Michelle Rose

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• Evaluates patient appropriateness for Home Health Services through prescreening and communication with healthcare team members
• Streamlined intake processes for increased efficiency, implementing electronic documentation systems.
• Facilitated smooth transitions between healthcare settings by effectively communicating with ordering providers for specific home health orders pertaining to each individual patients needs to avoid delay in home health care
• Interacted professionally with families and provided empathetic support and professional guidance.

• Provided emotional support to patients coping with chronic illness or end-of-life decisions, fostering resilience during difficult times.
• Managed complex cases involving multiple comorbidities, requiring close monitoring and coordination of various healthcare services.
• Collaborated closely with physicians to develop individualized treatment plans, supporting optimal patient outcomes.
• Served as a key liaison between patients, families, and healthcare providers, fostering open communication and trust among all parties involved in the care process.

• Act as a resource to residents to navigate healthcare system
• Case Manage
• Provide yearly home visits for 300 plus residents
• Instruct residents regarding healthy living and disease prevention
• Review incident /event reports , evaluate safety factors and follow through in timely manner
• Assist with Telehealth Visits
• Coordinate Wellness Programs for Independent Living
• Oversee and coordinate Service Provider Services for the Independent Clinic
• Perform courtesy nurse visits following a hospital/ER/SNF discharge and/or change in health
• Respond to resident emergency pendants , assess situation, utilize clinical shills to determine action plan
• Oversee C.N.A during Wellness Program

• Provided supervision of Home Health Aides
• Provided instruction on disease processes, medication, diet, safety and other instructions ordered by physician
• Recognized and utilized opportunities for health counseling with clients and families/caregivers
• Assessed and evaluated patients at each visits
• Experienced in wound care ( wound vacs), removal of sutures, staples , management of foley catheters and suprapubic tubes
• Admission RN - evaluated referred home care clients for services and determined appropriateness for admission , Completed Admission Documentations utilizing OASIS documentation tools. Worked with interdisciplinary team to establish care plan .

• Primary Care Nursing to Pediatric Patients with a neurological diagnosis
• Charge RN role to unit
• Coordinated with healthcare team members to assess, plan, implement and evaluate patient care plans
• Prepared, administered and recorded prescribed medications
• Administered prescribed vaccines
• Provided education , information and support to patients family
• Supervised LPN,CNA's
• Nursing Education Committee Member
• Experienced in care of tracheostomies, orthopedic traction, Central Ines , Ports and PICC's