Experienced Transitional Care Nurse with expertise in care coordination, patient education, and quality improvement. Proven ability to enhance patient safety and satisfaction while ensuring compliance with federal and state regulations.
Overview
23
23
years of professional experience
Work History
Transitional Care Nurse
Johnson County Hospital
Tecumseh, NE
11.2019 - Current
Implementation of transitional care management program.
Educated patients and families on health management and post-discharge care.
Led quality improvement initiatives, enhancing patient safety and satisfaction scores.
Provided emotional support to patients facing difficult diagnoses or treatment plans, helping them navigate their healthcare journey with confidence.
Collaborated with interdisciplinary healthcare teams to develop comprehensive care plans for patients.
Fostered strong relationships with clients and families to support comprehensive social, mental and physical care.
Follow up post-hospitalization and emergency services.
inpatient medication counseling and treatment review.
Participated in service education programs, patient care conferences and staff meetings to advance knowledge and foster multidisciplinary communication.
Patient referral to outside services when needed such as transportation services, food resources.
Managed hospital transportation van schedule.
Assisted with Prior Authorizations as needed for inpatient stays and procedures.
Health and Wellness Director
Homestead House Assisted Living
Beatrice, NE
08.2018 - 11.2019
Implemented safety protocols to ensure compliance with health regulations.
Conducted training sessions for staff on wellness initiatives and best practices.
Built strong relationships with residents and staff to promote, health, wellness and independence.
Managed 10 employees in caring for 28 residents.
Recruited, hired and coached employees to offer high quality care.
Evaluated team performance and care quality.
Observed and reported patient condition, progress and medication side effects and accurately document updates.
Conferred with physicians and non-physician providers to discuss diagnosis and devise well coordinated treatment approaches.
Assisted Living Coordinator
Colonial Acres
Humboldt, NE
04.2013 - 08.2018
Coordinated resident care plans, ensuring compliance with regulatory standards and individual needs.
Managed 7 employees delivering care to 18 residents.
Recruited and hired new employees and provided orientation for new hires.
Conducted employee evaluations and investigated complaints or concerns.
Created individual healthcare plans for each resident updated as needed.
Organized finances within the facility.
Scheduled and oversight of employees.
Coordinated and assisted with activities to enhance quality of life.
On call after hours.
Charge Nurse
Colonial Acres
Humboldt, NE
07.2003 - 04.2013
Restorative nurse-responsible for overseeing Restorative program under direction of physical therapist.
Weekly rounds with physicians.
Coordinated nursing care on unit through staff assignments, assisting and rounding with physicians, monitoring patient orders, and communicating with ancillary departments.
Supervised nursing staff to ensure high-quality patient care and adherence to protocols.
Coordinated patient admissions, discharges, and transfers to optimize workflow efficiency.
Developed training programs for new nursing staff, enhancing onboarding processes and competency levels.
Implemented care plans in collaboration with multidisciplinary teams to address patient needs effectively.
Monitored compliance with safety standards and infection control practices across the facility.
Conducted regular performance evaluations of nursing staff, fostering professional development and accountability.
Resolved conflicts among team members, promoting a positive work environment and teamwork principles.
Education
High School Diploma -
Twin River
Genoa, NE
Licensed Practical Nurse
Southeast Community College
Beatrice, NE
12-1998
Skills
Preventative care
Patient education
Care plan development
Critical thinking
Development of policies and procedures
Utilization Review
Transitional Care coordination
Scheduling
Federal and state regulations including Medicare and Medicaid