Dynamic RN Case Manager with extensive experience at Monogram Health, excelling in care coordination and patient advocacy. Proven track record in developing effective care plans and enhancing patient outcomes through educational coaching and regulatory compliance. Skilled in EMR management and fostering multidisciplinary collaboration to ensure optimal patient care.
Overview
11
11
years of professional experience
Work History
RN Case Manager
Monogram Health
01.2022 - Current
Perform complete initial assessment, in person & remotely, for patients starting Monogram Health programs.
Interdisciplinary care coordination focusing on patient advocacy
Coached patients on symptom management, disease-specific education, and nutritional guidelines to prevent hospital admissions and improve patient outcomes.
Planned post-hospital discharge strategies to ensure continuity of care and enhance recovery.
Initial Careplan development and ongoing management
Medication review, education, & EMR management
Patient follow up according to cadence guidelines and specific patient needs
Promoted patient rights and facilitated access to necessary care.
Assisted patients in navigating social determinants of health to improve access to necessary resources and support.
Remote assessment skills relating to patient care, healthcare data analysis, and virtual patient engagement.
Branch Director
Aveanna Hospice (Formally Willowbrook Hospice)
Shelbyville, TN
07.2019 - 01.2022
Administration and Operation of all aspects of branch
Collaborated with and oversaw interdisciplinary team including medical director, FNPs, RNs, HHAs, chaplain, and LMSW to enhance patient care and operational efficiency
Establish and oversee balanced budget for branch location
Grew and maintained census through collaboration with sales team and established communication with facilities and medical practitioner officers to optimize patient intake
Oversee potential new admissions and collaborate with intake to ensure ethical and safe admission for all patients
Implemented and educated staff on new policies and procedures while ensuring compliance with current state and federal regulations
Oversee and run IDG meetings in compliance with state & federal guidelines
Establish and maintain optimal schedules for all staff
Encouraged open communication among team members to strengthen collaboration.
Maintain EMR in compliance with state & federal regulations
RN Case Manager
Willowbrook Hospice
Shelbyville, TN
07.2017 - 07.2019
Perform complete admission assessment and complete initial plan of care for patients starting hospice care
Performed ongoing assessments and evaluations, updating plan of care for optimal patient care
Provided education and emotional support to patients and families during disease transitions
Coordinated care by collaborating with all disciplines involved in patient management
Provide consistent and competent care for all patients
Supported nursing staff and case managers by providing assistance during patient care activities
Provided on-call support to address patient needs and concerns during off-hours
Facilitated teamwork and training initiatives to enhance workplace education
Assist in providing Education and training for new RN Case Managers
RN Circulator
Tennova
Shelbyville, TN
02.2017 - 07.2017
Monitored patient vital signs throughout procedures to ensure safety and stability.
Coordinated patient care and optimized procedure flow in collaboration with surgical team.
Assisted in positioning patients on the operating table for optimal access during surgery.
Ensured sterile environment and arranged surgical instruments to prepare operating room for procedures.
Documented surgical procedures accurately in electronic health records for compliance.
Instructed patients and families on post-operative care and recovery to promote effective healing.
Provided emotional support to family members during difficult times.
Collaborated with physicians on discharge planning for post-operative patients.
RN PCU
Tennova
Tullahoma, TN
05.2015 - 02.2017
Monitored patient vital signs and reported changes to the healthcare team.
Administered medications and treatments according to established protocols.
Managed medication administration according to physician directives.
Administered injections and IV therapy and placed IV catheters.
Conducted assessments to identify patient needs, facilitating development of tailored nursing interventions.
Assisted in planning and implementing individualized care plans for patients.
Collaborated with interdisciplinary teams for comprehensive patient care.
Educated patients and families on health management and discharge procedures to enhance understanding and compliance.
Instructed patients on disease, treatment and care plan to enhance quality of life and promote positive attitude.
Provided emotional support to patients and families during challenging situations, fostering resilience and coping strategies.
Observed, evaluated, recorded and reported symptoms, reactions and progress of residents.
Maintained accurate patient records using electronic health systems.