Kristin Farrell
Worcester,MA
Summary
Seasoned Registered Nurse with a proven track record at Reliant Medical Group in enhancing patient outcomes and reducing care costs through expert case management and care coordination. Skilled in medical assessment and emotional awareness, adept at developing personalized care plans that achieve over 90% goal completion. Demonstrates exceptional patient advocacy and chronic disease management capabilities.
Overview
22
22
years of professional experience
Work History
Registered Nurse Case Manager
Reliant Medical Group
Worcester, MA
2014.03 - Current
- Case-manage a patient caseload of 140-150 high- and moderate-risk patients, focusing on improving health outcomes to reduce overall patient care costs.
- Responsibilities include knowledge of utilization management assessment by overseeing and managing ER, hospital, or SNF admissions and readmissions, patient education, and assessments related to patients' medical conditions, such as DM, CHF, and COPD, etc., in an attempt to prevent admissions and readmissions.
- Outreach to patients on a regular basis, up to daily depending on individuals' needs.
- Create individualized care plans with measurable goals for each patient, with monitored progress towards successful goal completion.
- Participate in Care Management team meetings and interdisciplinary team meetings
- Education may be provided to patients, as well as caregivers or family.
- Responsible for appropriate patient referrals to VNA, palliative care, hospice, and home services such as elder services or services for the disabled.
Registered Nurse (VNA)
Caretenders Senior Advocacy
Westborough, MA
2011.06 - 2014.03
- Responsibilities included patient care in Geriatrics/Disabled persons in their home, case management, responsibilities including wound vacs, IV therapy, phlebotomy, Anticoagulation therapy monitoring, patient support, working with other disciplines such as PT, OT, HHA, MSW, ST, teaching/education related to diets needing to be followed related to CHF, COPD, HTN, DM as well as other comorbidities, education related to wound care, signs and symptoms of infection and various dressing changes
Registered Nurse
Family Health Center
2008.07 - 2011.01
- Responsibilities included all aspects of urgent patient services such as IV therapy and phlebotomy services, many different forms of dressing changes and patient care
- In October of 2009 I was head Nurse of the Refugee Clinic and Immigration Clinic (INS) until January 2011
OB Nurse Coordinator
Family Health Center
Worcester, MA
2005.10 - 2008.07
- Responsibilities included, all phases of prenatal care, working collaboratively with providers (NP's, PA's, MD's) to assure consistency and excellent care for our Prenatal patients, home visits as needed, I served as a resource to prenatal advocates, I counseled pt's on HIV/AIDS testing, referrals to Getchell Ward Program for pt's with positive ppd's, and I served as a liaison for CWC high risk OB, and the State Dept
- Of Public Health for prenatal pt.'s that were positive for Hepatitis B
- Assisted with the prenatal audit
Family Practice Nurse
Clinical One Medical Staffing Agency
2002.12 - 2005.10
- Responsibilities included Triage, all aspects of patient care, glucometer teaching, medication administration and teaching, referrals to specialists, prior authorizations for medications, medication refills dressing changes, Coumadin Therapy management, Depression screenings, and immunizations
Education
Associates - Nursing
Becker College
Worcester, MA01.2000
Quinsigamond College -
Quinsigamond College
Worcester, MA01.1997
Diploma - LPN
Worcester Technical Institute
Worcester, MA01.1996
High School Diploma - Medical Magnet Program
North High School
01.1994
Skills
- Patient care planning
- Referral coordination
- Medical assessment
- Service coordination
- Chronic disease management
- Geriatric care
- Case evaluation
- Care coordination
- Resource utilization
- EMR / EHR
- Patient assessments
- Emotional awareness
- Palliative care
- Care management
- Patient counseling
- Case management
- Mental health support
- Patient advocacy
- Patient management
- Care plan development
- Goal setting
References
Available upon request
Timeline
Registered Nurse Case Manager
Reliant Medical Group
2014.03 - Current
Registered Nurse (VNA)
Caretenders Senior Advocacy
2011.06 - 2014.03
Registered Nurse
Family Health Center
2008.07 - 2011.01
OB Nurse Coordinator
Family Health Center
2005.10 - 2008.07
Family Practice Nurse
Clinical One Medical Staffing Agency
2002.12 - 2005.10
Associates - Nursing
Becker College
Quinsigamond College -
Quinsigamond College
Diploma - LPN
Worcester Technical Institute
High School Diploma - Medical Magnet Program
North High School