Highly motivated professional demonstrates ability to develop and implement successful plans of action to address individual needs. Possesses strong problem-solving skills to reduce barriers. Committed to helping individuals and families.
Overview
20
20
years of professional experience
Work History
Inpatient Case Manager
Mercy Hospital
03.2017 - Current
Assess and interview patients, family members and caregivers in order to determine the most appropriate post-acute needs.
Develop supportive professional relationships with patients and families to enhance quality of care and aid patient to achieve self-sufficiency.
Review patient charts frequently to update plan of care to best fit their needs
Offer regular and quality contact with clients to maintain trust, assist in crisis prevention and meet individual needs.
Collaborate with the care team daily and throughout the day to evaluate the plan of care and update it as needed to ensure patients are receiving high quality, cost-effective care
Provided patient and family education on available resources and self-care strategies.
Facilitated family meetings to discuss patient care plans.
Developed partnerships with community organizations to expand services and referrals.
Participated in interdisciplinary care conferences to discuss patient care plans and referrals.
Send referrals to post-acute facilities and coordinate transition to next level of care
5+ years experience as Clinical High Risk case management
Use critical thinking and problem solving to determine the best plan of care
Strong verbal and written communication skills
Coordinated individualized discharge plans to manage safe transition back into community and home environments.
Flexibility to change care plans if they are not getting the best results
Organize and manage several different cases at once
Computer literacy to maintain and manage case records
RN, Dialysis
Fresenius Medical Care
04.2015 - 03.2017
Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process, and management and lifestyle options.
Managed care from admission to discharge.
Provided direct patient care, stabilized patients, and determined next course of action.
Monitored patient reactions to drugs and carefully documented findings.
Trained new nurses in proper techniques, care standards, operational procedures, and safety protocols.
Administered medications via oral, IV, and intramuscular injections and monitored responses.
Updated patient charts with data such as medications to keep records current and support accurate treatments.
Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
RN Case Manager
Stillwater Medical Center Home Health
08.2006 - 04.2015
Managed a case load of 25-35 patients and overseeing interdisciplinary care team.
Provided skilled care, assessment, teaching regarding medications and disease process management, using the nursing process, as well as admissions, discharges, re-certifications.
Educated patients and caregivers on healthcare protocols and processes.
Managed support services and fostered communication among social workers, therapists, hospital staff, and patients.
Developed and modified patient care plans and assisted interdisciplinary team in identifying client needs and goals to determine priorities of care.
Implemented aspects of patient care under physician orders and sought clarification when needed to promote safety, quality and cost-efficient care.
Gathered and recorded patient health information and data to assess, identify and manage characteristics that affect care outcome.
RN Staff Nurse
Stillwater Surgery Center
10.2003 - 01.2006
Pre-op, Post-op, PACU, endoscopy, pain management and other procedures