NICOLE ALICE Nolcray
Centerville,Ohio
Summary
Dynamic case manager with extensive experience in care coordination and interdisciplinary collaboration at Bon Secours Mercy Health. Proven success in treatment planning and regulatory compliance, leading to improved patient outcomes through effective utilization management. Strong communication skills and advocacy for patient needs ensure seamless transitions of care and adherence to best practices.
Overview
2027
2027
years of professional experience
Work History
Case Manager
Bon Secours Mercy Health Springfield Regional Medical Center
Springfield, Ohio
- Utilizing a collaborative process, the care manager will identify (using quantitative and qualitative methods), assess, plan, implement, and evaluate the options and services required to meet an individual’s health and health-related needs, including social determinants that affect one’s overall well-being.
- Conducted screenings and assessments for individuals requiring active case management services, facilitating timely access to appropriate resources.
- Early identification and prioritization of patients in need of care management services, using a holistic approach inclusive of biopsychosocial, functional, cultural, spiritual, and financial factors.
- Ensuring patients’ and caregivers’ treatment goals and preferences are incorporated into the transition of care planning and communicated to the multidisciplinary team.
- Responsible for providing coordination of care for patients to support safe, seamless, timely transitions across the continuum.
- Planned with the patient, family, and caregivers to maximize healthcare responses and quality.
- Maintained clear, concise, and timely documentation in patient records to capture physical, functional, psychosocial, educational, financial, and transitional needs.
- Initiated referrals to appropriate healthcare disciplines based on patient needs.
- Created documentation reflecting the care plan for post-hospital needs and resources, highlighting patient and family engagement in the planning process.
- Follows standardized practices and processes related to Advance Care Planning, LOS/LOC management, readmission prevention, supports denial prevention related to medical necessity through addressing/removing barriers to progression of care, Interdisciplinary Discharge Rounds, patient satisfaction related to transitions of care, transitional management to the next level of care.
- Supported proactive care for inpatients and observation patients by removing barriers to timely testing and treatment and optimizing resource utilization.
- Works in collaboration with revenue cycle partners to help remove barriers to ensure patients are converted to the appropriate classification as guided by the physician, ensuring CC 44 process is followed.
- Participates in nursing unit and department clinical outcome projects as well as process improvement initiatives within care management.
- Understands data related to the patient population and utilizes information to improve clinical and financial outcomes and support facility goals.
- Strong collaborative partnerships with nursing and physicians, and other care team members are required.
- Adhered to compliance rules and regulations such as CCC 44, IMM, ABNS, HINs, Moon, and Bundle letters, while addressing opportunities and concerns with leadership.
- Identifies potential or current patient situations which require referral to other members of the health care team, such as infection control, risk management, legal, or quality management.
- Keeps facility and CM leadership abreast of potential issues.
Staff Nurse
Bon Secours Mercy Health Springfield Regional Medical Center
Springfield, Ohio
03.2022 - Current
- Conducts initial and ongoing patient assessment, analyzes assessment data, creates a plan of care, implements treatment, and evaluates treatment effectiveness.
- Coordinated patient care across hospital departments.
- Coordinates all aspects of patient care in collaboration with interdisciplinary care team.
- Delegates, assigns, directs, and supervises aspects of care to members of patient care team according to job descriptions and level of competency.
- Advocated for patient safety by engaging in quality improvement initiatives within the hospital.
- Led a team of licensed practical nurses and certified nursing assistants to ensure effective patient care delivery.
- Provides and directs patient teaching activities.
- Administered a range of medications, including oral and various injection types, following physician orders.
LPN, Staff Nurse
Mercy Health West Park Senior Living and Rehabilitation Center
Cincinnati, Ohio
01.2017 - 01.2020
- Administered oral, feeding tube, intramuscular injection, subcutaneous injection, intradermal injection, and transdermal medications in accordance with physician orders and state nurse practice laws using the five rights of medication safety.
- Monitored patient vital signs including blood pressure, temperature, pulse, respirations, oxygen saturation, and pain level.
