Managed complex cases involving multiple comorbidities, requiring close monitoring and coordination of various healthcare services.
Collaborated closely with physicians to develop individualized treatment plans, supporting optimal patient outcomes.
Educated patients and families on available community resources, facilitating access to necessary support services.
Advocated for patients'' rights and preferences, working diligently to align care with individual values and goals.
Coordinated with other healthcare team members to support patient needs.
Prevented complications from chronic illnesses like diabetes or heart failure through targeted patient education initiatives tailored to individual needs.
Improved medication adherence through thorough education on drug administration, interactions, and potential side effects.
Facilitated timely referrals to specialists or other healthcare professionals when necessary to address patient needs effectively.
Expedited wound healing using advanced wound care techniques such as negative pressure therapy or hydrocolloid dressings when appropriate.
Hospice RN Case Manager
Aya Health Care
03.2023 - 06.2023
Provided emotional support to patients coping with chronic illness or end-of-life decisions, fostering resilience during difficult times.
Managed complex cases involving multiple comorbidities, requiring close monitoring and coordination of various healthcare services.
Collaborated closely with physicians to develop individualized treatment plans, supporting optimal patient
Navigated regulatory requirements effectively, ensuring proper documentation and compliance with relevant laws and guidelines.
Collaborated closely with physicians to develop individualized treatment plans, supporting optimal patient outcomes.
Monitored patient progress closely, adjusting care plans as necessary to meet evolving health requirements.
Developed strong relationships with patients and their families, providing support and education on health management.
Provided skilled, timely and level-headed emergency response to critically-ill patients.
Used first-hand knowledge and clinical expertise to advocate for patients under care and enacted prescribed treatment strategies.
RN Hospice Case Manager and Referrals/Admissions Coordinator
Esssentia Hospice Home Care
05.2005 - 02.2023
Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process, and management.
Mentored new nursing staff, contributing to a supportive work environment and improved retention rates.
Trained new nurses in proper techniques, care standards, operational procedures, and safety protocols.
Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
Managed patient caseloads effectively, ensuring timely interventions and thorough follow-ups to mitigate potential complications.
Participated in professional development opportunities regularly to stay current on best practices in the field of nursing.
Utilized advanced clinical skills such as wound care management or IV therapy administration, leading to better symptom management and quality of life.
Advised patients and caregivers of proper wound management, discharge plan objectives, safe medication use, and disease management.
Provided skilled, timely and level-headed emergency response to critically-ill patients.
Collaborated with leadership to devise initiatives for improving nursing satisfaction, retention and morale.
Participated in evidence-based practice project implementation, nursing competency development and nursing simulation activities.
Developed individualized patient care plans, addressing physical, emotional, and spiritual needs of patients and families.
Coordinated seamless transitions between different levels of care by collaborating with hospital staff, nursing home personnel, or private caregivers as needed.
Fostered strong relationships with community agencies to provide additional support services to hospice patients and their caregivers.
Facilitated family meetings to address concerns or conflicts surrounding end-of-life decisions, promoting open dialogue among loved ones during challenging times.
Maintained compliance with all relevant regulations and accreditation standards by staying up-to-date on industry trends and policy changes.
Managed caseloads efficiently by prioritizing tasks according to urgency and complexity, ensuring all patients received appropriate attention.
Served as an advocate for patients'' rights and preferences throughout the end-of-life care process, promoting dignity and autonomy.
Conducted thorough assessments of new hospice referrals to determine eligibility for services, facilitating efficient patient admission processes.
Mentored new hospice case managers, sharing insights and best practices to ensure high-quality care delivery.
Participated in interdisciplinary care conferences to discuss patient care plans and referrals.
Confirmed all insurance benefits met standards of admissions as dictated by policy.
Assisted in development and implementation of clinical staff skills education
Education
Bachelor of Arts - Nursing
College of St. Scholastica
Duluth, MN
05-1998
Skills
Chronic disease management
Discharge planning
Community resources
Case management
Healthcare regulations
Critical thinking
Training staff
Wound care
Strong clinical judgment
Patient and family advocacy
Interdisciplinary collaboration
Specialized healthcare referrals
Accurate documentation
Timeline
RN Case Manager
Providence Home Care of Snohomish County
06.2023 - 07.2024
Hospice RN Case Manager
Aya Health Care
03.2023 - 06.2023
RN Hospice Case Manager and Referrals/Admissions Coordinator
Esssentia Hospice Home Care
05.2005 - 02.2023
Bachelor of Arts - Nursing
College of St. Scholastica
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