Integrated Care Coordinator with extensive experience at Parkview Regional Medical Center, excelling in case management and patient education. Proven ability to enhance health outcomes through effective multidisciplinary collaboration and process improvement. Skilled in documentation and advocacy, ensuring patients receive tailored care and resources to overcome barriers, achieve optimal health and reduce readmission rates.
Overview
24
24
years of professional experience
1
1
Certification
Work History
Integrated Care Coordinator
Parkview Regional Medical Center
04.2024 - Current
Coordinate care with the Population Health team, patient and family to conduct an extensive and comprehensive assessment that include the medical, behavioral, pharmaceutical and social needs of the patient.
Identifies gaps in care and barriers to attaining improved health.
Provide resources including referrals to community agencies that can assist with social based needs.
Create and implement care plan to address the identified needs, remove barriers and improve the health of the patient.
Coordinates care by serving as the contact point, advocate and resource for the patient, family and their physician.
Assess at risk individuals with high volume ED visits or hospital utilization to determine if alternative options are available. Assist to schedule follow up appointments and same day appointments based on Triage assessment.
Complete Transitional Care Management calls for PPG offices.
Assess the patient’s knowledge of their clinical
condition and provide education and self-management support based on the patient’s unique learning style.
Remote Monitoring Care Coordinator
Parkview Regional Medical Center
12.2022 - 04.2024
Assess the health status of patients using Remote Patient Monitoring technologies and virtually support patients to improve health outcomes and adherence.
Works closely with healthcare providers to ensure timely and accurate monitoring of patients’ vital signs, symptoms, potential complications, and medication adherence.
Identify and escalate concerns, and provide appropriate interventions in collaboration with providers.
Educate patients on the use of RPM devices, interpreting data, and provide disease specific education.
Document patient interactions, assessments with plan of care and interventions in EMR.
Educate Patient in self-management of conditions.
Participated in improvement initiative with IS to improve documentation to allow to flow into EMR.
Worked with remote monitoring platform to redesign onboarding process to allow for tracking enrollment status to ensure HIPPA compliance.
RM Home Health Case Manager
Parkview Regional Medical Center
09.2015 - 12.2022
Performed in home assessment, education and developed plan of care based on patient specific needs.
Track progress to ensure Plan of care remains appropriate for pt condition and adjust as needed.
Hands on Nursing such as wound care, lab draws Picc line and port care, Urinary catheter changes, tube and trach care.
Educated and supported patient and family to manage health conditions and navigate healthcare system.
Advocate for patient needs and coordinate care with Physicians, Therapists, Social work and Aides to ensure appropriate care is provided.
Supervised Home health aides and LPNs assigned to my assigned patients.
Mentored and precepted newly hired staff.
Selected for Home health specialized Cardiac team to care for high risk patients after Cardiac Bypass and valve replacement procedures.
Consistently assigned the highest complexity and socially at risk individuals to ensure best outcomes.
Med-Surg RN
Dupont Hospital
05.2012 - 09.2015
Completed Head to toe assessment to evaluate patient status and monitor for changes in clinical status.
Improved patient outcomes by providing high-quality nursing care and implementing evidence-based practices.
Educated patients on disease management and self-care techniques, promoting lifestyle changes for improved health.
Collaborated with interdisciplinary teams for comprehensive patient care plans to ensure best outcomes.
Administered medications accurately and safely and monitored response.
Worked as resource nurse to mentor, support and assist newer staff with unfamiliar procedures, provide clinical knowledge, and navigate challenging situations. Also assisted charge nurse with discharge planning.
Enhanced patient satisfaction through effective communication with emphasis on a clear, concise and patient friendly style.
Utilized advanced clinical skills such as wound care management or IV therapy administration, leading to faster recovery times for patients treated under my supervision.
Managing Cosmetologist
Famous Hair
04.2001 - 12.2010
Developed a loyal clientele base by providing personalized hair treatments, and exceptional service.
Provided exceptional customer service by addressing and resolving client concerns promptly,
Managed inventory levels efficiently, ensuring adequate stock of essential supplies while minimizing excess costs.
Oversaw staff recruitment, hiring, training, and performance evaluations
Stayed current with trends and techniques through continuous education.
Mentored newer staff in advanced techniques, professional growth and skill development.
Managed daily salon operations and administrative duties including staff scheduling and completing nightly bookkeeping responsibilities
Instructional Support Teacher II at Penn Hills Charter School of EntrepreneurshipInstructional Support Teacher II at Penn Hills Charter School of Entrepreneurship