Years of professional experience
Racheal Martin
WHARTON,TX
Summary
Accomplished RN Case Manager with several different areas of the health spectrum. enhancing patient outcomes through effective case management and multidisciplinary collaboration. Skilled in chronic disease management and critical thinking, I reduced hospital readmission rates significantly. Known for exceptional attention to detail and fostering strong patient-provider relationships, I consistently achieve high patient satisfaction scores.
Overview
23
23
Work History
RN Case Manager
Divinity Hospice Brazosport
10.2024 - Current
- Provided emotional support to patients coping with chronic illness or end-of-life decisions, fostering resilience during difficult times.
- Managed complex cases involving multiple comorbidities, requiring close monitoring and coordination of various healthcare services.
- Collaborated closely with physicians to develop individualized treatment plans, supporting optimal patient outcomes.
- Educated patients and families on available community resources, facilitating access to necessary support services.
- Enhanced patient care by developing comprehensive care plans and coordinating with interdisciplinary healthcare teams.
- Reduced hospital readmission rates through effective case management and patient education on self-care techniques.
- Served as a key liaison between patients, families, and healthcare providers, fostering open communication and trust among all parties involved in the care process.
- Coordinated care conferences with interdisciplinary team members, ensuring all perspectives were considered in the development of comprehensive treatment plans.
- Promoted adherence to treatment plans by conducting regular follow-up visits and providing ongoing support to patients.
- Managed support services and fostered communication among social workers, therapists, hospital staff, and patients.
- Implemented evidence-based practices to improve overall clinical performance and patient outcomes.
ADON/Alternate Administrator
Sacred Care Home Health
02.2021 - Current
- Established strong partnerships with community resources including hospice providers, home health agencies, and outpatient rehabilitation centers to enhance patient care transitions and discharge planning.
- Managed staffing needs effectively, ensuring appropriate nurse-to-patient ratios during all shifts.
- Mentored new nursing staff, fostering professional growth and development while maintaining high standards of patient care.
- Reduced medication errors by conducting thorough medication administration audits and providing feedback to nursing staff.
- Contributed to successful Joint Commission accreditation renewal through meticulous documentation review and adherence to best practices within the department.
- Liaised with other healthcare professionals to develop comprehensive patient care plans and provide highest quality of care.
- Developed strong relationships with patients, families, and staff to maintain a positive atmosphere in the workplace.
- Addressed any concerns or complaints from patients or family members promptly, resolving issues professionally and efficiently.
- Conducted regular audits of patient records to identify areas of improvement and maintain high-quality service delivery standards.
- Ensured compliance with all federal, state, and local regulations by staying up-to-date on industry standards and maintaining accurate documentation.
- Collaborated with multidisciplinary teams to develop comprehensive care plans for patients, ensuring optimal outcomes.
RN Case Manager
Fairmont Hospice
07.2022 - 09.2024
- Provided emotional support to patients coping with chronic illness or end-of-life decisions, fostering resilience during difficult times.
- Managed complex cases involving multiple comorbidities, requiring close monitoring and coordination of various healthcare services.
- Educated patients and families on available community resources, facilitating access to necessary support services.
- Collaborated closely with physicians to develop individualized treatment plans, supporting optimal patient outcomes.
- Enhanced patient care by developing comprehensive care plans and coordinating with interdisciplinary healthcare teams.
- Reduced hospital readmission rates through effective case management and patient education on self-care techniques.
- Served as a key liaison between patients, families, and healthcare providers, fostering open communication and trust among all parties involved in the care process.
- Coordinated care conferences with interdisciplinary team members, ensuring all perspectives were considered in the development of comprehensive treatment plans.
- Promoted adherence to treatment plans by conducting regular follow-up visits and providing ongoing support to patients.
- Managed support services and fostered communication among social workers, therapists, hospital staff, and patients.
- Implemented evidence-based practices to improve overall clinical performance and patient outcomes.
- Advocated for patients'' rights and preferences, working diligently to align care with individual values and goals.
- Conducted thorough assessments of patients'' needs, enabling more accurate diagnoses and targeted interventions.
- Improved patient satisfaction scores by providing timely follow-ups and addressing concerns promptly.
- Evaluated the effectiveness of implemented interventions periodically, adjusting treatment plans as needed to promote optimal patient outcomes.
- Streamlined discharge planning processes, ensuring a smoother transition for patients back to their homes or other facilities.
- Educated patients and caregivers on healthcare protocols and processes.
