Transformational Healthcare Leader experienced in driving patient care initiatives and enhancing patient satisfaction. Achieved improved patient outcomes through innovative policy design and effective care coordination, with a strong emphasis on chronic disease management and advanced care planning. Collaborated with interdisciplinary teams to develop patient-centered care plans and facilitated clinical reviews to optimize post-discharge outcomes.
Overview
28
28
years of professional experience
Work History
Transitions of Care RN-Complex Care Manager
Boston Medical Center Hospital
Boston, Massachusetts
04.2024 - Current
Collaborate with patient and care team to develop patient-centered care plan, with particular focus on chronic disease management, social determinants, transitions of care and advanced care planning
Collaborated with outpatient HARP team to streamline patient care tasks post-hospital discharge, ensuring continuity of care.
Facilitated interdisciplinary consultations for patients by participating in rounds, team meetings, and clinical reviews to improve patient outcomes.
Identified and recruited eligible patients for HARP program using Epic worklist in collaboration with supervisors and clinical site leaders to enhance program enrollment.
Comply with established metrics for performance and adhere to documentation and work flow standards.
Participated in planning and growth of the program with relevant stakeholders.
Registered Nurse, Clinical Stabilization Services
Highpoint Treatment Center
Brockton, MA
02.2023 - 04.2024
Assessed patients in active drug and alcohol withdrawal and provided interventions to manage physical and psychological withdrawal symptoms.
Administered medications and treatments, monitoring patients for reactions and side effects.
Adhered to infection control procedures to facilitate a safe, clean patient environment.
Assessed patients in active drug and alcohol withdrawal, implementing interventions to effectively manage physical and psychological withdrawal symptoms.
Collaborated with multi-disciplinary staff to enhance patient care and reduce 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 to assess goals.
Developed patient-centered treatment plans with team collaboration to address individual needs.
Followed-up with clients after an ED visit or in-patient discharge to ensure continuity of care.
Utilized motivational interviewing techniques in coaching clients.
Employed motivational interviewing techniques to effectively coach clients towards their health goals.
Collaborated with various service providers and coordinated services for behavioral or medical needs.
Conducted follow-ups with clients post-ED visits or in-patient discharges to promote continuity of care.
Collaborated with clinical staff to support treatment plans to support therapeutic and behavioral plans.
Home Health Aide
WELCH HOME CARE SERVICES
Norwell, MA
06.2015 - 11.2017
Assisted clients with mobility and ROM exercises.
Enhanced patient outlook and daily living through compassionate care and support.
Provided mental and emotional support to help clients maintain happiness and well-being.
Dressed, groomed and fed patients with limited physical abilities to support basic needs.
Welcomed patients warmly and families with an enthusiastic, compassionate attitude to establish long-term professional relationships.
Assisted elderly clients with personal hygiene and daily activities, including bathing, dressing, and incontinence care to promote dignity and comfort.
Senior Associate-Manager
STATE STREET CORPORATION
Boston, MA
01.1999 - 02.2014
Led team and oversaw daily operations for complex funds, ensuring alignment with financial objectives.
Trained and developed new staff, holding each individual accountable and offering support for personal growth through conducted performance reviews.
Coordinated timely flow of critical information to stakeholders, enhancing decision-making accuracy.
Reconciled data onto our platform through a daily parallel process analyzing and resolving accounting discrepancies.
Reconciled data on 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
Milton, MA
B.A - Communication
Stonehill College
North Easton, MA
Skills
Patient Management/Education
Care coordination management
Care Program Development
Motivational Interviewing
Medical software proficiency
Health and wellness expertise
Additional Information
Registered Nurse: Massachusetts State Board of Nursing, License #RN2320663