Lisa Hudson

Remote nurse case management position with focus on supporting home based medical care team and providing direct care coordination for assigned patient panel.

• Nurse case manager serves as lead for the assigned team which is populated by APRNs and interdisciplinary roles which include social work, behavioral health, or administration. Nurse case manager collaborates with team members for comprehensive patient care plans, daily task management, and metric tracking.
• Nurse case manager is responsible for telephonic patient outreach, patient assessment, and care coordination for members in the longitudinal and post-acute care settings. Goals include identification and remediation of barriers or quality care gaps in treatment plans to provide improved health outcomes for members with complex health conditions. Successful member outcomes achieved through interdisciplinary collaboration with the home based medical care team and community based provider outreach. Successful outcomes as evidenced by improved utilization through reduced bypass rates, reduction in hospitalization, quality care gap satisfaction, and improved disease management.
• Nurse case manager provides members with education related to disease processes and support for improved self-management of chronic health conditions.
• Nurse case manger role requires strong communication and organizational skills, critical thinking abilities, collaborative effort, and compassionate patient care.

• Nurse case manager was responsible for development of comprehensive care plans, allocation of resources, and interdisciplinary team coordination to facilitate patient centered transitional care outcomes within a dynamic inpatient environment
• Nurse case manager applied evidence-based practice to assess patients' healthcare needs, resource challenges, and wellness barriers during patient progression from hospital admission to discharge
• Nurse case manager reviewed insurance benefit coverage and assessed potential need for financial assistance related to medical care or medication fulfillment. Role responsibilities included development of medication plans and medication resource coordination, development of discharge plan of care from inpatient to community setting, and optimization of patient education for wellness promotion
• Nurse case manager collaborated with the interdisciplinary care team across the organization to provide continuity of care
• Role included the promotion of quality improvement measures and best patient centered health outcomes by participating with interdisciplinary team on policy implementation.

• Nurse case manager was responsible for the lateral integration of patient care across all healthcare delivery settings within a designated PCMH practice
• Nurse case manager facilitated coordination of patient centered services and resource allocation to meet transitional and longitudinal NCQA directed requirements
• Nurse case manager provided tracking for healthcare outcomes through quality care gap closures
• Nurse case manager promoted patient wellness by assessing patient healthcare needs, application of evidence-based practice, augmenting health literacy and education, coordination of routine to critical services or resources, and empowering patients to achieve optimal health outcomes
• Nurse case manager collaborated with the interdisciplinary care team across the organization and within the community to provide continuity of care
• Nurse case manager promoted quality improvement and health outcomes by participating with fellow staff members to develop workflows, policy implementation, and development of the care management program within the outpatient primary care clinic setting.

• Immunization Program Coordinator
• Responsibilities include planning, implementing, and directing immunization clinics or services for Independence School District, City of Independence employees, and community at large
• Management of clinic inventory, billing, and outcome reporting
• Ensures compliance with state and federal vaccine program requirements, acting as lead coordinator for Health Department's VFC program
• Builds and maintains collaborative working relationships with community partners to assess, provide, and evaluate community health needs
• Completes annual immunization audits for preschool and daycare providers
• Collaborates with team members on Department tasks and assignments as related to community epidemiology concerns
• Participates in public health emergency response trainings and actions.

• Direct patient care role within the critical care setting
• Focus on treatment and management of emergent and chronic conditions including cardiovascular, pulmonary, and medical exacerbation
• Certified for and responsive to medical emergencies or events including stroke, cardiac arrest, and respiratory distress
• Provision of care for pre/post cardiovascular and surgical procedures
• Perform patient assessment and stabilization within a model of total patient care
• Provision of patient education focused on disease process, disease management, medications, and interventions
• Participation in quality care initiatives to improve patient outcomes
• Contributing foundation member of nurse residency program
• Serve as preceptor for nursing students and new employees
• Serve on process improvement committees and participate in nursing council activities.

• Clinical nurse in specialty outpatient medical practice providing patient care, coordinator of services, and routine assistance with cardiovascular testing procedures in the clinic setting
• Responsible for management of clinic flow, scheduling of clinical appointments and in-hospital procedures
• Communication with physicians and care team to evaluate and address patient condition, lab work, or procedures
• Triage of patient care in the clinic setting and by phone communication
• Management of INR clinic for Coumadin medication regulation
• Routinely assist with outpatient cardiovascular testing including echocardiograms, cardiac stress testing, and ultrasound procedures
• Electronic medical charting and coordination of insurance prior authorization
• Strong focus on patient education.

• Direct patient care role in the critical care setting
• Provide management of medical emergencies and continuum of care for medical conditions including stroke, cardiac arrest, and respiratory distress
• Provide post interventional care for cardiovascular and pulmonary procedures
• Perform patient assessment and stabilization within a model of total patient care
• Provision of patient education focused on disease process, disease management, medications, and interventions
• Consistently recognized by patients and staff for quality, patient-centered care
• Participation in quality care initiatives
• Serve as preceptor for nursing students and new employees.

Provide direct patient care in the critical care setting with a focus on exacerbation of medical conditions, pulmonary conditions, hypertensive urgency, and emergent care

• Responsible for monitoring and care of ventilated patients
• Management of arterial and central lines
• Participation within the interdisciplinary care team with focus on implementation of strategic initiatives to advance clinical care standards and improve patient outcomes
• Perform routine and emergent patient care within a rapidly changing environment
• Assist with MET and CODE situations within the greater hospital environment
• Participation in development of initiatives and standards in compliance with MAGNET status.