NICKEISHA SIMONE REYNOLDS
Registered Nurse
Santa Ana,California
Summary
- Perform remote telehealth and in-home evaluations of individuals seeking long term care services and supports. Evaluations include a determination of health status, strengths and care needs.
- Review consumer medical documentation and or health referral forms, as relevant to the case
- Enter evaluation data into electronic evaluation form and transmit, as required
- Document any concerns, conflicting information, other issues that surface during the evaluation process
- Emphasize continuity of care, thus reducing or eliminating fragmentation, duplication, and gaps in treatment plan
- Identify opportunities for health promotion and illness prevention
- Maintain a comprehensive working knowledge of community resources, payor requirements, and network services for target population
- Meets all standards established for this position as outlined in the corresponding annual performance criteria and bonus template for this position.
- Performs other duties as may be assigned by the Regional Nurse Manager or other project management.
Knowledgeable Registered Nurse with solid background in case management within healthcare settings. Proven ability to coordinate patient care and navigate complex healthcare systems effectively. Demonstrated expertise in patient advocacy and communication.
Skilled nursing professional with strong background in patient care coordination and healthcare management. Demonstrates expertise in clinical assessment, discharge planning, and patient advocacy. Known for fostering team collaboration, adapting to evolving needs, and delivering meaningful outcomes. Equipped with excellent communication skills, critical thinking, and ability to navigate complex healthcare systems.
Overview
22
22
years of professional experience
2
2
Certification
Work History
Registered Nurse Case Manager
Aetna, a CVS Health
12.2018 - Current
- Determined and coordinated appropriate level of care to meet individual patient needs.
- Participated in on-call rotations, delivering daily continuous quality care to patients.
- Collaborated in consults, patient care plans development, patient monitoring and evaluations.
- Assessed and reviewed patients for discharge and planning and integrated services for patients requiring home care, home infusion and durable medical equipment (DME).
- Actively participated in family and patient planning processes.
- Coordinated comprehensive care plans to meet patient needs and optimize outcomes
- Collaborated with interdisciplinary teams to enhance patient service delivery and care continuity
- Evaluated patient progress through regular assessments, adjusting care strategies as necessary
- Mentored new staff on best practices for effective case management and patient advocacy
- Ensured compliance with regulatory standards and organizational policies in case management practices
- Developed educational resources for patients to promote self-management and informed decision-making
- Implemented quality improvement initiatives that enhanced efficiency in case processing and documentation
- Utilized electronic health record systems to maintain accurate patient information and streamline communication
- Evaluated patient progress and adjusted care plans accordingly, ensuring continuity of care across all healthcare settings.
- Administered medications and treatments as prescribed by physicians.
- Completed initial assessments of patients and family to determine and address individual home care needs. ·
Hospice Registered Nurse Case Manager
Telephonic, VITAS Healthcare
03.2015 - 10.2018
- Create individual plans for crisis intervention
- Respond and document client grievances review and process in a timely manner
- Advocate for client in Case Conferencing between medical professionals community agencies and family members
- Telephonic communication with patient's and care givers
- Provide hospice care for patient's and family
- Determined client eligibility and enrollment in services
- Guided clients through intake/assessments
- Prepared consent forms and assisted in funding eligibility applications
- Educate patient and primary care giver in reference to disease process/diagnosis.
- Maintained confidentiality in matters related to patient, family and client facility staff.
- Analyzed discussed symptoms with established protocols to determine patient acuity.
- Educated patients relative to health care urgency and community resources available to meet needs.
- Created and applied tailored care plans that would meet each patient's individualized needs.
- Utilized effective interpersonal, writing and active listening skills to build and cultivate positive relationships with patients, caregivers and physicians.
- Responded to emergency situations with speed, expertise and level-headed approaches to provide optimal care, support and life-saving interventions.
- Mentored junior nurses in case management protocols, fostering professional development and adherence to best practices.
- Provided emotional support to patients and their families during the end-of-life process, promoting dignity and comfort.
- Improved patient care by developing and implementing comprehensive hospice nursing plans tailored to individual needs.
- Conducted comprehensive assessments to develop individualized care plans for hospice patients.
- Coordinated interdisciplinary team meetings to ensure holistic patient-centered care delivery.
Registered Nurse II
Hospital Corporation of America
10.2007 - 01.2015
- Provide medication education and teaching
- Assist with daily ADL's , Foley catheter monitoring, IV fluid treatment
- Provided wound care assessment and treatment
- Medicaid review and billing
- Implement wound care preventative measures and treatment
- Telemetry and Step down experienced RN
- Manage and triage 1:7 ratio of patient's
- Managed time and patient treatment with care, and efficient nursing skills
- Medication administration and teaching
- Provide education in reference to cardiac care
- Incorporate patient and family in treatment plan of care.
- Collaborated with multidisciplinary teams to develop and implement care plans.
- Administered patient care, ensuring comfort and safety throughout treatment processes.
Education
Associate of Arts - Psychology
Broward College - A. Hugh Adams Central Campus
Associate of Science: Registered Nurse -
Miami Dade College
Wolfson CampusSkills
- Patient advocacy Training development
- Data entry/Data reporting Home health case management
- Case conference Quality assessment
- Nurse assessment Telephonic case management
- Professional customer service Communicate with physicians
- Medication reconciliation Appointment scheduling and coordinating
- Medicare/Medicaid billing Wound care assessment
- Skype and IM Psychosocial implementation
- Electronic medication orders entry
- Triage telephonic nurse
- Patient Care Assessment
- Patient Care Planning
- Drug Calculations
- Home Infusion Care
- Medical Assessment
- Direct patient care
- Goal setting
- Emotional intelligence
- EMR / EHR
- Care coordination
Accomplishments
- Supervised team of 20 staff members.
- Collaborated with team of 10 in the development of Heatwave.
Additional Information
- Registered Nurse License in, NEW YORK 839888 , FLORIDA Compact ( 27 States) RN 9253647, CALIFORNIA RN95141362, and NEVADA 833510.
Certification
- Licensed Registered Nurse - 2007 to present
- Certified Hospice and Palliative Nurse, VITAS- 3 years
Timeline
Registered Nurse Case Manager
Aetna, a CVS Health
12.2018 - Current
Hospice Registered Nurse Case Manager
Telephonic, VITAS Healthcare
03.2015 - 10.2018
Registered Nurse II
Hospital Corporation of America
10.2007 - 01.2015
Associate of Science: Registered Nurse -
Miami Dade College
Associate of Arts - Psychology
Broward College - A. Hugh Adams Central Campus
Personal Information
IV insertion and administration.
Infection control and preventive teaching.
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Interests
Associations
, Sigma Theta Tau Honor Society of Nursing
National Association of School Nurses
ROTC Volunteer
President of our boys read
Portfolio
Registered Nurse case manager
Registered Nurse hospice advocate
Quote
“I bring over 20 years of nursing leadership rooted in compassion, precision, and advocacy, delivering care that honors every patient’s dignity while navigating complex systems with clarity and resolve.”
Nickeisha Simone Reynolds, RN