Sylvia Ndagire
Malden,MA
Summary
Dynamic RN Care Coordinator with extensive experience at Brigham and Women’s Hospital, excelling in care coordination and patient education. Proven ability to develop personalized care plans and enhance patient outcomes through interdisciplinary collaboration. Skilled in discharge planning and case management, advocating for patients while ensuring safety and quality care.
Overview
27
27
years of professional experience
1
1
Certification
Work History
RN Care Coordinator
Brigham and Women’s Hospital
Boston, MA
09.2024 - Current
- Collaborated with interdisciplinary teams for comprehensive patient care.
- Educated patients and families on health management and treatment plans.
- Conducted assessments to identify patient needs and develop care plans.
- Managed complex cases involving multiple diagnoses or treatments.
- Advocated for patients by supporting and respecting basic rights, values, and beliefs.
Per diem Case Manager
North Shore Medical / Salem Hospital
01.2023 - Current
- Discharge Planning and Care Transitions for the Adult and pediatric population.
- Coordinate safe discharge and implement plans to bridge gaps in care and reduce re-admission risk.
- Collaborating with the team to promote quality care, while implementing Evidence-Based Interventions to promote patients’ safety.
RN Care Coordinator
Boston Children’s Hospital
05.2022 - 09.2023
- Discharge Planning and Care Transitions for the Adult and pediatric population.
- Coordinate safe discharge, and implement plans to bridge gaps in care, and reduce re-admission risk.
- Collaborating with the team to promote quality care, while implementing evidence-based interventions to promote patients' safety.
- Collaborated with interdisciplinary teams for comprehensive patient care.
- Educated patients and families on health management and treatment plans.
RN Case manager/ RN Weekend Admissions
Spaulding Rehab/Mass General Brigham Healthcare
01.2012 - 01.2023
- Monitored patient progress and adjusted care plans as necessary.
- Conducted home visits to evaluate patient environments and support needs.
- Facilitated communication between patients, families, and healthcare teams.
- Coordinated medical services between primary care providers, specialists, hospitals and outpatient clinics.
- Administered oral, IV and intra-muscular medications and monitored patient reactions.
- Administered local, inhalation or intravenous anesthetics to patients undergoing procedures.
Case Manager, SCO
Senior Whole Health
01.2015 - 01.2022
- Coordinated client assessments to determine service needs and eligibility.
- Developed personalized care plans to address individual client challenges.
- Collaborated with healthcare providers to ensure comprehensive service delivery.
- Counseled clients on available resources within the community that could help meet their needs.
- Conducted home visits to assess the safety of living environments for clients.
- Linked clients with social services, health care providers and governmental agencies to help claim or reclaim individual autonomy.
- Participated in interdisciplinary team meetings to discuss treatment options.
- Assisted individuals with eligibility for available benefits.
- Assisted with applications for government benefits such as Medicaid or Social Security Disability Insurance.
Chronic Disease Management/ Patient teaching
McKesson Health Care/ Massachusetts Behavioral Health
01.2013 - 01.2014
- Educated patients on chronic disease management techniques and resources.
- Coordinated with healthcare teams to ensure comprehensive patient support.
- Assessed patient health needs and developed personalized care plans.
- Provided counseling and emotional support to patients and families.
- Implemented evidence-based practices to enhance patient care strategies.
- Facilitated communication between patients, families, and healthcare providers.
Psychiatric RNCCM
Comfort Home Care
01.2010 - 01.2013
- rn home
- Administered medication and treatments according to care plans.
- Monitored patient vital signs and reported changes to healthcare team.
- Administered prescribed medications and treatments in accordance with approved nursing protocols.
- Coordinated services with other healthcare professionals to ensure quality patient care.
Nurse Care Coordinator
Eliot Community Human Services
01.2010 - 01.2011
- nurse coor
- Coordinated patient care plans with interdisciplinary teams and community resources.
- Managed referrals and authorizations for various health services and treatments.
- Facilitated communication between patients, families, and healthcare providers.
- Educated patients on treatment options, health management, and community services.
Psychiatric Nurse
Westwood Lodge Hospital
03.2009 - 09.2010
- epsych nurs
- Administered medications according to established protocols and physician orders.
- Monitored patient behavior and reported significant changes to the healthcare team.
- Developed individualized care plans in collaboration with multidisciplinary teams.
- Educated patients on mental health conditions and treatment options available.
- Conducted crisis interventions to ensure patient safety during critical situations.
PCA
Brigham and Women’s Hospital
01.2005 - 01.2008
- Monitored patient vital signs and reported changes to nursing staff.
- Documented patient care activities accurately in electronic health records.
- Monitored vital signs and reported changes to nursing staff promptly.
- Answered patient call lights promptly and responded to requests appropriately.
PCA
House works
01.1999 - 01.2007
- Assisted patients with daily living activities and personal care needs.
- Monitored patient vital signs and reported changes to nursing staff.
Education
Bachelor of Science - Nursing
Regis College
Weston, MA12.2008
Masters - Patient safety and quality
Southern New Hampshire University
NHSkills
- Care coordination
- Patient assessment
- Discharge planning
- Case management
- Patient education
- Interdisciplinary collaboration
Clinical Experience
- Inpatient Care Coordination
- Discharge Planning
- Community Care Transitions
- Insurance Managed Care
- SCO and ACO case management
- CPR, BSL Certified
- CCM CERTIFIED
- Knowledge of MDS and Oasis Assessment
- Home Care, Community and Psychiatric as well as Med-Surge Nursing
Certification
- CCM
- BLS
Timeline
RN Care Coordinator
Brigham and Women’s Hospital
09.2024 - Current
Per diem Case Manager
North Shore Medical / Salem Hospital
01.2023 - Current
RN Care Coordinator
Boston Children’s Hospital
05.2022 - 09.2023
Case Manager, SCO
Senior Whole Health
01.2015 - 01.2022
Chronic Disease Management/ Patient teaching
McKesson Health Care/ Massachusetts Behavioral Health
01.2013 - 01.2014
RN Case manager/ RN Weekend Admissions
Spaulding Rehab/Mass General Brigham Healthcare
01.2012 - 01.2023
Psychiatric RNCCM
Comfort Home Care
01.2010 - 01.2013
Nurse Care Coordinator
Eliot Community Human Services
01.2010 - 01.2011
Psychiatric Nurse
Westwood Lodge Hospital
03.2009 - 09.2010
PCA
Brigham and Women’s Hospital
01.2005 - 01.2008
PCA
House works
01.1999 - 01.2007
Bachelor of Science - Nursing
Regis College
Masters - Patient safety and quality
Southern New Hampshire University
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