Registered Nurse Case Manager Home Health
Ohio Living home Health and Hospice
Cincinnati, OH
05.2022 - 05.2024
- Provided direct patient care and management of acute medical issues in a timely manner.
- Participated in team meetings to discuss treatment options for complex cases.
- Implemented interventions based on evidence-based practice guidelines while working collaboratively with interdisciplinary teams.
- Evaluated effectiveness of treatments provided by consulting specialists or other providers involved in a patient's care plan.
- Coordinated discharge planning with multidisciplinary teams ensuring safe transitions back into the community.
- Managed caseloads involving multiple chronic illnesses across various settings such as hospitals, long-term care facilities or private homes.
- Assessed, planned, implemented and evaluated individualized nursing care plans for each patient.
- Provided education and counseling on health promotion, risk reduction strategies, disease prevention and self-care techniques to patients and their families.
- Developed relationships with patients to ensure they received the highest quality of care.
- Collaborated with physicians, social workers and other healthcare professionals to coordinate care for patients.
- Analyzed test results and communicated findings to physicians in order to develop effective treatment plans.
- Monitored patient progress through regular follow-up appointments and assessments.
- Facilitated referrals for specialized services such as physical therapy or hospice care when needed.
- Utilized critical thinking skills when assessing new information or changes in a patient's condition.
- Identified potential risks related to medication use or inadequate follow up care after discharge from the hospital.
- Created detailed documentation of patient health history including lab results, treatments and medications prescribed.
- Promoted continuity of care by advocating for patients within the healthcare system.
- Conducted home visits to assess the physical and mental condition of assigned patients.
- Incorporated appropriate nursing methods to create individualized care plans.
- Updated and maintained discharge plan of care with physician, members of healthcare team, patients and families.
- Determined and coordinated appropriate level of care to meet individual patient needs.
- Conducted evaluations to address changes in patient needs, conditions, and medications.
- Collaborated with physicians on patient medications, medical needs and performance.
- Coordinated with vendors and suppliers and negotiated medical equipment and supply prices.
- Coordinated home care, home infusion, and durable medical equipment reducing patient wait times.
- Administered medications and treatment plans in accordance with physician orders.
- Helped patients and families feel comfortable during challenging and stressful situations, promoting recovery and reducing compliance issues.
- Observed strict safety measures, including checking medication dosages before administration to patients.
- Administered oral, IV and intra-muscular medications and monitored patient reactions.
- Utilized computerized Resource and Patient Management System (RPMS) and Electronic Health Record (EHR) system.
- Maintained strict patient data procedures to comply with HIPAA laws and prevent information breaches.
- Conducted specified laboratory tests to help detect conditions and determine diagnosis.
