Proven leader skillful in uniting and guiding teams toward achieving patient care goals and improving satisfaction. Focused on continuously driving innovation and improving patient outcomes.Adept at designing and implementing policies and procedures.
Overview
27
27
years of professional experience
Work History
Transitions of Care RN-Complex Care Manager
Boston Medical Center Hospital
Boston, Massachusetts
04.2024 - Current
Identify and recruit eligible and appropriate patients for the HARP-Hospital Admission Reduction Program based on an Epic worklist, in collaboration with supervisors and local clinical site leaders.
Collaborate with the patient and care team to develop a patient-centered care plan, with a particular focus on chronic disease management, social determinants, transitions of care, and advanced care planning.
Collaborate with the outpatient HARP team to execute outstanding patient care tasks after hospital discharge.
Facilitate interdisciplinary consultation on the patient’s behalf through participation in rounds, team meetings, and clinical reviews.
Comply with established metrics for performance, and adhere to documentation and workflow standards.
Actively participate in the planning and growth of the program with relevant stakeholders, as needed.
Registered Nurse, Clinical Stabilization Services
Highpoint Treatment Center
Brockton, MA
02.2023 - 04.2024
Assessed patient needs, prioritized treatment, maintained patient flows and assisted physicians with non-invasive procedures.
Administered medications and treatments, monitoring patients for reactions and side effects.
Adhered to infection control procedures to facilitate safe, clean patient environment.
Assessed patients in active drug and alcohol withdrawal and provided interventions to manage physical and psychological withdrawal symptoms.
Collaborated with multi-disciplinary staff to improve overall patient care and response times.
Community Partnership RN, Care Management
ASPIRE HEALTH ALLIANCE
Braintree, MA
07.2018 - 11.2022
Worked with Mass Health enrollees with behavioral and physical co-morbidities to identify their areas of need and assessment of goals.
Created patient centered treatment plans in collaboration with other team members.
Trained and mentored Care Coordinators on best practices, policies and standards of care.
Collaborated with doctors to plan post-treatment home care and prevent return hospitalization.
Utilized motivational interviewing techniques in coaching clients.
Collaborated with various service providers and coordinates services for behavioral or medical needs.
Followed-up with clients after an ED visit or in-patient discharge to ensure continuity of care.
Utilized database reporting to identify high risk patients.
Identified factors that help reduce the rate of ED visits.
Worked closely with clinical staff to support therapeutic and behavioral plans.
Home Health Aide
WELCH HOME CARE SERVICES
Norwell, MA
07.2015 - 12.2017
Assisted clients with mobility and ROM exercises.
Improved patient outlook and daily living through compassionate care.
Helped clients stay happy and healthy by providing mental and emotional support.
Dressed, groomed and fed patients with limited physical abilities to support basic needs.
Greeted patients and families with enthusiastic, compassionate attitude to establish long-term professional relationships.
Assisted elderly clients with personal hygiene and other daily activities, including bathing, dressing and incontinence care.
Senior Associate-Manager
STATE STREET CORPORATION
Boston, MA
01.1999 - 02.2014
Managed a team of individuals and provided daily oversight for a group of complex funds.
Trained and developed new staff, holding each individual accountable and offered support for personal growth through conducted performance reviews.
Coordinated the flow of time critical information to the appropriate parties with a high level of accuracy.
Participated in user testing of new accounting systems and helped roll out to supporting groups.
Reconciled data onto our platform through a daily parallel process analyzing and resolving accounting discrepancies.
Researched issues and made quick decisions to achieve efficient and effective resolutions.
Education
ADN - Nursing
Laboure College
2017
B.A - Communication
Stonehill College
Skills
Health and wellness expertise
Patient Management/Education
Care coordination
Motivational Interviewing
Proficient in medical software applications
Program Management
Additional Information
Registered Nurse: Massachusetts State Board of Nursing, License #RN2320663