Compassionate Registered Nurse with experience in emergency care and care coordination, transitioning into remote RN case management. Demonstrated ability to perform comprehensive assessments, coordinate interdisciplinary care, support transitions of care, and educate patients and caregivers using health-literacy–appropriate communication. Highly organized, self-directed, and proficient in EHR-based documentation and virtual workflows.
Provide care in a high-acuity emergency department managing complex patient presentations
Perform comprehensive assessments, triage, and ongoing monitoring to support clinical decision-making
Collaborate with interdisciplinary teams to support safe discharges and continuity of care
Coordinated care for an underserved senior patient population within a managed care, value-based care model, with emphasis on chronic disease management and preventive care.
Served as a liaison between patients, primary care providers, specialists, and community resources to ensure continuity of care.
Supported transitions of care through post-discharge outreach, appointment scheduling, and follow-up coordination.
Assisted with medication reconciliation, referral management, and identification of care gaps requiring provider follow-up.
Educated patients and caregivers on treatment plans, health maintenance, and available support services using health-literacy–appropriate communication.
Documented care coordination activities accurately in the electronic health record to support quality metrics and patient outcomes.
Managed a patient panel of 350+ patients with complex medical and social needs