Summary
Overview
Work History
Education
Skills
Timeline
Generic

Nicole Lowe, RN

Millsboro,DE

Summary

Dynamic Leader and Registered Nurse with a proven track record at Highmark Health Options, specializing in Medicaid, enhancing client satisfaction and streamlining case management processes. Expert in EMR/EHR and adept at fostering interdisciplinary collaboration, I've significantly improved case resolution efficiency. My strong problem-solving abilities and commitment to continuous improvement have driven successful outcomes in complex patient care and team management.

Adept at handling high caseloads without sacrificing quality of care. Operates in high-pressure environments while recommending best resources and courses of action to benefit patient needs and return each to optimal quality of life.

Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals. To seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills.

Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy.

Overview

19
19
years of professional experience

Work History

Clinical Case Management Supervisor

Highmark Health Options
02.2019 - Current
  • Reviewed and developed intake and discharge planning strategies to encourage client engagement and retention.
  • Collaborated with multidisciplinary teams to facilitate client care and reduce case management barriers.
  • Created care plans that addressed clinical and financial challenges, family requirements and facilitated patient quality of life.
  • Streamlined, standardized and implemented case management processes and techniques to maximize revenue cycle.
  • Fostered professional networks and relationships with service and resource providers to promote continuity and quality of care for clients.
  • Managed and monitored program activities and evaluated quality for improvement recommendations.
  • Served as corporate resource for compliance and audits to facilitate legal process and appeals.
  • Leveraged case management tools and conflict management techniques to help interdisciplinary teams achieve optimal outcomes.
  • Structured standardized case management processes to comply with regulatory agency statutes and standards.
  • Increased successful case resolutions through thorough investigation and diligent follow-up on action items.
  • Reduced client wait times by proactively addressing potential bottlenecks in the case management process.
  • Cultivated a positive work environment by promoting open communication and teamwork among staff members.
  • Developed strong working relationships with cross-functional teams to facilitate seamless case coordination.
  • Ensured compliance with legal, ethical, and company standards in all case management activities.
  • Improved case management efficiency by streamlining processes and implementing best practices.
  • Enhanced client satisfaction by providing comprehensive support and diligently addressing concerns.
  • Mitigated risks by proactively identifying potential issues, implementing preventive measures, and addressing challenges in a timely manner.
  • Evaluated the performance of case managers, providing constructive feedback and targeted coaching efforts for improvement.
  • Implemented data-driven decision-making strategies to optimize outcomes for clients and the organization.
  • Optimized resource allocation for better case handling and increased productivity within the team.
  • Managed complex cases with precision, balancing multiple priorities while maintaining attention to detail.
  • Collaborated with interdisciplinary teams to develop customized care plans tailored to client needs.
  • Mentored junior case managers, fostering professional growth and enhancing the overall effectiveness of the team.
  • Facilitated ongoing professional development opportunities for staff members, ensuring they remain current on trends and best practices within the field of case management.
  • Identified opportunities for continuous improvement within the department by conducting regular audits of policies, procedures, and workflows.
  • Coordinated services with other agencies, community-based organizations, and healthcare professionals to provide useful benefits to clients.
  • Assisted clients in navigating housing, legal services and public benefits to gain access to valuable resources.
  • Developed and implemented comprehensive case management plans to address client needs and goals.
  • Monitored clients' progress and tracked client services to provide crisis interventions.
  • Facilitated individual and group sessions to promote positive behavior change for clients.
  • Partnered with physicians, social workers, activity therapists, nutritionists, and case managers to develop and implement individualized care plans and documented patient interactions and interventions in electronic charting systems.
  • Provided leadership, guidance and support to staff members.
  • Participated in community events to promote services and engage with public.
  • Referred clients to appropriate team members, community agencies and organizations to meet treatment needs.
  • Monitored program performance and outcomes for successful delivery of services.
  • Partnered with local organizations to expand access to social and community services.
  • Assessed community needs and identified resources for social and community service programs.
  • Developed and implemented training programs for staff.

