehensive assessments.
Responded to emergency situations with speed, expertise and level-headed approaches to provide optimal care, support and life-saving interventions.
Advocated for patient needs with interdisciplinary team and implemented outlined treatment plans.
Observed strict safety measures, including checking medication dosages before administration to patients.
Administered oral, subcutaneous and intra-muscular medications and monitored patient reactions.
Education
Bachelor of Science in Nursing -
American International College
Springfield, MA
05.2010
Minor in Psychology -
American International College
Springfield, MA
05.2010
Skills
Excellent interpersonal communication skills
Excellent emotional intelligence, analytical, and critical thinking skills
Knowledge of Medicare, Medicaid, HMO, ACO regulations, and PA process
14 years of case management experience
Proficient in EMR, Microsoft Office, Excel, and PowerPoint
Certification
Basic Life Support (BLS), American Heart Association, 2024