Heather Sullivan
Glens Falls,NY
Summary
Dynamic RN Care Manager with Trinity Health, skilled in care coordination and clinical assessment. Achieved improved patient outcomes through tailored care plans and effective communication. Demonstrated strong clinical judgment and problem-solving abilities, reducing hospital readmissions by enhancing patient education and adherence to treatment protocols. Committed to delivering compassionate, results-driven care. Strong attention to detail with a background in editing and proofreading.
Overview
11
11
years of professional experience
Work History
RN Care Manager
Trinity Health
Glens Falls, NY
01.2023 - Current
- Coordinated patient care plans with interdisciplinary teams to enhance health outcomes.
- Assessed patient needs and developed individualized care strategies for chronic conditions.
- Monitored patient progress and adjusted care plans based on ongoing assessments.
- Educated patients and families on disease management and wellness programs.
- Mentored new nursing staff on care management protocols and best practices.
- Improved patient outcomes by developing and implementing comprehensive care plans tailored to individual needs.
- Conducted comprehensive assessments of patients'' physical, emotional, social, and environmental needs to inform personalized care plans.
- Served as a liaison between patients, healthcare providers, and insurance companies to ensure timely access to necessary services and resources.
- Eased the burden on family caregivers by providing practical support such as resource referrals or assistance navigating insurance claims.
- Stayed informed about relevant industry trends and new treatment options by attending regular continuing education courses.
- Established trusting relationships with patients and families through empathetic listening and consistent follow-through on commitments made during the care planning process.
- Strengthened continuity of care by collaborating with external agencies such as home health services or rehabilitation centers.
- Advocated for patients'' rights and preferences in decision-making processes surrounding their healthcare management.
- Facilitated patient education on disease management, medication adherence, and lifestyle modifications to promote optimal health.
- Reduced hospital readmissions through effective coordination of care, communication with patients, and proactive followup.
RN Manager
ASCEND Mental Wellness
Hudson Falls, NY
06.2022 - 01.2023
Residential RN
Catholic Charities Disability Services
Albany, NY
06.2021 - 06.2022
- Administered medications and treatments according to established protocols.
- Monitored patient vital signs, documenting changes in health status.
- Assisted in coordinating patient care activities to ensure continuity of services.
- Served as a liaison between physicians, therapists, pharmacists, and other allied health professionals for coordinated treatment planning efforts.
- Facilitated smooth transitions between levels of care by collaborating with external healthcare providers during resident admissions or discharges from the facility.
- Took vital signs to assess patient health progress and needs.
- Educated family members and caregivers on patient care instructions.
- Observed and documented patient factors such as diets, physical activity levels, and behaviors to understand conditions and effectively modify treatment plans.
RN Care Manager
Saratoga Hospital Medical Group
Wilton, NY
05.2018 - 06.2021
- Coordinated patient care plans with interdisciplinary teams to enhance outcomes.
- Monitored patient progress and adjusted care strategies based on evolving needs.
- Educated patients and families on health management and resources available.
- Implemented evidence-based practices to improve quality of care delivery.
- Facilitated communication between healthcare providers and patients for optimal treatment adherence.
- Developed comprehensive assessments to identify patient needs and preferences effectively.
- Streamlined referral processes to ensure timely access to specialty services for patients.
- Collaborated with interdisciplinary teams to develop and implement evidence-based interventions for complex medical conditions.
- Evaluated patient progress regularly, adjusting care plans as needed to ensure continued improvement.
- Coordinated seamless transitions between healthcare settings by maintaining clear communication with patients, families, and providers.
- Identified gaps in care for at-risk populations, leading to the development of targeted interventions to improve health outcomes.
- Reviewed patient history to verify conditions and current medications.
- Communicated with healthcare team members to plan, implement and enhance treatment strategies.
- Explained course of care and medication side effects to patients and caregivers in easy-to-understand terms.
- Followed all personal and health data procedures to effectively comply with HIPAA laws and prevent information breaches.
- Improved patient outcomes by developing and implementing comprehensive care plans tailored to individual needs.
- Conducted comprehensive assessments of patients'' physical, emotional, social, and environmental needs to inform personalized care plans.
- Served as a liaison between patients, healthcare providers, and insurance companies to ensure timely access to necessary services and resources.
