Jessica Lambert, RN, BSN

• Self-motivated, with a strong sense of personal responsibility.
• Enhanced patient comfort by providing compassionate, individualized care and addressing specific needs.
• Reduced patient anxiety and stress by offering a calm, reassuring presence during difficult emotional moments or periods of physical discomfort.
• Enabled family members'' involvement in the hospice experience through effective communication and emotional support.
• Served as an advocate for patients'' rights and interests to ensure that their wishes were respected during all stages of hospice care provision.
• Facilitated smooth transitions between different stages of hospice care by effectively coordinating with home health aides, nurses, social workers, physicians, and volunteers.
• Upheld ethical principles surrounding confidentiality and patient autonomy throughout all interactions with patients, families, colleagues, or other stakeholders involved in hospice care.

• Complied with federal and state regulations for completion and coordination of RAI process.
• Assessed electronic medical record for required documentation to support MDS coding.
• Completed prompt and accurate assessments with strong collaboration across business, provider and clinical disciplines.
• Followed all personal and health data procedures to effectively comply with HIPAA laws and prevent information breaches.
• Ensured regulatory compliance by maintaining up-to-date knowledge of CMS guidelines and applying them to daily practice.
• Implemented care plans for patient treatment after assessing physician medical regimens.
• Offered exceptional care and support to individuals recovering from acute incidents and dealing with chronic conditions.
• Conducted ongoing monitoring and evaluations of behaviors and conditions, and updated clinical supervisors with current information.

Charge Nurse

• Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
• Administered medications via oral, IV, PEG, and intramuscular injections and monitored responses.
• Provided direct patient care, stabilized patients, and determined next course of action.
• Performed various nursing interventions such as wound dressing, vital sign monitoring, air way management, and specimen collection.
• Monitored patients' conditions and reported changes in physical presentation, appearance, and behavior to discuss treatment with physicians.

Unit Manager

• Audited charts and reviewed clinical documents to verify accuracy.
• Oversaw delivery of care for patients on unit providing direct care, delegating nursing assignments and supervising team comprised of RN's, LPNs, QMAs,CNA's, social services, skilled therapies, and dieticians.
• Participated in weekly call rotation for all nursing staff
• Effectively prioritized assignments, executing care based on each patient's relative condition and delegating tasks to available personnel deliver safe and efficient care.
• Worked within interdisciplinary health care team to develop, implement and make adjustments to patient care plans, individualizing strategies, and methods to improve health and meet recovery goals.
• Identified patient care requirements by establishing personal rapport with patients and families.

Case Management

• Managed elements of patient care from admission to discharge or transfer to other units.
• Met with hospital ACO teams weekly to discuss patient progress, discharge goals, and barriers in order to reduce readmission rates.
• Ordering Durable medical equipment needed at discharge including; walkers, w/c, oxygen, mechanical lifts, and hospital beds
• Followed Residents through discharge ensuring all needed services; home health, PCP appointments etc. were set up prior to discharge.
• Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process, and management and lifestyle options.
• Coordinated patient discharge planning to provide post-discharge patient care, promoting healing and recovery.

MDS Coordinator

• Set schedules for staff to start and complete MDS asessments and care plan meetings.
• Provided continuing education to staff on proper documentation practices and coding
• ensured timely completion of all scheduled MDS assessments.
• Researched best practices and developed strategies to improve program outcomes.s