Thomas J. Riley
Hicksville
Summary
Dynamic healthcare professional with extensive experience at Jacobi Medical Center, excelling in case management and discharge planning. Proven ability to enhance patient outcomes through effective communication and resource utilization. Skilled in coordinating care transitions and advocating for patients, ensuring timely and efficient healthcare delivery.
Overview
27
27
years of professional experience
1
1
Certification
Work History
Accountable Care Manager
Jacobi Medical Center
05.2021 - Current
- Reviews information in the patient’s chart, ensuring documentation supports plan of care and justifies admission and continued stay
- Participated in multidisciplinary rounds to review plan of care, estimated length of stay, continued hospitalization needs, resource utilization, consultations, treatment, and discharge plan.
- Utilizes Milliman and Interqual to assess the appropriateness of admissions.
- Collaborates with physicians and health care professionals to identify and eliminate barriers to discharge and analyzes related data.
- Communicated promptly with hospital finance and managed care companies for authorizations, ensuring optimal reimbursement.
- Planned and implemented strategies to decrease length of stay and resource consumption while achieving positive patient outcomes.
- Initiates discharge planning by assessing the patient and the family’s needs.
- Coordinates and facilitates the timely implementation of the discharge plan for patients.
- Maintains effective communications with physicians, nursing staff, patients’ families, and others related to discharge planning.
Emergency Nurse
Jacobi Medical Center
07.2014 - 05.2021
- Primary RN for multiple traumas, including gunshot wounds, stabbings, pedestrian struck, motor vehicle collisions, etc.
- Managed up to 32 nurses during peak Covid-19 response efforts.
- Led nursing team operations and patient care activities to ensure high-quality care.
- Triaged EMS and Walk-in clients with appropriate interventions
- Coordinated with departments to expedite patient admissions and placements on appropriate floors.
- Initiated therapeutic nursing interventions in response to the patients’ needs
- Prepared and administered prescribed medications
- Precepted multiple new nurse orientees with great success
Psychiatric Nurse
Kings County Hospital
02.2013 - 07.2014
- Assessed patients’ medical health, mental health, and social well-being.
- Developed nursing care plans with measurable long and short-term goals tailored to each adult patient's needs.
- Initiated preventive measures and crisis interventions for patients exhibiting behavioral manifestations, enhancing safety and therapeutic outcomes.
- Deescalated patients during psychiatric emergencies using effective communication and therapeutic techniques.
- Educated clients on medication management, treatment adherence, and therapeutic modalities like deep breathing and guided imagery to promote recovery.
Permanent Substitute Teacher
NYC Department of Education
Brooklyn
12.2007 - 12.2009
- Facilitated engaging learning experiences in classroom environment.
- Developed lesson plans to enhance student understanding and participation.
- Delivered engaging lessons to diverse student groups across various subjects.
- Managed classroom behavior and ensured a positive learning environment for students.
- Collaborated with teachers to implement lesson plans and educational activities.
- Managed classroom activities and maintained a positive learning environment.
- Developed lesson plans aligned with educational standards and student needs.
- Implemented classroom management strategies to promote student engagement.
- Adapted instructional materials for diverse learning styles and abilities.
- Supervised students during lunch, recess, and other non-classroom activities.
- Communicated effectively with parents regarding student progress and behavior.
Topographic Analyst
United States Army
10.1998 - 10.2002
- Produced detailed topographic products that enhanced accuracy of land assessments.
- Conducted briefings for officers, clarifying applications of topographic products for informed decision-making.
- Analyzed data to support military operations and strategic decision-making.
- Developed reports to communicate findings to leadership and stakeholders.
Education
Bachelor of Science - Nursing
Western Governor’s University
03.2019
Associates of Applied Science - Nursing
College of Staten Island
Staten Island, N.Y.06.2012
Bachelor of Arts - English; Philosophy
College of Staten Island
Staten Island, N.Y.06.2007
Skills
- Care coordination
- Case management
- Discharge planning
- Care transitions
- Resource utilization
- Clinical documentation
- Medical chart documentation
- Quality improvement
- Patient education
- Patient advocacy
- Workflow coordination
- Long-term care coordination
- Team collaboration
- Effective communication
- Organizational skills
Certification
CCM Certified
Timeline
Accountable Care Manager
Jacobi Medical Center
05.2021 - Current
Emergency Nurse
Jacobi Medical Center
07.2014 - 05.2021
Psychiatric Nurse
Kings County Hospital
02.2013 - 07.2014
Permanent Substitute Teacher
NYC Department of Education
12.2007 - 12.2009
Topographic Analyst
United States Army
10.1998 - 10.2002
Bachelor of Science - Nursing
Western Governor’s University
Associates of Applied Science - Nursing
College of Staten Island
Bachelor of Arts - English; Philosophy
College of Staten Island