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Laura Farrell
Emery,SD
Summary
I’m a hardworking and compassionate RN (BSN), Certified Diabetes Care Education Specialist, and Wellness Coach with over 30 years of diverse healthcare experience. My focus has been on case management and chronic disease education, coordinating care for high-risk patients with complex medical and psychosocial needs. I specialize in developing personalized care plans that align with patient goals and available resources, aiming to reduce healthcare utilization, improve outcomes, and decrease healthcare costs.
Overview
29
29
years of professional experience
1
1
Certificate
Work History
Complex Case Manager
Accolade Health Care
Plymouth Meeting, PA
05.2023 - Current
- Acted as a nurse advocate for patients who were not able to.
- Multidisciplinary collaboration is needed to assist patients in establishing, enacting, and evaluating care plans.
- Monitored lifestyle behaviors and other patient factors to assess conditions and discuss treatment plans.
- Answer questions about medications, side effects, and potential risks associated with treatments.
- Performed triage duties with patient calls and provided immediate assistance when necessary.
- Resolved customer inquiries, questions, and concerns to offer quality service consistently and meet NCQA and URAC performance benchmarks
- Coordinated discharge planning to ensure continuity of care post-hospitalization.
- Performed telephonic medication reconciliation with patients' discharge instructions and claims data.
- Helped patients and families feel comfortable during challenging and stressful situations, promoting recovery and reducing compliance issues.
- Adhered to HIPAA regulations while handling confidential patient information over the phone.
- Facilitated referrals to specialists or other healthcare professionals as needed.
- Maintained accurate documentation of all interactions with patients, including assessment notes, treatment plans, and medication recommendations.
- Developed individualized care plans for each patient based on their specific needs.
- Collaborated closely with primary care providers throughout the continuum of care for each patient.
- Updated and maintained databases with current information.
- Demonstrated strong problem-solving skills, resolving issues efficiently and effectively.
- Recognized by management for providing exceptional customer service.
Complex Condition Management RN
Premise Health
Brentwood , TN
07.2019 - 05.2023
- Investigated emerging trends in health promotion and wellness initiatives to enhance client offerings.
- Ensured accurate record-keeping. Used EPIC to maintain relevant information for practitioners to access and coordinate patient care.
- Worked with suppliers and vendors on the provision of medical equipment, items, and services.
- Of client interactions compliant with HIPAA standards.
- Delivered individual and group health coaching sessions focused on improving client well-being.
- Supported clients in navigating insurance coverage related to preventive services, such as screenings and vaccinations.
- Provided education on nutrition, weight management, disease prevention, and stress reduction strategies.
- Utilized self-assessment tools for gathering health data to inform personalized interventions.
- Encouraged sustainable behavior change in clients through defined goals and positive reinforcement techniques.
- Tracked client progress toward health goals through consistent follow-up meetings.
- Evaluated effectiveness of educational interventions by assessing changes in clinical outcomes using A1c scores or other metrics.
- Educated on insulin therapy regimens, including basal-bolus dosing strategies.
Personal Health Nurse
Conifer Health Solutions LLC
Annapolis, MD
03.2018 - 02.2019
- Educated patients, families, and caregivers on diagnoses and available treatment options.
- Conducted health screenings and reviewed medical histories to identify conditions.
- Performed assessments to evaluate mental health needs and develop care plans.
- Created customized care plans based on nursing diagnoses to enhance patient outcomes.
- Collaborated with multidisciplinary team to improve patient care.
- Communicated patient needs and medication changes effectively to physicians.
- Connected patients with relevant providers.
- Engaged patients and families in planning, providing clear instructions, and addressing inquiries.
Staff Nurse Float CSSO
Novant Health Presbyterian Medical Center
Charlotte, NC
08.2013 - 03.2018
- Monitored patient conditions; interpreted EKGs and telemetry for changes in acuity or stability.
- Documented behaviors, diet, and activity to support care plan adjustments.
- Conducted regular rounds to ensure quality care and patient safety.
- Administered oral, IV, and IM medications; monitored responses and managed reactions.
- Performed clinical procedures: catheterization, IV therapy, wound/ostomy care, pain and pressure ulcer management.
- Responded to emergencies with rapid, effective interventions for critically ill patients.
- Collaborated with interdisciplinary teams to create and update patient care plans.
- Coordinated smooth transitions of care, including admissions and discharges.
- Communicated clearly with patients, families, and staff to support treatment goals.
- Educated patients and caregivers on discharge care, medications, and recovery steps.
- Provided supportive counseling during acute and chronic health episodes.
- Trained and mentored new nurses in clinical skills and unit protocols.
- Supported team performance through collaboration and peer assistance.
- Documented care accurately in EPIC; ensured compliance with HIPAA standards.
- Delivered care across various high-acuity units with adaptability and professionalism.
- Applied evidence-based practices and pursued ongoing clinical education.
- Offered holistic support to address emotional and spiritual needs of patients.
- Prioritized and organized tasks for efficient, high-quality patient care delivery.
Nursing Supervisor II
Department of Public Safety Division of Prisons
Taylorsville, NC
01.2011 - 01.2013
- Assessed staffing levels and scheduled shifts based on patient census and acuity.
- Supervised primary care, case management, and medication management personnel.
- Coordinated interdisciplinary team meetings to review patient status and suggest treatment plan modifications.
- Evaluated employee performance, identified improvement areas, and delivered constructive feedback for professional development.
