Sokhon Set

• Managed an RN care panel for up to 120 patients with chronic diseases for over 3 to 6 months, with the goal of minimizing the risk of rehospitalization and prioritizing care needs.
• Developing and modifying individualized goals and care plans while collaborating with interdisciplinary teams, as necessary.
• Advocated for patients between families and healthcare professionals to ensure optimal care delivery.
• Provided education about patients' diagnosis and disease management. Offer resources to encourage prevention and independence. Collaborated with interdisciplinary teams to enhance patient care and support services.
• Provided telephone triage to assess patient symptoms, reviewing medical history, and medications to determine the scope of urgent care needed. Provided advice according to guidelines, and clinical protocols. Communicated with the primary care team to discuss disposition and discrepancies.
• Documented patient interactions in the electronic health record system. Maintained confidentiality.
• Managed incoming calls efficiently while prioritizing patient needs.
• Completed an extensive medical chart review to ensure accurate information prior to providing patient education. Review for discrepancies to discuss with care providers, if required.
• Performed a hospital discharge chart review for high-risk patients prior to a follow-up call to assess current conditions/symptoms, review post-discharge instructions, complete medication reconciliation, and assess safety and barriers with transition home. Enroll patients with chronic conditions in the RN panel for ongoing calls to assist with disease management, and the reduction of readmission.
• Communicated with the payor source regarding durable medical equipment, medication, and skilled nursing admission/home health coverage.
• Attended continuing education courses to stay up-to-date on current trends in nursing practice.

• Collaborated with the Human Resource Department to implement process improvements and efficiencies that led to an increase in compliance of 75%.
• Provided guidance and training to the Staff Development Coordinator, ensuring core competencies and education were provided to the staff as part of the onboarding process. This led to a 10% increase in resource retention.
• Developed best practices and standards of nursing and clinical practice, and corresponding policies and procedures.
• Managed three skilled nursing facilities focused on cross-group collaboration, ensuring state-approved regulations and compliance standards are being met.
• Drove multiple high-visibility projects to create scalable and efficient process improvements, providing updates and insights to the senior management team.

As the acting Interim Director of Nursing, I led nursing services and supported clinical departments, including oversight of approximately 100 full-time staff across all departments.

• Communicated updates in protocols, policies, and processes to key stakeholders across multiple geographic locations, including staff and senior leadership.
• Provided valuable training on clinical systems, as well as supplied staff with usable and understandable resources to perform their duties effectively.
• Conducted and facilitated the survey readiness process to ensure operational excellence is being met, significantly reducing the level of citations.
• Promoted the center’s mission and vision, focused on resident engagement to maximize every resident’s experience and quality of life.
• Provided key inputs to the Quality Review Process for system improvements, confirming that the standard of care was being met and exceeded.

• In collaboration with the Director of Nursing, I supervised and managed the daily activities of licensed and non-licensed personnel, overseeing the clinical operations of the Nursing Department.
• Delivered education and training across the organization to staff for multiple job categories.
• Led process improvement projects, implementing vital activities to improve residents' quality of life.
• In partnership with the Harborview Bed Readiness Program, we assisted high-risk patients to provide quality healthcare services while permanent placement was in process.

• Supported the Director of Nursing with management and leadership duties, including overseeing nursing operations and resource allocation, leading to reductions in budget costs.
• Performed case management duties, communicated with the interdisciplinary team, and insurance companies for reimbursement.
• Managed the Restorative Program, supervising three Restorative Aides, providing training on performance exercising programs, increasing residents’ independence with ADLs, and reducing a decline in residents' activities of daily living.
• Led and investigated all accidents and incidents, coordinating with the Department of Health, ensuring residents are free from abuse, mistreatment, and neglect. This resulted in zero citations.

• Responsible and accountable for managing staff and overseeing the delivery of nursing services in a 57-bed skilled nursing facility.
• Coordinated with the management consultant team to generate key policy improvements to bring the facility back into compliance with state regulations.
• In close collaboration with the Senior Management Team, we developed and implemented a new Quality Assurance and Performance Improvement program. Identified key areas with improvement opportunities.

• Managed and facilitated the delivery of nursing services in a 136-bed skilled nursing facility.
• Worked in collaboration with the facility administration, allocating department resources to enable each resident to attain or maintain the highest practical well-being.
• Collaborate in in-service education programs to promote staff development.

• Developed, planned, organized, and directed Certified Nursing Assistant in-services, assisted the Director of Nursing with Licensed Nurses in-services, and assisted the Executive Director with all staff meetings.
• Planned, participated in, and implemented LN and NAC training, education, continuing education, and competency evaluations. Planned and participated in continuing education programs, performed competency evaluations, and trained and educated LNs and NACs.
• Interviewed and hired NACs; assisted the DON with LN hiring. Directed the new hire process and orientation.
• Performed as the Infection Control Nurse, monitoring resident infections, antibiotic use, and trends of infections occurring within the facility. Implemented and coordinated staff education on infection control.