Triage/On Call Hospice RN Resume Example Amedisys

TRIAGE/ON- CALL HOSPICE RN

Professional Summary

Versatile Registered Nurse Case Manager, licensed in every State, with expertise in Hospital, hospice and home health, acute rehabilitation, skilled rehabilitation, insurance industry environments. Hardworking and dedicated to top outcomes. Excellent time manager, communicator and problem solver.

Accomplishments

Documented and resolved quality issues on the ethics team which led to increased patient satisfaction.

Work History

Triage/On- Call Hospice RN, 01/2020 to CurrentAmedisys - South Portland, ME

Provided complete care to hospice patients, including physical assessments, psychosocial support, medication and symptom management.
Cared for patients and family , supporting fellow nurses and interdisciplinary team members in delivering outstanding treatment to patients.
Performed ongoing assessments to evaluate mental health needs, working with multidisciplinary team to develop, initiate, manage and modify individualized plans of care.
Explained course of care and medications, including side effects to patients and caregivers in easy-to-understand terms.
Observed and documented patient factors such as symptom management, comfort and quality of life and behaviors to understand conditions and effectively modify treatment plans.
Provided skilled, timely and level-headed emergency response to critically-ill or end of life patients.
Communicated with healthcare team members to plan, implement and enhance treatment strategies.
Offered exceptional care and support to individuals and families with end of life care needs.
Used first-hand knowledge and clinical expertise to advocate for patients and families under care and enacted prescribed treatment strategies.
Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
Educated family members and caregivers on patient care instructions.

RN Case Manager, 08/2018 to 01/2020Optum - Eden Prairie, MN

Identified complex care patients with advanced illness and coordinated responses based on individual needs.
Conducted regular re-evaluations to address changes in needs and conditions, introducing revisions to care plans as needed.
Educated patients and loved ones about different treatment options and outside care approaches, reducing burden on hospital resources.
Reduced care costs without sacrificing quality through effective service coordination and multidisciplinary collaboration.
Consulted with clinicians to devise and manage effective ongoing care plans for at-risk patients.
Initiated appropriate preventive and rehabilitative nursing procedures.
Created individualized care plans based on nursing diagnosis and incorporated appropriate nursing methods to achieve positive outcomes.
Negotiated with suppliers and vendorsto procure medical equipment, supplies and services.
Used ICUE to maintain database of relevant information for practitioners to access and coordinate patient care.
Updated patient charts using ICUE with data such as medications to keep records current and support accurate treatments.
Liaised with physicians regarding patient needs, performance and changes.
Completed initial assessments of patients and family to determine and address individual home care needs. ·
Responded promptly and professionally to patient questions and concerns.
Evaluated healthcare needs, goals for treatment and available resources of each patient and connected to optimal providers and care.

RN Case Manager, 06/2016 to 07/2018New England Rehabilitation - Portland, ME

Participated in patient and family planning process, as well as provided instructions and addressed question and concerns.
Advocated for patients by communicating care preferences to practitioners, verifying interventions met treatment goals and identifying insurance coverage limitations.
Negotiated with suppliers and vendors to procure medical equipment, supplies and services.
Assessed and examined patients and documented history of current and previous conditions, diseases and injuries along with medications currently being taken.
Directed appropriate preventive and rehabilitative nursing processes and protocols.
Liaised with physicians regarding patient needs, performance and changes.
Completed initial assessments of patients and family to determine and address individual home care needs. ·
Took active role in patient and family planning process, detailing instructions and responding appropriately and effectively to questions and concerns.
Coordinated with interdisciplinary professionals to develop plans of care, administer tests and monitor patient status.
Performed evaluations on consistent basis to address changes in patient needs, conditions and medications, altering care plans when required.
Actively engaged in on-call rotations to deliver continuous quality care to patients.
Evaluated healthcare needs, goals for treatment and available resources of each patient and connected to optimal providers and care.
Reduced care costs without sacrificing quality through effective service coordination and multidisciplinary collaboration.
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.
Evaluated medical guidelines and benefit coverage to determine appropriateness of services.
Performed admission reviews based for medical necessity based upon acute rehabilitation specification.
Supported or performed clinical appeals.
Served as subject matter resource, providing information related to complex discharge planning needs.
Obtained authorizations from multiple insurance carriers for various levels of care.
Reported findings to quality departments after conducting routine restraint audits and worked with team to devise corrective actions for deficiencies.
Audited charts and reviewed clinical documents to verify accuracy.
Facilitated therapeutic communication, conflict resolution and crisis intervention by redirecting negative behaviors and helping patients regain or improve coping abilities to prevent further disability.
Addressed disruptions in patient care, including delays in discharge, postponed procedures and discharge equipment unavailability.
Observed and reported patient condition, progress and medication side effects to accurately document updates.
Observed and documented patient factors such as diets, physical activity levels and behaviors to understand conditions and effectively modify treatment plans.
Leveraged feedback and process improvement opportunities to create safer and healthier environment and increase patient satisfaction.
Followed all personal and health data procedures to effectively comply with HIPAA laws and prevent information breaches.
Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
Educated family members and caregivers on patient care instructions.
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.