- Performed wound care as ordered, assessing for signs of infection to ensure effective healing.
- Conducted weekly assigned skin evaluation of residents monitoring for possible problem areas or newly developed wounds and reporting that information to the registered nurse manager, physician, and referral to the wound care nurse.
- Maintained effective communication with residents, families, staff, and physicians.
- Completed daily shift documentation and charting by exception using the point-click-care electronic medical record.
- Prioritized and managed tasks efficiently during each shift to maintain high-quality patient care.
- Supervised state tested nursing assistants (STNAs) during shift.
- Functioned calmly and positively in an emergency or crisis situation.
- Communicated consistently with the nurse manager, reporting pertinent concerns/issues.
- Initiated communication with families and physicians to relay important information.
- Reviewed and taught families about pain management, including pain-rating scales and goal setting; the importance of aggressive, preventive pain treatment; analgesic misconceptions; and plan for pain management.
- Engaged in educational sessions with residents and families to enhance understanding of care.
- Participated in quarterly reviews with the nurse manager developing plans for personal growth with educational goals.
- Floated between nursing assignments on the Progressive Care and Assisted Living units.
- Worked on a COVID-19 Unit utilizing nursing best practices and CDC guidance maintaining safety among residents and coworkers.
- Promoted resident safety by adhering to Bon Secours Mercy Health Infection Control Policies.
- Promoted quality health care by following the guidance of Bon Secours Mercy Health Continuous Quality Improvement guidelines in the prevention of falls and healthcare-acquired infections (HAI).
- Utilized both critical thinking and problem-solving skills associated with resident behaviors, resident concerns, family concerns, and staff concerns bringing a solution that promoted resident safety and wellbeing.
- Strict adherence to the Health Insurance Portability and Accountability Act (HIPPA) and confidential handling of Protected Health Information (PHI).
- Maintained healthcare ethics by following Bon Secours Mercy Health Code of Conduct outlining autonomy, beneficence, nonmaleficence, and justice.
- Promoted human dignity, integrity, autonomy, compassion, stewardship, and quality healthcare in nursing practice.
LPN, Staff Nurse
Capital Home Healthcare
Dayton, Ohio
01.2014 - 01.2017
- Provided direct patient care as defined in State Nurse Practice Act.
- Implemented plan of care initiated by the clinician.
- Provided accurate and timely documentation consistent with plan of care.
- Assessed and provided patient and family/caregiver education and information pertinent to diagnosis and plan of care.
- Coordinated home health services and communicated specific needs for additional disciplines to clinicians and clinical supervisors, ensuring comprehensive patient care.
- Maintained effective communication with clients, families, staff, and physicians.
- Communicated consistently with the registered nurse case manager, reporting pertinent concerns/issues.
- Facilitated communication between families and physicians to ensure care continuity.
- Assessed communication methods to optimize interactions with physicians.
- Used McKesson patient electronic medical record.
- Assessed and managed wounds—surgical wounds, venous stasis ulcers, arterial ulcers, and pressure ulcers.
- Evaluated wounds weekly, measuring to assess therapy effectiveness and utilizing problem-solving skills to determine the need for new treatment regimens.
- Assessed, planned, and implemented care for clients with juvenile diabetes in the public-school setting.
- Participated in KCI Wound V.A.C. training for nurses.
- Adhered to Capital Health continuing education requirements for nurses as provided by the Homecare Institute.
- Acquired information and knowledge in current practice related to a diverse population of Veterans.
- Provided Jackson-Pratt drain care assessing for patency of drainage system, amount of drainage—color and consistency, and signs of infection at drain insertion site.
- Indwelling urinary catheter care, performed straight catheter procedure for urine samples, suprapubic catheters, urostomy, and colostomy care.
- Provided medication teaching and implemented weekly medication planners to enhance safety and promote autonomy in home medication use among patients.
- Performed venipuncture for laboratory diagnostic tests.
- Completed PT and INR using CoaguChek meter system, reporting results by phone to the health care provider.
