Karis Coleman

• Spearheaded the implementation of the HOPE (Hospice Outcomes & Patient Evaluation) model, training interdisciplinary teams on standardized patient assessments, documentation workflows, and data-driven care planning.
• Developed and monitored performance metrics (e.g., symptom management, timeliness of care, caregiver satisfaction), using QAPI tools to drive continuous improvement and reduce care variation.
• Conducted root cause analyses and facilitated corrective action plans for adverse events, survey deficiencies, and patient/family grievances.
• Collaborated with clinical leadership to standardize IDG documentation, improve care transitions, and ensure timely initiation of services.
• Oversaw chart audits, peer reviews, and staff education to promote clinical excellence, documentation integrity, and survey readiness.
• Partnered with EMR vendors and IT teams to integrate HOPE data elements and streamline reporting for CMS submission.

• Reduced avoidable hospitalizations through timely telephonic triage and secure portal responses, initiating early interventions for acute and chronic conditions.
• Performed remote and in-person nursing assessments, identifying clinical changes and collaborating with providers to implement targeted care plans.
• Coordinated urgent escalations to emergency and specialty services, preventing adverse events and ensuring rapid access to higher-acuity care.
• Delivered diagnostic results and clinical education tailored to patient health literacy, improving understanding and adherence.
• Executed in-home interventions to support chronic disease management and reduce fragmentation.
• Ensured continuity of care through proactive follow-up, symptom monitoring, and collaborative plan adjustments.

• COVID-19 Support team - RN crisis support per public health protocols.
• Application of nursing process in alignment with rehabilitation -hospital clinical standards of care.
• Coordinated inpatient care-plans and discharge forecasts with other disciplines.
• Safely and independently administer prescribed treatments, medications, and nursing interventions based on an individualized care plan and protocols.

• Initiated home health services by conducting comprehensive SOC assessments, including physical, medication, and wound evaluations, and completed OASIS documentation in compliance with CMS guidelines.
• Developed individualized Plans of Care for patients with complex and chronic conditions, integrating clinical findings, patient goals, and interdisciplinary input to optimize outcomes across the care continuum.
• Collaborated with patients, families, and primary care providers to support treatment adherence, monitor evolving needs, and coordinate medical, wellness, and community-based services.

• Provided general nursing care according to rehabilitation-nursing guidelines as a support to hospital team.
• Collaborated with physiatry to evaluate patient conditions and refine treatment protocols, ensuring compassionate and effective interventions for complex care scenarios.