Registered Nurse with pleasant personality and a tenacity that knows no restrictions. Experience in coordinating care, advocating for patients, resourceful, proactive, able to make appropriate decisions for high-quality and cost-effective care. Willingness to learn and expand scope of practice as a Registered Nurse.
Overview
17
17
years of professional experience
Work History
RN Care Manager
James J. Peter VA Medical Center
03.2024 - Current
Develop strong relationships with Veterans and families, providing emotional support while addressing concerns or questions about care plans.
Provide coordinated, comprehensive, and patient centered care to assigned panel of patients, utilizing Patient Aligned Care Team (PACT) model.
Conduct health screening and physical assessment during scheduled and unscheduled visits.
Triage patients with acute/chronic illnesses manage or transfer to emergency department /various specialties as needed.
Educate patients/family on effective disease prevention, health promotion and management of chronic diseases through follow-up visits and discharge calls.
Restorative Care Coordinator
James J. Peters VA Medical Center
06.2023 - 03.2024
Responsible for completing resident assessments in VA Community Living Center (86 bed) in accordance with current regulations and guidelines.
Monitor, track, and convey important patient information to staff to help optimize treatment planning and care delivery.
Supports patient care excellence via planning and interpretation of programs.
Demonstrates leadership and initiative in delivery and improvement of holistic care through collaborative strategies, ensuring compliance with mission, vision, and values of Medical Center.
Identifies problem areas for monitoring and evaluation, recommending practice changes based on interdisciplinary findings
Accountable Care Manager
Kings County Hospital Center
06.2020 - 09.2023
Reviewed each patient's chart. Ensured that documentation in medical record supports plan of care and justified admission and continued stay.
Participated in multidisciplinary rounds: reviewed plan of care, and discussed estimated length of stay (LOS), needed for continued hospitalization and appropriateness of resource utilization, consultations, treatment plan and discharge plan.
Plans and implements strategies to reduce length of stay, reduce resource consumptions, and achieve positive client/patient outcomes.
Staff Nurse
James J. Peter VA Medical Center
09.2020 - 04.2023
Assessed medical status of patients pre- and post-operation by checking vital parameters and supervising food intake.
Keep meticulous charting notes regarding patient assessments and medications, later transferring information into records management system.
Work within interdisciplinary health care team to develop, implement and make adjustments to patient care plans, individualizing strategies and methods to improve health and meet recovery goals.
Evaluate cardio-respiratory systems for deviations, providing appropriate treatment as necessary.
Educate patients, families and caregivers on diagnosis and prognosis, treatment options, disease process and management and lifestyle options.
Assumes responsibility for coordination of care focused on patient transition through continuum of care, patient and family education, patient self-management after discharge, and supporting factors that impact customer satisfaction.
RN Care Manager
James J. Peters VA Medical Center
02.2018 - 09.2020
Provided coordinated, comprehensive, and patient centered care to assigned panel of patients, utilizing Patient Aligned Care Team (PACT) model.
Assessed learning needs of patients and develop post-discharge planning and continuity of care with patient, family and health care team.
Conducted health screening and physical assessment during scheduled and unscheduled visits.
Triaged patients with acute/chronic illnesses manage or transfer to emergency department /various specialties as needed.
Educated patients/family on effective disease prevention, health promotion and management of chronic diseases through follow-up visits and discharge calls.
Maintained patient confidentiality and privacy rights in accordance with HIPPA regulations.
Performed all tasks with a patient-centered focus while seeking opportunities for improvement of processes and treatments.
Coordinated with interdisciplinary team (Physician, Psychologist, Medical Assistant, Nutritionist, Social Worker) to ensure high quality care.
Conducted regular re-evaluations to address changes in needs and conditions, introducing revisions to care plans as needed.
Created individualized care plans based on nursing diagnosis and incorporated appropriate nursing methods to achieve positive outcomes.
Participating member of result driven clinic teams charged with improving patient quality care measures including; diabetes, Chronic Heart Failure hypertension, COPD & Colonoscopy screening.
