Performance Impact as Transition Team Member: • Meet with patients in hospital setting and explain that upon discharge they will be followed by a Health Partner for 30 days in order to have a smooth transition back to home• Conduct home visits in order to review discharge instructions; reconcile medication list; discuss and teach patients re: current medical issue and any co-morbidities; confirm that follow-up physician appointments have been scheduled• Maintain weekly phone contacts to re-assess patient’s medical and psycho-social needs\concerns• Facilitate transfer to Ambulatory Care Team if deemed appropriate

Performance Impact: Facilitated highest quality nursing care to acute and chronic Medicare and non-Medicare patients in home settings in a cost effective and efficient manner.• Incorporated OASIS criteria to promote accurate and positive patient outcomes and facilitate accurate billing.• Implemented the nursing process in the care of the patient and their family.• Taught patients and their families about disease process and management of symptoms, • Utilized clinical skills required to assure timely discharge in accordance with plan of care.• Maintained nursing skill sets including wound care, IV therapy, medication administration, and sterile technique procedures.

Performance Impact: Ensured the seamless flow of accurate healthcare, patient follow-up, and medical administrative duties for this pediatric practice treating more than 3000 patients per year covering newborn to 18 years old. • Improved patient office visits by putting patients and families at ease while accurately assessing the current problem and obtaining a medical history.• Provided proficiency in all documentation and record maintenance to ensure diagnosis and insurance accuracy in accordance with HIPPA Policy.• Managed patient expectations in terms of recovery time, aftercare, and any medication risks, side effects, or dosing questions

Performance Impact: Organized the medical histories of more than 500 elementary-aged students, categorizing those who presented at-risk conditions, such as life-threatening allergies, chronic illnesses, or special care due to chemotherapy, organ transplants, or diabetes. Tracked and administered daily medication to several students.

Performance Impact: Oversaw the effective coordination of services and managed issues pertaining to admission and discharge, team conference and interdisciplinary plan of care communication, patient and family education, payor relations and total fiscal management.• Performed initial assessments for insurance carriers in a timely manner in order to project future costs and treatment plans for injured workers• Facilitated follow-up recommendations and post- treatment assessments which reduced future care costs for the patient and employer• Collaborated with multiple interdisciplinary professionals to initiate and provide prescribed medical treatment. Monitored and evaluated injured workers compliance with treatment plans making recommendations as deemed appropriate for optimum recovery.• Developed close working relationships with injured workers, their families, employers, medical providers, lawyers, and insurance carriers in order to attain maximum medical improvement and return to work status.

Performance Impact: Served as a key member of a interdisciplinary team that actively managed and directed resource utilization to achieve the highest quality outcomes during a patient’s rehabilitation experience.• Integrated patient care with cost-saving steps, such as performing immediate assessments, coordinating multidiscipline care routines, and providing timely referrals.• Developed working relationships with local healthcare specialists and facilities to carry out and ensure successful treatment plans and outcomes for patients’ return to optimum medical improvement.• Devised “return-to-work” management solutions with the employer to ensure patients’ safety prior to returning to work and while on the job.

Performance Impact: Assisted in establishing the first ophthalmological hospital, KKESH, based on Joint Commission on Accreditation of Hospitals’ (JCAH) standards and protocols. Drafted policies and procedures for the Quality Assurance and Infection Control Departments.