Summary
Overview
Work History
Education
Skills
Certification
Publications
Personal Information
Timeline
Generic

Rachelle L. Taylor

Lavon

Summary

Compassionate Team Leader with extensive clinical experience across diverse healthcare settings. Specializes in interdisciplinary care coordination and patient advocacy, ensuring safe, high-quality outcomes. Demonstrates strong organizational and analytical skills while effectively managing departmental operations and fostering relationships with healthcare professionals.

Overview

34
34
years of professional experience
1
1
Certification

Work History

Director of Case Management (DCM)

PAM Health
Allen & Richardson
01.2023 - Current
  • The DCM facilitates the interdisciplinary plan of care and the discharge planning process to ensure high-quality-centered patient care with positive outcomes.
  • Directed daily operations of the case management department.
  • Trained and educated case management team on effective caseload management, policies, and CMS guidelines to enhance compliance and care quality.
  • Allocated patient caseloads among case management team to optimize workload balance.
  • Oversee the utilization and current review process and determination.
  • Coordinate/communicate effectively with administration, nursing and medical staff.
  • Presented updates on daily case management operations during administrative meetings.
  • Acted as administrative on-call representative for case management department, addressing urgent issues.

RN Case Manager

HCA
04.2018 - 01.2024
  • Coordinated care, discharge planning, and service delivery for targeted patient population, enhancing recovery across various illnesses and diseases.
  • Provided patients with tailored resources, supporting improved health status and optimal outcomes.
  • Monitored effective utilization of resources and led the interdisciplinary team.
  • Participated in projects to enhance patient care, contributing to promotion of high quality standards.

Quality Analyst (Nurse Educator)

HCA
01.2022 - 01.2023
  • Managed clinical quality and performance improvement activities at the hospital, applying expertise in quality standards and performance improvement methodologies.
  • Managed a hospital-wide performance improvement project, ensuring team engagement and adherence to goals.
  • Influenced and educated entity leaders, staff, and physicians to adopt process improvement plans enhancing quality care and patient safety.
  • Drove organizational changes by developing, facilitating, and executing organizational improvement projects and initiatives.
  • Demonstrated expertise in TMF, CMS, NQF, Leapfrog Group, and Nursing Magnet criteria during quality assessments.
  • Facilitated goal-driven teams in activities aligning with strategic plans to change behavior and produce sustainable results.
  • Usage of statistical process tools to analyze quality processes and improve patient outcomes and safety.

Case Manager

United Health Care
Richardson, TX
11.2016 - 01.2018
  • Assessed client needs and coordinated healthcare services for optimal care.
  • Developed individualized care plans to address client-specific health requirements.
  • Facilitated communication between clients, families, and healthcare providers effectively.
  • Reviewed documentation in medical records and coordinated communication with interdisciplinary team.
  • Reviewed patient cases to ensure proper treatment aligned with verified costs and policies.

RN Circulator

Baylor Hospital
Plano, TX
01.2012 - 07.2016
  • Managed patient care in surgery room, fostering a comfortable and safe environment for optimal surgical outcomes.
  • Delivered quality surgical care in cardiac surgical unit, ensuring timely interventions for patient safety.
  • Supervised team activities to uphold surgical asepsis, enhancing patient safety and compliance with protocols.

Team Leader

Methodist Hospital for Surgery
Addison/Dallas, TX
06.2012 - 01.2016
  • Supervised team members in immediate surgical unit, ensured compliance with safety guidelines, and coordinated staff scheduling to meet unit needs.
  • Managed care in surgery room, ensuring a comfortable, safe environment for surgical patients throughout procedures.
  • Circulating surgical nurse Nursing Educator & Preceptor duties include teaching nurses’ hands on nursing skills, supervising student nurses demonstrating patient care in clinical setting.
  • Supported and led students, fostering a positive learning environment through hands-on guidance and mentorship.

Coordinator/Liaison Team Leader

Baptist Memorial Hospital
Memphis, TN
01.2008 - 01.2012
  • Led and coordinated patient-centered care in Cardiac Cath & EP lab, ensuring safety and effectiveness for cardiac patients.
  • Developed quality measures enhancing patient care and staff satisfaction, facilitating prompt service delivery within the organization.

RN Team Leader

Saint Francis Bartlett
Bartlett, TN
01.2007 - 11.2009
  • Led nursing team in delivering patient-centered care at Saint Francis Bartlett.
  • Coordinated daily operations to ensure effective patient flow and resource management.
  • Collaborated with team members, surgeons, and anesthesiologists to streamline surgical preparation.
  • Coordinated patient care flow into operating room, ensuring readiness for surgery.
  • Mentored junior nurses, fostering skill development and best practices in patient care.

RN Team Leader, Manager

Jackson Madison County General Hospital
Jackson, TN
05.2000 - 01.2007
  • Managed the day-to-day operations of the operating room and provided patient-centered care.
  • Supervised and managed team members in operating room to ensure optimal patient care.
  • Coordinated patient flow in and out of operating room to enhance surgical efficiency.
  • Communicated effectively to coordinate patient surgical care within the operating room.
  • Circulated as surgical nurse, managing care in surgery room to maintain comfort and safety for patients.
  • Supervised and evaluated team members' activities to maintain surgical asepsis.

Medical Assistant Supervisor

Jackson OB/GYN Associate
Jackson, TN
01.1992 - 01.2000
  • Coordinated daily clinic operations and supervised nurses and medical assistants, ensuring smooth patient check-in and check-out.
  • Assisted obstetrical and gynecological physicians in operating room, preparing patients for surgery to ensure readiness and comfort.
  • Educated surgical patients on pre- and post-operative care to enhance understanding and compliance.
  • Strategically planning and organizing the physician’s surgery schedule.

Education

Master of Science of Nursing (MSN) -

University of Mary
Bismarck, ND
01-2016

BS -

University of Tennessee
Martin, TN

Skills

  • Health and Wellness Education
  • Case Management
  • Quality Assurance
  • Clinical Assessment
  • Diagnosis
  • Utilization Review
  • Policy Development
  • Procedural Development
  • Disease Management
  • Condition Management
  • Employee Development
  • Training
  • Electronic Records Management
  • Patient Advocacy
  • Family Support
  • Nursing Instructor
  • Director of Case Management

Certification

  • Licensed Registered Nurse (RN), State of Texas
  • Certified Case Manager (CCM)
  • Certified Nurse of Operating Room (CNOR)

Publications

Exploring the Impact of a DART Driven Sepsis Nurse Protocol Initiated in the Emergency Room to improve 3-hour Sepsis Bundle Care Outcomes, Journal of Emergency Nursing, 01/01/17

Personal Information

Title: RN, MSN, CCM, CNOR

Timeline

Director of Case Management (DCM)

PAM Health
01.2023 - Current

Quality Analyst (Nurse Educator)

HCA
01.2022 - 01.2023

RN Case Manager

HCA
04.2018 - 01.2024

Case Manager

United Health Care
11.2016 - 01.2018

Team Leader

Methodist Hospital for Surgery
06.2012 - 01.2016

RN Circulator

Baylor Hospital
01.2012 - 07.2016

Coordinator/Liaison Team Leader

Baptist Memorial Hospital
01.2008 - 01.2012

RN Team Leader

Saint Francis Bartlett
01.2007 - 11.2009

RN Team Leader, Manager

Jackson Madison County General Hospital
05.2000 - 01.2007

Medical Assistant Supervisor

Jackson OB/GYN Associate
01.1992 - 01.2000

Master of Science of Nursing (MSN) -

University of Mary

BS -

University of Tennessee
Rachelle L. Taylor