- Mentored new nursing staff, facilitating a faster learning curve and increased overall team efficiency.
- Optimized resource utilization by identifying opportunities for cost containment while maintaining quality of care.
- Navigated regulatory requirements effectively, ensuring proper documentation and compliance with relevant laws and guidelines.
- Participated in quality improvement initiatives aimed at enhancing the delivery of nursing care within the organization.
- Developed strong relationships with patients and their families, providing support and education on health management.
- Reduced hospital readmission rates with proactive follow-up care and patient education on self-management techniques.
- Conducted comprehensive assessments of patient needs to inform effective care planning.
- Boosted patient adherence to treatment plans through regular check-ins and motivational interviewing techniques.
- Enhanced team efficiency, providing training and guidance to junior case managers and nursing staff.
- Monitored patient progress closely, adjusting care plans as necessary to meet evolving health requirements.
- Ensured compliance with healthcare regulations and standards, conducting regular reviews of patient care activities.
- Facilitated multidisciplinary team meetings to discuss patient care, fostering collaborative approach to healthcare.
- Educated family members and caregivers on patient care instructions.
- Evaluated patient histories, complaints, and current symptoms.
- Followed all personal and health data procedures to effectively comply with HIPAA laws and prevent information breaches.
- Observed and documented patient factors such as diets, physical activity levels, and behaviors to understand conditions and effectively modify treatment plans.
- Conveyed treatment options, diagnosis information and home care techniques to patients and caregivers to continue care consistency.
- Explained course of care and medication side effects to patients and caregivers in easy-to-understand terms.
- 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.
- Implemented care plans for patient treatment after assessing physician medical regimens.
- Sustained quality standards by performing routine medication audits and upholding internal and industry best practices.
- Performed frequent checks on life support equipment and made necessary adjustments to preserve optimal patient conditions.
Catastrophe Case Manager
Northstar Doc
02.2021 - 08.2021
- Coordinated comprehensive case management plans to improve client outcomes and satisfaction.
- Developed personalized service plans for client needs, ensuring optimal resource utilization.
- Enhanced client engagement by maintaining open communication and providing consistent follow-up.
- Supported diverse client populations, addressing specific challenges effectively.
- Monitored client progress to ensure adherence to established goals and objectives.
- Conducted thorough assessments for identifying client needs and formulating action plans.
- Advocated for clients by collaborating with external agencies and service providers.
- Improved service delivery with detailed case evaluations and timely interventions.
- Facilitated access to resources and services for overcoming barriers to success.
- Documented client interactions meticulously to maintain accurate records and compliance.
- Developed strategies to support client self-sufficiency and long-term stability.
- Improved client satisfaction by resolving concerns promptly and professionally.
- Conducted regular follow-ups to ensure continuity of care and client progress.
- Built strong client relationships to foster trust and collaboration.
- Educated clients on available programs, benefits, and services, empowering them to make informed decisions about their care needs.
- Enhanced communication between clients and providers through consistent follow-ups and progress updates.
- Contributed to team discussions and case conferences actively, sharing insights and expertise with colleagues to optimize client support strategies.
RN Case Manager
IPH Hospice
01.2018 - 12.2019
- Provided emotional support to patients coping with chronic illness or end-of-life decisions, fostering resilience during difficult times.
- Managed complex cases involving multiple comorbidities, requiring close monitoring and coordination of various healthcare services.
- Collaborated closely with physicians to develop individualized treatment plans, supporting optimal patient outcomes.
- Educated patients and families on available community resources, facilitating access to necessary support services.
- Served as a key liaison between patients, families, and healthcare providers, fostering open communication and trust among all parties involved in the care process.
- Implemented evidence-based practices to improve overall clinical performance and patient outcomes.
- Managed support services and fostered communication among social workers, therapists, hospital staff, and patients.
- Educated patients and caregivers on healthcare protocols and processes.
- Developed strong relationships with patients and their families, providing support and education on health management.
- Monitored patient progress closely, adjusting care plans as necessary to meet evolving health requirements.
- Enhanced patient satisfaction with empathetic communication and timely updates on care progress.
- Advocated for patients with insurance companies, securing coverage for necessary treatments and medications.
Administrator/Director of Nursing Services/RN Case Manager
Harbor Hospice
12.2015 - 12.2017
- Handled sensitive information discreetly, maintaining strict confidentiality at all times as required by company policy or legal regulations.
- Maintained personnel records and updated internal databases to support document management.
