Paula Robinson

Traveling RN Case Management requires a unique skill set including:

• Rapid acclamation to new healthcare systems and processes
• Building a rapport with healthcare providers
• Managing a challenging caseload
• Strong Clinical Background
• Identify Local Community Resources
• Coordinated patient care plans to optimize health outcomes and resource utilization.
• Collaborated with multidisciplinary teams to address complex patient needs and streamline care transitions.
• Monitored patient progress, adjusted care plans, and communicated changes to healthcare providers effectively.
• Educated patients and families on disease management, treatment options, and available resources for support.
• Provided education and support to patients and families, empowering them to make informed decisions regarding their healthcare needs.
• Evaluated patient progress and adjusted care plans accordingly, ensuring continuity of care across all healthcare settings.
• Utilized electronic health records systems to maintain accurate documentation and support regulatory compliance efforts.
• Evaluated healthcare needs, goals for treatment, and available resources of each patient and connected to optimal providers and care.
• Streamlined care coordination processes to reduce hospital readmissions and emergency department visits.
• Enhanced interdisciplinary team communication through regular case conferences, promoting effective collaboration for optimal patient care.
• Conducted comprehensive assessments of patients'' physical, emotional, and social needs in order to develop individualized care plans that facilitated optimal health outcomes.
• Advocated for patients by communicating care preferences to practitioners, verifying interventions met treatment goals and identifying insurance coverage limitations.
• Responded promptly and professionally to patient questions and concerns.
• Effectively communicated with physicians regarding patient needs, performance, medications and changes.
• Participated in ongoing professional development opportunities focused on refining case management skills in alignment with industry best practices.
• Conducted regular re-evaluations to address changes in needs and conditions, introducing revisions to care plans.
• Developed professional relationships with community partners to enhance available support services for patients transitioning from acute care settings.
• Coordinated rehabilitative and preventive nursing processes and procedures.
• Worked with suppliers and vendors on provision of medical equipment, items and services.
• Provided timely feedback to healthcare providers regarding patient concerns, facilitating prompt resolution of issues and contributing to a positive patient experience
• Reduced unnecessary medical interventions by monitoring high-risk patients closely, intervening as needed based on clinical expertise.
• Performed evaluations on consistent basis to address changes in patient needs, conditions and medications, altering care plans when required.
• Educated patients and caregivers on healthcare protocols and processes.
• Used first-hand knowledge and clinical expertise to advocate for patients under care and enacted prescribed treatment strategies.
• Recorded details regarding therapies to keep patient charts updated.
• Explained course of care and medication side effects to patients and caregivers in easy-to-understand terms.
• Conveyed treatment options, diagnosis information and home care techniques to patients and caregivers to continue care consistency.
• Equipped patients with tools and knowledge needed for speedy and sustained recovery.
• Managed patients recovering from medical or surgical procedures.
• Observed and documented patient factors such as diets, physical activity levels, and behaviors to understand conditions and effectively modify treatment plans.
• Implemented care plans for patient treatment after assessing physician medical regimens.
• Evaluated patient histories, complaints, and current symptoms.
• Followed all personal and health data procedures to effectively comply with HIPAA laws and prevent information breaches.
• Communicated with healthcare team members to plan, implement and enhance treatment strategies.
• Managed support services and fostered communication among social workers, therapists, hospital staff, and patients.
• Liaised with physicians regarding patient needs, performance and changes.
• Negotiated with suppliers and vendors to procure medical equipment, supplies and services.
• Assessed and examined patients and documented history of current and previous conditions, diseases and injuries along with medications currently being taken.
• Assisted in the development and implementation of departmental policies and procedures related to case management, ensuring alignment with organizational goals and regulatory requirements.
• Completed initial assessments of patients and family to determine and address individual home care needs. ·
• Participated in patient and family planning process, as well as provided instructions and addressed question and concerns.

