Racheal Martin
Summary
Dynamic RN Case Manager with a proven track record at Brightstar Healthcare, excelling in chronic disease management and care coordination. Adept at developing individualized treatment plans, enhancing patient satisfaction through effective communication and education. Strong clinical judgment and attention to detail led to reduced hospital readmissions and improved patient outcomes.
Overview
23
23
years of professional experience
Work History
RN Case Manager
Brightstar Healthcare
05.2025 - 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.
- Reduced hospital readmission rates through effective case management and patient education on self-care techniques.
- Promoted adherence to treatment plans by conducting regular follow-up visits and providing ongoing support to patients.
- Advocated for patients'' rights and preferences, working diligently to align care with individual values and goals.
- Evaluated patient histories, complaints, and current symptoms.
- Educated family members and caregivers on patient care instructions.
- Documented treatments delivered, medications and IVs administered, discharge instructions, and follow-up care.
- Monitored patient reactions after administering medications and IV therapies.
RN Case Manager
Divinity Hospice
10.2024 - Current
- Enhanced patient care by developing comprehensive care plans and coordinating with interdisciplinary healthcare teams.
- 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.
- Managed support services and fostered communication among social workers, therapists, hospital staff, and patients.
- 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.
- Optimized resource utilization by identifying opportunities for cost containment while maintaining quality of care.
- 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.
- Conducted comprehensive assessments of patient needs to inform effective care planning.
RN Case Manager/ADON
Sacred Care Home Health
02.2021 - Current
- Implemented evidence-based practices to improve overall clinical performance and patient outcomes.
- Streamlined discharge planning processes, ensuring a smoother transition for patients back to their homes or other facilities.
- Evaluated the effectiveness of implemented interventions periodically, adjusting treatment plans as needed to promote optimal patient outcomes.
- 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.
- Followed all personal and health data procedures to effectively comply with HIPAA laws and prevent information breaches.
- Recorded details regarding therapies to keep patient charts updated.
- Managed patients recovering from medical or surgical procedures.
- Removed trash and straightened counters to keep pharmacy area clean and neat.
- Managed complex cases involving multiple comorbidities, requiring close monitoring and coordination of various healthcare services.
- Provided emotional support to patients coping with chronic illness or end-of-life decisions, fostering resilience during difficult times.
RN Case Manager
FAIRMONT Hospice
07.2022 - 09.2024
- Participated in quality improvement initiatives aimed at enhancing the delivery of nursing care within the organization.
- Improved interdisciplinary communication, establishing standardized protocols for sharing patient information.
- Ensured compliance with healthcare regulations and standards, conducting regular reviews of patient care activities.
- Developed strong relationships with patients and their families, providing support and education on health management.
- Facilitated multidisciplinary team meetings to discuss patient care, fostering collaborative approach to healthcare.
- Implemented patient feedback system to identify areas for improvement in case management services.
- Monitored patient progress closely, adjusting care plans as necessary to meet evolving health requirements.
- 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.
- Led teams in driving successful patient outcomes by prioritizing standard of care and best practices.
- Evaluated patient histories, complaints, and current symptoms.
- Educated family members and caregivers on patient care instructions.
- Recorded details regarding therapies to keep patient charts updated.
RN Catastrophic Case Manager
NORTHSTARDoc
02.2021 - 08.2021
- Enhanced patient satisfaction through effective communication, empathy, and timely response to their needs.
- Collaborated with interdisciplinary teams for comprehensive patient care plans, resulting in better health outcomes.
- Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
- Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process, and management and lifestyle options.
- Educated patients on disease management and self-care techniques, promoting lifestyle changes for improved health.
- Mentored new nursing staff, contributing to a supportive work environment and improved retention rates.
- Devised individualized care plans tailored to each patient''s unique situation, optimizing clinical outcomes.
- Streamlined documentation processes to ensure accurate record-keeping and compliance with regulatory standards.
- Maintained accurate documentation on all cases, ensuring compliance with regulations and confidentiality requirements.
- Monitored ongoing cases closely, adjusting case management strategies as needed based on evolving circumstances or new information.
- Enhanced communication between clients and providers through consistent follow-ups and progress updates.
DON
Harbor Hospice
12.2015 - 12.2017
- Self-motivated, with a strong sense of personal responsibility.
- Worked effectively in fast-paced environments.
- Skilled at working independently and collaboratively in a team environment.
- Proven ability to learn quickly and adapt to new situations.
- Excellent communication skills, both verbal and written.
- Worked well in a team setting, providing support and guidance.
- Demonstrated respect, friendliness and willingness to help wherever needed.
- Assisted with day-to-day operations, working efficiently and productively with all team members.
- Passionate about learning and committed to continual improvement.
- Worked flexible hours across night, weekend, and holiday shifts.
- Managed time efficiently in order to complete all tasks within deadlines.
- Organized and detail-oriented with a strong work ethic.
- Used critical thinking to break down problems, evaluate solutions and make decisions.
- Strengthened communication skills through regular interactions with others.
Education
Master of Science - Masters of Science in Nursing
Texas A&M University
Corpus Christi, TXNursing
Texas A&M University
Corpus Christi, TX09-2020
Associate of Science - Nursing
Victoria College
Victoria, TX05-2004
Licensed Vocational Nurse - Nursing
WCJC
Wharton, TX08-2002
Skills
- Chronic disease management
- Discharge planning
- HIPAA compliance
- Multidisciplinary approach
- Care coordination
- Home care management
- Utilization review
- Clinical assessment
- Medication management
- Palliative care
- Healthcare regulations
- Case management
- Critical thinking
- Wound care
- Strong clinical judgment
- Accurate documentation
- Direct patient care
- Microsoft office
- Attention to detail
- Blood draw and sample collection
- Preventive health
- EMR / EHR
- Delegation and motivation
- Infection control
- Patient condition monitoring
- Medication and IV administration
- Nursing performance assessment
- Patient care oversight
- Healthcare personnel supervision
- Student precepting
- Intake and discharge
- Certified in CPR/AED
Accomplishments
- Used Microsoft Excel to develop inventory tracking spreadsheets.
- Worked with IDF (Immune Deficiency Foundation) and TDHS to aide in adding new test to PKU, to identify babies born with SCIDS (Severe Combined Immunoinsuffiency Syndrome) 2010
Timeline
RN Case Manager
Brightstar Healthcare
05.2025 - Current
RN Case Manager
Divinity Hospice
10.2024 - Current
RN Case Manager
FAIRMONT Hospice
07.2022 - 09.2024
RN Case Manager/ADON
Sacred Care Home Health
02.2021 - Current
RN Catastrophic Case Manager
NORTHSTARDoc
02.2021 - 08.2021
DON
Harbor Hospice
12.2015 - 12.2017
Master of Science - Masters of Science in Nursing
Texas A&M University
Nursing
Texas A&M University
Associate of Science - Nursing
Victoria College
Licensed Vocational Nurse - Nursing
WCJC
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