
Compassionate Registered Nurse with over 34 years of experience in offering comprehensive patient care and coordination of care in acute care, long term care, rehabilitation, home health, behavioral health, clinical research and family care clinic environments. Works well with diverse patient populations, and fosters trusting relationships to improve clinical outcomes. Efficiently coordinates with healthcare team and patient to support patients as they move through the health care system.
Strong assessment, planning, implementing, coordinating, and monitoring skills. Patient is always most important member of health care team. Great Documentation practices. Expertise in telephonic triage, referral management, case management and follow up care.
Assess needs for customer focused military primary care clinic that serves birth to 65yrs of age. Predominately using telephonic communication to assess, plan, implement plan of care, teach, support and follow up on health care needs for patient and family . Assist patient navigate their healthcare needs through direct and indirect care management . All communication, documentation and care is done in a timely manner. Coordinate and communicate with the healthcare team to include the patient, providers, nurses, ancillary, in the military medical system and in the civilian network. Provide nursing leadership and guidance for other team members. Facilitate optimal care provided for patient. Communicate with Humana/Tricare the insurance company. Strong problem solving skills. Work with and for transient patients that live in several different states. Find them the care they need that is in network, and convenient for them.
Succeeded in increasing life skills and quality of life for for clinic beneficiaries in underprivileged economic and social demographics. Maintained clinic schedules for physicians, nurses, and specialty services. Coordinated care between beneficiaries and specialty services. Mentored patients in wellness and self care. Performed patient assessments and contributed to development of interdisciplinary care plans. Leveraged patient feedback and performed continuous process improvements to streamline day-to-day business operations and patient satisfaction. Conducted routine facility inspections, identifying areas needing improvement and eliminating hazards posed to staff and residents for continued compliance with associated regulations.
Increased efficiency of documenting serious adverse events for tested pharmaceuticals. and devices. Preserved study protocol schedule and priorities. Maintained open communication with the study sponsors and regulatory bodies.
Call patients with chronic health diagnoses. Assess their knowledge of diagnosis, medications, and treatment. Teaching them about these, and why they are most important participant in their healthcare. Involve them in participating in controlling their illness, and how to stay well. Follow up calls to track their progress, medication compliance, diet compliance, tracking lab results, instruct, encourage and assisting them navigate their doctor's appointments and follow up care. Generated recommendations for the patient after telephonic interviews. Provided education on chronic medical conditions, medication, diet, lifestyle changes, pertinent lab tests, and importance of following up with provider.
Completed home visits for safety to include environmental, support, patients needs and risks. Coordinated supply acquisition to avoid gaps in care and therapeutics. Communicated with physician and care team to provider care needed for optimum health.
Performed initial visit for Medicare patient. Completed intensive assessment, planning and communicating with team to provide optimal health care needed for wellness .
Nursing Supervisor for rehab hospital that had ventilator unit, wound care, orthopedics.
Agency R.N. for University of Maryland Hospital. Worked in shock trauma, oncology, jail, transplant units.
Nursing Supervisor Harford Memorial Hospital, Core Measures reviewer for home health agency Laurel Regional Hospital-reviewed hospital records for compliance with Core Measures. Communicated with providers, and entered data in data base. Long Term care facility and rehab assessment and implement plan of care. Medication, wound care, and all other skilled nursing tasks as needed. Medical surgical nurse acute care hospitals. Worked on floors that had specialty in med/psych, ortho, urology, peds, and gyn.