Ambitious and compassionate Medical Surgical Nurse aspiring to practice, acquire, and improve skills to provide excellent care. Desire to improve the health and well-being of the community using a collaborative approach for quality care. Striving to be an honest and ethical nurse who will prioritize effectively, be a team player and follow through on commitments.
•. Managed a diverse caseload of members with complex medical and behavioral health needs through telephonic assessment, care planning, and ongoing monitoring.
•. Developed individualized care plans and SMART goals focused on improving health outcomes, medication adherence and self-management.
•. Coordinated care with physicians, hospitals, pharmacies, and community resources to promote continuity of care and close gaps in services.
•. Provider disease management, health education, medication support, and patient advocacy to empower members in managing chronic conditions.
•. Identified high-risk members and barriers to care, including social determinants of health, and connected members with appropriate resources and services.
•. Monitored member progress, adjusted interventions as needed, and maintained accurate clinical documentation in accordance with organizational and regulatory standards.
•. Utilized clinical judgement, motivational interviewing , and interdisciplinary collaboration to support improved outcomes and reduce preventable hospitalizations and emergency department utilization
BLS, NIHSS, ACLS