Susan M Baum
Brewerton,NY
Summary
RN Case Manager coordinating individualized home health care plans for medically complex patients across physical, emotional, social, and environmental needs. Manages wound care, PICC line care, TPN administration, and utilization review with multidisciplinary follow-up with a focus on readmission reduction, safety, and cost control. Supports as many as 40-60 patients at a time while handling after-hours triage and scheduled patient visits.
Overview
3
3
Certifications
41
41
years of professional experience
Work History
RN Case Manager
CenterWell Home Health
03.2021 - Current
- Manage 40-60 patients at a time with individualized care plans focused on safety, recovery, and readmission reduction.
- Take triage calls and see patients as needed during a seven days on, seven days off schedule.
- Coordinate multidisciplinary care with physicians, aligning treatment changes to patients' evolving physical, emotional, social, and environmental needs.
- Perform wound care, urinary and PICC line device management, TPN administration, and other ordered treatments in home settings.
- Assess home conditions and patient safety needs, then adjust visit plans to support reliable care delivery and follow-up.
- Update clinical documentation and revise care plans as patient needs change, supporting continuity and cost control.
- Apply utilization review and discharge planning to align services with recovery goals and reduce avoidable readmissions.
RN Case Manager
St. Joseph Health Home Care
03.2015 - 03.2021
- Developed individualized care plans across physical, emotional, social, and environmental needs with physicians.
- Coordinated interdisciplinary care and updated plans as patient needs changed.
- Applied readmission reduction, health maintenance, disease prevention, and cost control priorities in home-based case management.
- Maintained patient safety and wellbeing through home safety assessment and ongoing triage of changing care needs.
- Delivered wound care, urinary and PICC line device management, and TPN administration to support complex home treatment needs.
- Documented clinical updates clearly for physicians, families, and multidisciplinary teams to support continuity of care.
- Managed 25-40 patients at any given time while balancing individualized treatment plans and multiple concurrent medical needs.
Staff/Charge Nurse, Surgical Intensive Care Unit @
St. Joseph’s
06.1985 - 02.2015
- Provided bedside care for critically ill surgical patients requiring ventricular assist devices and other advanced interventions.
- Coordinated care plans and interdisciplinary communication for patients with rapidly changing clinical needs.
- Performed patient triage and ongoing assessment to prioritize interventions in a high-acuity setting.
- Completed clinical documentation and discharge planning to support continuity of care across transitions.
- Applied wound care, PICC line management, TPN administration, and home safety assessment skills to stabilize recovery needs.
Education
Bachelor of Science - Nursing
American Sentinel University
Denver, CO01-2014
Nursing
St Joseph’s College of Nursing
Syracuse, NY01-1985
Skills
- Care plan development
- Discharge planning
- Patient triage
- Utilization review
- Interdisciplinary care coordination
- Wound care
- PICC line management
- TPN administration
- Home safety assessment
- Clinical documentation
Certification
Registered Nurse (RN) License
Personal Information
Title: RN
AWARDS
National Daisy Award, Recipient October 2011
Timeline
RN Case Manager
CenterWell Home Health
03.2021 - Current
RN Case Manager
St. Joseph Health Home Care
03.2015 - 03.2021
Staff/Charge Nurse, Surgical Intensive Care Unit @
St. Joseph’s
06.1985 - 02.2015
Nursing
St Joseph’s College of Nursing
Bachelor of Science - Nursing
American Sentinel University