Compassionate RN Case Manager with comprehensive knowledge of social service programs and community resources. Skilled at identifying needs and developing effective plans of action to provide intervention and assistance. Possesses strong organizational, interpersonal and communication skills. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
34
34
years of professional experience
1
1
Certification
Work History
Senior Professional Care Manger / Expert Discharge Planner
UPMC Presbyterian/Montefiore Abdominal Transplant, Emergency Department, and Float Staff
09.2013 - Current
Coordinates the clinical and financial plan for patients admitted to the inpatient units
Performs overall utilization management, resource management, discharge planning and post-acute care referrals and authorizations
Works with multi-disciplinary team in resource management, discharge planning and care facilitation
Facilitates all inpatient to inpatient transfers from lower level community hospitals to UPMC Presbyterian level one trauma center
Evaluates all Emergency Room patients for re-admission risk and initiate discharge plan
Improved patient satisfaction by carefully evaluating their needs and developing personalized discharge plans.
Collaborated with interdisciplinary teams to ensure seamless transitions from hospital to home or other care facilities.
Enhanced patient outcomes through thorough follow-up assessments and adjustments of discharge plans as needed.
Served as a key resource for patients and families, providing guidance on post-discharge care options and resources.
Established strong relationships with community agencies, enabling effective coordination of post-discharge support services.
Advocated for patients'' best interests, working closely with healthcare providers to develop appropriate treatment plans and interventions.
Managed complex cases involving multiple medical issues or psychosocial challenges by utilizing critical thinking skills and professional expertise in discharge planning processes.
Evaluated patient progress throughout their hospital stay, adjusting discharge plans accordingly to ensure successful reintegration into the community setting or placement in suitable long-term care facilities when necessary.
Evaluate the potential impact of social determinants.
Streamlined the discharge process, reducing wait times and increasing overall efficiency within the hospital.
Primary Nurse Care Coordinator, Abdominal Transplant Unit
University of Pittsburgh Medical Center
12.2010 - 09.2013
Managed clinical oversight for the 22-bed Abdominal Transplant Unit
Coordinated the plan of care for pre- and post-operative kidney, pancreas, liver, and intestinal/multivisceral transplant patients
Provided post-operative teaching to patients and their families
Collaboratively implemented plan of care with interdisciplinary team
Assumed responsibility for complex patient assignments.
Professional Staff Nurse, Abdominal Transplant Unit
University of Pittsburgh Medical Center
05.1990 - 12.2010
Charge nurse responsibility including clinical oversight for the 22-bed Abdominal Transplant Unit
Primary care for pre- and post-operative kidney, liver, and intestinal/multivisceral transplant and surgical oncology patients undergoing surgical or chemotherapeutic treatment patients on a surgical unit
Preceptor to nurse interns, graduate students, and student nurses
Telemetry trained.
Certified School Nurse
Belle Vernon Area School District
10.1998 - 10.2001
Daily triage care for students from K - 8th grade
Conducted mandated health screenings, physicals and special education assessments in three schools with a total of 1200 students and ensured external follow-up when required
Administered student medications
Provided teaching tools to both staff and students.
Professional Nurse
Albert Gallatin Visiting Nurses
03.1995 - 05.1996
Provided nursing care including medication administration and wound care to patients in the home setting
Completed initial admission assessments.
Education
Certified School Nurse -
California University
California, PA
01.1996
Bachelor of Nursing -
University of Pittsburgh
Pittsburgh, PA
01.1990
Skills
Discharging patients from an Acute Care Hospital to Skilled Nursing Facilities, Inpatient Rehab Hospitals, and Behavioral Health Facilities
Arranging Home Health Care Services
Arranging Durable Medical Equipment delivery including Home Oxygen, BiPAP /Trilogy Machines, Hospital Beds, and Assistive Devices
Arranging Home IV Infusion and Enteral Feeding Services
Assisting patients to locate social services in the Community as needed
Obtaining insurance authorizations for medications and post-acute care centers
Certification
Certified Clinical Transplant Nurse, American Board of Transplant Certification, 2013
Professional Nursing License, RN308709L - Pennsylvania, 1990
Public Notary, 1999
Accomplishments
Cameo of Caring Nominee - 2017 & 2023
UPMC Quality and Patient Safety Awards - Ellen J. McCormick Award - 2018
ACES Award, UPMC - 2003
University of Pittsburgh, Dean's Award - 1986-1990