Rebekah Trivilino
Royal Oak,MI
Summary
Experienced RN Case Manager specializing in high-quality patient care for aging adults and effective case management. Strengths include strong decision-making skills, a strong work ethic, adaptability, and exceptional interpersonal skills. Able to work independently and quickly acquire new skills.
Overview
4
4
years of professional experience
1
1
Certification
Work History
RN Case Manager
PACE Southeast Michigan
2022.03 - Current
- Managing the complex needs of 60-90 frail elders by acting as the point person in coordination of care. Performing in-person and telephonic assessments, creating care plans, and incorporating all aspects of the nursing process, including assessment, planning, implementation, and evaluation.
- Maximizing participants' functional ability by encouraging autonomy, identifying barriers, and providing resources and support, with a goal of keeping participants safe and out of the hospital in the least restrictive living environment.
- Leads and directs licensed and non-licensed team members in coordination and delivery of care. Leads interdisciplinary team meetings and care plan reviews.
- Advocates to other team members on behalf of participant and demonstrates accountability in resolving participants' concerns or issues.
- Teaches, supervises, and counsels participants and/or caregivers about nursing care needs and other related problems.
- Communicated regularly with family members regarding patient care needs and progress toward goals.
- Triage participants and identify symptoms that need immediate attention to prevent unnecessary hospitalizations. Acute home visits, as needed, to make appropriate determination.
- Collaborative Teamwork with a multi-disciplinary team to revise the plan of care based on changes in the participant's health status.
- Recognizing and understanding the significance of abnormal test results, and using critical thinking skills when gathering data, planning for, and implementing care.
- Administering medication and treatments as ordered by physician/NP, and monitoring participant's response.
- Managing and delegating tasks to LPNs.
- Following strict CMS compliance regulations by making in-person assessments within 72 hours, preparing documentation to present to team members, and following up with documentation and communication in a prompt fashion.
Registered Nurse
Beaumont Health
Royal Oak , MI
2021.01 - 2022.03
- Providing direct patient care of critically ill patients, stabilizing patients, and deciding the next course of action.
- Monitoring 3-5 critical patients by interpreting and tracking EKG and pulse oximetry readings, finding irregular telemetry, calling codes, while updating team members on changes in stability or acuity.
- Collaborating with physicians to quickly assess patients and deliver proper treatment while managing rapidly changing conditions in patients positive for Covid 19 in respiratory distress, heart failure, end stage renal disease, DKA, sepsis, and other life-threatening diseases.
- Providing hospice care to patients and support to families while carrying out orders for oxygen weans at end of life.
- ACLS certified. Monitoring and transporting patients to the ICU, receiving Bi-Pap, Heated High Flow, and Cold Flow Oxygen.
- Educating patients, families, and caregivers on diagnosis, prognosis, treatment options, disease process, and management.
- Expertise in COVID-19 management.
- Demonstrating empathy and respect at all times to patients, family members, and colleagues.
Registered Nurse
Healing Touch Personal Care LLC
Auburn Hills , Mi
2020.06 - 2021.12
- Providing physical assessments, medication, and chronic disease management to home health patients.
- Scheduling appointments and transporting TBI patients to medical facilities, and various activities to enhance quality of life.
- Informing physicians of any changes to patients' health or concerns seen during home visits.
- Effective communication skills with patients' families, living in and outside the home.
- Building trusting and respectful relationships.
- Documented patient progress notes accurately and efficiently in the electronic medical record system.
- Instructed patients on proper self-care techniques at home following discharge from the hospital.
Education
Associate in Applied Science Extended Degree Nursing -
Oakland Community College
Highland Lakes12.2019
Skills
- Trustworthy Performance
- Chronic Disease Management
- Healthcare Advocacy Expertise
- Complex Problem-Solving
- Strong Clinical Judgment
- Care Plan Development
- Deadline Management
- Geriatric treatment knowledge
- Efficient Triage Management
- Critical Care Proficiency
- Compassionate End-of-Life Care
- Detailed Patient Assessment
- Patient Discharge Coordination
- Excellent Interpersonal Skills
- Proficient in Managing Multiple Tasks
- Clinical Patient Assessments
- Efficient Resource Management
- Direct and Indirect Patient Care
Certification
- Basic Life Support - American Heart Association, April 2023-April 2025
- Beaumont Health Critical Care Training, February, 2021
- Nurse Residency Program, January 2021 - December 2021
Accomplishments
Outstanding Documentation
Pace Southeast Michigan Quality Department
June 19, 2024
References
References available upon request.
Timeline
RN Case Manager
PACE Southeast Michigan
2022.03 - Current
Registered Nurse
Beaumont Health
2021.01 - 2022.03
Registered Nurse
Healing Touch Personal Care LLC
2020.06 - 2021.12
- Basic Life Support - American Heart Association, April 2023-April 2025
- Beaumont Health Critical Care Training, February, 2021
- Nurse Residency Program, January 2021 - December 2021
Associate in Applied Science Extended Degree Nursing -
Oakland Community College
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