Jennifer Reeves

• Coordinated between patients and healthcare professionals to meet patient needs.
• Accessed patient information through variety of office software applications, maintaining strict confidentiality to remain compliant with HIPAA regulations.
• Educated patients and families on treatments, procedures, medications, continuing care and community resources.
• Utilized customer service skills and detailed system knowledge to support hospice operations.
• Met with patients and their families to discuss palliative comfort care vs. curative care, medications patient may need for comfort, DME needed, treatments and continuing care plans.
• Provided excellent service and attention to patients in face-to-face encounters and through phone conversations.
• Scheduled and confirmed patient admission appointments with patients and healthcare professionals. Admitted Hospice patients in home care setting or post acute care in Hospice Houses facilitating compassionate dignified care of Hospice patients, and families.
• Communicated regularly with family members regarding patient care needs and progress toward goals.
• Provided emotional support and counseling to patients dealing with chronic illness or end-of-life issues.
• Assessed patient's physical, mental, and psychosocial health status to develop individualized care plans.
• Monitored and evaluated effectiveness of treatment plans and interventions.
• Collaborated with physicians, nurses and other healthcare professionals to ensure optimal patient outcomes.
• Developed discharge plans for patients transitioning from acute care settings to home or alternate facilities.
• Coordinated medical services between primary care providers, specialists, hospitals and outpatient clinics.
• Facilitated referrals to community resources for additional support services.
• Maintained accurate documentation of patient progress in the electronic health record.
• Conducted weekly interdisciplinary team meetings to review case management activities for assigned caseloads.
• Educated patients on disease prevention strategies, wellness promotion techniques and lifestyle modifications.
• Identified high-risk cases requiring intensive monitoring or specialized interventions.
• Reviewed clinical data including lab results, radiology reports and vital signs to assess appropriateness of treatments.
• Participated in quality improvement initiatives related to case management processes.
• Ensured compliance with regulatory standards concerning utilization review, ethical decision making and legal aspects of case management practice.
• Facilitated transitions between levels of care through effective coordination of resources within a managed care environment.
• Attended continuing education seminars relevant to case management practices.
• Responded to emergency situations with speed, expertise and level-headed approaches to provide optimal care, support and life-saving interventions.
• Helped patients and families feel comfortable during challenging and stressful situations, promoting recovery and reducing compliance issues.
• Assessed patient conditions, monitored behaviors and updated supervising physicians with observations and concerns.
• Advocated for patient needs with interdisciplinary team and implemented outlined treatment plans.
• Observed strict safety measures, including checking medication dosages before administration to patients.
• Coordinated with healthcare team to establish, enact and evaluate patient care plans.
• Maintained strict patient data procedures to comply with HIPAA laws and prevent information breaches.
• Monitored diet, physical activity, behaviors and other patient factors to assess conditions and adjust treatment plans.
• Utilized computerized Resource and Patient Management System (RPMS) and Electronic Health Record (EHR) system.

• Provided education and support to patients, family members, and caregivers about the benefits of hospice care.
• Developed individualized plans of care based on patient needs and preferences.
• Coordinated with physicians, social workers, chaplains, and other healthcare providers to ensure continuity of care.
• Assessed patient symptoms in order to develop appropriate interventions that addressed physical, psychological, spiritual, and emotional needs.
• Facilitated referrals between hospitals, skilled nursing facilities, assisted living facilities and home health agencies as needed.
• Maintained accurate documentation in medical records according to agency policies and procedures.
• Educated patients regarding end-of-life issues such as advance directives and palliative care options.
• Participated in multidisciplinary team meetings to discuss patient status updates.
• Responded promptly to inquiries from referral sources regarding admission criteria or availability of beds and services within the hospice program.
• Collaborated with community resources such as churches or volunteer organizations to provide additional support for patients' families.
• Ensured compliance with federal regulations governing the Medicare Hospice Benefit Program.
• Evaluated new admissions for appropriateness of level of service required.
• Attended continuing education courses related to hospice care practices.
• Provided guidance on symptom management strategies for pain control or other comfort measures.
• Advised staff on changes in clinical practice standards related to hospice care.
• Actively participated in quality improvement activities designed to improve the delivery of services provided by the organization.
• Conducted initial assessments of hospice patients and families to determine eligibility for hospice services.

Implemented new floor assignments based on evaluation of staffing requirements.
Managed team of medical support personnel.

Was active part of NICU team during high risk delivery of neonate.

Assisted NICU nurse in admitting newborns to Special care nursery.

Evaluated patient care needs, prioritized treatment and maintained patient flow.