Summary
Overview
Work History
Education
Skills
Timeline

Julie Picou

Elizabethton,TN

Summary

Dedicated nursing professional with a strong background in patient care coordination and healthcare management. Expertise in clinical assessment, discharge planning, and patient advocacy ensures delivery of high-quality care. Recognized for fostering team collaboration and adapting to evolving healthcare needs, consistently achieving meaningful outcomes. Exceptional communication skills and critical thinking abilities facilitate navigation of complex healthcare systems to enhance patient experiences.

Overview

17
17
years of professional experience

Work History

TOC/RN Case Manager

Cityblock Health-North Carolina
01.2022 - Current
  • Coordinated patient care plans to enhance health outcomes and address individual needs.
  • Provide education to physicians, case managers and other members of the team on the issues related to utilization review including inappropriate admissions and placements.
  • Implemented evidence-based nursing interventions, contributing to improved quality of care and patient satisfaction scores.
  • Streamlined care coordination processes to reduce hospital readmissions and emergency department visits.
  • Provided education and support to patients and families, empowering them to make informed decisions regarding their healthcare needs.
  • Educated patients on disease management strategies, promoting self-care and adherence to treatment plans.
  • Developed and implemented quality improvement initiatives to streamline case management processes.
  • Conducted comprehensive assessments of patients'' physical, emotional, and social needs in order to develop individualized care plans that facilitated optimal health outcomes.
  • Mentored new nursing professionals during orientation periods, fostering a collaborative team dynamic that supported the delivery of high-quality care.
  • Reported findings to quality departments after conducting routine audits and worked with team to devise corrective actions for deficiencies.
  • Conducted regular audits of clinical records to identify areas for improvement in documentation accuracy and compliance with regulatory standards.
  • Performed triage on incoming patients and determined severity of injuries and illnesses.
  • Root Cause Analysis audits for readmissions and ER visits. Identified trends and provided suggestions for correction and/or improvements.

RN Case Manager

UnitedHealth Group-Nashville, TN
09.2019 - 01.2022

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  • Coordinated patient care plans to enhance health outcomes and ensure compliance with treatment protocols.
  • Assessed patient needs through comprehensive evaluations and developed tailored intervention strategies.
  • Managed complex cases involving multiple comorbidities, requiring close monitoring and coordination of various healthcare services.
  • Educated patients and families on available community resources, facilitating access to necessary support services.
  • Collaborated with multidisciplinary teams to streamline care transitions and improve service delivery.
  • Served as a key liaison between patients, families, and healthcare providers, fostering open communication and trust among all parties involved in the care process.
  • Evaluated the effectiveness of implemented interventions periodically, adjusting treatment plans as needed to promote optimal patient outcomes.
  • Streamlined discharge planning processes, ensuring a smoother transition for patients back to their homes or other facilities.
  • Reduced hospital readmission rates with proactive follow-up care and patient education on self-management techniques.

Primary Care Nurse

US Department of Veterans Affairs-Johnson City, TN
10.2016 - 09.2019
  • Maintained professional knowledge and skills based on current evidence-based practice. Maintained expertise in chronic care/disease management and Health Promotion/Disease Prevention.
  • Collaborated with interdisciplinary teams to enhance patient outcomes and coordinate care.
  • Educated patients on chronic disease management and preventive health strategies.
  • Advocated for veterans' healthcare needs, facilitating access to essential services and resources.
  • Assessed health status of patients by eliciting health histories, conducting physical assessments, and analyzing data to formulate plans of care.
  • Coordinated referrals to specialty providers when necessary, facilitating seamless transitions of care between different healthcare professionals.
  • Utilized evidence-based practices to develop individualized treatment plans tailored specifically for each patient''s unique needs.
  • Monitored and managed chronic health conditions, effectively coordinating care between primary care providers, specialists, and patients.
  • Educated patients on medication management to ensure proper adherence and minimize potential adverse effects.
  • Managed complex caseloads consisting of patients with diverse health needs, demonstrating adaptability and expertise in various clinical settings.
  • Encouraged health-promoting behaviors to improve patient health and reverse disease.
  • Evaluated patient needs during triage to prioritize cases based on urgency, ensuring timely treatment for all individuals seeking care.
  • Conducted ongoing monitoring and evaluations of behaviors and conditions, and updated clinical supervisors with current information.
  • Performed triage on incoming patients and determined severity of injuries and illnesses.

