4 years of Hospice Case Management experience. Compassionate Case Manager experienced in hospice environments. Hardworking and dedicated to achieving desired case outcomes. Offers excellent problem-solving, conflict resolution and communication abilities.
Overview
16
16
years of professional experience
Work History
Case Manager
In Good Hands Hospice
01.2023 - Current
Communicate with nursing staff and all other disciplines such as social worker, chaplain, heath aids, etc. to resolve each problem/issues they may have on their visits.
Create IDG meetings. Ensure all necessary updates are input in the IDG reports in order to discuss with hospice Doctor on the IDG date, held every 14 days to review and develop appropriate plan of care for each patient based on the reports.
Answer patients' or families' questions regarding nursing care, hospice philosophy, plan of care, when needed. Educate patients and families on comfort-focused approach.
Monitored clients' progress and tracked client services to provide crisis interventions.
Case Manager
Advent Hospice Care
09.2023 - Current
Developed and implemented comprehensive case management plans to address client needs and goals.
Monitored clients' progress and tracked client services to provide crisis interventions.
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.
Collaborated with an interdisciplinary team to determine timely delivery of services.
Case Manager
Pure Hospice
05.2023 - Current
Developed and implemented comprehensive case management plans to address client needs and goals.
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.
Identified care needs of individual patients and coordinated responses based on physician advice, insurance limitations, and procedural costs.
Case Manager
Health First Hospice
11.2020 - 08.2023
Preserve and prepare reports and treatment records.
Provide ongoing counseling to help patients deal with conditions and processes
Coordinate individualized discharge plans to manage safe transition back into community and home environments.
Work with medical teams, patients and families to implement effective treatment plans.
Document case notes daily and coordinated follow-up for seamless case management.
Update treatment plans on monthly basis with latest intervention strategies and progress notes.
Organize clinical documentation and treatment plans
Supervise work of contracted employees to keep on task for timely completion.
Develop and maintain courteous and effective working relationships.
Field Licensed Vocational Nurse
Silverado Hospice
12.2021 - 12.2022
Educated patients and caregivers on disease processes, medications, plans of care and individualized treatment plans.
Administered effective nursing care to ill, injured, convalescent and disabled patients.
Reviewed all medicines to identify possible adverse reactions, significant side effects, drug allergies and contraindicated medications.
Provided patient education on health care issues and prescribed medications.
Administered medications and injections to patients.
Field Licensed Vocational Nurse
In Good Hands Hospice
06.2020 - 12.2022
Taught family members and caregivers various ways to manage patients' pain, how to check for vital signs and proper methods for dressing changes.
Established hospice care services for elderly and disabled patients.
Provided high level of quality, compassionate care to patients and caregivers during each nursing shift.
Offered listening ear to both patients and loved ones to meet emotional and mental, as well as physical needs.
Established and maintained successful relationships with patients, families and physicians by utilizing exemplary communication and active listening skills.
Developed and implemented individualized care plan for each hospice patient while following physician instructions.
Delivered outstanding care to patients with various diagnoses and managed care from treatment initiation through to completion.
Quickly responded to situations impacting safety and security to unit, actualizing crisis prevention interventions to control and de-escalate situations.
MDS Nurse
Country Villa Sheraton Nursing And Rehabilitation
02.2020 - 03.2021
Managed care from admission to discharge, including patient assessments, care planning, health educations and discharging support to provide comprehensive care to patients in the facility.
Sustained quality standards by performing routine medication audits and upholding internal and industry best practices.
Quickly responded to situations impacting safety and security to unit, actualizing crisis prevention interventions to control and de-escalate situations.
Conducted ongoing monitoring and evaluations of behaviors and conditions, and updated clinical supervisors with current information.
Promoted patient and family comfort during challenging recoveries to enhance healing and eliminate non-compliance problems.
Used first-hand knowledge and clinical expertise to advocate for patients under care and enacted prescribed treatment strategies.
Partnered with physicians, social workers, activity therapists, nutritionists and case managers to develop and implement individualized care plans and documented all patient interactions and interventions in electronic charting systems.
Communicated with healthcare team members to plan, implement and enhance treatment strategies.
