Compassionate Registered Nurse with 12+ years of experience in rehabilitation, skilled nursing, and home health. Skilled in complex care management, comprehensive assessment, interdisciplinary collaboration, and patient/family education. Adept at addressing social determinants of health, building personalized care plans, and leveraging telephonic/digital outreach to close care gaps. Proven record of driving measurable improvements in patient outcomes, compliance, and satisfaction. Seeking a Care Management RN role where clinical expertise and member-centered communication advance quality and cost-effective care.
Overview
13
13
years of professional experience
Work History
Registered Nurse
Encompass Health and Rehabilitation Hospital
02.2025 - Current
Performed comprehensive patient assessments and collaborated with interdisciplinary teams to create and implement individualized rehabilitation care plans.
Monitored patient progress, identified barriers to care, and adjusted interventions to support recovery and safe discharge planning.
Educated patients and families on disease processes, medications, and post-acute care needs to improve outcomes and reduce readmissions.
Administered medications, IV therapy, and wound care while ensuring compliance with documentation and regulatory standards.
Implemented fall-prevention protocols, closely monitored high-risk patients, and educated staff, resulting in a 20% reduction in falls and a 15% increase in patient satisfaction scores.
Provided structured feedback to nursing leadership on trends in falls among confused patients and those with altered mental status; recommended interventions such as increased rounding frequency, visual cues, and enhanced staff training, which were adopted and contributed to improved safety outcomes.
Utilized Cerner EMR software for documentation, medication administration, and interdisciplinary communication to ensure timely, accurate, and compliant records.
Registered Nurse (Home Health)
Help at Home
09.2019 - 02.2025
Conducted comprehensive assessments to evaluate clinical conditions, social determinants of health, and barriers to care.
Developed, implemented, and updated individualized care/service plans with patients, families, and providers.
Coordinated with interdisciplinary teams and community organizations to provide resources addressing unmet needs such as housing and transportation.
Educated patients and families on chronic disease management, medication adherence, and safety practices.
Provided telephonic outreach when patients called for assistance outside home visits and sent digital resources to reinforce care plans.
Documented care management activities in compliance with state, federal, and payer requirements, supporting continuity of care and improved outcomes.
Reduced emergency room visits by approximately 18% among high-risk home health patients through proactive telephonic follow-ups, early intervention, and reinforcement of care plan goals.
RN Supervisor
Allenbrooke Nursing & Rehab Center
07.2018 - 05.2019
Supervised unit staff and managed assignments to maintain safe, high-quality, cost-effective workflows.
Conducted assessments, administered medications/treatments, and ensured accurate documentation.
Collaborated with physicians and providers to coordinate discharges and seamless care transitions.
Educated patients and families on conditions, medications, and discharge needs, improving adherence.
Mentored and evaluated LPNs and CNAs to uphold quality and regulatory standards.
LPN/RN (Home Health)
Oxford Healthcare
06.2017 - 07.2018
Monitored and documented patient status, communicating changes to providers for timely care plan revisions.
Supported diverse patient populations with orthopedic, respiratory, and chronic conditions.
Provided education to patients and caregivers, reinforcing safety practices and self-care engagement.
LPN (Mental Health Population)
Oak Grove Retirement Home
02.2016 - 07.2017
Partnered with consulting physicians to develop and revise treatment plans for mental health residents.
Delivered bedside care including IV administration and mobility assistance.
Maintained accurate medical histories and facilitated communication with families to support autonomy and informed decisions.
Delegated tasks appropriately to staff and ensured compliance with care protocols.
LPN
Clarksdale Nursing & Rehab Center
09.2012 - 12.2015
Performed assessments, interventions, and medication administration while supervising caregivers.
Evaluated effectiveness of medications and treatments and updated care plans accordingly.
Educated patients and caregivers on disease processes, treatment adherence, and health maintenance.
Responded decisively in emergencies and collaborated with interdisciplinary teams to deliver holistic care.
Occupational Therapy Assistant at Encompass Health and Rehabilitation HospitalOccupational Therapy Assistant at Encompass Health and Rehabilitation Hospital