GUERLY E LAROCHE
Lakeville,USA
Summary
Dedicated and compassionate Registered Nurse (RN) with progressive career history in direct patient care, triage, and care coordination in a fast-paced environment. Proven to remain calm under pressure and skillfully handle complex patients and high-stress situations. Consistently developing strong relationships with patients and families through empathetic communication, respectful attitude, and excellent customer service.
Overview
32
32
years of professional experience
1
1
Certification
Work History
Insurance Support Nurse
Brigham and Women's Hospital
11.2021 - Current
- As part of the Utilization Management Department at Brigham and Women’s Hospital, Boston, I am responsible for the following tasks.
- Reviewing the patient's clinical records.
- Drafting clinical and appeal letters.
- Collaborating with insurance companies to obtain information to help the appeal process.
- Obtain medical necessity letters from the surgeon to help support appeals.
- Collaborate with the Admissions office staff, Finance staff, and Coders.
Nurse Care Manager
Brigham and Women's Hospital
11.2011 - Current
- As part of the Integrated Care Management program (ICMP) at Brigham and Women’s Hospital Boston, I work in collaboration with Primary care providers, specialists, and family members to coordinate the care of complex high-risk patients, following the nursing process:
- Enroll new patients into the (iCMP).
- Coordinated patient care plans to improve health outcomes and enhance quality of life.
- Coordinate and facilitate the process to obtain Durable Medical Equipment (DME for our patients. This includes assessing the patient’s DME needs; Writing a letter of Medical Necessity; communicating with suppliers, and providers.
- Advocated for patients' needs within healthcare systems, ensuring access to necessary services and support.
- Collaborated with multidisciplinary teams to streamline communication and optimize treatment strategies.
- Assist the patient in identifying barriers to self-care to manage their health and wellness.
- Make referrals to elder services, VNA, and other community resources.
- Assist in end-of-life or serious illness conversations with patients and their families.
- Participate in staff and department meetings.
- Arranged transportation and documented details of discharge transition plans.
- Promoted continuity of care by effectively communicating patient information across various healthcare settings during transitions between providers or levels of care.
- Streamlined workflow efficiency by collaborating with team members to optimize utilization of resources and prevent gaps in care.
- Managed complex caseloads for high-risk patients, ensuring timely delivery of appropriate interventions and services.
Primary Ca, Registered Nurse
Brookside Community Health Center
05.2002 - 11.2011
- Provide telephone triage for adult and Pediatric patients.
- Educate and manage patients on anti-coagulation therapy by monitoring INR levels and titrating Warfarin dosages.
- Administered medications via oral and intramuscular injections and monitored responses.
- Performed routine wound care and dressing changes.
- Educate and manage patients with latent TB infection by monitoring LFT levels per protocol..
- Educated patients and families on medical procedures, promoting understanding and compliance.
- Streamlined communication between patients, families, and healthcare providers to ensure a comprehensive understanding of care plans.
- Collaborated with interdisciplinary teams to coordinate treatment and enhance patient outcomes.
- Follow up with patients about abnormal labs.
- Administered patient care, ensuring adherence to safety protocols and best practices.
- Monitored vital signs, assessing patient conditions and adjusting care plans accordingly.
In Patient Registered Nurse
Brigham and Women's Hospital
04.2000 - 08.2002
- Provide nursing care to patients with pre- and post-renal transplant on a med-surg utilizing the nursing process: assessment, planning, implementation, and evaluation.
- Provide interim coverage on the orthopedic unit caring for post op ortho patients.
- When appropriate, communicate with members of the health care team: physicians, physician’s assistant, and family members.
- Participate in a multi-disciplinary staff meeting.
- Document the patient’s progress in EMR.
- Conducted patient education sessions to promote understanding of treatment plans and self-care techniques.
- Performed invasive procedures such as peripheral IV insertion and blood draws safely following strict sterile techniques to prevent infection risks.
- Ensured documentation of nursing assessments, interventions, and evaluations in electronic medical records systems.
- Administered patient care plans and monitored vital signs to ensure optimal recovery.
- Collaborated with interdisciplinary teams to develop effective treatment strategies for complex cases.
- Implemented evidence-based practices to enhance patient safety and quality of care.
- Evaluated patient progress and adjusted care plans accordingly to meet individual needs.
- Evaluated patient histories, complaints, and current symptoms.
- Educated family members and caregivers on patient care instructions.
License Practical Nurse
Brookside Community Health Center
07.1997 - 04.2000
- Responsible for administration of injection, and medication for adult and pediatric patients.
- Communicate with RN am PCP about patient’s need.
- Work closely with medical assistant to ensure proper clinic flow.
- Assist providers in minor procedures done in clinic.
License Practical Nurse
Braintree Manor Rehab
06.1993 - 01.1996
- Responsible for medication administration and treatment, assessment, evaluation, documentation for patients on a sub-acute and Alzheimer’s unit.
- Responsible for implementing the nursing care plan.
- Admit and discharge patients to and from the rehab facility.
Education
Bachelor of Science - Nursing
Curry College
Milton, MA01.2015
Associate of Science - Nursing
Excelsior College
Albany, NY01.1999
Diploma - Nursing
Quincy College
Quincy, MA01.1992
Skills
- Telephone triage
- Management of high-risk patients
- Proficient in Spanish, fluent in French, Haitian Creole, English
- Proficient in EMR / Epic, and Microsoft Office
- Medication administration
- Direct patient care
- Patient assessment
- Clinical documentation
- Patient education
- Patient management
- Family education
- Licensed RN
- Care coordination
Certification
Case management Certification 2018-2024
Awards
Recipient of Black Achievers Award., Recipient of Partners in Excellence Award 2003 and 2006., Recipient of Partners in Excellence Team Award for Integrated Care Management 2013., Girl Scout Leader 1989-1995.
Section name
References furnished upon request.
Languages
English
Native or Bilingual
French
Native or Bilingual
Spanish
Professional Working
Timeline
Insurance Support Nurse
Brigham and Women's Hospital
11.2021 - Current
Nurse Care Manager
Brigham and Women's Hospital
11.2011 - Current
Primary Ca, Registered Nurse
Brookside Community Health Center
05.2002 - 11.2011
In Patient Registered Nurse
Brigham and Women's Hospital
04.2000 - 08.2002
License Practical Nurse
Brookside Community Health Center
07.1997 - 04.2000
License Practical Nurse
Braintree Manor Rehab
06.1993 - 01.1996
Associate of Science - Nursing
Excelsior College
Diploma - Nursing
Quincy College
Bachelor of Science - Nursing
Curry College
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