Janice Guilbe
Summary
Seeking a challenging position as Nurse Case Manager to utilize experience in coordination of care and successfully helping the hospital reducing readmissions.
Overview
25
25
years of professional experience
1
1
Certification
Work History
Chronic Care Management Nurse Navigator, RN
Baptist Health Quality Network-Population Health
01.2021 - Current
- Identify patients who are at risk of adverse health outcomes and require assistance with barriers such as financial and insurance issues, need for personal support, language, care gaps, and any other problems that may arise during screening, diagnosis, and post-acute care
- Build a relationship with patients/caregivers and physicians to establish a plan of care including appointments, transportation, education, provision and/or enablement of support services and representation within the multidisciplinary care environment
- Provide education/information throughout all phases of patient care to patients and/or families to maximize the patient/family ability to understand and adhere to medical recommendations
- Maintain clear and up-to-date documentation on all patients in an ethical and confidential manner
- Document all activities associated with oversight of each patient and all services being provided
Primary Care Nurse Navigator, RN
Baptist Health Medical Group-Primary Care
01.2018 - 12.2021
- Assisted in the development of work and continuous quality improvement around these initiatives, in collaboration with other entity members, to achieve the ultimate goals of improved quality of care and patient experience, appropriate utilization of health care resources, and improved physician satisfaction
- Collaborated with the physicians and staff, payors, and community agencies to facilitate the patient access to resources and provided the community with the highest quality of care and services
Case Manager, RN
Homestead Hospital Baptist Health
01.2011 - 12.2018
- Facilitated coordination of care and timely discharge or transfer plans for assigned patients by ensuring appropriate referrals have been carried out
- Tracked timeliness of consultations and facilitated as necessary
- Obtained ancillary test results to assist physician and expedited plan of care
- Assisted with patient transfers or off-site testing by communicating with payer or other facilities
- Planned, coordinated, and implemented quality, cost-effective case/care management plans
- Completed psychosocial assessments within 48 hours and formulated patient discharge plan
- Assessed patients and families for post-discharge needs; informed patients and families on discharge planning options based on diagnosis, prognosis, and resources
Medical Surgical Telemetry, RN
Homestead Hospital Baptist Health
01.2008 - 12.2011
- Provided direct patient care
- Administered medications and treatments to patients and monitored responses while working with interdisciplinary tam to adjust care plan
Case Manager RN
Odyssey Hospice
01.2006 - 12.2008
- Provided end of life care to terminally ill patients
- Managed treatments and therapies in accordance with the doctor’s orders
Medical Surgical Telemetry, RN
Kendall Regional Medical Center
01.2003 - 12.2006
OR, Medical Surgical Telemetry, RN
Hospital Episcopal San Lucas
01.2001 - 12.2003
Medical Surgical, RN
Ashford Presbyterian Hospital
01.2000 - 12.2001
Education
Bachelor of Science in Nursing - Registered Nurse
Pontificia Universidad Católica de Puerto Rico
Puerto RicoSkills
- Excellent interpersonal skills
- Effective time management
- Great Crisis Management Skills
- Capable of priority setting
- Team building skills
- Effective oral and written communication skills
- Proficient in problem solving and the continuous improvement process
- Data management and computer skills
Certification
Registered Nurse in the state of Florida RN 9199649
References
REFERENCES AVAILABLE UPON REQUEST
Timeline
Chronic Care Management Nurse Navigator, RN
Baptist Health Quality Network-Population Health
01.2021 - Current
Primary Care Nurse Navigator, RN
Baptist Health Medical Group-Primary Care
01.2018 - 12.2021
Case Manager, RN
Homestead Hospital Baptist Health
01.2011 - 12.2018
Medical Surgical Telemetry, RN
Homestead Hospital Baptist Health
01.2008 - 12.2011
Case Manager RN
Odyssey Hospice
01.2006 - 12.2008
Medical Surgical Telemetry, RN
Kendall Regional Medical Center
01.2003 - 12.2006
OR, Medical Surgical Telemetry, RN
Hospital Episcopal San Lucas
01.2001 - 12.2003
Medical Surgical, RN
Ashford Presbyterian Hospital
01.2000 - 12.2001
Bachelor of Science in Nursing - Registered Nurse
Pontificia Universidad Católica de Puerto Rico
Registered Nurse in the state of Florida RN 9199649
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