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Click here or scroll down to respond to this candidateCandidate's Name , LPNLicensed Practice Nurse / Care CoordinatorEMAIL AVAILABLE PHONE NUMBER AVAILABLELINKEDIN LINK AVAILABLE Cheshire, CT SummaryMulti talented, compassionate healthcare professional with 20+ years of diverse experience providing top-notch patient care in inpatient, outpatient, and specialty office settings. Dedicated to ensuring proper care delivery using expertise in clinical best practices as well as building partnerships among the healthcare team to support patients throughout the continuum of care. Qualifications SummaryProven record of success in nursing and care coordination roles with a career spanning complex wound care, nursing home, kidney dialysis services, and LPN roles focused on delivering quality and ethical patient care.Detail oriented leadership strengths capable of educating patients, training staff, and helping with healthcare operations in areas of discharge planning, medical billing, insurance authorizations, and workflow optimizations aligned to policy.Well-versed in properly identifying patient care needs while providing services in accordance to regulatory standards and clinical best practices; broad background in electronic health record documentation and in-depth clinical chart reviews. Career ExperienceEpisode SolutionsNurse Navigator09/22/2022 - CurrentThe Transition Navigator operates under the supervision of the Manager Clinical Navigation and Engagement and works closely with the Patient Navigator (PNAV) and Client Solutions and Engagement (CS&E) teams to ensure that the Transition of Care (TOC) prescribed by the physician is followed throughout the patients episode of care. This position guides the post-acute care provider(s) through the patients episode of care by adhering to physicians orders. This role focuses on performance improvement by monitoring clinical and financial outcomes and builds network relationships by data sharing and benchmarking. This role serves as point of contact for the patient care team to provide post-acute resources and assistance with accessing clinical and supportive care services within the physicians prescribed course of care. Primary Responsibilities and Essential Duties: Communicate in a timely manner with post-acute care providers, physician practices, and the patient care team Manage routine processes and communications related to pre-admission and post-discharge care transitions Manage post-acute providers in accordance with the TOC plan Communicate with physician (or designee) to understand approved TOC Generate pre-approved physician orders from the TOC and delivers to acute and post-acute sites of care Use established clinical protocols as noted on the TOC for navigating patients site of care Enter provider communications, demographics, and other data into electronic databases Maintain regular communications at designated intervals with post-acute providers and patient care team Support health of patient throughout transitions in the continuum of care by open communications with the patient care teamP a g e 1 3 Ensure appropriate patient goals are established and monitored; care is received in the most appropriate setting; communication is shared effectively among providers; and standards for superior quality care outcomes are achieved Foster and maintain working knowledge of and business relationships with post-acute entities Participate in planning processes to support routine activities and special projects, including but not limited to compiling and monitoring provider quality measures using data-driven models and industry bench-marking information; assisting in exploring new markets for quality providers; and other duties as assigned. Fresenius Dialysis, East Hartford, CT 6/2017 1/2020 Kidney Care AdvocateSpearheaded all aspects of dialysis services outreach in a care coordination capacity using clinical expertise to implement services for patients with chronic kidney disease. Established support system, as needed, and educated patients in assigned territory on all modality options, such as hemodialysis treatment, peritoneal dialysis, renal replacement therapy, and kidney transplantation. Developed processes for physician referrals. Evaluated and selected home dialysis patients and care partners. Achieved excellence as a key driver of regional expansion by educating patients on dialysis treatment options. Supported patients throughout the continuum of care, maintaining consistent communication between patients, physicians, partners, and interdisciplinary teams of clinical and home program managers. Partnered with management on resolving barriers to admission, market trends, customer relationship insights, as well as plans to meet ambitious goals of growing referrals.Facilitated relationships and shared broad knowledge to promote home therapy products and services in the community. Created a culture focused on accurate and timely documentation of every patient interactions using electronic health record and comprehensive SAP database.Remedy Partners, Shelton, CT 6/2015 10/2016Care Coordination NurseCoordinated a wide range of hospital case management processes with the goal of aiding safe and efficient patient discharges to various care sites. Liaised with clinical staff to assess patient needs for durable medical equipment (DME) in addition to partnering with next site of care on discharge plan. Navigated fast-paced challenges to resolve issues with poise and accuracy. Recognized for exceptional healthcare knowledge and skills, earning promotion to specialty team to manage patients. Collaborated with partners on regular patient follow-up, transferring clinical information between providers, and aid in the scheduling of transitional care services.Built strong relationships with multidisciplinary team of case managers, discharge planners, social workers, billing staff. Identified root cause of readmission's with the aim of developing mitigation plan as well as high risk patients for proper follow up; gained a reputation for outstanding communication skills to meet the needs of every patient. Bristol Hospital Restorix Wound Center, Bristol, CT 8/2014 1/2016 Licensed Practice Nurse (LPN)Provided in-depth nursing care to diverse patient population with a commitment to quality and ethical standards. Applied exceptional communication and documentation skills combined with medical and nursing competencies. Recorded vitals, administered medications, treated wounds, and properly utilized electronic health record. Maintained a clean, safe, and organized work setting compliant with all infection control guidelines. Provided teaching materials to patients and families. Completed a rigorous training program to become a certified hyperbaric technician. Successfully oversaw the effectiveness of the wound care programs; implemented process improvement strategies. Evaluated wounds throughout the healing process, conducting weekly assessments and developing treatment plans. CareCentrix, Hartford, CT 12/2011 7/2013Licensed Practical Nurse (LPN), Clinical Manager, Wound Care Team, Clinical Review P a g e 2 3Recruited to support wound management responsibilities as an integral member of a specialty team with accountability for LPN and triage nurse functions. Responded to health-related questions, recorded patient concerns in medical records related to pain and illness progression and provided education and advice.Improved department processes by assisting with insurance coding, billing, and reauthorizing skilled nursing visits. Managed wound care in a high-volume setting, recording histories and identifying referral needs for service utilization. Conducted comprehensive clinical reviews to ensure proper diagnoses complied with payer authorizations in conjunction with provider relations and physician network to achieve patient goals. MidState Medical Center, Meriden, CT 9/2010 5/2012 Licensed Practical Nurse (LPN), MediQuick and Wound Care Clinics Excelled in a multifaceted environment requiring sharp attention to detail to ensure compliant care delivery. Served in wound care and urgent outpatient departments with the goal of supporting triage tasks while assisting providers and nurses. Completed patient rooming, documenting histories and vitals, in addition to helping conduct splinting, wound assessments, EKGs, arterial Doppler, injections, and suture removal to name a few.Effectively adhered to all standard procedures and policies to provide quality patient care for positive outcomes. Educated patients according to physician orders, proper nutrition, medication adherence, and home care. Additional clinical experience as LPN at Yale University, Yale Fertility Center and Dana Clinic in New Haven, CT. EducationLicensed Practical Nurse License W.F. Kaynor Technical School, Waterbury, CT Registered Nurse Program Studies Naugatuck Valley Community College, Waterbury, CT Education Studies Central Connecticut State University, New Britain, CT Licenses & CertificationsCPR and First Aid Certification, Yale UniversityCertified Hyperbaric Technician, Bristol Hospital Restorix Wound Center AffiliationsCPR, American CPR Care Association, PresentVolunteer ServiceVolunteer Band Nurse, Cheshire High School Band Parent, 2005 2012 Cheshire Junior Football Cheer leading Team Mom, 2003 2012 Cheshire High School Cheer leading Team Mom, 2008 2012 P a g e 3 3 |
