Experienced RN adept at conducting clinical assessments and collaborating with multidisciplinary teams. Skilled in patient education and chronic disease management, committed to reducing hospital readmissions through proactive monitoring and tailored care plans.
Overview
20
20
years of professional experience
1
1
Certificate
Work History
Home Health RN Case Manager
MedStar Home Health
11.2023 - Current
Assessed patient health needs and developed individualized care plans.
Coordinated with multidisciplinary teams to optimize patient outcomes.
Monitored patient progress, adjusting care plans as necessary for improvement.
Educated patients and families on health management and disease prevention strategies.
Conducted regular home visits to evaluate care effectiveness and implement changes as needed.
Reduced hospital readmissions through diligent monitoring of patients'' progress and timely interventions in-home settings.
Improved medication adherence through thorough education on drug administration, interactions, and potential side effects.
Increased patient satisfaction by providing compassionate care, addressing concerns, and advocating for their needs.
Prevented complications from chronic illnesses like diabetes or heart failure through targeted patient education initiatives tailored to individual needs.
RN Assessment Nurse
Capital Home Care, Inc
12.2022 - Current
Perform initial assessment and reassessments every 3 months and as needed
Explained course of care and medication side effects to patients and caregivers in easy-to-understand terms.
Followed all personal and health data procedures to effectively comply with HIPAA laws and prevent information breaches.
Performed triage on incoming patients and determined severity of injuries and illnesses.
RN Assessment Nurse
Gifted Hands Senior Care
04.2022 - Current
Coordinated care transitions, ensuring continuity of services across healthcare settings.
Utilized critical thinking skills to prioritize nursing interventions based on patients'' acuity levels and individual needs.
Conducted thorough patient assessments to identify changes in condition, promptly notifying physicians and initiating appropriate interventions when necessary.
Enhanced patient satisfaction by providing compassionate, holistic nursing care that addressed physical, emotional, and spiritual needs.
RN
Bayada Home Care
04.2021 - 10.2023
Monitored patient vital signs to ensure safety and comfort.
Advocated for patient needs within healthcare settings, ensuring high-quality standards are met consistently.
Collaborated with interdisciplinary teams to develop personalized care plans for patients.
Educated patients and families on health management and disease prevention strategies.
Led initiatives to improve patient satisfaction, resulting in enhanced care delivery processes.
Prevented the spread of infections by consistently adhering to strict infection control protocols and educating patients on proper hygiene practices.
Improved patient outcomes by implementing evidence-based nursing interventions and individualized care plans.
Advised patients and caregivers of proper wound management, discharge plan objectives, safe medication use, and disease management.
RN Assessment Nurse
Maryland Private Care
04.2021 - 08.2022
Developed individualized care plans in collaboration with multidisciplinary teams.
Educated patients and families on health management and post-discharge resources.
Supervised junior nurses and nursing assistants, fostering professional development.
Performs initial assessment and reassessment of clients every 3 months
Home Health RN Case Manager
VNA Home Health of Maryland
04.2006 - 07.2021
Ensured compliance with healthcare regulations and quality standards in home care services.
Mentored new nursing staff on best practices in home health case management.
Streamlined documentation processes using electronic health record systems for enhanced efficiency.
Managed complex caseloads efficiently by prioritizing tasks, delegating responsibilities to support staff, and maintaining detailed records.
Expedited wound healing using advanced wound care techniques such as negative pressure therapy or hydrocolloid dressings when appropriate.
Mentored new RNs entering the field of home health case management fostering a supportive learning environment for professional growth.
Enhanced patient outcomes by developing personalized care plans and coordinating interdisciplinary team collaboration.
Determined and addresses individual home care needs by completing detailed assessments and reviewing documentation.
Educated patients and families on disease processes, medications and treatments.
Provided physical assessments, medication, and chronic disease management to home health patients.
Administered medications and treatments as prescribed by physicians.
Monitored vital signs, developed and implemented care plans, and documented patient progress.
Documented patient vitals, behaviors, and conditions to communicate concerns to supervising nurse.
Monitored patient reactions after administering medications and IV therapies.
Evaluated patient histories, complaints, and current symptoms.
Communicated with healthcare team members to plan, implement and enhance treatment strategies.
Emergency Room Registered Nurse
Nurses Now
09.2005 - 05.2006
Triage patients efficiently to prioritize care based on medical urgency.
Administer medications and treatments as per established protocols and physician orders.
Collaborate with multidisciplinary teams to develop comprehensive patient care plans.
Monitor vital signs and patient conditions, documenting changes accurately in electronic health records.
Educate patients and families about treatment plans, discharge instructions, and follow-up care.
Lead emergency response initiatives during critical situations, ensuring adherence to safety protocols.
Drive process improvements in workflow efficiency within the emergency department setting.
Streamlined emergency room operations by efficiently triaging patients according to the severity of their condition.
Answered codes quickly and orchestrated efficient, skilled medical care.
Provided emotional support to patients and families during crisis situations, helping them cope more effectively with difficult circumstances.
Reduced wait times by swiftly completing documentation and communicating effectively with medical staff.
Improved patient safety by adhering to infection control protocols and maintaining a clean work environment.
Education
Bachelor of Science - Nursing
Indiana Wesleyan University
Marion, IN
Skills
Strong communication skills
HIPAA compliance
Clinical assessment
Compassionate patient care
Patient care planning
Patient and family education
Multidisciplinary team collaboration
Palliative care expertise
Chronic disease management
Home health documentation
Case management software proficiency
OASIS proficiency
Wound care management
Infection control practices
Nutritional support guidance
Certification
RN License - R166385
RN Case Manager/Delegating Nurse in Assisted Living (Beacon Institute) - August, 2025
Basic Life Support (BLS) Certification and instructor certification