KRISTIN SIMMONS

• Built strong relationships with physicians, SNF staff and hospital discharge planners to ensure timely hospice referrals

• Educated patients, families and facility staff eligibility and benefits

• Collaborated with interdisciplinary teams to ensure smooth transitions to hospice care

• Served as a clinical resource for referral partners regarding hospice criteria and appropriateness

• Conducted hospice eligibility using LCD guidelines

• Led goals-of-care conversations with patients and families

• Converted appropriate referrals into admissions through education and rapport-building

• Manager high volume, time- sensitive evaluations across multiple settings (home, hospital, SNF)

• Interacting with most SNF with in East Texas

• Maintained rapid response time to referral sources

• Completing as many as 20-35 evaluations per month with high conversion to admission

• Strong presentation skills

• Ability to read-the-room and tailor messaging

• Comfortable with discussing end-of-life care with diverse populations

• Managed high caseloads across multiple counties and facilities

• Coordinated care autonomously while maintaining communication with team

• Prioritized high-acuity patients and urgent referrals efficiently

• Assessed patient needs and developed tailored interventions for optimal outcomes.

• Collaborated with healthcare providers to streamline communication and enhance care delivery

• Improved patient satisfaction scores by providing timely follow-ups and addressing concerns promptly

• Mentored new nursing staff, facilitating a faster learning curve and increased overall team efficiency

• Developed strong relationships with patients and their families, providing support and education on health management

• Reduced hospital readmission rates with proactive follow-up care and patient education on self-management techniques.

• Coordinated patient care plans with interdisciplinary healthcare teams.

• Assessed patient health and developed individualized treatment strategies.

• Educated patients and families on health management and medication adherence.

• Experienced in lab draw collection, Wound Vacs, extensive wound care, PleurX drains and IV Infusions .

• Performed comprehensive physical assessments in accordance with agency policies and procedures.

• Maintained timely documentation of all patient visits in the electronic medical record system.

• Trained new home health nurses, sharing best practices and clinical expertise.

• Managed patient care plans for diverse health needs in home settings.

• Coordinated with multidisciplinary teams to ensure comprehensive patient support.

• Conducted patient assessments to evaluate medical and emotional needs.

• Management of wounds, port access, IV infusions, Wounds Vacs and PluerX Drains

• Built strong relationships with physicians, SNF staff and hospital discharge planners to ensure timely hospice referrals

• Educated patients, families and facility staff eligibility and benefits

• Collaborated with interdisciplinary teams to ensure smooth transitions to hospice care

• Served as a clinical resource for referral partners regarding hospice criteria and appropriateness

• Conducted hospice eligibility using LCD guidelines

• Led goals-of-care conversations with patients and families

• Converted appropriate referrals into admissions through education and rapport-building

• Manager high volume, time- sensitive evaluations across multiple settings (home, hospital, SNF)

• Interacting with most SNF with in East Texas

• Maintained rapid response time to referral sources

• Completing as many as 20-35 evaluations per month with high conversion to admission

• Strong presentation skills

• Ability to read-the-room and tailor messaging

• Comfortable with discussing end-of-life care with diverse populations