- Identified potential risks in patient care delivery processes and implemented practical solutions.
- Developed and enforced policies, procedures, and standards for correctional nursing practice.
- Assisted in maintaining state budget projections for staffing requirements based on volume fluctuations.
- Maintained precise records of personnel activities, including hiring, disciplinary actions, and competencies.
Visiting Nurse
Gentiva Home Healthcare
Statesville, North Carolina
01.2008 - 01.2011
- Provided skilled nursing care, emphasizing wound management, pain control, and prevention strategies.
- Initiated and developed individualized plans of care using nursing diagnoses with therapeutic, preventive, and rehabilitative interventions.
- Accurately assessed patient needs through supervised and routine visits, ensuring alignment with the established care plan.
- Educated patients and families on safe medication management, wound care, and strategies for maintaining a safe home environment.
- Served as a patient advocate to ensure continuity of care.
- Proficient in OASIS documentation, Medicaid and Medicare ICD-9, CPT coding, and HIPAA compliance.
- Maintained high standards of accurate documentation, reflecting quality of care and supporting compliance efforts.
- Managed average caseload of 28 patients while maintaining quality, timeliness, and compassionate care delivery.
- Fostered a supportive environment by offering emotional and psychological support to patients and caregivers.
In-Patient Certified Diabetes Educator Coordinator
CentraState Medical Center
Freehold, NJ
01.2003 - 01.2007
- Delivered certification-level training and competency assessments for hospital staff.
- Taught diabetes self-management classes to newly diagnosed patients following Medicare guidelines.
- Developed educational materials and seminars to enhance learning for patients and staff.
- Initiated insulin drip and pump protocols in acute care settings.
- Connected patients with durable medical equipment resources and glycemic management tools.
- Led goal-setting initiatives aligned with hospital mission and values.
- Oversaw quality assurance, audits, and regulatory surveys, including JACHO and Magnet.
- Achieved operational improvements that reduced length of stay and increased efficiency.
Registered Nurse/Diabetes Outpatient Educator
Meridian Health Bayshore Medical Center
Holmdel, NJ
01.1995 - 01.2007
- Taught health education classes for community workers and members of public
- Administered job knowledge assessments and competency testing for certification-level training
- Promoted available resources and connected individuals with services
- Continually improved knowledge, skills and performance based on feedback and self-identified professional developmental needs
Hospital Corpsman
US Navy
Great Lakes , Illinois
03.1988 - 05.1993
- Utilized PPE and chem gear to mitigate environmental hazards in combat scenarios.
- Provided emotional support to soldiers, reducing stress and anxiety.
- Led triage operations during disaster response at field hospitals.
- Prioritized tasks to meet mission objectives efficiently.
- Briefed leadership daily on readiness, equipment, and performance metrics.
- Maintained 100% score on physical fitness and agility tests for 5 consecutive years.
- Performed emergency and routine medical procedures under high-pressure conditions.
Education
Bachelor of Science - Nursing
Chamberlain College of Nursing
Addison, IL06-2016
Associate of Science - Nursing
Brookdale Community College
Lincroft, NJ1995
Skills
- Certified diabetes care education specialist
- Health and wellness coaching
- Chronic disease, Case management
- Patient, family education, and advocacy
- Multidisciplinary collaboration
- Utilization review
- Clinical assessment
- Care plan development
- Medication reconciliation
- Psychosocial assessment
- Active listening, Effective communication
- Task prioritization, organizational skills
- Compliance adherence
- Multitasking abilities
- Problem-solving
- Health education
- Active listening
Certification
- Certified Diabetes Care Education Specialist
- AHA CPR Certified
- CCM in progress
- Previously-Certified Health and Wellness, Coach. (in process)
Affiliations
- Camping is our families number one activity. that being said there is:
- Fishing, hiking, biking, and "mini-golf"
- Love to listen to Audible books
Accomplishments
- Participant in URAC, NCQA, Magnet, DSMES accreditations.
- Created policy for 375 bed hospital to initiate insulin drip protocols on medical surgical units.
Timeline
Complex Case Manager
Accolade Health Care
05.2023 - Current
Complex Condition Management RN
Premise Health
07.2019 - 05.2023
Personal Health Nurse
Conifer Health Solutions LLC
03.2018 - 02.2019
Staff Nurse Float CSSO
Novant Health Presbyterian Medical Center
08.2013 - 03.2018
Nursing Supervisor II
Department of Public Safety Division of Prisons
01.2011 - 01.2013
Visiting Nurse
Gentiva Home Healthcare
01.2008 - 01.2011
In-Patient Certified Diabetes Educator Coordinator
CentraState Medical Center
01.2003 - 01.2007
Registered Nurse/Diabetes Outpatient Educator
Meridian Health Bayshore Medical Center
01.1995 - 01.2007
Hospital Corpsman
US Navy
03.1988 - 05.1993
Bachelor of Science - Nursing
Chamberlain College of Nursing
Associate of Science - Nursing
Brookdale Community College
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Quote
"The only way to do GREAT WORK is to LOVE what you do."
Steve Jobs
Work Preference
Work Type
Full TimeWork Location
RemoteImportant To Me
Work-life balanceHealthcare benefitsCompany CultureReferences
References available upon request.
Software
Interests
Crafts: Diamond Art, Ceramics
Outdoors: Family Camping, fishing, walking, biking and corn hole
Languages
English
Native language
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