Experienced in clinical assessment and geriatric nursing, having effectively applied compassionate care and teamwork skills at Commonwealth Health to enhance patient outcomes. Through strategic care coordination and effective communication, successfully reduced hospital readmissions, showcasing unwavering commitment to quality improvement and patient-centered care.
Overview
31
31
years of professional experience
Work History
Registered Nurse Care Manager
Commonwealth Health- Physician Health Alliance
07.2017 - Current
Worked closely under the supervision of physician and performed Medicare well visits , full assessments and made necessary referrals to outside agencies to bring patients up to date on preventative health care measures.
Performed post hospitalization calls to patients upon discharge from hospital/ skilled nursing facility to asses condition, medication compliance and assure that all their post hospitalization needs are met.
Made referrals to outside agencies to meet patients needs and to assure that they were safely cared for in their homes.
Communicated with healthcare team members to plan, implement and enhance treatment strategies.
Monitored, tracked, and conveyed important patient information to healthcare staff to help optimize treatment planning and care delivery. Worked closely with physicians to ensure that top notch , patient centered care was provided.
Conducted comprehensive assessments of patients'' physical, emotional, social, and environmental needs to inform personalized care plans.
Evaluated patient progress regularly, adjusting care plans as needed to ensure continued improvement.
Established trusting relationships with patients and families through empathetic listening and consistent follow-through on commitments made during the care planning process.
Coordinated seamless transitions between healthcare settings by maintaining clear communication with patients, families, and providers.
Implemented quality improvement initiatives that resulted in measurable improvements in patient outcomes and overall service delivery.
Strengthened continuity of care by collaborating with external agencies such as home health services or rehabilitation centers.
Reduced hospital readmissions through effective coordination of care, communication with patients, and proactive follow-up.
Identified gaps in care for at-risk populations, leading to the development of targeted interventions to improve health outcomes.
Advocated for patients'' rights and preferences in decision-making processes surrounding their healthcare management.
Streamlined care management processes, resulting in increased efficiency and better utilization of resources.
Delivered high level of quality care to diverse populations while overseeing patient admission and triaging based on acuity and appropriate department admission.
Offered exceptional care and support to individuals recovering from acute incidents and dealing with chronic conditions.
Collaborated with leadership to devise initiatives for improving nursing satisfaction, retention and morale.
Explained course of care and medication side effects to patients and caregivers in easy-to-understand terms.
Promoted patient and family comfort during challenging recoveries to enhance healing and eliminate non-compliance problems.
Educated family members and caregivers on patient care instructions.
Performed triage on incoming patients and determined severity of injuries and illnesses, managing 25 patients daily with additional triage of 30+ calls per day.
Registered Nurse Internal Medicine Practice
Commonwealth Health- Physician Health Alliance
05.1993 - 07.2017
I independently managed a 600+ patient Geriatric Internal Medicine Practice under the supervision of Dr. Edward J. Dzielak from September 1992 to July 2017. Some of the duties I performed include:
Recorded details regarding therapies to keep patient charts updated.
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.
Facilitated patient transitions between different levels of care, ensuring continuity of services and minimizing disruptions in treatment plans.
Provided support for patients'' families during difficult medical decisions or end-of-life care, serving as liaison between healthcare team and loved ones.
Evaluated patient histories, complaints, and current symptoms.
Explained course of care and medication side effects to patients and caregivers in easy-to-understand terms.
Strengthened communication skills through regular interactions with others.
Organized and detail-oriented with strong work ethic.
Managed time efficiently in order to complete all tasks within deadlines.
Worked flexible hours across night, weekend, and holiday shifts.
Assisted with day-to-day operations, working efficiently and productively with all team members.
Demonstrated respect, friendliness and willingness to help wherever needed.
Worked well in team setting, providing support and guidance.
Excellent communication skills, both verbal and written.
Proven ability to learn quickly and adapt to new situations.
Skilled at working independently and collaboratively in team environment.
Worked effectively in fast-paced environments.
Self-motivated, with strong sense of personal responsibility.
Provided skilled, timely and level-headed emergency response to critically-ill patients.
Assisted in training and mentorship of new nursing staff members, contributing to a positive work environment and high-quality patient care.
Utilized critical thinking skills to prioritize nursing interventions based on patients'' acuity levels and individual needs.
Prevented spread of infections by consistently adhering to strict infection control protocols and educating patients on proper hygiene practices.
Followed all personal and health data procedures to effectively comply with HIPAA laws and prevent information breaches.
Enhanced patient satisfaction by providing compassionate, holistic nursing care that addressed physical, emotional, and spiritual needs.
Promoted a culture of safety within healthcare facility by participating in quality improvement initiatives, identifying potential hazards, and advocating for best practices in nursing care delivery.
Offered exceptional care and support to individuals recovering from acute incidents and dealing with chronic conditions.
Performed triage on incoming patients and determined severity of injuries and illnesses.
Investigated and resolved issues affecting hospital operations and patient care.
Educated family members and caregivers on patient care instructions.
Education
Bachelor of Science - Nursing
Marywood College
Dunmore, PA
05-1989
High School Diploma -
West Scranton High School
Scranton, PA
05-1985
Skills
Clinical assessment
Geriatric Nursing
Teamwork and Collaboration
Problem-Solving
Attention to Detail
Multitasking
Compassionate and Caring
Multitasking Abilities
Excellent Communication
Organizational Skills
Team Collaboration
Timeline
Registered Nurse Care Manager
Commonwealth Health- Physician Health Alliance
07.2017 - Current
Registered Nurse Internal Medicine Practice
Commonwealth Health- Physician Health Alliance
05.1993 - 07.2017
Bachelor of Science - Nursing
Marywood College
High School Diploma -
West Scranton High School
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