Administer professional patient care to critically ill patients in the ICU in accordance with nursing standards of practice, licensed independent provider and established policies and procedures. Serve as Charge Nurse on VA Medical Surgical Unit. Act as ambassador and utilize the comprehensive nursing process to formulate patient care plans while directing team to identify, document and implement nursing care, appropriate to patient care problems. Admit/discharge patients; provide direct care, which includes assessment, education, and administration of oral and intravenous medications; report any significant changes to Veterans provider. Monitor telemetry on floor and for assigned patients. Provide nursing support for new hires during their rotation. Educate nurses on various lines in coordination with their care team.• Identify effectiveness of care provided, and as needed revising care plans. Collaborate with (HBPC) interdisciplinary team members in the development of individualized treatment plans. Select the course of action by interpreting appropriateness to the patient's condition. Set up, operate, monitor and interpret specialty medical equipment.• Act as a facilitator to mediate complaints and concerns of patients/family members taking immediate actions to resolve or refer to a higher level. Instruct patients/family members regarding disease processes, providing emotional support.• Serve as a participant in the Palliative Care Improvement Committee and an original founder of the Honor Escort at the Lebanon VA. Float and provide care for Veterans in the Emergency Department and PACU. Effectively provide care coordination, chronic disease management and direct patient care in the homes of Veterans. • Educate and enhance health prevention and promotion to patients and family in effort to strive for a state of wellness

Through the use of clinical tools and information/data review, conducted an evaluation of member's needs and benefit plan eligibility and facilitated integrative functions as well as smooth transition to programs and plans. Applied clinical judgment to the incorporation of strategies designed to reduce risk factors and barriers and address complex health and social indicators which impact care planning and resolution of member issues. Also took assessments into account information from various sources to address all conditions including co-morbid and multiple diagnoses that impact functionality.• Served on bi-weekly counsel to identify the high-risk patient population, devise patient-specific care plans to reduce hospitalizations. Assisted in recognizing high-risk patients via risk stratification processes and nursing judgment.• Consulted with supervisor and others in overcoming barriers in meeting goals and objectives, presented cases at case conferences for multidisciplinary focus to benefit overall claim management.• Reviewed prior claims to address potential impact on current case management and eligibility.• Used a holistic approach assess the need for a referral to clinical resources for assistance in determining functionality. • Served as a liaison between patient providers and dialysis centers. Contacted dialysis patients telephonically or in person, using motivational interviewing to assist them in improving their knowledge and self- help skills.• Utilized case management processes in compliance with regulatory and company policies and procedures.

Assess patients (from adults to babies, hospice and home health) for physical ailments; treat patient problems based off of a physician order and nursing judgment. Assist in daily tasks of hospice and home health functions. Educate families and facilities on home, palliative and hospice care. Cases manage and assist patients and families in a smooth transition from a nursing facility to home. Develop and provide new nursing care maps for hospice and palliative care. Assist in the development of programs related to decreasing readmit to hospitals and or facilities. Serve as an on-call supervisor for home health/hospice nurses. Provide counsel on several committees from eHealth Partnership to formulating a plan to reduce readmissions to local, large hospital health systems. Solicit home health services to obtain new referrals for home health, hospice and palliative care patients. Educate the community on various illnesses, prevention, and treatment. Serve as a local Geriatric Resource Nurse to provide knowledge and counsel to those needing guidance with their loved ones. Provide education through the American Cancer Society, as a facilitator for the I Can Cope Series. Coordinate health fairs and meetings with other non-profit agencies to promote education regarding community services. Instruct future and current daycare owners on state-required safety and CPR so they may provide daycare services to the public.

Directed the Clinical performance of the applicable services and patient populations served and provided in-home private duty care to patients ranging in age, from pediatric to the elderly. Oversaw quality improvement and performance improvement initiatives with detail on nurse-sensitive indicators and core measures success as well as provided complete and total nursing care to patients using nursing judgment and ensuring the plan of care is followed for patient safety.• Assessed patient care needs and monitors patient satisfaction. Addressed and resolved patient complaints in a timely manner. Assessed and monitored the patient and reported any changes to the MD, received and completed orders.• Worked to cultivate expectations of individual staff accountability. Maintained, reviewed, and updated all specialty policies. Supported the patient family in times of distress and lend counsel to reduce patient and family anxiety.

Admit patients; assist in their care using learned skills. Provide patient care, which includes assessment, education, and administration of oral and intravenous medications within the scope of practice. Reviewed doctor’s orders and monitored patients cardiovascularly as well as a whole, taking appropriate actions if needed. Volunteered to provide care to patients on other floors such as CVICU, ICU, MED SURG to maintain the nursing ratio.