Jama Cox
Mitchell,IN
Summary
Compassionate Nurse Case Manager/Discharge Planner offering seventeen years of experience working with patients and families to facilitate smooth transitions following discharge from the hospital setting. Committed and highly motivated to working with health plan leadership and department coordinators to achieve highest quality of patient and family satisfaction. Well-versed in developing individualized discharge plans and advocating patient welfare.
Overview
17
17
years of professional experience
1
1
Certification
Work History
RN Case Manager/Discharge Planner
Ascension St Vincent Case Management
10.2021 - Current
- Currently assigned and discharge plan for two Critical Access Hospitals
- Provide ongoing training and mentorship to new Discharge Planners, fostering a supportive team environment that promotes knowledge sharing and skill development.
- Complete initial assessments of patients and family to determine and address individual home care needs. ·
- Streamline discharge planning processes, ensuring smoother transition for patients back to their homes or other facilities.
- Collaborate closely with physicians to develop individualized treatment plans, supporting optimal patient outcomes.
- Advocate for patients by communicating care preferences to practitioners, verifying interventions met treatment goals and identifying insurance coverage limitations.
- Participate in patient and family planning process, as well as provide instructions and address questions and concerns.
- Author clinical notes and updates to be reviewed by multidisciplinary team members
- Evaluate healthcare needs, goals for treatment and available resources of each patient and connect to optimal providers and care.
- Advocate for patients'' rights and preferences, working diligently to align care with individual values and goals.
- Educate patients and families on available community resources, facilitating access to necessary support services.
- Enhance patient outcomes through thorough follow-up assessments and adjustments of discharge plans as needed.
- Establish strong relationships with community agencies, enabling effective coordination of post-discharge support services.
- Coordinate timely discharges by effectively communicating with physicians, nurses, and other relevant stakeholders.
- Manage complex cases involving multiple medical issues or psychosocial challenges by utilizing critical thinking skills and professional expertise in discharge planning processes.
- Ensure compliance with federal regulations and accreditation standards related to discharge planning activities within the organization.
- Solve problems related to abrupt changes in discharge, coordinate updates and communicate discharge plans.
- Participate in interdisciplinary care conferences to discuss patient care plans and referrals.
- Utilization Review for Swing Bed Program
- Screen referrals for Swing Bed for appropriateness using InterQual Criteria
- Assist Supervisor in maintaining referral log for Swing Bed Program
- Check Daily Critical Access Hospital Census for seven facilities and send out daily case assignments
- Site Administrator for Ascend PASRR System
RN Case Manager, Quality Review, Infection Control
Ascension St. Vincent Dunn Hospital
11.2019 - 10.2021
- Evaluate hospital-onset and healthcare-acquired infections and reported to appropriate agencies
- Leverage feedback and process improvement opportunities to create safer and healthier environments and increase patient satisfaction
- Vaccinate associates to protect individuals from influenza
- Promote patient and family comfort during challenging recoveries to enhance healing and eliminate non-compliance problems
- Gather and submit data to regulatory agencies for mandatory reporting of infections
- Monitor hospital HCAHPS scores and report to appropriate committees
- Monitor Anthem Scorecard and fill out annual application
- Fill out application for Joint Commission Survey and prepare hospital for survey
- Collect and submit data for Quality Improvement Measures
- Participate in environment of care rounds
- Perform Infection Control Risk Assessments
- Provide final medical clearance for associates to start work
- Collaborate with secondary vendor on workman's compensation claims for associates
- Ethics Committee
- Utilization Review for Medical/Surgical and Obstetrics Units
- Screen admissions for appropriateness using MCG Guidelines and/or InterQual Criteria
- Secure discharge planning assuring smooth transition to next level of care
- Maintain and monitor monthly statistics to assure compliance with Critical Access Hospital Guidelines
- Conduct weekly multidisciplinary round meetings
- Oversee Hospital Swing Bed Unit
RN Case Manager
Dunn Memorial / St Vincent Dunn Hospital
2007 - Current
- Conducted Transition of Care Meeting with local Skilled Nursing Facilities, Home Health Agencies and Hospice Agencies. Focus of Committee was to promote continuity of care between facilities and agencies to help reduce thirty day re-admissions
- Ethics Committee
- Case Management and Quality Council Committee
- Utilization Review for Medical/Surgical and Obstetrics Units
- Screen admissions for appropriateness by using InterQual Criteria and MCG Guidelines.
- Discharge planning to assure seamless transition to next level of care
- Initiate emergency nursing home placements
- Maintain and monitor monthly statistics to assure compliance with Critical Access Hospital Guidelines
- Conduct weekly interdisciplinary rounds meeting
- Post hospital calls to patients identified as high risk for re-admission
- Worked collaboratively with hospital physicians to develop individualized treatment plans for patients
- Chart Audits for Inpatient Quality Improvement Measures
RN, Emergency Room
Dunn Memorial Hospital
2000 - 2007
- Triaged patients, provided emergency treatments and maintained patient flow
- Dispatched ambulance 911 calls
- Performed lab draws
- Performed nursing chart audits
- Assisted emergency room manager with scheduling
- Performed duties as Emergency Room Safety Officer
RN, Medical Floor
Dunn Memorial Hospital
1997 - 2000
- Acute patient care on medical unit, handling all aspects of treatment from medication to wound care to monitoring thirteen to fifteen patients per shift
- Acute patient care from admission to discharge on medical floor
- Floated to Intensive Care Unit, Surgical Floor and Obstetrical Unit
- Developed patient care plans
Education
Bachelor of Science - Nursing
Western Governors University
Salt Lake City, UT06.2020
Associate of Science - Nursing
Ivy Tech State College
Bloomington, IN1997
Pre-Nursing Course Work - Nursing
Indiana University
Bloomington, IN1995
Skills
- Case Management
- Discharge Planning
- Utilization review
- Care Coordination
- Multidisciplinary Approach
- Referral Generation
- Interdisciplinary Collaboration
- Multitasking
- Excellent Communication
- Adaptability and Flexibility
- Training staff
- Critical Thinking
Certification
Indiana State Board of Health licensed Registered Nurse, 1997
CPR
ACM (Accredited Case Manager) Certified May 2011
CCM (Certified Case Manager) Certified December 2015
InterQual Certified Instructor
Timeline
RN Case Manager/Discharge Planner
Ascension St Vincent Case Management
10.2021 - Current
RN Case Manager, Quality Review, Infection Control
Ascension St. Vincent Dunn Hospital
11.2019 - 10.2021
RN Case Manager
Dunn Memorial / St Vincent Dunn Hospital
2007 - Current
RN, Emergency Room
Dunn Memorial Hospital
2000 - 2007
RN, Medical Floor
Dunn Memorial Hospital
1997 - 2000
Bachelor of Science - Nursing
Western Governors University
Associate of Science - Nursing
Ivy Tech State College
Pre-Nursing Course Work - Nursing
Indiana University
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