Porchia Jones
Registered Nurse Case Manager
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About
Registered Nurse Case Manager with a strong track record in delivering comprehensive patient care and effective leadership. Expertise in clinical assessment and mental health support has driven successful quality improvement initiatives, resulting in tailored and compassionate care plans that exceed patient needs. Proven ability to enhance case management processes while fostering a collaborative healthcare environment.
Experience
Registered Nurse Case Manager, LTSS - Molina Healthcare - Houston, TX
(2025-10 - 2026-06)
- Conduct comprehensive member assessments and develop individualized care plans for Medicaid and Medicare populations with complex medical, behavioral health, and long-term care needs.
- Manage Long-Term Services and Supports (LTSS) cases, including waiver enrollment/disenrollment processes and authorization of medically necessary services.
- Identify barriers to care including psychosocial, financial, transportation, and medical challenges, while connecting members to community resources and support services.
- Maintain detailed documentation and compliance with state, federal, and organizational regulatory timelines and quality standards.
- Conduct in-home visits and telephonic outreach to support high-risk members and ensure appropriate delivery of services.
Registered Nurse Case Manager, Hospice - Harbor Hospice - Baytown, TX
(2022-10 - 2025-06)
- Deliver holistic and compassionate care to each patient and family member.
- Create and implement tailored care plans that meet each patient's individualized needs.
- Supported the process of making end-of-life choices according to patient wishes.
- Conduct home visits regularly to assess patient's condition and provide necessary interventions.
- Supervise LVN and hospice aides to maintain regulatory standards.
Registered Nurse-Med/Surg Telemetry - Baptist Medical Center East - Montgomery, AL
(2022-03 - 2022-06)
- Maintained seamless patient flows by accurately assessing and prioritizing needs.
- Maintained accurate electronic documentation of patient metrics and clinical data.
- Managed intravenous therapy including IV starts, changes, discontinuation per physician orders.
Registered Nurse- Med/Surg Telemetry - East Alabama Medical Center - Opelika, AL
(2021-06 - 2022-02)
- Evaluated effectiveness of interventions through ongoing assessment of patient responses.
- Updated charts throughout shifts with current, accurate information to maintain strict recordkeeping standards.
- Executed critical interventions for patients experiencing systemic health challenges.
Registered Nurse Care Manager - Amedisys Home Health - Montgomery, AL
(2019-10 - 2021-12)
- Coordinated with healthcare team to establish, enact and evaluate patient care plans.
- Provided direct nursing services including medication administration, wound care, IV therapy, and patient and family education.
- Assessed patient conditions, monitored behaviors and updated supervising physicians with observations and concerns.
Registered Nurse - Quality Correctional Healthcare - Montgomery, AL
(2021-03 - 2021-08)
- Performed health assessments on detained youths.
- Maintained the medication administration record and administered medications as prescribed.
- Monitored and managed various treatment and care interventions.
Correctional Nurse - Wexford Health Services - Montgomery, AL
(2018-06 - 2019-06)
- Adhered strictly to safety protocols while providing medical treatments in a secure environment.
- Maintained accurate records of patient care services rendered in compliance with facility policies and procedures.
- Accurately update and maintain medical records.
Clinical Nurse Coordinator - Montgomery Area Mental Health Authority - Montgomery, AL
(2017-04 - 2018-06)
- Collaborated with management teams in order to implement and evaluate programs and services.
- Planned treatments and carried out physical and pharmacological interventions.
- Engaged in teamwork with mental health professionals utilizing face-to-face meetings as well as remote consultations.
Education
Associate of Applied Science - Registered Nursing - Lurleen B. Wallace Community College (2015-05)

