Patient Care Case Management

Arabion Barfield, BSN, RN

**** ******* ***** **. *******, TX 77041

Cell: 832-***-****

Email: ***************@*****.***

Professional Summary

Experienced healthcare leader with 13 years of diverse nursing expertise, specializing in neonatal intensive care, case management, healthcare administration and a total of 3 years of Hospice end- of-life care. Adept at managing high-performing teams, overseeing patient care operations, and ensuring compliance with healthcare regulations. Proven ability to foster a culture of quality improvement, enhance patient outcomes, and reduce hospital readmissions through effective leadership and strategic problem-solving. Recognized for outstanding communication, team coordination, and staff development skills.

Core Competencies

Leadership & Staff Supervision

Case Management & Care Coordination

Quality Improvement Initiatives

Policy & Procedure Development

Regulatory Compliance & Standards

Patient & Family Relations

Budget & Resource Management

Training & Development

Performance Monitoring & Reporting

Cross-functional Collaboration

Crisis Management & Emergency Response

Strategic Planning & Process Improvement

Professional Experience

Fairmont Hospice – Houston, TX

Clinical Patient RN Manager Aug 2025- Present

Supervised and coordinated the delivery of high-quality end-of-life care to hospice patients

across interdisciplinary teams.

Managed a team of nurses, social workers, chaplains, home health aides, and volunteers to

ensure coordinated, compassionate care plans.

Conducted regular case conferences and patient care reviews to monitor progress and

address clinical concerns.

Developed individualized care plans in collaboration with physicians and family members,

ensuring alignment with patient goals and hospice philosophy.

Ensured compliance with Medicare/Medicaid regulations, state and federal guidelines, and

accrediting body standards (e.g., Joint Commission or CHAP).

Oversaw patient admissions, assessments, recertifications, and discharges, maintaining

accurate and timely clinical documentation.

Provided clinical supervision and mentoring to field staff, including performance

evaluations and competency assessments.

Responded to urgent patient or family needs, coordinating after-hours and weekend care as

needed.

Collaborated with the Executive Director and medical director to improve operational

efficiency and clinical excellence.

Participated in Quality Assurance and Performance Improvement (QAPI) initiatives to drive

continuous improvement in care delivery.

Trained staff on hospice best practices, symptom management, and regulatory updates.

GENTIVA Healthcare– Houston, TX

Telephonic Triage Nurse July 2025 – Present

Provided 24/7 telephonic triage support to hospice patients and families, assessing symptoms and prioritizing care needs using clinical judgment and established protocols.

Delivered compassionate nursing guidance, emotional support, and education regarding end-of-life care, medication management, and symptom control.

Coordinated timely interventions by dispatching on-call field nurses or arranging emergency visits as clinically indicated.

Accurately documented patient interactions, assessments, and interventions in the electronic medical record (EMR) to ensure continuity and compliance.

Collaborated with interdisciplinary hospice teams, including physicians, social workers, chaplains, and case managers, to support individualized care plans.

Assessed caregiver capacity and safety concerns, escalating critical situations such as uncontrolled symptoms, caregiver distress, or imminent death.

Adhered to HIPAA, hospice care regulations, and organizational policies to maintain patient privacy and care quality.

Demonstrated strong critical thinking, communication, and time management skills in a high-volume call environment.

VITAS Hospice Healthcare – Houston, TX

Clinical Patient RN Manager April 2025 – Aug 2025

Leading and Managing the Team hiring, training, evaluating, and mentoring team members; addressing issues and concerns.

Ensuring Patient Care Overseeing all aspects of patient care, from admission to discharge; coordinating services; and advocating for patients.

Scheduling and Staffing Managing team schedules and assignments to ensure efficient coverage and workload distribution.

Quality Improvement and Compliance Monitoring patient records and team activities to ensure compliance with regulations and company policies.

Communication and Collaboration Facilitating team meetings, communicating with patients and families, and collaborating with other departments and providers.

Professional Development attending educational events and mentoring new team managers.

VITAS Hospice Healthcare – Houston, TX

Case Manager Feb 2025 – April 2025 (Promoted)

Coordinates all service delivery including review of entries in the record made by after hours, patient and family education, dispatching of interdisciplinary visits, and coordination of services with external vendors and resources as needed.

Provides support and collaboration with IDG and after-hours staff to ensure favorable patient outcomes.

Supervision of VITAS employed and contracted nursing task delegated to Hospice Aides, Licensed Practical/Vocational Nurse (and contracted Registered Nurses) and Volunteers per the plan of care.

Provides education and training to patients, families, caregivers and referral sources in the care of the patient, including pain management

Children’s Memorial-Hermann Hospital – Houston, TX (Level 1 Trauma Center)

Registered Nurse - Advanced NICU Level 3/4 Jan 2024 – June 2025

Extensive experience in providing care for critically ill neonates, including premature infants and those with complex medical conditions (e.g., neurologic, renal, cardiac).

