L Nicole Barnes
Henderson,TX
Summary
Accomplished Registered Nurse with a proven track record at WellMed Medical Management, adept in clinical and psychosocial assessments. Spearheaded a documentation system overhaul, enhancing care coordination and efficiency. Excels in medication management and collaborative care, achieving significant patient outcomes. Demonstrates a unique blend of healthcare regulation expertise and compassionate behavioral health support.
Overview
7
7
years of professional experience
1
1
Certification
Work History
Inpatient Case Manager
WellMed Medical Management - United Health Group
Irving , TX
04.2024 - Current
- Identifies and monitors high-risk and frequent admits effectively.
- Oversee hospital stays beginning on Day 7 and request clinical updates. Complete concurrent reviews following MCG guidelines to determine the next care level.
- Coordinate with stakeholders including IP, LTAC, ARU, and SNF for patient transitions
- Provide discharge planning within 24-48 hours of admission to identify barriers.
- Make referrals for pharmacy, medication education, SDOH, or transportation concerns, and make PCP appointments.
- Complete authorizations and review according to policy guidelines.
- Developed a standard that is now part of the WellMed way, performed thorough chart reviews, and assisted team members with tasks as needed.
- Implemented and developed a new documentation system for DFW to assist in managing care remotely.
Registered Nurse Case Manager, Hospice
Accord Hospice
Dallas, TX
09.2023 - 04.2024
- Promoted quality, cost-effective care by explaining alternative treatments before starting services.
- Managed 15 intricate cases by offering direct contact details. Developed a coordinated care plan emphasizing holistic requirements. Provided referrals for social & spiritual support
- Educated families on end-of-life issues such as pain management and grief counseling, and facilitated crisis care as needed.
- Coordinated communication between healthcare providers, family members and other support personnel.
- Performed physical examinations; administered medications; monitored vital signs; collected specimens for laboratory testing.
- Participated in interdisciplinary team meetings to develop comprehensive plans of care for each patient.
Hospice Registered Nurse Case Manager
Star City Hospice
Richardson, TX
10.2023 - 02.2024
- Performed initial assessments of new patients to determine hospice eligibility.
- Conducted regular visits with assigned patients in their home setting or at long-term care facilities to assess health status changes.
- Developed effective communication strategies with families to provide support throughout the course of illness.
- Identified medical equipment and supplies needed by patient; arranged for delivery and set up as appropriate.
- Monitored medication regimens to ensure safe administration of medications in accordance with physician orders and nursing standards of practice.
- Maintained accurate records of patient assessments, treatments, medications, and other relevant information within the electronic medical record system.
- Attended weekly case conferences to review current cases and develop treatment plans for new admissions.
RN Floor Nurse
Haven Behavioral Hospital
Frisco, TX
01.2021 - 11.2022
- Assessed patient conditions, monitored behaviors and updated supervising physicians with observations and concerns.
- Monitored diet, physical activity, behaviors and other patient factors to assess conditions and adjust treatment plans.
- Maintained strict patient data procedures to comply with HIPAA laws and prevent information breaches.
- Delivered information regarding care and medications to patients and caregivers in comprehensible terminology.
- Coordinated with healthcare team to establish, enact and evaluate patient care plans.
- Advocated for patient needs with interdisciplinary team and implemented outlined treatment plans.
RN Case Manager
HCA
Plano, TX
07.2021 - 12.2021
- Promoted patient-centered care by coordinating the plan of care for the patient's stay, managing the length of stay, ensuring appropriate resource management, and developing a safe, appropriate discharge plan in collaboration with the multidisciplinary team.
- Performed a comprehensive assessment of psychosocial, medical, and discharge needs of the patient and family, along with an assessment of resources that are appropriate and available to the patient and family.
- Coordinated the plan of care to drive the discharge plan by collaborating with the multidisciplinary health care team, and in particular, with the patient’s physician to facilitate a successful care transition.
- Using Interqual and clinical assessment to determine a patient’s readmission status or risk of readmission, and to develop strategies to mitigate this, including education on appropriately accessing healthcare resources, preventative education, and community-based resources.
- Coordinated with the healthcare team to establish, enact, and evaluate patient care plans (ER, ICU, Orthopedics).
Home Health Registered Nurse Case Manager
Ultimate Home Health & Hospice
DFW, TX
01.2021 - 07.2021
- Assessed patient conditions, monitored behaviors and updated supervising physicians with observations and concern
- Performed patient assessments and collaborated with the care team to develop and implement a plan of care (PT, OT, LVNs).
- Performed on-call responsibilities and services to patients and families as assigned, and supervised LPNs and HHAs.
- Promoted patient health and independence through teaching and appropriate rehabilitative measures, assisting patients in learning appropriate self-care techniques.
- Completed documentation timely and accurately, and regularly communicated patient progress to the clinical manager and care team.
- Provided case management services including intake, assessment, crisis intervention, advocacy, referral and monitoring of families.
- Performed wound care, medication administration and IV therapy according to physician orders.
RN, Medical-Surgical
Texoma Medical Center
Denison, TX
02.2018 - 01.2020
- Developed individualized action plans based upon assessment findings that included short-term goals and long-term objectives.
- Established positive relationships with patients by providing compassionate support during challenging times.
- Utilized evidence-based practice guidelines when developing individualized treatment plans.
- Administered oral, IV and intra-muscular medications and monitored patient reactions.
- Educated patients on disease processes, treatments, nutrition, lifestyle modifications, medication adherence, and self-management strategies.
- Provided direct patient care for medical-surgical patients with various diagnoses such as heart failure, COPD and diabetes.
- Performed wound care, medication administration and IV therapy according to physician orders.
- Managed post-operative pain control measures for surgical patients utilizing pharmacological agents.
Behavioral Health Registered Nurse
Carrollton Springs Hospital
Carrollton, TX
06.2017 - 07.2018
- Assessed patients for risk of withdrawal symptoms and provided appropriate interventions.
- Monitored vital signs to ensure patient safety during detoxification process.
- Provided emotional support to help patients cope with anxiety and depression associated with detoxification.
- Educated patients on the importance of following a healthy diet and lifestyle after detoxification.
- Collaborated with physicians, psychiatrists, social workers, counselors, and other healthcare professionals to develop individualized treatment plans for each patient.
- Administered medications as prescribed by physician to reduce withdrawal symptoms or cravings during detoxification period.
- Assisted in crisis intervention when necessary.
Education
Nursing & Social Work
Midwestern State University
Wichita Falls, TX05-2017
Skills
- Clinical assessment
- Psychosocial assessment
- Healthcare regulations
- Medication management
- Behavioral health
- Utilization review
- Care coordination
- Collaboration
Certification
- RN license 2017
- BCLS AHA 2024
Timeline
Inpatient Case Manager
WellMed Medical Management - United Health Group
04.2024 - Current
Hospice Registered Nurse Case Manager
Star City Hospice
10.2023 - 02.2024
Registered Nurse Case Manager, Hospice
Accord Hospice
09.2023 - 04.2024
RN Case Manager
HCA
07.2021 - 12.2021
RN Floor Nurse
Haven Behavioral Hospital
01.2021 - 11.2022
Home Health Registered Nurse Case Manager
Ultimate Home Health & Hospice
01.2021 - 07.2021
RN, Medical-Surgical
Texoma Medical Center
02.2018 - 01.2020
Behavioral Health Registered Nurse
Carrollton Springs Hospital
06.2017 - 07.2018
- RN license 2017
- BCLS AHA 2024
Nursing & Social Work
Midwestern State University
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