- Organized workflow and delegated tasks effectively to ensure timely project completion without compromising quality.
- Provided exceptional customer service to both internal and external stakeholders through prompt response times and thorough issue resolution efforts.
- Oversaw maintenance of office equipment, minimizing downtime due to malfunctions or repairs.
- Implemented customer feedback system, leading to improved service delivery and customer satisfaction.
- Improved team productivity with introduction of shared online calendar for tracking deadlines and appointments.
- Developed comprehensive filing system that significantly improved document retrieval times.
- Managed scheduling for executive staff to ensure optimal time management and productivity.
- Organized and executed quarterly staff training sessions, keeping team informed on latest administrative protocols and technology.
- Facilitated communication between departments, ensuring smooth operation and timely completion of projects.
- Coordinated with IT department to upgrade software, ensuring all systems were up-to-date and running efficiently.
- Orchestrated relocation of office, ensuring smooth transition with minimal operational downtime.
- Optimized customer experience by delivering superior services and effectively troubleshooting issues.
- Evaluated staff performance and provided coaching to address inefficiencies.
- Maintained overall safe work environment with employee training programs and enforcement of safety procedures.
- Evaluated customer needs and feedback to drive product and service improvements.
- Conducted regular reviews of operations and identified areas for improvement.
- Managed budgetary constraints effectively, ensuring optimal resource allocation for high-quality care delivery.
- Enhanced staff retention and job satisfaction through comprehensive training programs and supportive leadership.
- Mentored nursing staff in clinical skills development, fostering professional growth and excellence in practice.
- Participated in management team meetings to discuss resident status, census changes, and resident complaints or concerns.
- Monitored and evaluated nursing staff performance, providing feedback and guidance to support standards of care.
- Collaborated with staff, management, and external groups to coordinate patient care.
- Established and monitored infection control programs to provide safe, sanitary environment to prevent transmission of disease and infection.
- Evaluated work performance of 6-10 nursing personnel to determine wage increases and implement discipline.
- Provided emotional support to patients coping with chronic illness or end-of-life decisions, fostering resilience during difficult times.
- Coordinated care conferences with interdisciplinary team members, ensuring all perspectives were considered in the development of comprehensive treatment plans.
- Implemented evidence-based practices to improve overall clinical performance and patient outcomes.
- Conducted thorough assessments of patients'' needs, enabling more accurate diagnoses and targeted interventions.
- Improved patient satisfaction scores by providing timely follow-ups and addressing concerns promptly.
- Participated in quality improvement initiatives aimed at enhancing the delivery of nursing care within the organization.
- Mentored new nursing staff, facilitating a faster learning curve and increased overall team efficiency.
- Navigated regulatory requirements effectively, ensuring proper documentation and compliance with relevant laws and guidelines.
Education
Bachelor of Science - Nursing
Texas A&M, Corpus Christi, TX
Corpus Christi, TX09-2020
Master of Science - Family Practice NP
Texas A&M University, Corpus Christi
Corpus Christi, TX01-2017
Associate of Applied Science - ADN
Victoria College
Victoria, TX05-2004
Associate of Arts - DIPLOMA- LVN
WCJC
Wharton, TX08-2002
Skills
- Chronic disease management
- Discharge planning
- HIPAA compliance
- Multidisciplinary approach
- Care coordination
- Home care management
- Utilization review
- Clinical assessment
- Palliative care
- Case management
- Critical thinking
- Direct patient care
- Attention to detail
Accomplishments
- Supervised team of 6-10 staff members.
- Used Microsoft Excel to develop inventory tracking spreadsheets.
- Increased census by effectively helping with Marketing
- Documented and resolved patient complaints which led to higher satisfaction scores.
Timeline
RN Case Manager
Divinity Hospice Brazosport
10.2024 - Current
RN Case Manager
Fairmont Hospice
07.2022 - 09.2024
ADON/Alternate Administrator
Sacred Care Home Health
02.2021 - Current
Catastrophe Case Manager
Northstar Doc
02.2021 - 08.2021
RN Case Manager
IPH Hospice
01.2018 - 12.2019
Administrator/Director of Nursing Services/RN Case Manager
Harbor Hospice
12.2015 - 12.2017
Bachelor of Science - Nursing
Texas A&M, Corpus Christi, TX
Master of Science - Family Practice NP
Texas A&M University, Corpus Christi
Associate of Applied Science - ADN
Victoria College
Associate of Arts - DIPLOMA- LVN
WCJC
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