- Eased the burden on family caregivers by providing practical support such as resource referrals or assistance navigating insurance claims.
- Established trusting relationships with patients and families through empathetic listening and consistent follow-through on commitments made during the care planning process.
- Strengthened continuity of care by collaborating with external agencies such as home health services or rehabilitation centers.
- Advocated for patients'' rights and preferences in decision-making processes surrounding their healthcare management.
- Facilitated patient education on disease management, medication adherence, and lifestyle modifications to promote optimal health.
- Reduced hospital readmissions through effective coordination of care, communication with patients, and proactive followup.
- Evaluated patient histories, complaints, and current symptoms.
- Observed and documented patient factors such as diets, physical activity levels, and behaviors to understand conditions and effectively modify treatment plans.
Home Health RN Case Manager
Warren County Health Services
Lake George, NY
11.2017 - 05.2018
- Managed comprehensive patient assessments to develop individualized care plans.
- Coordinated with multidisciplinary teams to ensure effective patient care delivery.
- Educated patients and families on health management and disease prevention strategies.
- Monitored patient progress and adjusted care plans based on evolving needs.
- Documented patient interactions and updated electronic health records accurately.
- Conducted regular home visits to evaluate patient conditions and support compliance.
- Facilitated communication between healthcare providers, patients, and family members effectively.
- Managed complex caseloads efficiently by prioritizing tasks, delegating responsibilities to support staff, and maintaining detailed records.
- Expedited wound healing using advanced wound care techniques such as negative pressure therapy or hydrocolloid dressings when appropriate.
- Reduced hospital readmissions through diligent monitoring of patients'' progress and timely interventions in-home settings.
- Promoted a safe living environment for patients by conducting thorough home safety evaluations and recommending necessary modifications or equipment upgrades.
- Improved medication adherence through thorough education on drug administration, interactions, and potential side effects.
- Increased patient satisfaction by providing compassionate care, addressing concerns, and advocating for their needs.
- Streamlined communication with physicians, ensuring accurate documentation and prompt updates on patient conditions.
- Empowered patients and their families to take an active role in care decisions, fostering a sense of self-efficacy and improving long-term health outcomes.
- Collaborated with external healthcare providers to facilitate seamless transitions between acute care settings and home environments.
- Conducted comprehensive assessments to identify patient risks, establish baseline health status, and determine appropriate intervention strategies.
- Mentored new RNs entering the field of home health case management fostering a supportive learning environment for professional growth.
- Enhanced patient outcomes by developing personalized care plans and coordinating interdisciplinary team collaboration.
- Prevented complications from chronic illnesses like diabetes or heart failure through targeted patient education initiatives tailored to individual needs.
- Served as an expert resource for families by providing guidance on disease management techniques, self-care strategies, and available community resources.
- Facilitated timely referrals to specialists or other healthcare professionals when necessary to address patient needs effectively.
- Elevated quality of care with ongoing professional development workshops and training sessions focused on evidence-based practices in home health nursing.
- Coordinated multidisciplinary team meetings regularly to discuss complex cases, share best practices, and develop collaborative solutions for challenging patient situations.
- Ensured compliance with regulatory guidelines governing home healthcare practice through meticulous attention to detail in documentation processes and quality assurance measures.
- Worked with multidisciplinary team to carry out successful treatment plans for diverse acute and chronic conditions.
- Determined and addresses individual home care needs by completing detailed assessments and reviewing documentation.
- Educated patients and families on disease processes, medications and treatments.
- Provided physical assessments, medication, and chronic disease management to home health patients.
- Administered medications and treatments as prescribed by physicians.
- Provided emotional support and kind companionship to patients and families to increase overall wellness.
- Monitored vital signs, developed and implemented care plans, and documented patient progress.
- Documented patient vitals, behaviors, and conditions to communicate concerns to supervising nurse.
- Conveyed treatment options, diagnosis information and home care techniques to patients and caregivers to continue care consistency.
- Educated family members and caregivers on patient care instructions.
- Explained course of care and medication side effects to patients and caregivers in easy-to-understand terms.
- Followed all personal and health data procedures to effectively comply with HIPAA laws and prevent information breaches.
