Population Health RN Care Coordinator - Chase Brexton Health Care - Baltimore, MD
(2025-08)
- Provided complex case management for patient caseloads of more than 30 individuals across 5 different FQHC clinic locations.
- Utilized motivational interviewing techniques to create individualized, multidisciplinary care plans with personalized goals with the target of improving healthcare outcomes and reengaging patients in preventative healthcare.
- Monitored implementation and efficacy of the personalized care plans to ensure that patient needs are being adequately met and measurable progress is being made towards identified patient goals.
- Assisted patients in locating and connecting to community resources, government assistance programs, and escalated care as needed to the organization's Social Work Department, to address Social Determinants of Health among a high-risk patient population.
- Facilitated coordination of home health services, fulfillment of DME orders, and independent management of chronic conditions while avoiding duplication of care.
- Independently managed a scheduling panel within the organization's EMR for telehealth and in-person RN Care Coordination appointments.
- Completed timely outreach for patients following hospitalization or emergency department visits to facilitate scheduling of follow-up appointments in alignment with standards set by primary payor sources.
- Served as a role model and mentor for colleagues and assisted with the interviewing, onboarding, and initial training of more than 5 employees under the guidance of department management as the most tenured member of a newly developed care coordination team.
Clinical Supervisor - Maxim Healthcare Services - Millersville, MD
(2025-01 - 2025-08)
Home health services. Managed a team of up to 20 patients and their nurses providing direct care in the home setting. Routinely assess patients' physical status and progress with care goals.
- Develop care plans and goals to guide patient care and nursing practice.
- Educate RN's, LPN's, and CNA's on enteral tube management, central line management, tracheostomy management, ventilator management and emergency procedures, ADL/iADL assistance, vital sign monitoring, and general assessment criteria as appropriate for scope of practice.
- Coordinate care between physicians, physical/occupational/speech therapists, families, and insurance agencies as needed to assist patients and their families.
- Provided telephonic triage care and nursing advice during calls received after regular business hours from patients, families, and staff.
- Facilitated and monitored quality improvement activities (including documentation review) and action plan, including data integrity, progress to goals, development of new quality improvement activities and advanced QI subcommittee development.
Clinical Operations Specialist - Maxim Healthcare Services - Knoxville, TN
(2023-10 - 2024-12)
- Collaborated with clinical and operations teams to investigate compliance concerns, grievance concerns, and patient or employee safety concerns.
- Provided telephonic triage care and nursing advice during calls received after regular business hours from patients, families, and staff.
- Assisted in incident report management and trend tracking.
- Communicated professionally to facilitate conversations with employees, patients, patient family members, and other relevant parties.
- Participated in new hire clinical interviews.
- Facilitated and monitored quality improvement activities (including documentation review) and action plan, including data integrity, progress to goals, development of new quality improvement activities and advanced QI subcommittee development.
- Facilitated clinical education on individual and organization levels to promote patient safety and quality improvement.
- Collaborated with the organization's legal department to discuss patient safety concerns and possible resolutions to both individual situations and organizational trends.
Clinical Supervisor - Maxim Healthcare Services - Knoxville, TN
(2023-01 - 2023-10)
Home health services. Managed a team of up to 25 patients and their nurses providing direct care in the home setting. Routinely assess patients' physical status and progress with care goals.
- Develop care plans and goals to guide patient care and nursing practice.
- Educate RN's, LPN's, and CNA's on enteral tube management, central line management, tracheostomy management, ventilator management and emergency procedures, ADL/iADL assistance, vital sign monitoring, and general assessment criteria as appropriate for scope of practice.
- Coordinate care between physicians, physical/occupational/speech therapists, families, and insurance agencies as needed to assist patients and their families.
- Provided telephonic triage care and nursing advice during calls received after regular business hours from patients, families, and staff.
Registered Nurse - East Tennessee Children's Hospital
(2021-07 - 2023-01)
Pediatric Medical/Surgical Unit (3W). Provided direct quality care including assessing, monitoring, and implementing interventions to treat patients in an acute care setting. Patient population included chronically ill patients, trach/vent dependent patients, behavioral health patients, in addition to a wide variety of otherwise acutely ill patients.
- Collaborated with physicians, other nurses, and support personnel to provide patient care.
- Educated patients and patient families about diagnoses, interventions, and viral processes.
