Dynamic RN Case Manager with extensive experience at Centerwell Home Health, excelling in chronic disease management and care coordination. Proven track record of reducing hospital readmissions through effective patient education and compassionate advocacy. Strong clinical judgment and attention to detail enhance patient outcomes while fostering interdisciplinary collaboration for optimal care delivery.
Overview
17
17
years of professional experience
Work History
RN Case Manager
Centerwell Home Health
10.2020 - Current
Assessed patient needs and coordinated care plans with interdisciplinary teams.
Assisted in monitoring health status and progress towards recovery goals.
Supported patients and families in understanding treatment options and resources.
Documented patient interactions and updates in electronic health records accurately.
Collaborated with healthcare providers to streamline communication and care delivery.
Participated in case reviews to enhance patient outcomes and service quality.
Developed relationships with community resources to facilitate additional support services.
Provided emotional support to patients coping with chronic illness or end-of-life decisions, fostering resilience during difficult times.
Managed complex cases involving multiple comorbidities, requiring close monitoring and coordination of various healthcare services.
Collaborated closely with physicians to develop individualized treatment plans, supporting optimal patient outcomes.
Educated patients and families on available community resources, facilitating access to necessary support services.
Enhanced patient care by developing comprehensive care plans and coordinating with interdisciplinary healthcare teams.
Reduced hospital readmission rates through effective case management and patient education on self-care techniques.
Served as a key liaison between patients, families, and healthcare providers, fostering open communication and trust among all parties involved in the care process.
Promoted adherence to treatment plans by conducting regular follow-up visits and providing ongoing support to patients.
Implemented evidence-based practices to improve overall clinical performance and patient outcomes.
Advocated for patients'' rights and preferences, working diligently to align care with individual values and goals.
Conducted thorough assessments of patients'' needs, enabling more accurate diagnoses and targeted interventions.
Improved patient satisfaction scores by providing timely follow-ups and addressing concerns promptly.
Streamlined discharge planning processes, ensuring a smoother transition for patients back to their homes or other facilities.
Mentored new nursing staff, facilitating a faster learning curve and increased overall team efficiency.
Advocated for patients with insurance companies, securing coverage for necessary treatments and medications.
RN Floor Nurse
Christus Good Shepherd Medical Center
07.2019 - 05.2020
Administered medications and treatments according to established protocols.
Monitored patient vital signs and reported significant changes to medical team.
Assisted in developing individualized care plans for diverse patient populations.
Collaborated with interdisciplinary teams to enhance patient care outcomes.
Educated patients and families on health management and post-discharge instructions.
Implemented infection control measures to maintain a safe environment for patients.
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.
LVN Floor Nurse
Titus Regional Medical Center
08.2016 - 06.2019
Clinic nurse for Dr Rodney Burrow.
Triage patients, record vital signs, assist with assessment, review lab and radiology reports with patients after physician review.
LVN Floor Nurse
ETMC
12.2008 - 07.2015
Clinic nurse for Dr Rodney Burrow.
Triage patients, record vital signs, assist with assessment, review lab and radiology reports with patients after physician review.
Registered Nurse, Clinical Manager at Kindred At Home/Centerwell Home HealthRegistered Nurse, Clinical Manager at Kindred At Home/Centerwell Home Health
Patient Intake Coordinator at Centerwell Home Health formerly Kindred At HomePatient Intake Coordinator at Centerwell Home Health formerly Kindred At Home