Registered Nurse

Beebe Medical Center
12.2011 - 02.2019
  • Utilized critical thinking skills to prioritize nursing interventions based on patients'' acuity levels and individual needs.
  • Conducted thorough patient assessments to identify changes in condition, promptly notifying physicians and initiating appropriate interventions when necessary.
  • Administered medications safely according to established guidelines while closely monitoring for side effects or adverse reactions requiring intervention.
  • Enhanced patient satisfaction by providing compassionate, holistic nursing care that addressed physical, emotional, and spiritual needs.
  • Assisted in the training and mentorship of new nursing staff members, contributing to a positive work environment and high-quality patient care.
  • Prevented the spread of infections by consistently adhering to strict infection control protocols and educating patients on proper hygiene practices.
  • Collaborated with interdisciplinary teams to develop comprehensive treatment plans for complex patients with multiple comorbidities.
  • Skillfully managed challenging patient situations using de-escalation techniques, crisis intervention strategies, and therapeutic communication skills.
  • Improved patient outcomes by implementing evidence-based nursing interventions and individualized care plans.
  • Participated in ongoing professional development opportunities to stay current on best practices in nursing care and emerging trends in healthcare delivery.
  • Provided support for patients'' families during difficult medical decisions or end-of-life care, serving as a liaison between the healthcare team and loved ones.
  • Advised patients and caregivers of proper wound management, discharge plan objectives, safe medication use, and disease management.
  • Contributed to interdisciplinary team meetings by presenting relevant clinical data about patients'' progress toward reaching established goals of care.
  • Facilitated patient transitions between different levels of care, ensuring continuity of services and minimizing disruptions in treatment plans.
  • Implemented evidence-based fall prevention strategies, resulting in a significant decrease in patient falls within the unit.
  • Streamlined medication administration processes for increased safety and accuracy during busy shifts.
  • Educated family members and caregivers on patient care instructions.
  • Documented treatments delivered, medications and IVs administered, discharge instructions, and follow-up care.
  • Communicated with healthcare team members to plan, implement and enhance treatment strategies.
  • Managed patients recovering from medical or surgical procedures.
  • Evaluated patient histories, complaints, and current symptoms.
  • Explained course of care and medication side effects to patients and caregivers in easy-to-understand terms.
  • Provided skilled, timely and level-headed emergency response to critically-ill patients.
  • Monitored patient reactions after administering medications and IV therapies.
  • Offered exceptional care and support to individuals recovering from acute incidents and dealing with chronic conditions.
  • Used first-hand knowledge and clinical expertise to advocate for patients under care and enacted prescribed treatment strategies.
  • Implemented care plans for patient treatment after assessing physician medical regimens.
  • Quickly responded to situations impacting safety and security to unit, actualizing crisis prevention interventions to control and de-escalate situations.
  • Delivered high level of quality care to diverse populations while overseeing patient admission and triaging based on acuity and appropriate department admission.
  • Facilitated therapeutic communication, conflict resolution and crisis intervention by redirecting negative behaviors and helping patients regain or improve coping abilities.
  • Equipped patients with tools and knowledge needed for speedy and sustained recovery.
  • Recorded details regarding therapies to keep patient charts updated.
  • Conducted ongoing monitoring and evaluations of behaviors and conditions, and updated clinical supervisors with current information.
  • Performed triage on incoming patients and determined severity of injuries and illnesses.
  • Conveyed treatment options, diagnosis information and home care techniques to patients and caregivers to continue care consistency.

Registered Nurse

Bayhealth Medical Center - Milford and Kent Campus
06.2005 - 05.2015

Same Register Nurse Duites as Above

Education

Diploma - Nursing

Beebe School of Nursing
Lewes, DE
05.2005

Skills

  • Leadership Qualities
  • Team Management
  • Technology proficiency
  • Positive Attitude
  • Problem-Solving
  • Organization and Multitasking
  • Direct Patient Care
  • Case Documentation
  • Decision-Making
  • Relationship Building
  • Patient support
  • Case Management Tracking
  • Patient Assessments
  • Case Planning
  • Community Resources
  • Client Advocacy
  • Case Needs Assessment
  • Care Coordination
  • Conflict Resolution
  • Patient Management
  • Staff Management
  • Documentation And Reporting
  • Crisis Intervention
  • Annual Case Reviews
  • MS Office
  • Home Visits and Inspections
  • Intervention Plans
  • Email and Telephone Etiquette
  • Patient Assessment
  • Discharge Planning
  • Patient Needs Assessment
  • Case Management
  • Family Education
  • Recruitment
  • Performance Tracking
  • Treatment Planning
  • Resource Identification
  • Program Development
  • Cross-Functional Collaboration
  • Staff education and training
  • EMR / EHR
  • Interdisciplinary Collaboration
  • Regulatory Compliance
  • Social Work
  • Indirect Patient Care
  • Documentation proficiency
  • Chronic Disease Management
  • Health History Documentation
  • Needs Assessment
  • Progress Evaluations
  • Referral Coordination
  • Teamwork and Collaboration
  • Time Management
  • Attention to Detail
  • Problem-solving abilities
  • Multitasking
  • Multitasking Abilities
  • Reliability
  • Excellent Communication
  • Organizational Skills
  • Team Collaboration
  • Active Listening
  • Effective Communication
  • Adaptability and Flexibility
  • Written and verbal communication
  • Client Needs Assessments
  • Team building
  • Task Prioritization
  • Self Motivation
  • Interpersonal Skills
  • Goal Setting
  • Professionalism
  • Interpersonal Communication
  • Staff Training
  • Time management abilities
  • Continuous Improvement
  • Adaptability
  • Written Communication
  • Client meetings

Timeline

Clinical Case Management Supervisor

Highmark Health Options
02.2019 - Current

Registered Nurse

Beebe Medical Center
12.2011 - 02.2019

Registered Nurse

Bayhealth Medical Center - Milford and Kent Campus
06.2005 - 05.2015

Diploma - Nursing

Beebe School of Nursing
Nicole Lowe, RN