Compassionate Registered Nurse with experience offering comprehensive patient care in outpatient environments. Works well with diverse patient populations and fosters trusting relationships to improve outcomes. Efficiently coordinate with healthcare professionals to advance patient care.
Overview
18
18
years of professional experience
Work History
Chronic Disease Manager
Sheboygan Internal Medicine Associates
07.2023 - Current
Reduced patient readmission rates by implementing effective disease management strategies and interventions.
Enhanced patient outcomes through the development and delivery of personalized care plans for chronic disease management.
Collaborated with healthcare providers to ensure seamless coordination of care for patients with complex medical conditions.
Improved patient adherence to treatment plans by providing education on medication, lifestyle modifications, and self-monitoring techniques.
Provided ongoing support and follow-up for patients participating in the disease management program, ensuring continuity of care and progress toward health goals.
Established strong rapport with patients through empathetic communication skills while addressing concerns about their condition''s progression or treatment options.
RN Care Manager
My Choice Wisconsin Partnership
01.2023 - 07.2023
Complete strength-based assessments with seniors and adults with disabilities in their homes upon enrollment with monthly contacts and quarterly visits
Maintain accurate documentation of care management activities in member records promptly, thoroughly and professionally in accordance with the standards set forth by the Managed Care Organization
Provide coordination of services to improve or maintain the member’s independence and quality of life
Develop customized care plans that focus on individuals’ preferences and support their health and safety needs
Build and maintain relationships with members, their supports, and with acute and primary care providers to ensure the best possible health outcomes for members
Coordinate functional and social supports to promote member independence and mitigate risk
Work in partnership with a Social Worker to collaborate on a member’s plan of care and work together to monitor the member’s overall well-being.
Performing testing/assessments (MoCA, AIMS, Gene Sight testing and administering injections as ordered by provider
Support and collaborate care with providers
Charting within Epic charting system
Increased patient satisfaction by establishing trust and rapport through compassionate listening and empathetic communication.
Provided crisis intervention and stabilization for acute behavioral health situations, ensuring patient safety and proper treatment implementation.
Educated patients and families on mental health conditions, treatment options, and community resources to promote informed decisionmaking.
Collaborated with psychiatrists to adjust medication regimens, optimizing therapeutic effectiveness while minimizing side effects.
Telephonic Nurse Care Manager II
Geneia/Capital BlueCross
06.2019 - 11.2020
Telephonic care management and coordination of members with chronic conditions
Provided education on disease management strategies, empowering patients to take control of their own health.
Conducted post-hospitalization outreach calls to educate patients on disease process, medication regimen and provider follow-up logistics.
Evaluated and documented patient progress, making adjustments to care plans as necessary for continued improvement.
Implemented motivational interviewing techniques during telephonic consultations, fostering trust between case managers and patients.
Conducted comprehensive assessments of patients'' physical, emotional, and social needs, establishing the foundation for effective care planning.
Providing resources, referrals and collaborate with interdisciplinary team and members health care providers as needed
Participated in ongoing professional development opportunities to stay current on best practices within telehealth case management.
Participated in team meetings and trainings to stay updated on best practices and new developments in care management.
Telephonic Nurse Care Manager
Humana
10.2014 - 04.2019
Telephonic care management and coordination of members with chronic conditions
Provided education on disease management strategies, empowering patients to take control of their own health.
Conducted post-hospitalization outreach calls to educate patients on disease process, medication regimen and provider follow-up logistics.
Evaluated and documented patient progress, making adjustments to care plans as necessary for continued improvement.
Implemented motivational interviewing techniques during telephonic consultations, fostering trust between case managers and patients.
Conducted comprehensive assessments of patients'' physical, emotional, and social needs, establishing the foundation for effective care planning.
Providing resources, referrals and collaborate with interdisciplinary team and members health care providers as needed
Participated in ongoing professional development opportunities to stay current on best practices within telehealth case management.
Participated in team meetings and trainings to stay updated on best practices and new developments in care management.
RN Field Nurse
Lifeline Home Health
10.2011 - 09.2014
Performing Oasis assessments for admission, recertification, resumption of care and discharge.
Enhanced patient outcomes by developing and implementing individualized care plans for each case
Evaluated patient progress regularly, adjusting care plans as needed to optimize results.
Supervision of CNA and LPNs to assure appropriate patient care and adherence with following care plans
Assessed patient needs during home visits, making recommendations for additional services or resources when necessary.
Promoted optimal wellness by conducting regular assessments of physical, emotional, social, and environmental factors affecting patients'' wellbeing.
Communicating/collaboration with the Interdisciplinary team on a weekly basis on progress and or patient needs
Boosted patient satisfaction rates through empathetic listening and addressing concerns proactively during case management meetings.
Wound care and dressing changes
Administering medications various routes
Patient and family teaching on disease processes, prevention and administration of medications various routes and wound care education
Collaborating with the physician any concerns or abnormal findings with assessment.
Explained course of care and medication side effects to patients and caregivers in easy-to-understand terms.
RN Acute Care
Rockcastle Regional Hospital
12.2010 - 11.2011
Improved patient outcomes by providing high-quality acute care nursing services and closely monitoring vital signs.
Variety of skills/treatments-Wound care, dressing changes, blood sugar monitoring, administering medications various routes per doctors’ orders.
Utilized critical thinking skills to assess, plan and implement evidence-based patient care.
Optimized patient safety through diligent assessment, accurate medication administration, and thorough documentation. Reporting abnormals to physician as needed.
Patient education
Collaborated with interdisciplinary healthcare team to deliver optimal patient outcomes.
Counseled patients and families on treatments, care options and discharge instructions.
Registered Nurse
Bluegrass Oakwood
07.2006 - 12.2010
Responsible for the plan of care of 15 individuals with developmental and psychological disabilities
Doing monthly head to toe assessments on each individual monthly and as needed
Conducted thorough patient assessments to identify changes in condition, promptly notifying physicians and initiating appropriate interventions when necessary.
Guiding and helping LPNs with their daily duties as needed
Preparing care plans and revising them as diagnosis and needs change
Preparing Monthly outcomes and evaluations of treatments and medications that clients are receiving and reporting them to the Interdisciplinary team during meetings held monthly
Responsible for training direct care staff on medication side effects, the importance of standard precautions
Responsible for training clients by preparing Self Administration of Medication goals for Clients on a monthly basis
Venipuncture to obtain labs as ordered
Administering meds PO, IM, subcutaneously, g-tube, and topical.
Assisted in the training and mentorship of new nursing staff members, contributing to a positive work environment and high-quality patient care.