Mary Smith
Lehi,UT
Summary
- 25
- Years working as a dedicated registered nurse (RN) with specialty experience in home health and hospice, geriatric care, and psychiatric/mental health nursing. Reliable, ethical healthcare provider with ability to stay calm and intervene during crises. Proven ability to build positive relationships with patients, family members, physicians and other medical professionals.
Overview
13
13
years of professional experience
1
1
Certification
Work History
Home Health and Hospice Nurse
Sutter Care at Home-West Valley City, UT
08.2017 - Current
- Work from home in Utah - triage Home health and hospice patients in California
- Provide virtual care to patients via the telephone
- Triage calls to the most appropriate level of care
- Provide symptom management advice and self-care intervention, identifying resources, consulting, and referring
- Taking after-hours calls and performing Nurse follow-up activities.
Rn case manager
Hospice and Palitive Care of Western Co-Grand Junction, CO
08.2011 - Current
- JCAHO Standards/ Compliance, Medication Administration, Parent/Patient Family Education, Patient Advocacy, Patient Assessment, Blood draws, Wound care, OASIS C, Geriatric care, Baby your Baby high risk mothers, Hospice, Psychiatric Nursing, Medication management, McKesson EMR, Home health, DON of home health and hospice, Pain management, Quality & Continuity of Care, Suncoast EMR
Case Manager Home Health and Hospice
Matt Baker
06.2011 - 06.2017
- Maintained accurate documentation on all cases, ensuring compliance with regulations and confidentiality requirements.
- Conducted thorough assessments of clients'' situations, identifying issues, goals, and necessary interventions.
- Monitored ongoing cases closely, adjusting case management strategies as needed based on evolving circumstances or new information.
- Educated clients on available programs, benefits, and services, empowering them to make informed decisions about their care needs.
- Achieved positive client outcomes by developing and implementing comprehensive case management plans.
- Advocated for client rights when interacting with external agencies or institutions, ensuring fair treatment at all times.
- Provided crisis intervention support for clients experiencing emergencies, using appropriate techniques to de-escalate situations safely.
- Contributed to team discussions and case conferences actively, sharing insights and expertise with colleagues to optimize client support strategies.
- Coordinated services with other agencies, community-based organizations, and healthcare professionals to provide useful benefits to clients.
- Developed and implemented comprehensive case management plans to address client needs and goals.
- Improved client satisfaction by efficiently addressing concerns or grievances in a timely manner.
- Collaborated with multidisciplinary teams to address client needs and formulate tailored support strategies.
- Coordinated essential services for clients, resulting in improved overall well-being and selfsufficiency.
- Monitored clients' progress and tracked client services to provide crisis interventions.
- Partnered with physicians, social workers, activity therapists, nutritionists, and case managers to develop and implement individualized care plans and documented patient interactions and interventions in electronic charting systems.
- Identified care needs of individual patients and coordinated responses based on physician advice, insurance limitations, and procedural costs.
- Evaluated treatment plans against individual goals and healthcare standards.
- Collaborated with an interdisciplinary team to determine timely delivery of services.
- Provided education on health and nutrition for patients to maintain healthy habits and wellbeing.
- Referred clients to appropriate team members, community agencies and organizations to meet treatment needs.
Education
Associate in Nursing -
Skills
- EPIC
- HCHB
- Skype
- Micorsoft teamls
- Hospice Care
- Pain Management
- EMR Systems
- Nursing
- English
- Case management
- Motivational interviewing
- Medication Administration
- Critical Care Experience
- Triage
- Experience Administering Injections
- Laboratory Experience
- Caregiving
- Crisis Intervention
- Supervising experience
- Data collection
- ICU experience
- Home health
- Leadership
Certification
- Registered Nurse (RN), 01/1992, 01/2022
- BLS
- ACLS Certification
- BLS Certification
- AED Certification
- CPR Certification
- Medical License
Assessments
Clinical judgment, Proficient, 10/2021
Personal Information
Title: Case Management
Timeline
Home Health and Hospice Nurse - Sutter Care at Home-West Valley City, UT
08.2017 - Current
Rn case manager - Hospice and Palitive Care of Western Co-Grand Junction, CO
08.2011 - Current
Case Manager Home Health and Hospice - Matt Baker
06.2011 - 06.2017
UVU - Associate in Nursing,
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