Accomplished nursing professional with 18+ years of patient care experience in a range of clinical settings. Highly motivated self-starter with an exceptional ability to prioritize, coordinate, and document care. Resourceful and compassionate patient advocate recognized for outstanding critical thinking, problem solving, and decision-making skills.
Overview
18
18
years of professional experience
1
1
Certification
Work History
TRIAGE NURSE CASE MANAGER
Senior Whole Health – Molina Healthcare
02.2014 - Current
Develops and manages customized care plans for dual-eligible patients to meet complex healthcare needs and support maximum independence in community or home settings.
Demonstrates empathy and expertise to ease concerns and quickly establish trusted rapport. Utilizes electronic medical records software (EMR) to thoroughly document Minimum Data Set (MDS) and full medical history.
Conducts in-depth needs assessments. Asks specific questions to trigger essential services. Focuses on pain, abilities, and neurologic functioning. Evaluates home environment for safety and accessibility.
Writes comprehensive narrative with specific recommendations and referrals. Applies deep knowledge of services and strategies to ensure optimal care.
Collaborates with physicians and other agencies. Facilitates communication among care team and provides support for patients and families.
RN CASE MANAGER
Kindred Hospital Boston
08.2013 - 02.2014
Performed psychological/social assessments of new admissions at long-term, acute care facility. Employed InterQual evidence-based criteria to ensure appropriate care. Collaborated with interdisciplinary medical team.
Prepared discharge plans to safely transition patients to other facilities or community. Provided patient and family advocacy. Worked closely with regional case manager and director to address complex issues.
CLIENT SERVICES RN
Elder Services of Berkshire County
12.2012 - 08.2013
Clinically assessed patients in community and skilled nursing facilities using MDS criteria. Determined Medicaid eligibility. Advocated for patients and families to access needed services.
Consulted with case managers, physicians, and supervisors to create optimal care plans, resolve problems, and recommend changes. Contributed to discharge plans from skilled nursing facilities.
HOSPICE RN (per diem)
Bayada Hospice
11.2011 - 08.2013
Conducted clinical assessments, developed individualized care plans, and provided compassionate end-of-life care. Admitted patients into hospice services in community settings and skilled nursing facilities.
Provided on-call assistance to patients. Supported grieving families with education and counseling.
STAFF RN
Crescent Manor Care Centers
12.2010 - 08.2012
Cared for patients with dementia and Huntington’s Disease on locked unit. Managed incidents with non-violent interventions and de-escalation techniques. Created individualized and working care plans.
Fostered therapeutic relationships with clear and compassionate communication. Administered medication and monitored patients for changes in behavior and condition.
TELEMETRY RN
Berkshire Medical Center
08.2009 - 07.2010
Delivered nursing care to patients requiring constant electronic monitoring due to a range of complex medical issues. Collaborated with healthcare team to determine and perform appropriate interventions.
Applied comprehensive understanding of cardiac rhythms and lab values to identify changes in status and respond to acute issues on fast-paced unit. Educated patients and families about diagnoses, procedures, and prognosis.
MEDICAL/SURGICAL RN
Kindred Hospital Boston
04.2008 - 08.2009
Mentored new nurses and delegated responsibilities to promote highest quality care and positive patient outcomes. Excelled in insertion of peripheral intravenous lines and participated in bedside surgical procedures.
Mastered wound care through mentoring and hands-on training from hospital Wound Care Nurse.
CARDIAC INTENSIVE CARE UNIT RN
Children's Hospital
07.2007 - 04.2008
Provided care for critically ill patients on fast-paced pediatric intensive care unit. Assisted in performing bedside procedures. Interpreted and evaluated diagnostic tests, monitored status, and responded to emergencies.
Participated in ongoing clinical research. Gained broad-based knowledge of cardiac intravenous medications.
Prior Authorization Coordinator at Passport Health Plan by Molina HealthcarePrior Authorization Coordinator at Passport Health Plan by Molina Healthcare