Facilitated communication among providers, families, and support teams to ensure coordinated patient care.
Ensured accuracy and completeness of electronic health record documentation to maintain compliance and support quality patient care.
Provided clinical oversight for many patients.
Led staff training on policies, procedures, and clinical practices.
Supported nursing staff with schedule planning, assignment coordination, and daily workflow coverage.
Enforced compliance with local, state and federal healthcare regulations, including Medicare and Medicaid requirements, HIPAA, OSHA and CLIA.
Fostered high morale and improved staff retention through effective communication, prompt problem resolution, and proactive supervisory practices.
Assisted with recruitment, selection, orientation and training activities for new employees.
Completed OASIS E-2 training to enhance patient assessment skills.
Completed home visits including SOC, transfer and ROC.
RN Supervisor AFC/GAFC Program
Centro
10.2017 - 07.2021
Supervised, educated, mentored, and oriented AFC/GAFC Registered Nurses to enhance clinical skills and ensure quality care. Participated in leadership meetings at Centro and monthly Massachusetts Council of Adult Foster Care meetings to collaborate on program improvements. Reviewed RN documentation, MDS and PCP forms, and conducted chart audits monthly to ensure compliance and quality standards. Maintained monthly client caseload and performed specific duties as listed below.
Supervised Centro nursing staff during daily patient care operations.
Developed and implemented care plans in collaboration with healthcare providers. with Centro physicians and interdisciplinary teams.
Conducted regular monitoring of patient assessments to ensure accurate documentation. and updated nursing documentation.
Registered Nurse AFC Program
Centro
10.2017 - 11.2019
Registered Nurse- Adult Foster Care Program: Performed MDS-HC screening assessments for program eligibility and collaborated with client's support team, including live-in caregiver, case manager, and clinical director, to establish comprehensive care plans for clients needing 24-hour supervision in home settings. Guided and supported caregivers to enhance their caregiving skills, enabling clients to live independently and safely at home. Conducted monthly caregiver education sessions and medication reconciliation, actively monitoring clients' overall well-being.
Provided nursing care to patients at Centro clinical services.
Assessed patient conditions and documented findings in health records.
Administered medications and monitored treatment responses.
Per Diem RN
Harvest Homecare
09.2016 - 09.2017
Pre-screened and admitted home care clients under MassHealth GAFC program, ensuring eligibility and smooth transition to services. Coordinated care and developed care plans for HHAs, collaborating with case managers to align client needs with available resources.
Assessed homecare clients and updated nursing care plans.
Administered medications and monitored patient responses.
Coordinated care with physicians, aides, and family caregivers.
Registered Nurse Case Manager
Metrowest Homecare and Hospice
03.2015 - 07.2017
Served as home care case manager for the adult population in central Massachusetts. Coordinated and managed patient home care needs, ensuring effective medication management, comprehensive patient education, and quality wound care and IV therapy. Conducted nursing assessments and OASIS, leveraging Allscripts software to enhance patient care documentation.
Conducted assessments of patient needs to gather relevant health information and identify care requirements. and updated an individualized case management plan.
Coordinated home care services by collaborating with healthcare professionals and support staff. and hospice services with interdisciplinary care teams.
Communicated with physicians, families, and caregivers about care goals.
Part time/Per Diem Registered Nurse
Excella Homecare, Inc.
10.2011 - 08.2012
Served as per diem and on-call RN for an assisted living home health agency, conducting patient admissions and documenting Oasis-C, nursing assessments, and plans of care to ensure comprehensive patient management.
Assessed home care patients and documented vital signs, symptoms, and care needs.
Administered medications and treatments following physician orders and home care protocols.
Developed individualized care plans with the Excella Homecare interdisciplinary team.
Coordinated MNA float pool staff distribution and managed transfer admissions with M.D.s to ensure timely patient care. Served as a key resource for nursing and non-nursing staff, facilitating effective communication and support. Led infection control initiatives, acted as employee health contact, and represented hospital in public relations/media while serving as legal advocate during off shift hours and holidays.
Supervised nursing operations across University Campus inpatient units and patient care areas.
Coordinated staffing assignments, break coverage, and daily nursing workflow.
Monitored patient flow and resolved bed placement issues with clinical teams.
Evening Clinical Coordinator, Cardiopulmonary/Ventilator Unit
Fairlawn Rehabilitation Hospital
Worcester, MA
12.1997 - 10.2001
Nursing Supervisor/Coordinator of Orthopedic/SCI/Geriatric Unit
Staff Nurse, Neuro/Stroke/BI Unit
Collaborated with the unit Nursing Director to coordinate managerial, clinical, and educational activities for the 38-bed unit. Conducted employee orientation, preceptorship, and evaluations while ensuring clinical competencies for unit staff. Provided coverage as Nursing Supervisor on weekends and acted as a resource for patient assignments. Assumed additional roles within facility to support operational needs.
Nurse Manager
UMASS Community Physicians
Worcester, MA
08.1995 - 06.1998
Supervised nursing staff across community physician practice sites.
Coordinated daily patient flow, scheduling, and clinical coverage.
Monitored compliance with UMASS Community Physicians policies and care standards.
Coordinated opening of primary care offices, ensuring alignment with network goals and operational standards.