Field Care Manager

Humana - Work at Home-Slidell, LA
07.2014 - 08.2016
  • Conducted in-home visits to assess patient needs, ensuring proper support and resources were provided.
  • Ensured patient is progressing towards desired outcomes by continuously monitoring patient care through assessments and/or evaluations.
  • Developed care plans tailored to individual patient needs, enhancing service delivery and patient satisfaction.
  • Advocated for patients' needs within the healthcare system, ensuring access to essential services and resources.
  • Developed strong relationships with patients and families, fostering trust and open communication throughout the care process.
  • Served as a liaison between patients, families, providers, and community resources to ensure seamless coordination of care services.
  • Provided education on disease management, promoting self-care strategies and empowering patients to take control of their health.
  • Coordinated interdisciplinary team meetings to discuss patient progress and adjust care strategies effectively.
  • Educated clients and families on community resources, treatment options and health care services to better manage conditions.
  • Reduced hospital readmission rates through diligent monitoring and timely follow-up with patients.
  • Managed caseloads efficiently, prioritizing high-risk patients for more frequent monitoring and intervention.
  • Improved quality of patient care by conducting comprehensive assessments and adjusting care plans accordingly.
  • Participated in team meetings and trainings to stay updated on best practices and new developments in care management.

Home Health Nurse and Manager

St Tammany parish hospital-Covington, LA
01.2009 - 06.2014
  • Administered medications and treatments according to established protocols and physician orders.
  • Managed patient assessments and care plans to ensure optimal health outcomes.
  • Educated patients and families on health management, disease prevention, and medication adherence.
  • Monitored vital signs and documented changes in patient conditions for timely interventions.
  • Trained and mentored junior nursing staff in best practices for patient care delivery.
  • Developed strong rapport with patients and families, fostering trust and open communication during challenging times.
  • Contributed to the overall success of the home health agency by maintaining high levels of patient satisfaction and positive outcomes.
  • Identified early warning signs of patient deterioration or complications, promptly notifying physicians to adjust treatment plans accordingly.
  • Conducted regular follow-up visits to monitor patient progress and make adjustments to care plans as needed.
  • Facilitated smooth transitions from hospital discharge to home-based care by coordinating necessary resources and support systems.
  • Administered different therapies and medications in line with physician orders and treatment plan.
  • Optimized patient comfort by addressing individual physical, emotional, spiritual needs during end-of-life care.
  • Performed skilled nursing procedures such as IV therapy administration, tracheostomy care maintenance under physician supervision when required.
  • Reported findings to quality departments after conducting routine restraint audits and worked with team to devise corrective actions for deficiencies.
  • OASIS reviewer and ICD-9 and ICD-10 Coding. Also trained staff on OASIS assessments and coding.
  • Performed chart audits to assure CMS guidelines and criteria met.
  • Controlled costs to keep business operating within budget and increase profits.
  • Established team priorities, maintained schedules and monitored performance.
  • Evaluated employee performance and conveyed constructive feedback to improve skills.
  • Performed triage on incoming patients and determined severity of injuries and illnesses.

Education

Bachelor's degree - Nursing

Southeastern Louisiana University, Hammond, LA
12.2010

Associate in Science (AS) - Nursing

Delgado Community College, New Orleans, LA
12.2003

Skills

  • Strategic goal setting
  • Emotional awareness
  • Electronic health record systems
  • Motivational Interviewing
  • Healthcare coordination expertise
  • Chronic disease management
  • Staff education and training
  • Clinical utilization review
  • Case management

Timeline

TOC/RN Case Manager - Cityblock Health-North Carolina
01.2022 - Current
RN Case Manager - UnitedHealth Group-Nashville, TN
09.2019 - 01.2022
Primary Care Nurse - US Department of Veterans Affairs-Johnson City, TN
10.2016 - 09.2019
Field Care Manager - Humana - Work at Home-Slidell, LA
07.2014 - 08.2016
Home Health Nurse and Manager - St Tammany parish hospital-Covington, LA
01.2009 - 06.2014
Delgado Community College - Associate in Science (AS), Nursing
Southeastern Louisiana University - Bachelor's degree, Nursing
Julie Picou