RN Care Manager/Discharge Planner
Sunnyview Rehabilitation Hospital
Schenectady, NY
05.2016 - 05.2018
- Coordinated patient care plans with interdisciplinary teams to enhance treatment effectiveness.
- Assessed patient needs and developed personalized healthcare strategies to improve outcomes.
- Educated patients and families on health management, promoting adherence to treatment protocols.
- Monitored patient progress and adjusted care plans based on clinical evaluations and feedback.
- Implemented evidence-based practices to optimize patient recovery and rehabilitation processes.
- Facilitated communication between healthcare providers and patients to ensure continuity of care.
- Mentored junior nursing staff on best practices in care management and patient advocacy.
- Enhanced patient satisfaction by providing compassionate and personalized nursing care throughout their healthcare journey.
- Led multidisciplinary case conferences focused on optimizing patient outcomes through collaborative problem-solving approaches.
- Monitored, tracked, and conveyed important patient information to healthcare staff to help optimize treatment planning and care delivery.
- Furthered skills by actively taking part in employee training and taking classes to improve skills.
- Offered exceptional care and support to individuals recovering from acute incidents and dealing with chronic conditions.
- Used first-hand knowledge and clinical expertise to advocate for patients under care and enacted prescribed treatment strategies.
- Implemented care plans for patient treatment after assessing physician medical regimens.
- Promoted patient and family comfort during challenging recoveries to enhance healing and eliminate non-compliance problems.
- Equipped patients with tools and knowledge needed for speedy and sustained recovery.
- Coordinated discharge plans with interdisciplinary teams to ensure seamless transitions for patients.
- Assessed patient needs and preferences to tailor post-discharge care effectively.
- Developed resource guides for patients and families to facilitate community support access.
- Educated patients on medication management and follow-up appointments to promote adherence.
- Collaborated with healthcare providers to resolve barriers affecting patient discharges efficiently.
- Streamlined documentation processes, improving accuracy and reducing delays in discharge planning.
- Mentored junior staff on best practices in discharge planning and patient communication strategies.
- Improved patient satisfaction by carefully evaluating their needs and developing personalized discharge plans.
- Advocated for patients'' best interests, working closely with healthcare providers to develop appropriate treatment plans and interventions.
- Coordinated timely discharges by effectively communicating with physicians, nurses, social workers, and other relevant stakeholders.
- Established strong relationships with community agencies, enabling effective coordination of post-discharge support services.
- Solved problems related to abrupt changes in discharge, coordinated updates and communicated discharge plans.
- Served as a key resource for patients and families, providing guidance on post-discharge care options and resources.
- Managed complex cases involving multiple medical issues or psychosocial challenges by utilizing critical thinking skills and professional expertise in discharge planning processes.
- Evaluated patient progress throughout their hospital stay, adjusting discharge plans accordingly to ensure successful reintegration into the community setting or placement in suitable long-term care facilities when necessary.
- Supported patients in navigating complex healthcare systems by providing clear guidance on available resources and services postdischarge.
- Ensured compliance with federal regulations and accreditation standards related to discharge planning activities within the organization.
- Collaborated with interdisciplinary teams to ensure seamless transitions from hospital to home or other care facilities.
- Promoted a patient-centered approach to discharge planning, incorporating individual preferences and needs into the development of tailored care plans.
- Managed caseload to satisfy multiple patients with diverse needs.
RN Floor Nurse
Sunnyview Rehabilitation Hospital
Schenectady, NY
03.2015 - 05.2018
- Administer medications and treatments according to established protocols and patient care plans.
- Monitor vital signs and assess patient conditions to ensure optimal health outcomes.
- Collaborate with interdisciplinary teams to develop and implement individualized care strategies.
- Educate patients and families on health management, discharge plans, and rehabilitation goals.
- Document nursing assessments, interventions, and progress in electronic medical records accurately.
- Facilitate communication between patients, families, and healthcare providers for coordinated care delivery.
- Participate in quality improvement initiatives to enhance patient safety and care standards.
- Mentor junior nursing staff on best practices, clinical skills, and professional development opportunities.
- Utilized Software to document nursing assessments, treatments, medications and discharge instructions.
- Provided effective patient education, ensuring understanding of medical conditions and treatment protocols for better selfmanagement.
