Staci Osornio
TX
Summary
Dedicated and compassionate Chronic Care Management Nurse with over 11 years of diverse clinical experience in nursing home settings, rehabilitation, and OB/GYN care. Proven expertise in managing complex patient needs and coordinating transitions of care to enhance health outcomes. Skilled in developing personalized care plans, educating patients and families, and collaborating with multidisciplinary teams to ensure comprehensive support. Committed to improving the quality of life for patients with chronic conditions through effective communication and evidence-based practices. Seeking to leverage extensive experience in a challenging new role to further advance patient care and health management strategies.
Overview
14
14
years of professional experience
Work History
TRANSITION OF CARE NURSE, CHRONIC CARE NURSE
ORB HEALTH
07.2019 - Current
- Coordinate and manage seamless transitions of care for patients moving between healthcare settings, including hospitals, rehabilitation facilities, and home care
- Conduct comprehensive assessments of patients' health status, care needs, and support systems to develop personalized care plans
- Collaborate with interdisciplinary teams, including physicians, nurses, therapists, and social workers, to ensure effective communication and continuity of care
- Educate patients and their families on post-discharge care plans, medications, and self-management strategies to promote a successful transition to home
- Utilize telehealth technologies to conduct remote patient assessments, monitor vital signs, and address any concerns or complications
- Document patient interactions, care plans, and interventions in electronic health records (EHR) to maintain accurate and up-to-date information
- Participate in regular team meetings to discuss patient progress, address challenges, and contribute to the development of best practices for transitions of care
CLINIC NURSE
CAREVIDE WOMEN'S CENTER
12.2017 - 12.2018
- Conduct initial health assessments for female patients, including obtaining medical history, vital signs, and relevant information about current health concerns
- Support healthcare providers during gynecological examinations, pap smears, breast examinations, and other women's health procedures
- Educate patients about various contraceptive methods, administer birth control injections, and assist with the insertion and removal of contraceptive devices
- Collaborate with obstetricians and midwives to provide prenatal care to pregnant patients, including monitoring vital signs, conducting routine prenatal tests, and educating mothers on prenatal health
- Provide education on women's health issues, preventive care, and wellness strategies, emphasizing the importance of regular screenings and examinations
- Work collaboratively with physicians, nurse practitioners, and other healthcare professionals to ensure coordinated and comprehensive care for women
- Promote women's health through preventive measures, lifestyle modifications, and health promotion programs
CNA- CHARGE NURSE
CARRIAGE HOUSE MANOR
07.2011 - 12.2017
- Conduct regular patient assessments, monitor vital signs, and evaluate changes in residents' health conditions
- Administer medications according to prescribed schedules, ensuring accurate dosages and adherence to medication management protocols
- Communicate effectively with residents and their families, addressing any concerns or questions
- Coordinate and communicate with other healthcare professionals, including physicians, therapists, and social workers, to ensure a comprehensive approach to patient care
- Implement and monitor infection control practices to prevent the spread of infections within the facility
- Participate in the admission and discharge processes, collaborating with the healthcare team to ensure a smooth transition of residents into and out of the facility
Education
LVN CERTIFICATION IN NURSING - Nursing
PARIS JUNIOR COLLEGE
Paris, TX06.2013
Skills
- EMR Systems
- Microsoft Office
- Chronic Disease Management
- HIPAA Guideline Adherence
- Strong Clinical Judgment
- Patient care
- Medical documentation
- Care coordination
- Medical records
Timeline
TRANSITION OF CARE NURSE, CHRONIC CARE NURSE
ORB HEALTH
07.2019 - Current
CLINIC NURSE
CAREVIDE WOMEN'S CENTER
12.2017 - 12.2018
CNA- CHARGE NURSE
CARRIAGE HOUSE MANOR
07.2011 - 12.2017
LVN CERTIFICATION IN NURSING - Nursing
PARIS JUNIOR COLLEGE
Similar Profiles
Samantha SalaisSamantha Salais
Experienced Patient Care Navigator/ Trainer-Team Lead Assistant at Orb Health Inc.Experienced Patient Care Navigator/ Trainer-Team Lead Assistant at Orb Health Inc.
Hélène SCHMITT-NÉELHélène SCHMITT-NÉEL
DIRECTRICE DE CLIENTÈLE at OSWALD-ORB (Secteur Immo)DIRECTRICE DE CLIENTÈLE at OSWALD-ORB (Secteur Immo)
Chris GuillaumeChris Guillaume
Sub-Contractor at Orb Design & Manufacturing Inc.Sub-Contractor at Orb Design & Manufacturing Inc.