Suzanne Schuh
Kingston,NH
Summary
Dedicated and compassionate Registered Nurse (RN) with progressive career history in direct patient care, triage and care coordination in fast-paced environment. Proven to remain calm under pressure and skillfully handle difficult patients and high-stress situations. Consistently developing strong relationships with patients and families through empathetic communication, respectful attitude and excellent customer service.
Accomplished Registered Nurse Case Manager with 6+ years of experience dedicated to quality care of diverse patients. Skillfully blend hands-on skills with advanced background in acute care settings. Work effectively with all levels of healthcare providers, physicians and administrators to address patient needs.
Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy and managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
16
16
years of professional experience
Work History
Nurse Navigator/Registered Nurse Case Manager
MGBH @ Wentworth Douglass Hospital
12.2018 - Current
- Coordinated appropriate and efficient delivery of healthcare services to promote optimal outcomes by assessing and matching unmet needs with referrals and support services.
- Developed professional relationships with community partners to enhance available support services for patients transitioning from acute care settings.
- Managed and streamlined referrals through 4 Next referral link of up to 15 to 18 cases by efficiently prioritizing patients and clearing insurance obstacles.
- Prepared clinical notes and updates for review by attending care team in Epic EMR .
- Served as a liaison between patients, families, and healthcare providers to ensure seamless communication and continuity of care.
- Scheduled appointments, educational meetings, and follow-ups for patients and family members.
- Built partnerships with local agencies and groups to assist with patient care, support or educational needs.
- Reduced hospital readmissions by proactively identifying high-risk patients and implementing targeted interventions.
- Organized discharge and designed comprehensive discharge schedules for doctors, patients, family members and support staff.
- Supported patients during transitions between healthcare settings by providing information, resources, and emotional support.
- Assisted in the development of nurse navigation program, streamlining patient care coordination.
- Collaborated with multidisciplinary teams to optimize patient care and support services.
- Participated in multidisciplinary case conferences, providing valuable input on patient care plans based on nursing expertise.
RN Clinical Liaison Hospice/Palliative Are
Beacon/Amedisys Homecare And Hospice
10.2010 - 12.2018
- Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
- Served as a liaison between physicians and patients'' families to facilitate clear communication regarding treatment options and progress updates.
- Provided emotional support to patients and their families.
- Provided emotional support to patients during challenging times, fostering a sense of trust and rapport that contributed to better overall wellbeing.
- Coordinated discharge planning efforts with social workers, case managers, and other multidisciplinary team members for smooth transitions posthospitalization.
- Conveyed treatment options, diagnosis information and home care techniques to patients and caregivers to continue care consistency.
- Streamlined documentation processes to ensure accurate record-keeping and compliance with regulatory standards.
- Audited charts and reviewed clinical documents to verify accuracy and compliance for Hospice inpatients GIP.
- Followed all personal and health data procedures to effectively comply with HIPAA laws and prevent information breaches.
Hospice Marketing Liaison
Manchester VNA Of Southern NH
05.2008 - 10.2010
- Actively participated in quality improvement initiatives aimed at enhancing overall hospice program effectiveness.
- Streamlined communication among healthcare providers, ensuring timely implementation of treatment modifications for better symptom management.
- Served as an advocate for patients'' rights and preferences throughout the end-of-life care process, promoting dignity and autonomy.
- Educated patients and families on disease progression and available resources, fostering a sense of empowerment and informed decision making.
- Developed partnerships with community organizations to expand services and referrals.
- Served as the primary point of contact, fostering strong relationships between internal teams and external partners.
- Maintained up-to-date knowledge of industry trends, sharing insights with colleagues to drive continuous improvement efforts.
- Maintained a high degree of professionalism at all times, representing the organization with integrity in both internal and external interactions.
- Mentored new hospice case managers, sharing insights and best practices to ensure high-quality care delivery.
- Maintained compliance with all relevant regulations and accreditation standards by staying up-to-date on industry trends and policy changes.
- Collaborated with interdisciplinary team members for optimal patient outcomes in end-of-life care.
- Conducted in-service trainings for hospice team members on topics such as cultural sensitivity or effective communication techniques, promoting continuous professional development.
- Coordinated seamless transitions between different levels of care by collaborating with hospital staff, nursing home personnel, or private caregivers as needed.
- Fostered strong relationships with community agencies to provide additional support services to hospice patients and their caregivers.
- Coordinated patient discharge planning and follow-up care.
Education
Nursing
Salem Hospital School of Nursing
Salem, Ma.Skills
- Organizational Skills,Computer literacy
- Case Management Discharge planning
- Patient Care Oversight for coordination of care,discharge planning and utilization of services
- Knowledge of third party payer systems and levels of care
- Approved by State of NH for Medical Eligibility Assessments for Medicaid applications
- Notary Public for the State of New Hampshire
- Patient Education
- Patient confidentiality and adherence to HIPPA process
- Extensive Clinical assessment skills with critical care, Trauma care,Homecare,Hospice and case management experience
- Care Coordination across the continuum of the health system pathways and offering single contact in coordinating servies internally and in the community
- Patient documentation in the Epic EMR system Use of 4 Next software for referrals and inter agency communication
- ability to interrelate with the multi disciplined team
- Resource Utilization
- Attention to Detail
- Compassionate and Caring
- Critical Thinking
- Strong Clinical Judgment
- Decision-Making
- Patient and family advocacy
- Ethical Practice
- Clear Patient Communication
- Accurate Documentation
- Intake and discharge
Accomplishments
Extensive Nursing experience in acute settings.
Steering Committee RN Lead for Seacoast Hospice in the Planning and development or the Hyder Hospice House in Dover,NH. Point contact for referrals from 5 Seacoast area Hospitals.
Developed the SPC Nurse Navigator position under the strategic plan for patient care services and the CNO at WDH .
Point contact for the DHHS Care management meetings to review status of medicaid application for in hospital patients awaiting medicaid funding to ensure placement.
Member of the Schwartz Committee .
Attends National Hospice and Palliative care Conferences as well as state level.
Participating in ACMA course content on line.
Timeline
Nurse Navigator/Registered Nurse Case Manager
MGBH @ Wentworth Douglass Hospital
12.2018 - Current
RN Clinical Liaison Hospice/Palliative Are
Beacon/Amedisys Homecare And Hospice
10.2010 - 12.2018
Hospice Marketing Liaison
Manchester VNA Of Southern NH
05.2008 - 10.2010
Nursing
Salem Hospital School of Nursing
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