Field Licensed Vocational Nurse
Health First Hospice
07.2019 - 10.2020
Evaluated patient care procedural changes for effectiveness and made necessary adjustments
Directed implementation of improved patient care and documentation methods and procedures to achieve quality objectives
Collected biological samples for routine laboratory testing to assist diagnostic processes
Checked in on patients at regular intervals to record food and fluid intake and output, taking measures to promote healthy levels as needed
Observed strict confidentiality and safeguarded all patient-related information
Administered medications and therapies in accordance with physicians orders
Charted changes in patient conditions and discussed concerns with supervising healthcare provider
Administered general care to patients, including recording of temperature and blood pressure, and wound dressing
Case Coordinator
Health First Hospice
06.2019 - 06.2020
Oversaw simultaneous functions with high efficiency and accuracy
Completed patient follow-up services, data collection, clinical monitoring and liaised with primary health care providers to ensure coordinated care to patients
Performed various clerical tasks, including making phone calls, replying to emails and data entry
Stayed up to date on relevant processes and compliance standards for optimal oversight
Accurately documented each activity for each patient in specified databases
Conversed with people from different cultures daily, providing high level of respect and patience with each interaction
Analyzed information from interviews, educational, and medical records, consultation with other professionals, and diagnostic evaluations to assess clients' abilities, needs, and eligibility for services
Performed careful reviews of applicant data to ascertain compliance with eligibility criteria for economic assistance
Inputted all communication with applicants into computer system to facilitate future clarification and knowledgeable support
MDS Nurse
Alden Terrace Convalescent Hospital
08.2019 - 02.2020
Used facility EMR system to update patient records, transmit prescriptions and transfer files using Pointclick software system in an assigned station with 50 patients
Assess patients' behavior, mood, pain, wound risk, fall risk, bowel and bladder status, and psychotherapeutic medications and create plan of care for each patient according to the assessment
Followed the protocol for each assessment's result and created a personalized plan of care for each assessment type per patient
Monitored patient's psychotherapeutic medicatications and input number of behavior episodes into Psychotropic summary sheet. Re-evaluated quarterly and determined if the medications should be attempted for GDR, increased dosage, or discontinued by consulting RN supervisors and MD
Advocated for patient needs with interdisciplinary team and implemented outlined treatment plans
Monitored diet, physical activity, behaviors and other patient factors to assess conditions and adjust treatment plans. Reported any weight variances (gaining or losing 3 lbs. or more in a month) to supervisors, RD, and physicians. Carried out any given orders and create a plan of care to maintain resident's weight within their ideal body weight range
Coordinated care with physicians and other clinical staff to prepare for treatment, carry out interventions and enhance continuum of care to deliver comprehensive services
Maintained strict patient data procedures to comply with HIPAA laws and prevent information breaches
Assessed patient conditions, monitored behaviors and updated supervising physicians with observations and concerns
Immunized patients against diseases such as influenza and pneumonia to protect vulnerable populations from serious illnesses
Reached out to patients to convey lab results and provide care instructions
Ensured quality patient care from admission to discharge through direct supervision of all nursing and ancillary staff
Managed and provided leadership to help staff with direct and indirect patient care and telemetry monitoring
Coordinated with healthcare team to establish, enact and evaluate patient care plans
LVN Charge Nurse/ Treatment Nurse
Alden Terrace Convalescent Hospital
03.2018 - 08.2019
Took samples such as blood and urine to complete diagnostic and routine assessment tests
Delivered oral medications, intramuscular injections and IV fluids to mitigate or resolve patient symptoms
Gathered patient data, cleaned wounds and changed catheters as part of comprehensive support
Worked with multidisciplinary team to carry out successful treatment plans for diverse acute and chronic conditions
Clearly and thoroughly explained diagnoses, treatment options and procedures to patients and loved ones, checking in to verify understanding
Supported diagnoses by taking blood, urine or sputum samples from patients for laboratory testing
Assessed patients' temperature, pulse and blood pressure and recorded in electronic medical records
Enlisted Soldier
United States Army
06.2008 - 06.2014
Oversaw inventory to reduce inaccuracies and ensure proper equipment maintenance
Authored daily activity, incident, safety, repair and irregularity reports
Placed explosives and performed mine-sweeping activities on land
Trained in use of tear gas, passive ordnance and explosives
Constructed and camouflaged infantry positions and equipment to prevent detection
Patrolled designated coverage areas and evaluated terrain for defensive use
Responded to emergencies with speed, efficiency and knowledgeable assistance
Education
LVN - Vocational Nursing
American Career College
Los Angeles, CA
2017
Skills
Case management
Interdisciplinary collaboration
Clinical evaluation
Hospice philosophy
Symptom control
Critical thinking
Infection control
Conflict resolution
Family support
Patient advocacy
Care coordination
Timeline
Case Manager
Advent Hospice Care
09.2023 - Current
Case Manager
Pure Hospice
05.2023 - Current
Case Manager
In Good Hands Hospice
01.2023 - Current
Field Licensed Vocational Nurse
Silverado Hospice
12.2021 - 12.2022
Case Manager
Health First Hospice
11.2020 - 08.2023
Field Licensed Vocational Nurse
In Good Hands Hospice
06.2020 - 12.2022
MDS Nurse
Country Villa Sheraton Nursing And Rehabilitation
02.2020 - 03.2021
MDS Nurse
Alden Terrace Convalescent Hospital
08.2019 - 02.2020
Field Licensed Vocational Nurse
Health First Hospice
07.2019 - 10.2020
Case Coordinator
Health First Hospice
06.2019 - 06.2020
LVN Charge Nurse/ Treatment Nurse
Alden Terrace Convalescent Hospital
03.2018 - 08.2019
Enlisted Soldier
United States Army
06.2008 - 06.2014
LVN - Vocational Nursing
American Career College
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