Wilma Lapetina

• Provided comprehensive home health services, including wound care, medication management, and IV therapy.
• Delivered direct patient care in home settings, enhancing quality of life for diverse clients.
• Administered prescribed medications and treatments according to healthcare provider instructions.
• Educated patients and families on disease management and preventive healthcare, empowering them to make informed lifestyle choices.
• Trained family members in basic nursing skills, including wound care and injections.
• Responded promptly to emergency calls for urgent home care assistance.
• Documented patient care accurately using electronic health records.
• Coordinated with healthcare teams to update patient progress and tailor care plans, ensuring comprehensive and effective treatment.

• Executed telephonic triage and managed complex cases for Medicare and Medicare Advantage members across multiple states, enhancing care coordination.
• Monitored and updated individual care plans based on evaluations of physical, behavioral, and psychosocial needs.
• Ensured adherence to evidence-based care pathways, contributing to reduced avoidable utilization.
• Decreased 30-day readmissions through effective discharge planning for high-risk seniors.
• Facilitated care transitions post-hospitalization by collaborating with primary care providers and community agencies.
• Connected members and caregivers with local social services and medical resources, improving access to support.
• Strengthened aging-in-place initiatives to improve member satisfaction and advance population health outcomes.

• Streamlined complex case management for high-risk patients across multiple facilities using health information technology.
• Improved treatment adherence and reduced hospital admissions for assigned members with congestive heart failure and COPD.
• Developed and implemented individualized care plans for hospital discharges, coordinating acute services effectively.

Collaborated with physicians, nursing staff, and care management to align discharge plans and escalate condition changes.

• Ensured timely follow-up support to enhance value-based care and improve health outcomes.
• Conducted comprehensive telephonic and in-person assessments, facilitating medication reconciliation and chronic disease education.
• Coordinated connections between patients and community resources, ensuring continuity of care during transitions from inpatient to outpatient settings.
• Improved patient satisfaction by ensuring seamless transitions in care delivery.

• Coordinated daily operations of medical-surgical team to ensure high-quality patient-centered care.
• Managed staffing and scheduling to align nurse skills with patient acuity, ensuring safe nurse-to-patient ratios.
• Delivered comprehensive nursing care for acute and chronic patients, including assessment and care planning.
• Collaborated with care managers and physicians to streamline care plans and transitions.
• Enhanced team effectiveness to improve patient satisfaction through collaborative efforts.
• Evaluated patient outcomes while managing supplies and equipment effectively.
• Supported relationships among team members and contributed to staff performance evaluations.