Lucia Aguiar
Palm Coast,FLORIDA
Summary
Compassionate Nurse Case Manager offering 20 years of experience working with patients and families to facilitate smooth transitions following discharge from medical facilities. Committed to working collaboratively with health plan, leadership and department coordinators to achieve highest quality of patient satisfaction. Well-versed in developing individualized care plans and advocating patient welfare. Skilled in creating and implementing processes to improve patient care and cultivate support teams.
Overview
11
11
years of professional experience
Work History
RN Case Manager
AccentCare
11.2019 - Current
- Enhanced patient care by developing comprehensive care plans and coordinating with interdisciplinary healthcare teams.
- Reduced hospital readmission rates through effective case management and patient education on self-care techniques.
- Optimized resource utilization by identifying opportunities for cost containment while maintaining quality of care.
- Improved patient satisfaction scores by providing timely follow-ups and addressing concerns promptly.
- Collaborated closely with physicians to develop individualized treatment plans, supporting optimal patient outcomes.
- Streamlined discharge planning processes, ensuring a smoother transition for patients back to their homes or other facilities.
- Mentored new nursing staff, facilitating a faster learning curve and increased overall team efficiency.
- Conducted thorough assessments of patients'' needs, enabling more accurate diagnoses and targeted interventions.
- Provided emotional support to patients coping with chronic illness or end-of-life decisions, fostering resilience during difficult times.
- Evaluated the effectiveness of implemented interventions periodically, adjusting treatment plans as needed to promote optimal patient outcomes.
- Educated patients and families on available community resources, facilitating access to necessary support services.
- Coordinated care conferences with interdisciplinary team members, ensuring all perspectives were considered in the development of comprehensive treatment plans.
- Educated patients and caregivers on healthcare protocols and processes.
- Managed support services and fostered communication among social workers, therapists, hospital staff, and patients.
- Developed and modified patient care plans and assisted interdisciplinary team in identifying client needs and goals to determine priorities of care.
- Documented treatments delivered, medications and IVs administered, discharge instructions, and follow-up care.
- Provided exceptional care to high-acute patients needing complex care such as extensive wound care and rehabilitation.
- Sustained quality standards by performing routine medication audits and upholding internal and industry best practices.
- Led teams in driving successful patient outcomes by prioritizing standard of care and best practices.
Wound Care RN
Moultry Creek Nursing And Rehab Center
08.2018 - 11.2019
- Enhanced patient healing by providing specialized wound care and treatment plans.
- Collaborated with interdisciplinary teams to develop comprehensive care plans for optimal wound healing.
- Reduced infection rates by implementing strict aseptic techniques during dressing changes and wound care procedures.
- Educated patients and families on proper wound care techniques, promoting continuity of care at home.
- Improved patient outcomes through timely assessments, accurate documentation, and close monitoring of progress.
- Streamlined communication between healthcare providers by maintaining detailed records of wound assessments and treatment interventions.
- Participated in ongoing professional development to stay current on best practices in wound care nursing.
- Initiated process improvements that resulted in more efficient workflows within the wound care department.
- Promoted a positive work environment by fostering collaboration among nursing staff members.
- Performed advanced wound therapies such as negative pressure therapy, debridement, and biologic dressings to optimize healing rates.
- Collaborated closely with physicians in adjusting treatment plans as necessary while continually evaluating patient progress.
- Identified patients requiring debridement procedures and alerted attending physician.
- Attended wound care education programs to gain knowledge on most recent techniques and procedures available.
- Identified nutritional deficiencies and coordinated with personnel to solve nutrition problems.
- Collaborated with healthcare team to implement interventions for wound healing and skin breakdown prevention.
- Assessed and treated draining of wounds and burns.
- Provided post-surgery treatment and care for patients with ostomies.
Clinical Nurse Executive
Genesis HealthCare
04.2013 - 01.2018
- Improved patient care quality by implementing evidence-based nursing practices and protocols.
- Reduced hospital readmission rates through effective discharge planning and patient education.
- Enhanced staff performance by conducting regular evaluations, providing constructive feedback, and offering tailored professional development opportunities.
- Streamlined nursing operations by optimizing staffing schedules, resource allocation, and workflow processes.
- Promoted a culture of safety by enforcing compliance with infection control policies and procedures.
- Increased patient satisfaction scores by fostering a compassionate and supportive environment within the nursing department.
- Ensured regulatory compliance by staying current on industry standards and updating policies accordingly.
- Developed strong relationships with community partners to facilitate continuity of care for patients transitioning between healthcare settings.
- Managed budgets effectively, identifying cost-saving measures while maintaining high-quality patient care standards.
- Championed initiatives focused on improving workplace diversity to foster an inclusive environment that respects the cultural backgrounds of staff members and patients alike.
- Led quality improvement projects aimed at enhancing clinical outcomes through data-driven analysis and targeted interventions.
- Contributed to organizational strategic planning efforts by providing insights on nursing best practices, workforce development issues, and healthcare trends affecting service delivery models.
- Conducted regular risk assessments within the department to identify areas of potential vulnerability and implement corrective actions where necessary.
- Engaged with local educational institutions to support the recruitment and retention of highly skilled nurses, contributing to a robust pipeline of qualified professionals entering the workforce.
- Monitored and evaluated nursing staff performance, providing feedback and guidance to support standards of care.
- Oversaw and approved recruitment, hiring and orientation of new nursing staff.
- Participated in management team meetings to discuss resident status, census changes, and resident complaints or concerns.
- Worked closely administration to develop and implement best practices to improve patient outcomes.
- Established new policies and updated existing policies to improve standard of care for patients.
- Developed positive employee relations, incentives, and recognition programs to promote teamwork and mutual respect.
- Planned and assigned workload to 250-person nursing staff to direct patient care.
Education
Associate of Science - Nursing
Bristol Community College
Fall River, MA05.2002
Skills
- Utilization Review
- Palliative Care
- Community Resources
- Healthcare Regulations
- Chronic Disease Management
- Clinical Assessment
- HIPAA Compliance
- Quality Improvement
- Care Coordination
- Medication Management
- Discharge Planning
- Team collaboration
- Critical thinking
- Patient education
- Home care management
- Care Planning
- Case Management
- Regulatory Compliance
- Wound Care
- Direct Patient Care
- Documentation
- Infection Control
- Tracheostomy Care
- Advanced Cardiovascular Life Support
- Delegation and Motivation
- Strong Clinical Judgment
- Accurate Documentation
- EMR / EHR
Languages
Portuguese
Professional Working
Timeline
RN Case Manager
AccentCare
11.2019 - Current
Wound Care RN
Moultry Creek Nursing And Rehab Center
08.2018 - 11.2019
Clinical Nurse Executive
Genesis HealthCare
04.2013 - 01.2018
Associate of Science - Nursing
Bristol Community College