Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Helen Jones

Byhalia,MS

Summary

Dedicated and well-qualified LPN detail-oriented, responsive and proficient in case management, service coordination and patient care. Expertly handles complaints, inquiries and service questions to meet patients' needs and correct problems related to care. With over 18 years experience as a nurse, I have a passion for delivering quality healthcare with demonstrated record of success in marketing management and campaign development. Successful at overseeing all stages of initiatives, building positive relationships and promoting products with innovative and forward-thinking approaches. Well-versed in tracking market trends and capitalizing on opportunities. Highly-motivated employee with desire to take on new challenges. Strong worth ethic, adaptability and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.

Overview

13
13
years of professional experience
1
1
Certification

Work History

Case Manager

Village at Germantown
Germantown, TN
07.2023 - Current
  • Facilitated communication between clients, families, caregivers, social services and other agencies to ensure client needs were met.
  • Developed individualized care plans with input from clients and their families.
  • Collaborated with medical professionals to coordinate treatment plans for clients.
  • Maintained accurate case records and documentation according to agency guidelines.
  • Compiled reports on cases and submitted them to supervisors as required.
  • Participated in interdisciplinary team meetings to discuss treatment options.
  • Conducted assessments to determine the resident's functional and cognitive abilities, as well as their level of care needs.
  • Monitored residents' progress and updated MDS records accordingly.
  • Developed individualized plans of care for each resident based on assessment findings.

LTSS Coordinator

Elevance Amerigroup
Nashville, TN
01.2023 - 05.2023
  • Communicated with patients with compassion while keeping medical information private.
  • Collaborated with multi-disciplinary staff to improve overall patient care and response times.
  • Transitioned patients to the proper level of care, completed PAE's, and completed initial assessments for Choices medicaid.
  • Maintained records management system to process personnel information and produce reports.
  • Managed changes in integrated health care delivery systems and technological innovations while keeping focus on quality of care.
  • Monitored inpatient STS, Respite days, and communicated with facilities to provide optimal use of resources.
  • Gathered entire medical histories and information related to the patient.
  • Recorded care information accurately and completely in electronic data system.
  • Supported patients' families and caregivers with education, information and emotional reassurance about the Choices program.
  • Completed follow-up phone calls to provide referrals and data according to patient's needs.
  • Helped patients and families feel comfortable during challenging and stressful situations, promoting recovery and reducing compliance issues.
  • Advocated for patient needs, reviewed records, assessed for the level of care, implemented care plans.
  • Assessed clients' needs, developed service plans and monitored progress towards goals.
  • Facilitated communication between clients, families, caregivers, social services and other agencies to ensure client needs were met.
  • Developed individualized care plans with input from clients and their families.
  • Collaborated with medical professionals to coordinate treatment plans for clients.
  • Compiled reports on cases and submitted them to supervisors as required.
  • Participated in interdisciplinary team meetings to discuss treatment options.
  • Conducted assessments to determine the resident's functional and cognitive abilities, as well as their level of care needs.
  • Monitored residents' progress and updated MDS records accordingly.
  • Developed individualized plans of care for each resident based on assessment findings.

Nurse Manager

Methodist Alliance
Memphis, TN
09.2020 - 12.2022
  • Monitored staff performance and provided coaching and formal counseling to staff.
  • Received and investigated complaints from families, patients and clinical staff, devising solutions to multifaceted challenges.
  • Managed the Intake and Outsource department for Home Health services; including working with all of the Methodist Hospital discharges, reviewing records, assessing the level of care, obtained orders and completed referrals.
  • Coordinated with the Methodist healthcare team Case Managers and Directors to establish, and evaluate patient discharge and admission plans with the proper level of care.
  • Advocated for patient needs with interdisciplinary team and implemented outlined treatment plans, with an understanding of Oasis.
  • Helped patients and families feel comfortable during challenging and stressful situations, promoting recovery and reducing compliance issues.
  • Achieved departmental goals and objectives by instituting new processes and standards for the process of the next level of care for our patients, meeting with the case management teams, and Physicians to educate on PDGM and PDPM, diagnosis and charting regulations.
  • Trained other nurses on clinical review for admissions, and daily tasks, supporting growth and professional development.
  • Performed personnel interviewing, hiring, disciplinary actions and dismissals.
  • Achieved departmental goals and objectives by instituting new processes and standards for Home Health Care.

Nurse Liaison

The Village at Germantown
Germantown, TN
03.2017 - 09.2020
  • Utilized computerized Resource and Patient Management Systems as well as Electronic Health Record (EHR) system.
  • Clinical review of patient referrals, assessed the patients level of care, eligibility, and communicated with the hospitals on availability for admission.
  • Collaborated with the billing department. ran census, and communicated with the team in stand up meetings daily.
  • Chaired the stand up meetings, reviewed census, pending discharges, upcoming admissions, and reviewed minutes from prior meetings.
  • Collaborated with health groups to plan or implement programs. BPCI Bundle groupings, Speaker at Case Management meetings.
  • Created admission packets according to our policies and procedures, for our SNF, LTC and AL residents.
  • Helped patients and families feel comfortable during challenging and stressful situations, including explanation of the admission paperwork, and what to expect when you are admitting to the Village At Germantown.
  • Billing, insurance authorizations for Medicare Replacement plans.
  • Patient advocate communicating with Case managers for patient reviews and for authorizations.
  • Assessed patient conditions, medication pass, treatments, monitored behaviors and updated supervising physicians with observations and concerns.
  • Patient care worked the floor as needed.
  • Utilized performance measurement to improve patient outcomes.
  • Maintained strict patient data procedures to comply with HIPAA laws and prevent information breaches.
  • Advocated for patient needs with interdisciplinary team and implemented outlined treatment plans.
  • Completed admission paperwork with patients/families in the hospital.