- Promoted a safe environment by consistently adhering to infection control policies and procedures.
- Collaborated with healthcare team members to assess, implement and evaluate nursing care plans.
- Strengthened relationships between patients, families, and healthcare providers through clear communication and active listening skills.
- Communicated effectively with patients and family members to convey important instructions and discuss treatments.
- Ensured accuracy in patient records by meticulously documenting assessments, interventions, and outcomes, ultimately contributing to better-informed decision making by healthcare providers.
- Examined and treated patients' injuries and pressure wounds to promote healing.
- Delivered treatments and direct nursing care according to physicians' orders in Type environment.
- Established compassionate environment by providing psychological, emotional and spiritual support to patients and families.
- Collaborated with interdisciplinary teams to develop optimal care plans, resulting in improved patient outcomes.
- Maintained high standards of clinical excellence through regular participation in professional development opportunities and staying current with industry best practices.
- Administered medication such as insulin and monitored patients' responses to detect problems.
- Facilitated timely discharges through efficient coordination with case managers, social workers, and physicians.
- Administered basic patient care and treatments by dressing wounds, treating bedsores, giving enemas and performing catheterizations.
- Advanced critical thinking skills for prompt identification of potential complications or deteriorating conditions, leading to timely interventions that prevented further health decline.
- Reduced medication errors through vigilant monitoring and proper documentation of administered treatments.
- Collected and documented vital signs to maintain current records of patients' conditions.
- Coped effectively with mental and emotional challenges of positions by remaining centered on patients' needs and delivering quality care.
- Improved patient care by providing compassionate and comprehensive nursing support on a busy hospital floor.
- Boosted staff morale by fostering an inclusive work environment that valued teamwork and open communication amongst colleagues.
- Helped patients feel comfortable by adjusting positions and engaging in casual conversation.
- Managed medication cart and dispensed pills, oral therapies and intramuscular injections to patients on Type floor.
- Eased anxiety among patients facing challenging diagnoses or treatments by offering emotional support and empathetic guidance throughout their healthcare journey.
- Supported patients in completing activities of daily living such as dressing, grooming and shower assistance.
- Upheld regulatory compliance within the nursing practice through adherence to state mandates, facility policies, and established ethical guidelines.
- Managed patients recovering from medical or surgical procedures.
- Monitored patient reactions after administering medications and IV therapies.
- Delivered high level of quality care to diverse populations while overseeing patient admission and triaging based on acuity and appropriate department admission.
- Provided skilled, timely and level-headed emergency response to critically-ill patients.
- Followed all personal and health data procedures to effectively comply with HIPAA laws and prevent information breaches.
- Evaluated patient histories, complaints, and current symptoms.
- Observed and documented patient factors such as diets, physical activity levels, and behaviors to understand conditions and effectively modify treatment plans.
- Offered exceptional care and support to individuals recovering from acute incidents and dealing with chronic conditions.
- Used first-hand knowledge and clinical expertise to advocate for patients under care and enacted prescribed treatment strategies.
Education
Associate of Science - Nursing
SUNY Adirondack
Queensbury, NYCare Management -
The Commission For Case Management
Skills
- Home care management
- HIPAA compliance
- Clinical assessment
- Care coordination
- Healthcare documentation
- Documentation accuracy
- Wound care
- Electronic charting
- Catheterization
- Teamwork and collaboration
- Problem-solving
- Time management
- Attention to detail
- Excellent communication
- Critical thinking
- Strong clinical judgment
- Organizational skills
- Certified in CPR/AED
Timeline
RN Care Manager
Trinity Health
01.2023 - Current
RN Manager
ASCEND Mental Wellness
06.2022 - 01.2023
Residential RN
Catholic Charities Disability Services
06.2021 - 06.2022
RN Care Manager
Saratoga Hospital Medical Group
05.2018 - 06.2021
Home Health RN Case Manager
Warren County Health Services
11.2017 - 05.2018
RN Care Manager/Discharge Planner
Sunnyview Rehabilitation Hospital
05.2016 - 05.2018
RN Floor Nurse
Sunnyview Rehabilitation Hospital
03.2015 - 05.2018
Associate of Science - Nursing
SUNY Adirondack
Care Management -
The Commission For Case Management