• Develops personalized patient-centered care plans aimed at optimizing the patient's care experience.
• Engages patients and their families as part of the care team through advocacy, ongoing communication, health education, identification of resources and service facilitation.
• Utilizes professional judgment, critical thinking, motivational interviewing, and self-management techniques to assist patients in overcoming barriers to goal achievement.
• Provides counseling and interventions related to treatment decisions and end of life issues including Advanced Care Planning.
• Provides coordination as necessary to ensure patients seamlessly and safely transition between care settings.
• Advocates for appropriate delivery of services within the patient's health plan benefit structure.
• Collaborates with appropriate members of the patient's treatment/care team to co-manage patients with complex medical and social needs. Facilitates interdependent collaborate care conferences.
• Continually evaluates the patient's response to the care/treatment plan making modifications when necessary.
• Facilitates interdisciplinary collaborative case conferences that result in the development and progression of a multidimensional plan of care for each patient.
• Provides support and guidance to community health workers working as care team members for patients with complex social needs.
• Provides support and guidance to post-acute care providers working collaboratively as care team members for patients with complex social needs.
• Collaborates with external resources/agencies and post-acute care health teams to optimize patient outcomes and improve patient care experience when transitioning to the next level of care or home.
• Plans and participates in process improvement activities designed to reduce risk, inclusive of data collection, analysis, and follow-up intervention activities.
• Facilitates interventions in cases involving child abuse and neglect, domestic violence, elder abuse, institutional abuse, and sexual assault.
• Supports department-based goals which contribute to the success of the organization.
• Evaluated patient needs and developed tailored interventions to enhance health outcomes.
• Managed patient care plans, ensuring comprehensive coordination among multidisciplinary teams.
• Facilitated discharge planning, collaborating with healthcare providers for seamless transitions.
• Monitored patient progress, adjusting care strategies based on clinical assessments and feedback.

