Amber Macdonald Email and Phone Number

Provided comprehensive nursing assessments and developed individualized care plans for pediatric patients receiving home health services.Coordinated and managed the care of patients, collaborating with interdisciplinary teams including physicians, therapists, and social workers.Monitored patient progress and responded to changes in condition, adjusting care plans as necessary to ensure optimal outcomes.Educated patients and caregivers on disease management, medication administration, and home care procedures.Advocated for patients' needs and facilitated access to community resources and support services.Conducted regular home visits to assess patient and family needs, provide skilled nursing care, and offer emotional support.Documented patient assessments, interventions, and outcomes accurately and in a timely manner.Ensured compliance with regulatory requirements and company policies and procedures.Participated in interdisciplinary team meetings to discuss patient progress, goals, and discharge planning.

Collaborated with other health care professionals regarding plan of care and variances in plan implementation to achieve outcomes. • Collected and inputted case data in managed care system and timely and accurately generated required correspondence and review notification for management. • Evaluated patients referred for case management to determine physical, mental, financial, and psychosocial status by utilizing comprehensive, standardized criteria to identify existing and potential needs. • Assessed current treatment plan to identify barriers, clarify or determine realistic goals and objectives and seek potential alternatives. • Worked with medical teams, patients and families to implement effective treatment plans. • Documented case notes daily and coordinated follow-up for seamless case management.