Accomplished Registered Nurse with proven track record in care coordination and transition management, demonstrated at Advantagecare Physicians by overseeing 60+ call center agents and enhancing patient care protocols. Expert in clinical decision-making and team leadership, with a strong foundation in nursing theory and excellent communication skills. Achieved significant improvements in patient triage efficiency and care continuity.
Overview
9
9
years of professional experience
1
1
Certification
Work History
Telephone Triage Registered Nurse
Advantagecare Physicians
Melville, New York (NY)
08.2019 - Current
Served in a managerial role, providing oversight to over 60 call center agents, and offering clinical guidance on how to escalate call handling.
Acted as the primary liaison between patients, staff, and physicians by communicating lab results, scheduling appointments, monitoring transitions of care, preparing medication renewals, and documenting triage outcomes.
Provided telephone triage services to patients in need of medical advisement, and dispatched emergency medical services for immediate assistance to prevent serious injury or death.
Educated patients relative to health care urgency, disease processes and community resources available to meet needs.
Analyzed symptoms and advised callers whether they should seek immediate medical attention or wait until their scheduled appointment.
Participated in nursing practice workgroups and committees, including privacy and compliance.
Mentored new hires, and provided clinical supervision after the completion of training.
RN Care Coordinator
Catholic Health Services Physician Partners
Garden City, New York (NY)
11.2016 - 08.2019
Acted as co-lead, overseeing a pod consisting of two registered nurses, one licensed practical nurse, and one licensed clinical social worker.
Conducted patient assessments, identified needs, and developed a care plan detailing appropriate interventions to prevent hospital readmission.
Assisted patients in navigating the healthcare system and overcoming barriers by advocating for them and referring them to community resources.
Monitored transitions of care for the first 30 days after discharge from the hospital by making weekly outreach calls to monitor compliance with after-visit summary recommendations.
Facilitated the start of home care services, scheduled the hospital discharge appointment with the primary care provider to resume continuity of care, and ensured the delivery of new medications and durable medical equipment to the home.
Coordinated with internal and external agencies to ensure timely processing of referrals for MLTC planning, Medicaid assistance, elder care coordination, home care and hospice.
Registered Nurse
Mount Sinai Doctors Long Island
Greenlawn, New York (NY)
10.2015 - 11.2016
Roomed patients for vital signs, injections, medication reconciliation and point-of-care testing in compliance with company policies and procedures.
Performed triage to offer same-day urgent appointments or dispatch emergency medical services, depending on the severity of the medical complaint.
Pended medications, lab orders, and diagnostic tests for review and signature by the provider.
Escalated critical test results for interpretation and clinical directive in an effective and timely manner.
Prepared documents for insurance companies, including appeals letters, prior authorization requests.
Trained new hires, providing supervision of clinical skills and electronic medical record documentation to ensure that quality standards for patient safety are met.
Education
Bachelor of Science - Nursing
Molloy College
Rockville Centre, NY
05-2015
Bachelor of Science - Community Health
Hofstra University
Hempstead, NY
05-2012
Skills
Strong knowledge of professional nursing theory, regulations, and practices to give and evaluate patient care
Ability to work independently within the scope of practice, make appropriate clinical decisions, and delegate responsibilities to team members appropriately
Ability to maintain quality control standards, including knowledge of policies and procedures to maintain optimal proficiency
Excellent communication skills to provide patient care and interact with colleagues in a team atmosphere
Certification
Care Coordination and Transition Management Certification, ANCC