Charge Nurse

Southbreeze
Memphis, TN
11.2016 - 03.2017
  • Educated patients, caregivers and families on diagnoses, treatment and disease prevention.
  • Observed strict safety measures, including checking medication dosages before administration to patients.
  • Oversaw medication administration, monitored distribution and documented responses.
  • Supported physicians and consultants with tests and procedures.
  • Audited patient charts in real-time, verifying accuracy and completion of information.
  • Coordinated and performed patient admissions, transfers and discharges.
  • Assessed and assisted patients with diverse range and comorbid chronic diagnoses.
  • Distributed assignments, guided work and delivered training to promote proper care standards for patients.
  • Monitored diet, physical activity, behaviors and other patient factors to assess conditions and adjust treatment plans.

LPN Wound Nurse

Grace Healthcare Of Cordova
Cordova, TN
10.2014 - 07.2015
  • Addressed patient care needs, collected vitals, assessed wounds, provided wound care treatment, managed catheters, tubes, drains and wound vacs.
  • Administered medications in accordance with physicians orders.
  • Collected samples from patients for lab tests, to support diagnosis.
  • Guaranteed exceptional care quality by correctly administering medication, inserting and caring for catheters, dressing and changing wounds and assisting with personal hygiene.
  • Educated clients, patients and caregivers on medical diagnoses, treatment options, chronic disease self-management and wound management.
  • Charted changes in patient conditions and discussed concerns with supervising healthcare provider.
  • Worked with social workers, physical therapists and speech therapists to assess patient needs, plan and adjust plans of care and actualize nursing interventions to promote and restore patient health.

Physicians Nurse

Baptist GI Specialist
Memphis, TN
09.2013 - 10.2014
  • Collected and documented vital signs to track current patient conditions.
  • Assisted physician with examinations, tests and procedures.
  • Answered patient and family questions to educate on optimal treatment procedures.
  • Used sterile techniques to prepare patients for procedures.
  • Recorded patient condition, vital signs, recovery progress and medication side effects.
  • Observed and carried out physician and nursing orders.
  • Assisted physicians with examinations and patient scans during diagnostic processes.
  • Triaged patients by phone and provided general assistance for basic and advanced needs.
  • Educated patients, caregivers and families on diagnoses, treatment options and disease prevention.
  • Collected lab specimens, ordering and interpreting diagnostic tests and lab results.
  • Maintained thorough, accurate and confidential documentation in electronic medical records.
  • Counseled patients and caregivers, providing emotional, psychological and spiritual support.
  • Reviewed pathology, scheduled procedures, scheduled specialized testing.

Staffing Coordinator

Grace Healthcare Of Cordova
Memphis, TN
01.2011 - 09.2013
  • Assisted in new hire process by calling and scheduling appointments with candidates, filling out required paperwork and preparing manuals.
  • Oversaw staffing and related operations, spanning interviewing, hiring and mentoring personnel.
  • Located ways to expedite candidate screening and hiring processes to promptly fill staff vacancies.
  • Created policies and procedures as necessary. In-servicing of new policies and procedures.
  • Coordinated and planned work shift schedules according to availability.
  • Worked with HR department to devise and update policies as needed for corporate accountability and workplace health.
  • Maintained and updated organizational charts, employee handbooks or performance evaluation forms.
  • Conferred with management to develop or implement personnel policies or procedures.
  • Conducted new employee orientations. Created the mentor program for retention.
  • Maintained staff records for licensure's, employee health as well as compliance check off's/training.
  • Worked as a floor nurse as needed.

Education

Some College (No Degree) - Licensed Practical Nurse

Tennessee Technology At Whiteville
Whiteville, TN

Skills

  • Staff Supervision
  • Hiring and Terminations
  • Discharge Planning
  • Treatment Planning
  • Critical Thinking
  • Staff Coaching and Mentoring
  • Case Review
  • Patient Care
  • Patient Education and Advocacy
  • Patient Counseling
  • Medical Records Management
  • Medical Administration
  • Marketing Strategies
  • Team Collaboration
  • Customer Presentations

Certification

  • LPN License - 2005
  • CPR-BLS

Timeline

Case Manager

Village at Germantown
07.2023 - Current

LTSS Coordinator

Elevance Amerigroup
01.2023 - 05.2023

Nurse Manager

Methodist Alliance
09.2020 - 12.2022

Nurse Liaison

The Village at Germantown
03.2017 - 09.2020

Charge Nurse

Southbreeze
11.2016 - 03.2017

LPN Wound Nurse

Grace Healthcare Of Cordova
10.2014 - 07.2015

Physicians Nurse

Baptist GI Specialist
09.2013 - 10.2014

Staffing Coordinator

Grace Healthcare Of Cordova
01.2011 - 09.2013

Some College (No Degree) - Licensed Practical Nurse

Tennessee Technology At Whiteville
Helen Jones