Provided weekly Telehealth wellness care via video to ensure Veterans continued access to nursing care.
Advocated for patients by communicating their care preferences to practitioners, ensuring interventions met their goals for treatment and identifying insurance coverage.
Recommended modifications based on patients' response to treatment.
Staff Nurse
James J. Peters VA Medical Center
11.2008 - 01.2018
Coordinated nursing care and oversees nursing care for patients on CARF (Commission on Accreditation of Rehabilitation Facilities) program.
Collaborated with interdisciplinary team to ensure high quality nursing care.
Charge Nurse overseeing NA, PCA, LPN and RN's and delegated nurse assignments to achieve optimal outcomes.
Cared for variety of patients including ventilator, dialysis, pre/post-op, and those on palliative care.
Anticipated patients' needs and determined scopes treatment plans and need for updates.
Responsible for training student nurses, new hires, providing guidance and mentorship teaching on hospital policies, emergency procedures and nursing best practices.
Directed patient care by initiating and following through with plan of care, continuing care and discharge instructions.
Formulated plans for nursing measures to restore, maintain and promote patients' physical and mental health and deliver high quality care.
Implemented interventions, including medication and IV administration, wound care, ostomy care, catheter insertion and airway management.
Coordinated with outgoing and incoming charge nurses.
Assessed physical, psychological, physiologic and cognitive status of patients.
Identified learning needs of patients and families and responded with advocacy and health education.
Recommended modifications based on patients' response to treatment.
Accurately documented all elements of nursing assessment, treatments, medications, discharge instructions, and follow-up care.
Participated in weekly patient case conferences, to educate staff and facilitate good communication.
Provided case management services, counseling, education and life-skills training to patients and family.
Routinely collaborated with department managers to correct problems and improve services.
Participated in weekly/monthly discharge planning meetings with interdisciplinary team disseminate information to staff.
Nursing Supervisor/ Nursing Care Coordinator
Silvercrest Center for Nursing and Rehabilitation
04.2017 - 07.2017
Met nursing operational standards by contributing information to strategic plans and reviews; productivity, quality, and customer service standards; resolving problems and identifying system improvements.
Assured quality of care by interpreting facility and nursing division's philosophies and standards of care; enforcing adherence to state board of nursing and state practice act requirements.
Provided information to patients and health care team by answering questions and requests.
Coordinated nursing department activities to ensure availability of appropriate clinical and support staff for resident care.
Achieved high staff morale through effective communication, prompt problem resolution, proactive supervisory practices and facilitating proactive work environment.
Investigated and reported all incidents per facility policies.
Followed all HIPAA rules and regulations regarding patient confidentiality.
Education
Master of Science - Nursing, Public Health Nursing
Grand Canyon University
Phoenix, Arizona
2016
Bachelor of Science - Nursing
Dominican University
Orangeburg, NY
2008
Bachelor of Arts - Liberal Arts
College Of Mount Saint Vincent
Bronx, NY
2006
Skills
Patient Advocacy
Case Management
Policy Implementation
Organization/Communication
Leadership
Conflict resolution
Affiliations
Registered Professional Nurse, 2008-present
American Heart Association Health Care Provider, BLS-current
PRI- certified
Timeline
RN Care Manager
James J. Peter VA Medical Center
03.2024 - Current
Restorative Care Coordinator
James J. Peters VA Medical Center
06.2023 - 03.2024
Staff Nurse
James J. Peter VA Medical Center
09.2020 - 04.2023
Accountable Care Manager
Kings County Hospital Center
06.2020 - 09.2023
RN Care Manager
James J. Peters VA Medical Center
02.2018 - 09.2020
Nursing Supervisor/ Nursing Care Coordinator
Silvercrest Center for Nursing and Rehabilitation
04.2017 - 07.2017
Staff Nurse
James J. Peters VA Medical Center
11.2008 - 01.2018
Master of Science - Nursing, Public Health Nursing
Medical Technologist at Medical Technologist GS, James A. Haley VA Medical CenterMedical Technologist at Medical Technologist GS, James A. Haley VA Medical Center