Proven track record in ambulatory case management at Henry Ford Jackson, showcasing adaptability and exceptional communication skills. Excelled in developing comprehensive care plans, enhancing patient satisfaction, and collaborating effectively with interdisciplinary teams. Demonstrated dependability and problem-solving abilities, achieving positive outcomes in high-risk populations.
Overview
21
21
years of professional experience
1
1
Certification
Work History
Ambulatory Case Manager
Populance
12.2023 - Current
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.
Works effectively in collaboration with multiple disciplines and community facilities/resources to provide innovative high- quality outcomes.
Enhanced communication between clients and providers through consistent follow-ups and progress updates.
Achieved positive client outcomes by developing and implementing comprehensive case management plans.
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.
Assisted clients in setting achievable goals while providing ongoing encouragement and support throughout the process of reaching those objectives.
Provided education on health and nutrition for patients to maintain healthy habits and wellbeing.
Provided evidence-based therapeutic interventions and crisis management to clients to lessen negative on physical, mental and emotional wellbeing.
Works primarily with high-risk population identified through PCP referral, risk stratification and patient lists.
Ambulatory Case Manager
Henry Ford Jackson
12.2017 - 12.2023
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.
Enhanced communication between clients and providers through consistent follow-ups and progress updates.
Developed and implemented comprehensive case management plans to address client needs and goals.
Home Care/Hospice Liaison
Henry Ford Allegiance Health
03.2016 - 12.2017
Collaborated with physicians, hospital staff, patient/family to develop and implement home care plans, objectives and goals to meet the needs of the patient and to promote continuity of care.
Evaluated patients medical, physical, social and emotional status along with the family's acceptance of the diagnosis/disease process and their ability to care for the patient in the home setting.
Coordinated discharge plans for home health, hospice and home medical equipment (HME) to ensure a smooth transition and continuity of skilled care in the home.
Educated hospital staff, physicians, patients, and families regarding the available home health, HME, and hospice services.
Established and maintained working relationships with the hospital and community services.
Coordinated with HME the delivery of equipment and supplies.
Verified insurance benefits for HME, hospice services or home care services.
RN Clinical Observation Unit
Allegiance Health
07.2012 - 03.2016
Administered medications accurately and safely, reducing medication errors and adverse reactions.
Enhanced patient satisfaction through effective communication, empathy, and timely response to their needs.
Collaborated with interdisciplinary teams for comprehensive patient care plans, resulting in better health outcomes.
Administered medications via oral, IV, and intramuscular injections and monitored responses.
On an 18- bed unit clinical decision ( observation) unit provided care to patients with a variety of medical conditions including chest pain, syncope, stroke and COPD.
Insertion of intravenous line catheters using sterile technique.
Perform phlebotomy draws.
Perform Electrocardiograms.
Educate patients and families about disease prevention and new medications.
Maintain accurate patient records according to HIPPA.
Collaborate with physicians and other ancillary departments to assist in the treatment plan for the patient.
Precept new employees.
Function as a Resource/Charge nurse to fellow co-workers.
Registered Nurse, Medical-Surgical Unit
Allegiance Health
03.2003 - 07.2012
Collaborated with interdisciplinary teams for optimal patient care, ensuring seamless communication between healthcare providers.
On a 48-bed medical-surgical unit caring for respiratory and cardiac patients.
Functioned as the night-shift supervisor 1 day a week.
Functioned as the day-shift supervisor as needed.
Assigned patient placement using HEV (Horizon Enterprise Visitation).
Monitored telemetry patients.
Led Care coordination meetings.
Customer service recovery as needed.
Budgeted staff according to work flow.
Education
Bachelor of Science - Nursing
Spring Arbor University
Spring Arbor, MI
12.2015
Associate of Applied Science - Nursing
Jackson Community College
Jackson, MI
12.2002
Associates Degree in General Studies -
Jackson Community College
Jackson, MI
12.2000
Skills
Dependable
Excellent Communication
Hardworking
Organizational Skills
Multitasking Abilities
Team player
Client Advocate
Attention to Detail
Adaptability and Flexibility
Problem-solving abilities
Certification
Licensed RN - State Of Michigan 2003
Professional Nurse Advancement Ladder Level III ( Allegiance Health) 2005-2015
Member of Shared Governance ( Allegiance Health) 2007-2010