• In this leadership position I was responsible for all external IPR assessments and admissions for all 5 IPR units throughout Michigan. This included, marketing and developing professional relationships with external referral sources and establishing key contacts at multiple hospitals in the Metro Detroit, Ann Arbor, Saginaw, Flint, Lansing, Port Huron, Rural areas and Out of State areas. I traveled daily to multiple major hospitals; Henry Ford Medical Center, U of M Medical Center, Ascension Medical Centers, DMC Medical Center, St. John Medical Center, and St Mary's Medical Center, preforming concurrent medical record reviews, onsite / face to face clinical assessments of patients, met with multiple physicians, RN's, and therapists, to determine the rehab potential of acute care patients. I determined current patient medical needs, rehab goals, discharge planning, and problem solving any admission barriers. Additionally, I was responsible to obtain and provide pertinent medical information to the McLaren Medical Center physicians, the PMMR medical team and other clinical providers. Other reasonability included; coordinating patient transfers / admissions, facilitated pre-authorization and provided appropriate clinical documentation for admission and continued stay to insurance companies, identified appropriate levels of care, length of stay, appeals, arranging peer to peer discussions, utilization review and quality review of documentation integrity. I directly facilitated acute rehab admissions in collaboration with Physicians, other clinical providers at both hospitals as well as worked closely with the patient and family members.
• Administered patient care plans, ensuring adherence to rehabilitation protocols and individual recovery goals.
• Collaborated with interdisciplinary teams to optimize patient outcomes and enhance rehabilitation strategies.
• Led patient education sessions on self-management techniques and post-discharge planning for improved health literacy.
• Mentored junior nursing staff, fostering skill development and promoting adherence to best practices in clinical care.
• Conducted comprehensive assessments of patients' physical and emotional needs to inform tailored rehabilitation interventions.
• Implemented evidence-based practices that improved overall patient satisfaction scores within the rehabilitation unit.
• Coordinated discharge planning activities, ensuring seamless transitions from inpatient care to outpatient support services.
• Maintained strong working relationships with physicians and ancillary staff, fostering a collaborative approach to patient care delivery.
• Responded to patient emergencies to provide prompt and correct intervention .
• Identifying and partnering with community healthcare leaders / clinical professionals, and payor sources, to identify their patient care needs and facilitate interest and provide education regarding the benefits of acute IPR. This required leading presentations and providing educational literature regarding IPR benefits, requirements, how to identify an IPR candidates, the admission process, LOS, discharge planning needs and expectations. Additionally, I was responsible to coordinate and lead unit tours, monitored and provided daily census data, weekly admission, and discharge projections, appeals and other hospital financial data, maintaining compliance with current CMS regulations, and 60% Rule Compliance data to administration.
• Collaborated with interdisciplinary teams for optimal patient outcomes and efficient care coordination.
• Mentored new nursing staff, fostering professional growth and team building within the unit.
• Utilized evidence-based practice to assess and provide care for patients.
• Participated in quality improvement initiatives to improve patient care outcomes.
• Developed strong rapport with patients and families, promoting open communication channels for effective collaboration in treatment plans.
• Ensured accurate documentation of all patient records, contributing to improved quality assurance measures.
• Acted as a clinical resource for colleagues seeking guidance on best practices or challenging cases, contributing to a supportive learning environment within the unit.
• Monitored patients, evaluated results, and recommended further courses of treatment to quickly improve patient outcomes.
• Stayed current with health system initiatives and incorporated evidence-based practice and research into care routine.
• Handled patient discharge planning, arranging for follow-up care after leaving healthcare facility.
• Promoted a culture of safety by maintaining strict adherence to infection control protocols and reporting potential hazards.
• Increased patient satisfaction scores through consistent delivery of compassionate and culturally competent care.
• Coordinated seamless transitions between levels of care by effectively communicating with multidisciplinary team members throughout the process.
• Maintained accurate and comprehensive patient records in line with regulatory standards.
• Served as a patient advocate, ensuring individual needs were met and concerns addressed promptly.
• Streamlined workflow processes, improving overall efficiency within the unit.
• Handled patient transfers, following safety protocols to prevent injuries.
• Implemented individualized nursing care plans tailored to meet the unique needs of each patient population served.
• Participated in hospital-wide initiatives aimed at reducing medication errors and improving patient safety practices.
• Coordinated with multidisciplinary teams to ensure cohesive patient care and treatment strategies.
• Participated in continuous professional development, staying abreast of latest nursing practices and standards.
• Enhanced patient recovery rates by developing and implementing individualized care plans.
• Advocated for patients' needs and preferences, ensuring their voices were heard in treatment decisions.
• Responded to medical emergencies with prompt and decisive action, minimizing patient risk and improving outcomes.
• Streamlined patient discharge process, reducing wait times and enhancing patient satisfaction.
• Improved team efficiency by mentoring new nurses, sharing expertise and fostering supportive work environment.
• Facilitated patient education on disease management and prevention, empowering individuals with knowledge to take charge of their health.
• Served as a clinical resource to staff, patients and families.
• Led health promotion initiatives within community, raising awareness on critical health issues and prevention methods.
• Provided clinical oversight and support to health care teams.
• Monitored clinical staff performance and provided feedback.
• Facilitated and attended interdisciplinary meetings to discuss patient care.
• Created educational materials for staff and patients.
• Trained new staff on admissions protocols and software systems, fostering team efficiency.
• Monitored admission trends, providing insights for strategic planning initiatives.
• Facilitated communication between interdisciplinary teams to optimize patient care pathways.
• Led quality improvement projects aimed at enhancing the overall patient admission experience.
• Reviewed and processed insurance authorizations to expedite patient services efficiently.
• Collaborated with admissions team to develop and implement strategies to improve admissions process.
• Assisted in developing new admissions policies that aligned with institutional values and priorities.
• Fostered partnerships with community organizations to promote educational opportunities to underrepresented populations.
• Coordinated open house events, significantly raising awareness of institution's programs and amenities.
• Led coordination of virtual admissions events, expanding institution's reach during travel-restricted periods.

• I have twenty plus years of experience providing external medical case management services for patients involved in motor vehicle accidents that sustained multiple traumatic injuries and chronic medical conditions to include spinal cord injuries, traumatic brain injuries, and traumatic amputations, burns, complex orthopedic and neurological conditions. I served as a working RN case manager for a few years prior as I have acquired a diverse and clinical background allowing for a strong clinical skill set. This includes a comprehensive understanding of the patient experience across the care continuum, allowing a decrease in medical complications and hospital readmissions. This promotes improved quality of life and optimal outcomes. Additionally, I have developed essential competencies required for patient advocacy and leadership collaboration skills to support a multi-interdisciplinary medical team. I have established professional relationships with multiple physicians specializing in several different areas of medicine, as well as working with talented heath care professionals. I have established an extensive and trustworthy community based referral sources for the continuation of outpatient rehabilitation and medical management needs.