Clinical professional prepared to excel in managing patient care and coordination. Brings wealth of experience in developing individualized care plans and effectively resolving patient concerns. Known for fostering collaborative team environments and achieving consistent results, adaptable to evolving healthcare needs. Skilled in patient advocacy and crisis management with focus on compassionate care.
Overview
3
3
years of professional experience
1
1
Certification
Work History
Clinical Case Manager
Las Palmas Skilled Nursing & Rehab
03.2024 - Current
Enhanced patient care quality by implementing comprehensive MDS assessments and care plans.
Ensured timely completion of all MDS assessments, maintaining full compliance with federal and state regulations.
Provided ongoing education for nursing staff regarding MDS best practices, contributing to a knowledgeable and skilled workforce.
Conducted audits of current MDS records to identify discrepancies and improve record accuracy, enhancing reimbursement rates for the facility.
Collaborated closely with therapy departments to accurately capture rehabilitation needs within MDS documentation, supporting appropriate resource allocation for residents'' needs.
Provided guidance to nursing staff on accurate completion of Section GG assessments, enhancing overall documentation quality and supporting appropriate Medicare/Medicaid reimbursement rates.
Led weekly utilization review to go over recent clinical activities.
AR Claims sequencing.
Assessed electronic medical record for required documentation to support MDS coding.
Implemented interdisciplinary meetings focused on individualized care plan development, resulting in more targeted interventions and improved resident outcomes.
Participated in case conferences, providing insight into individual resident needs as determined through comprehensive assessment review.
Supported successful survey results by addressing any identified concerns or deficiencies related to the MDS process promptly and effectively.
Maintained accurate medical records, ensuring proper reimbursement for services provided to patients.
Optimized patient care through participation in Quality Improvement meetings with interdisciplinary team members.
Reduced errors in MDS submissions by conducting regular audits of completed assessments and providing corrective feedback to staff when necessary.
Coordinated with billing department to facilitate appropriate reimbursement based on accurate completion of resident assessments.
Demonstrated strong critical thinking skills in the analysis of complex medical information, ensuring accurate representation within the MDS system.
Set schedules for staff to start and complete MDS assessments and care plan meetings.
Optimized care plans for impact, integrating evidence-based practices and patient preferences.
Participated in quality assurance reviews to verify accuracy and reliability of data.
Charge Nurse
Las Palmas Skilled Nursing And Rehabilitation
03.2022 - 03.2024
Monitored patient reactions after administering medications and IV therapies.
Conducted ongoing monitoring and evaluations of behaviors and conditions, and updated clinical supervisors with current information.
Delivered emotional support to patients and families during challenging times.
Responded to patient requests with appropriate clinical and personal assistance.
Helped patients complete bathing, dressing and eating.
Assisted with feeding and monitored intake to help patients achieve nutritional objectives.
Collected specimens to prepare for laboratory test procedures.
Trained new nurses in proper techniques, care standards, operational procedures, and safety protocols.
Coordinated nursing care on unit through staff assignments, assisting and rounding with physicians, monitoring patient orders, and communicating with ancillary departments.
Answered patient call signals, intercom system notifications and signal lights to determine patients' needs.
Administered prescribed medications and started intravenous fluids using PCC AND MATRIX CARE to note times, types and amounts of medications for each patient.
Used first-hand knowledge and clinical expertise to advocate for patients under care and enacted prescribed treatment strategies.
Managed patient care through closely monitoring respiration, blood pressure and blood glucose levels.
Cared for wounds, provided treatments, and assisted with procedures.
Assisted with admissions, appointments, transfers, and discharges.
Delivered direct quality care to patients by evaluating medical conditions and managing and assessing treatments.
Assisted patients with daily living activities to improve their quality of life.
Mentored and supervised junior nurses, fostering a supportive and professional work environment.
Licensed Vocational Nurse
Pearsall Nursing And Rehabilitation
02.2022 - 03.2022
Documented accurate and complete patient information to address patient problems and expected outcomes.
Assisted with feeding and monitored intake to help patients achieve nutritional objectives.
Managed patient care through closely monitoring respiration, blood pressure, and blood glucose levels.
Performed routine evaluations of each patient's status, needs, and preferences.
Collaborated with interdisciplinary team of healthcare and social service providers to address patients' needs through effective intervention and care planning.
Cared for wounds, provided treatments, and assisted with procedures.
Delivered updates in patient status to charge nurse, recording changes in medical records.
Offered immediate assistance in emergency and routine paging situations to evaluate needs and deliver care.
Answered incoming phone calls from patients to provide basic assistance and triage medical concerns.
Administered medications and injections to patients.
Assessed patients' temperature, pulse, and blood pressure and recorded in electronic medical records.
License Vocational Nurse
Dimmit Regional Hospital
09.2021 - 2 2022
Monitored patient reactions after administering medications and IV therapies.
Conducted ongoing monitoring and evaluations of behaviors and conditions, and updated clinical supervisors with current information.
Delivered emotional support to patients and families during challenging times.
Responded to patient requests with appropriate clinical and personal assistance.
Performed triage on incoming patients and determined severity of injuries.
Collected specimens to prepare for laboratory test procedures.
Answered patient call signals, intercom system notifications and signal lights to determine patients.
Used first-hand knowledge and clinical expertise to advocate for patients under care and enacted prescribed treatment strategies.
Cared for wounds, provided treatments, and assisted with procedures.
Assisted with admissions, appointments, transfers, and discharges.
Delivered direct quality care to patients by evaluating medical conditions and managing and assessing treatments.