LPN, Independent Provider Nurse
Independent Provider of Home Care Nursing—Ohio Department of Job and Family Services
Columbus, Ohio
01.2009 - 01.2014
- Provided direct patient care as defined in State Nurse Practice Act, under the direction of the Ohio Medicaid Waiver Case Manager using the Home Health Certification and Plan of Care and the signed physician order.
- Administered oral, feeding tube, intramuscular injection, subcutaneous injection, intradermal injection, and transdermal medications in accordance with physician orders and state nurse practice laws using the five rights of medication safety.
- Conducted daily skilled assessments to evaluate patient care needs..
- Evaluated patient outcomes to determine client needs and continuity of care, enhancing treatment effectiveness.
- Applied critical thinking skills when evaluating wounds, medications, exacerbation of disease conditions, and weighing of risks and benefits of staying in the home versus hospital admission.
- Used problem-solving skills as applied to medication compliance, insurance, durable medical equipment, financial difficulties, transportation issues, and finding appropriate community resources.
- Coordinated home health services as liaison between client and external resources, reporting identified needs to Ohio Medicaid Waiver Case Manager for comprehensive care.
- Communicated all needs with registered nurse (RN) supervisor, which assisted RN to keep plan of care current with signed physician order.
- Communicated all client changes in condition to Ohio Waiver Case Manager.
- Recruited, selected, and hired RN supervisor to conduct supervisory visits with clients, ensuring compliance with care standards.
- Prepared all required patient records and pre-audit evaluations in order to participate in yearly Medicaid audits, which paralleled the Centers for Medicare and Medicaid Services (CMS) Medicare Audit Program for healthcare facilities, following Ohio Administrative Code Rule 5123:2.
- Operated a homecare business, handled scheduling, managed paperwork, ordered medical supplies, and processed payroll using third-party software.
Education
Bachelor of Science - Nursing
Southern New Hampshire University
Manchester, New Hampshire12-2024
Bachelor of Arts - Health Care Administration
University of Arizona Global Campus
San Diego, California11-2021
Associate in Science - Nursing
Excelsior College
Albany, New York04-2021
LPN Technical Certificate -
Ivy Tech Community College
Muncie, Indiana08-1997
Skills
- Care coordination
- Patient assessment
- Treatment planning
- Medication administration
- Quality improvement
- Interdisciplinary collaboration
- Eligibility assessment
- Cross-functional collaboration
- Regulatory compliance
- EMR / EHR
- Health history documentation
- Utilization criteria
- Risk assessment
- Utilization review
- Discharge planning
- Case management tracking
- HIPAA compliance
- Utilization management
- Patient assessments
Licensures And Certifications
- Ohio Board of Nursing Registered Nurse, 2021-01-01 to Present
- Ohio Board of Nursing Licensed Practical Nurse, 2000-01-01 to 2022-12-31
- Indiana Board of Nursing Licensed Practical Nurse, 1997-01-01 to 2006-12-31
- American Heart Association BLS for Healthcare Providers Program, 2004-01-01 to Present
- Certified Nursing Assistant, 1994-01-01
Personal Information
- Title: Registered Nurse
- ID Type: Registered Nurse License (Ohio)
- ID Number: 501415
Timeline
Staff Nurse
Bon Secours Mercy Health Springfield Regional Medical Center
03.2022 - Current
LPN, Staff Nurse
Mercy Health West Park Senior Living and Rehabilitation Center
01.2017 - 01.2020
LPN, Staff Nurse
Capital Home Healthcare
01.2014 - 01.2017
LPN, Independent Provider Nurse
Independent Provider of Home Care Nursing—Ohio Department of Job and Family Services
01.2009 - 01.2014
Case Manager
Bon Secours Mercy Health Springfield Regional Medical Center
Bachelor of Science - Nursing
Southern New Hampshire University
Bachelor of Arts - Health Care Administration
University of Arizona Global Campus
Associate in Science - Nursing
Excelsior College
LPN Technical Certificate -
Ivy Tech Community College