Torianna Griffin
Tampa,FL
Summary
Registered Nurse Care Manager experienced in managing complex patient populations and improving health outcomes through proactive care coordination and transition management. Specializes in discharge planning, readmission prevention, and addressing social determinants of health by connecting patients to follow-up care, transportation, housing, and essential resources to ensure continuity of care and adherence.
Overview
9
9
years of professional experience
Work History
Registered Nurse Care Manager
Molina Healthcare
Madison, WI
02.2021 - Current
- Coordinated hospital-to-home transitions, ensuring safe discharge planning, medication reconciliation, and continuity of care
- Implemented strategies to reduce hospital readmissions through timely follow-up, symptom monitoring, and early intervention
- Scheduled and coordinated follow-up appointments with primary care and specialists to prevent gaps in care
- Arranged transportation services and removed barriers to ensure access to medical care and treatments
- Assisted members with housing and community resources, addressing social determinants of health
- Facilitated access to durable medical equipment (DME) to support recovery and independence
- Conducted comprehensive clinical and psychosocial assessments to develop individualized care plans
- Provided clinical education and support, answering medical questions and improving patient understanding and adherence
- Collaborated with interdisciplinary teams to optimize care coordination and patient outcomes
- Monitored patient progress and adjusted care plans based on evolving clinical needs
Registered Nurse
Fresenius Medical Care
Madison, WI
04.2019 - 08.2020
- Provided detail-oriented care to chronic and acute hemodialysis, apheresis, and peritoneal dialysis patients in the hospital setting by utilizing excellent communication skills with outpatient clinics, nephrologists, and multidisciplinary staff.
- Prioritized and strategically rearranged patient assignments throughout the workday based on acuity level and medical necessities of critically ill patients.
- Covered night call multiple times a week and provided treatments at three different hospitals.
Registered Nurse
Home Health Care
Madison, WI
06.2019 - 11.2019
- Responsible for the care of, and activities of daily living for a woman at the end of life including; bathing, grooming, administering medications, dietary maintenance, and companionship.
Registered Nurse
Advanced Pain Management
Madison, WI
11.2017 - 04.2019
- Manage care for pain procedures from pre-operative patients through discharge.
- Serve as a liaison between patients and physicians to ensure patient comprehension of treatment plans, administer and monitor response to conscious sedation medication, and implement nursing interventions as needed.
Education
Associate - Nursing
Madison College
01-2017
Skills
- Care Coordination
- Case Management
- Discharge Planning & Transitional Care
- Readmission Prevention
- Clinical & Psychosocial Assessment
- Care Plan Development
- Chronic Disease Management
- Patient Education
- Social Determinants of Health
- Resource Coordination
Timeline
Registered Nurse Care Manager
Molina Healthcare
02.2021 - Current
Registered Nurse
Home Health Care
06.2019 - 11.2019
Registered Nurse
Fresenius Medical Care
04.2019 - 08.2020
Registered Nurse
Advanced Pain Management
11.2017 - 04.2019
Associate - Nursing
Madison College