RN Case Manager/Emergency Room RN, 03/2009 to 01/2017Maine Medical Center - Portland, ME

Performed admission reviews based for medical necessity to determine level of care needs.
Supervised and maintained all utilization review documentation through Interqual.
Obtained authorizations from multiple insurance carriers for various levels of care.
Supported or performed clinical appeals with various insurance providers.
Evaluated medical guidelines and benefit coverage to determine appropriateness of services.
Devise or identify solutions for irregular requests and issues.
Submitted cases to Medical Director for criteria failures and helped facilitate resolutions and approvals.
Performed prior authorization review of services requiring notification.
Communicated with healthcare team members to plan, implement and enhance treatment strategies.
Followed all personal and health data procedures to effectively comply with HIPAA laws and prevent information breaches.
Delivered outstanding care to patients with various diagnoses and managed care from treatment initiation through to completion.
Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process and management and lifestyle options.
Offered exceptional care and support to individuals recovering from acute incidents and dealing with chronic conditions.
Managed care from admission to discharge, including patient assessments, care planning, health educations and discharging support to provide comprehensive care to over 30 patients daily.
Provided exceptional care to emergency room high-acute patients needing complex care such as ventilator management, extensive wound care and trauma care.
Facilitated therapeutic communication, conflict resolution and crisis intervention by redirecting negative behaviors and helping patients regain or improve coping abilities to prevent further disability.
Performed ongoing assessments to evaluate mental health needs, working with multidisciplinary team to develop, initiate, manage and modify individualized plans of care.
Delivered medications via oral, IV and intramuscular injections, monitoring responses to address new concerns.
Used first-hand knowledge and clinical expertise to advocate for patients under care and enacted prescribed treatment strategies.
Implemented interventions, including medication and IV administration, catheter insertion and airway management.
Addressed disruptions in patient care, including delays in discharge, postponed procedures and discharge equipment unavailability.
Monitored patient condition, including interpreting and tracking EKG readings, identifying irregular telemetry readings and updating team members on changes in stability or acuity.
Observed and documented patient factors such as diets, physical activity levels and behaviors to understand conditions and effectively modify treatment plans.
Provided skilled, timely and level-headed emergency response to critically-ill patients.
Monitored patient reactions after administering medications and IV therapies.
Vaccinated patients to protect individuals from measles, pneumonia, influenza and other illnesses of concern.
Promoted patient and family comfort during challenging recoveries to enhance healing and eliminate non-compliance problems.
Educated family members and caregivers on patient care instructions.
Performed triage on all incoming patients and determined severity of injuries and illnesses.
Educated patients and answered questions about health condition, prognosis and treatment.
Updated patient charts using Epic with data such as medications to keep records current and support accurate treatments.
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.

Education

Associate Degree in Nursing, Nursing, 12/2005

Central Texas College - Killeen, TX

Nursing , 01/2019

Capella University - Minneapolis, MN

Pursuing Bachelors of Science in Nursing. Expected completion 2022.

Affiliations

Commission for Case Managers Certification

Maine ANA

Certifications

Certified Case Manager
CPR Certified
Sexual Assault Forensic Examiner

https://www.linkedin.com/mwlite/in/lisa-golden-51a26a3

Skills

Patient Advocacy
Initial Injury Intake
Evidence-based Protocols
Case Management
Tracheostomy Care
Preventative health
Chronic disease management
Collecting vitals
Medication Administration
Family planning services education
Documentation and reporting
Patient care plans
Physician consultations
Current licensure with State Board of Nurse Examiners in all States
Critical care nursing
Rehabilitation
Assessing needs
Quality of life guidelines
Client needs analysis
Negotiation
Relationship development
HIPAA Compliance
Dementia Knowledge
Treatment Planning
Telemetry
Patient Information Collection
CPT
Drug utilization review
EHR charting
Process improvement
InterQual
Continued Stay Reviews

Health Incident Triage
Symptom Assessment
EMR / EHR
Intravenous therapy
Home/Hospice Care
Acute care expertise
Patient and family advocacy
Patient consultation
Strong clinical judgment
Trauma recovery
Discharge planning coordination
Interpersonal and written communication
Clinical Documentation
Patient and family education
Healthcare Ethics
Social history intake procedures
Visiting patient homes
Disease management standards
Health insurance
Team management
Problem resolution
Emergency Care
Medical Records Management
Critical Care
Patient Management
ICD-10 (International Classification of Disease Systems)
Medicare and Medicaid process
Answering customer questions
MS Office
Clinic management
Clinical Appeals
Certified Case Manager

Resume Overview

Companies Worked For:

Amedisys
Optum
New England Rehabilitation
Maine Medical Center

School Attended

Central Texas College
Capella University

Job Titles Held:

Triage/On- Call Hospice RN
RN Case Manager
RN Case Manager/Emergency Room RN

Degrees

Associate Degree in Nursing , Nursing 12/2005
Nursing , 01/2019

Triage/On- Call Hospice RN Resume Example

Resume Score: 80%

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