Proficient in neonatal resuscitation, stabilization, and administration of life-saving medications. Skilled in managing oxygenation with conventional ventilators, jet, and oscillators.

Delivered emotional support, education, and updates to families of NICU patients, ensuring they are informed and involved in care decisions.

Worked collaboratively with physicians, respiratory therapists, and other healthcare professionals to develop and implement comprehensive care plans.

Ability to quickly assess and respond to emergency situations, making critical decisions to stabilize neonates.

Expertise in monitoring and adjusting neonatal ventilators, jet ventilators, and oscillators to maintain optimal oxygenation and respiratory support.

Implemented and adhered to strict infection control practices, contributing to quality improvement efforts to reduce hospital-acquired infections and readmissions.

Managed care plans for high-risk neonates, coordinating with hospital teams and external healthcare providers to ensure comprehensive care.

Acted as a mentor and preceptor for new nurses, providing training on NICU protocols, procedures, and patient care standards.

Attended high-risk deliveries and emergency resuscitations, contributing to successful patient outcomes in critical care scenarios

Develop and implement care plans for critically ill neonates, ensuring timely interventions and progress monitoring.

Women’s Hospital of Texas – Houston, TX

Clinical Nurse Coordinator - Advanced NICU Level 3/4 Charge Aug 2023 - Jan 2024

Managed staff assignments based on patient acuity and hospital staffing ratios, ensuring optimal patient care and compliance with hospital protocols.

Provided leadership during emergency neonatal resuscitations and high-risk deliveries, contributing to successful patient outcomes.

Supported the professional development of staff, offering ongoing training, guidance, and performance feedback.

Facilitate collaboration between multidisciplinary teams to address the medical, emotional, and social needs of NICU families.

Lead and manage a team of nursing professionals in the NICU, ensuring optimal patient care for high-risk neonates with complex medical needs.

US Nursing – Rapid Strike Response – New Jersey, CA

Registered Nurse – NICU Charge Aug 2023 - Sept 2023

Supervised and coordinated the care of critically ill neonates across multiple NICU units.

Directed emergency neonatal resuscitations and managed high-acuity patient care with a focus on patient safety and quality care delivery.

Mentored and supported nursing teams, ensuring adherence to clinical protocols and effective resource utilization.

Support staff in high-stress situations, providing guidance on emergency procedures and crisis management.

Comforting Hands Home Care – Houston, TX

Registered Nurse Administrator Jan 2018 - Feb 2020

Led clinical operations for a thriving home care agency, overseeing patient assessments, care plans, and transitioning patients from hospital to home care.

Implemented strategies to reduce hospital re-admissions and enhance continuity of care.

Developed and enforced policies and procedures to improve patient outcomes and ensure regulatory compliance.

Managed a team of healthcare professionals, providing training and performance evaluations to foster staff development.

BCFS - Emergency Response – Various Locations

Registered Nurse - Manager (PRN) May 2019 - Present

Led and supervised emergency response teams during high-demand situations, including the COVID-19 pandemic.

Directed staffing assignments based on team expertise and patient acuity, ensuring safe and effective care delivery.

Coordinated with local healthcare providers and emergency teams to ensure efficient response and patient care.

Molina Healthcare – Remote

Case Manager II Dec 2020 - Apr 2021

Managed a caseload of high-risk patients, ensuring comprehensive care coordination across multiple healthcare providers.

Conducted regular follow-ups and managed the care plan to reduce hospital re-admissions.

Collaborated with interdisciplinary teams to develop and implement patient-centric care strategies.

Bee Busy Wellness Center – Houston, TX

Clinical Manager/Case Manager II Feb 2020 - Aug 2020

Oversaw day-to-day clinical operations and patient flow management for a med-surg and family practice unit.

Developed and implemented quality improvement initiatives, achieving 100% compliance with infection control standards.

Directed a team of nurses and support staff, fostering an environment of continuous improvement and patient-centered care.

Education

Capella University

Master of Science in Nursing (MSN) July 2025

Capella University

Bachelor of Science in Nursing (BSN) July 2024

University of Texas at Arlington

Transfer Student, RN-BSN Program

Bossier Parish Community College – Bossier City, LA

Associate of Science in Nursing (RN) 2011

Panola College – Carthage, TX

Diploma in Nursing (LVN) 2010

Licenses & Certifications

Registered Nurse (RN) – Texas, (Compact), and RN- California

Neonatal Resuscitation Program (NRP) – Current

Basic Life Support (BLS) – Current

Professional Development & Training

Leadership and Management Training

Case Management Continuing Education

Quality Improvement and Risk Management Workshops

Emergency and Crisis Management Simulation Training

References Available Upon Request

Contact this candidate