Susanti S Jenson

*Assists in recruiting, training, orienting, educating, preparing nursing staff for field visits and documentation.
*Closely supervise intake process, coordinating treatment plan with referral sources, providers, pharmacy, to provide optimum care for our client.
*Developed and implemented clinical guidelines, protocols and procedures to ensure best practices for patient care.
*Collaborated and coordinated with interdisciplinary teams to ensure the delivery of comprehensive patient care.
*Coordinated with other departments and outside agencies to ensure the best possible care for patients.
*Monitored patient care processes and outcomes to identify opportunities for improvement.
*Addressed patient complaints and grievances in an effective and timely manner.

• Process referrals, coordinates client's care plan with all disciplines, referral resources and providers' orders
• Coordinated care conferences with interdisciplinary team members, ensuring all perspectives were considered in the development of comprehensive treatment plans.
• Developed and modified patient care plans and assisted interdisciplinary team in identifying client needs and goals to determine priorities of care.
• Performed triage on incoming patients and determined severity of injuries and illnesses.
• Communicated with healthcare team members to plan, implement and enhance treatment strategies.

• Deliver assessment, skilled treatments, educations, teaching to client and client's family member per care plan and MD orders on every home visits.
  
• Completes documentation in a timely manner per agency policy and procedures;
  
• Identifies physical, emotional and developmental needs of the clients, and communicate any significant findings to providers and office case managers therefore accurate intervention is implemented

• Creating and implementing nursing policies to foster a positive and organized work environment while planning, prioritizing and assigning health care tasks to clinical support team members.
• Managing medication schedules and ensuring communication with the medical team to avoid medication errors
• Consistently acted as a strong advocate for patients and their families, ensuring that their needs were met while navigating complex healthcare systems.
• Successfully managed resources within budget constraints while maintaining high-quality care standards for all patients served in the unit.