Michelle Smith

• Coordinate appointments and medication reconciliation. Collaboration with doctors and care teams for five group homes

Home care nurse. Skilled nursing visits including wound care, medication reconciliation, patient education and MI

Coordinated Supports and Services for clients under Pathways for Aging program

• Collaboration with Physician offices, pharmacies and case managers to coordinate equipment and supply needs, medication refills and meal delivery.

• Monitoring clients for behaviors or adverse side effects, crisis management, chart auditing, supervising direct care staff, daily collaboration with fellow nurses, daily communication with families, physicians and case managers to facilitate excellent client care.

• Provided daily direct care to homebound clients including medication reconciliation, wound care, education on new disease processes / medication, managing general health concerns, daily contact with case managers, physicians and therapists for collaborative care, daily charting via EMR system.