Wendi Capaviella
Stoneham,MA
Summary
Dedicated and compassionate Registered Nurse (RN) with progressive career history in direct patient care, and care coordination in fast-paced environment. Proven ability 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. Dynamic Case manager bringing 20 years treating patients and coordinating care with other healthcare staff. Proven history of leveraging critical thinking, analysis and medical knowledge to deliver superior care in high-pressure environments. Expert multi-tasker capable of prioritizing clinical and operational tasks in fast-paced sub-acute medicine settings.
Overview
11
11
years of professional experience
Work History
Registered Nurse Case Manager
Melrose Wakefield Hospital
06.2023 - Current
- Improved patient outcomes by consistently providing comprehensive assessments and developing tailored care plans.
- Enhanced interdisciplinary team communication through regular case conferences, promoting effective collaboration for optimal patient care.
- Streamlined care coordination processes to reduce hospital readmissions and emergency department visits.
- Evaluated patient progress and adjusted care plans accordingly, ensuring continuity of care across all healthcare settings.
- Collaborated with physicians and other healthcare providers to ensure appropriate resource utilization for complex cases.
- Developed professional relationships with community partners to enhance available support services for patients transitioning from acute care settings.
- Mentored new nursing professionals during orientation periods, fostering a collaborative team dynamic that supported the delivery of high-quality care.
- Responded promptly and professionally to patient questions and concerns.
- Participated in patient and family planning process, as well as provided instructions and addressed question and concerns.
- Completed initial assessments of patients and family to determine and address individual home care needs. ·
Registered Nurse Case Manager
Commonwealth Care Alliance Inc.
09.2019 - 06.2023
- Partnered with physicians, social workers, activity therapists, nutritionists and VNA to develop and implement individualized care plans and documented all patient interactions and interventions in electronic charting systems
- Conducted ongoing monitoring and evaluations of behaviors and conditions, and updated clinical supervisors with current information
- Used first-hand knowledge and clinical expertise to advocate for patients under care and enacted prescribed treatment strategies
- Coordinate with TOC nurse when patient is hospitalized to ensure safety and services in place when patient is discharged to home
- Ensure challenging population has services in place to decrease hospitalizations and ER visits
- Utilized ED2 home and Instead Program for evaluation of non-emergent situations
- Obtained assessment of member every 6 months to ensure appropriate services are in place for members
- Adjustment made accordingly to POC
- Successfully complete MDS on each assessment to determine Medicaid/Medicare reimbursement.
Nurse Case Manager
Life Care Centers Of America
11.2015 - 09.2019
- Fostered communication between SCO program, commercial insurance, and managed Medicaid insurance programs to ensure quality care to benefit the patient, insurance company, and facility
- Increased referral rates by providing excellent service and building meaningful relationships with patients and caregivers
- Partnered with physicians, social workers, activity therapists, nutritionists and case managers to develop and implement individualized care plans and documented all patient interactions and interventions in electronic charting systems
- Communicated with healthcare team members to plan, implement and enhance treatment strategies
- Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions
- Maintained highest levels of patient satisfaction, generating referrals to maintain productivity levels for sub-acute rehabilitation unit
- Conducted ongoing monitoring and evaluations of behaviors and conditions, and updated clinical supervisors with current information
- Used first-hand knowledge and clinical expertise to advocate for patients under care and enacted prescribed treatment strategies
- Promoted patient and family comfort during challenging recoveries to enhance healing and eliminate non-compliance problems
- Delivered outstanding care to patients with various diagnoses and managed care from treatment initiation through to completion
- Managed care from admission to discharge, including patient assessments, care planning, health educations and discharging support to provide comprehensive care to over 20+ patients daily
- Facilitated therapeutic communication, conflict resolution and crisis intervention by redirecting negative behaviors and helping patients regain or improve coping abilities to prevent further disability
- Managed support services and fostered communication among social workers, therapists, hospital staff and patients
- Made contact with insurance carriers to discuss policies and individual patient benefits
- Provided updates weekly to ensure proper treatment plan
- Maintained timely certification and re certification to entire case load for reimbursement from Medicare
- Coordinated after care for discharged patients
- Provide Face to Face documentation to ensure VNA reimbursement accurately to ensure Medicare reimbursement
- Collaborate with interdisciplinary team to provide high quality, individualized care to each patient.
Professional Staff Nurse
Gulf Coast Venice Family Practice
10.2012 - 08.2014
- Facilitated therapeutic communication, conflict resolution and crisis intervention by redirecting negative behaviors and helping patients regain or improve coping abilities to prevent further disability
- Explained course of care and medications, including side effects to patients and caregivers in easy-to-understand terms
- Vaccinated patients to protect individuals from measles, pneumonia, influenza and other illnesses of concern
- Organized and managed care of patients undergoing various therapies and procedures
- Administered testing and sent results to physician to create focused treatment plans, adjust treatment
- Educated patients and answered questions about health condition, prognosis and treatment
- Followed all personal and health data procedures to effectively comply with HIPAA laws and prevent information breaches
- Adhered to strict safety measures by carefully determining proper dosages before administering medications
- Excellent communication with MD and patients to maintain optimal care
- Acquire EMR skills and excel at Athena system.
Education
Associate of Science - Nursing
North Shore Community College
Danvers, MALicensed Practical Nurse - Nursing
Shawsheen Valley School of Practical Nursing
Billerica, MASkills
- Problem Solving
- Adaptability
- Collaboration
- Strong Work Ethic
- Time management
- Critical Thinking
- Referral Coordination
- Patient Advocacy
- Case Management
Timeline
Registered Nurse Case Manager
Melrose Wakefield Hospital
06.2023 - Current
Registered Nurse Case Manager
Commonwealth Care Alliance Inc.
09.2019 - 06.2023
Nurse Case Manager
Life Care Centers Of America
11.2015 - 09.2019
Professional Staff Nurse
Gulf Coast Venice Family Practice
10.2012 - 08.2014
Associate of Science - Nursing
North Shore Community College
Licensed Practical Nurse - Nursing
Shawsheen Valley School of Practical Nursing
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