Patient Care Case Management
Resume:
AL
APRIL LEE
********@*******.*** 713-***-**** Humble, TX 77338
Accomplished Licensed Vocational Nurse leverages critical thinking, analysis and medical knowledge to deliver superior care in high-pressure environments. Collaborates with physicians and multidisciplinary team members, restoring patients' health through nursing and health education processes. Maintains positive attitude in urgent, stressful situations. Wound Care
Physical Assessment
Samples Collection
Patient Intake
Clinical Documentation
Family Communication
Emergency Response
Health Education
Care Planning
Multi-Tasking and Prioritization
Educating Families
Writing Reports
Vital Signs
Patient Evaluations
Staff Supervision
Medical Records Management
Psychotropic Medication Knowledge
ADL Assistance
Chronic Disease Management
Breathing Treatments
Documenting Incidents
Outpatient Care
Behavioral Assessment
Caring for Wounds
Counting Narcotics
Direct Patient Care
Case Management
Patient Care
Patient Assessments
Medication Dispensing
Immunization Administration
Staff Direction and Task Delegation
Medication Administration
Inpatient Care
Shiftkey- MO LPN Houston, TX
LVN
08/2021 - Current
Travel nurse for different facilities such as hospitals and nursing homes. Monitored vital signs, administered medications, and provided treatments in accordance with physician orders.
Collaborated with interdisciplinary team members to ensure continuity of care across settings.
Educated patients and families regarding disease processes, treatments plans, safety measures, medication usage and self-care techniques. Demonstrated excellent communication skills while interacting with patients, family members, physicians and other health professionals. Facilitated discharge planning process by providing information about available services in the community such as home health agencies or rehabilitation centers.
Performed clinical assessments including histories and physical examinations for both pre-admission screening and post-operative follow up visits.
Managed multiple tasks in a fast-paced environment while maintaining quality standards.
Summary
Skills
Experience
Adhered to infection control policies and procedures when performing duties related to patient care.
Identified potential problems or changes in condition that may require further evaluation or intervention.
Reviewed laboratory results and diagnostic tests to adjust treatment plans accordingly.
Responded promptly to emergency situations using established protocols for critical incidents.
Utilized strong assessment skills to determine necessary patient care. Administered medications intravenously, by injection or orally. Inserted and cared for catheters, feeding tubes and access sites. Furnished emotional, psychological and spiritual support to patients and families to establish compassionate environment.
Documented and communicated actions and irregularities to maintain continuity among nursing teams.
Updated patient charts to reflect changes to care plans, interventions and observations.
Monitored patient fluid intake and output to detect emerging problems. Adhered to infection-control policies and protocols to protect employees and patients.
Interviewed patients to obtain medical information and measure vital signs.
Directed and instructed patients and family members on proper discharge care.
Ordered and interpreted diagnostic tests to identify and assess patient condition.
Disposed of medical waste and sharps using proper protocols. Cleaned and sterilized instruments and disposed of contaminated supplies. Administered oral, IV and intra-muscular medications and monitored patient reactions.
Observed strict safety measures, including checking medication dosages before administration to patients.
Administered local, inhalation or intravenous anesthetics to patients undergoing procedures.
Assessed and evaluated patient's medical condition to determine the best course of treatment.
Ensured that all documentation was completed in a timely manner and met all standards for accuracy.
Provided direct nursing care to patients with acute, chronic, and complex conditions.
Elevance Healthcare Houston, TX
Nurse Case Manager
10/2022 - 08/2023
Assessed patient needs, identified health problems and provided appropriate interventions to improve outcomes.
Coordinated with other healthcare professionals to provide comprehensive medical care to patients.
Provided education to patients and their families on disease management, medications and other treatments.
Conducted home visits as necessary to assess patient's condition in the home environment.
Evaluated referrals from physicians, hospitals, clinics and other sources for appropriateness of services requested.
Maintained accurate documentation of all case management activities in accordance with regulatory standards.
Participated in interdisciplinary team meetings to coordinate care for complex cases.
Identified community resources available for assistance with housing, transportation or financial issues impacting a patient's health status. Created discharge plans that ensure continuity of care after hospitalization or clinic visits.
Communicated regularly with patients via phone calls or emails to check on their progress and answer any questions they may have. Attended continuing education courses related to case management topics such as chronic illness management, utilization review techniques and ethical considerations.
Charted weekly progress notes and quarterly summaries. Created physician referral base for wellness, prevention and diagnostic support, enabling patients to effectively find services. Utilized business customer service and relationship building skills to consistently increase referrals.
Maintained strict patient data procedures to comply with HIPAA laws and prevent information breaches.
Observed strict safety measures, including checking medication dosages before administration to patients.
Collaborated with health groups to plan or implement programs designed to improve overall health of communities.
PEDIATRIC HOME HEALTH, PHH TX
Home Health LVN
09/2020 - 03/2023
Assessed and monitored patient health conditions, including vital signs such as temperature, pulse rate and blood pressure. Provided nursing care for patients with various medical diagnoses and treatments.
Administered medications and treatments in accordance with physician orders.
Collaborated with other healthcare professionals to develop individualized plans of care for each patient.
Ensured that all documentation was accurate and up-to-date according to established guidelines.
Educated patients on their medical condition, treatment plans, and self-care management techniques.
Performed physical assessments to identify any changes in the patient's condition or needs.
Supported families during times of illness or injury by providing emotional support and assistance with decision making processes. Maintained a safe environment for both staff and patients through adherence to safety protocols.
Responded quickly and effectively in emergency situations utilizing advanced life saving skills when needed.
Recorded patient condition, vital signs, recovery progress and medication side effects.
Administered medications, tracked dosages and documented patient conditions.
Collected and documented vital signs to track current patient conditions. Monitored patient's respiration activity, blood pressure and blood glucose levels in response to medical administration.
Used sterile techniques to prepare patients for procedures. Observed and carried out physician and nursing orders. Educated patients, caregivers and families on diagnoses, treatment options and disease prevention.
Communicated concerns regarding patients' status, care and environment to nursing supervisors, clinical care supervisors and case managers. DEANS PROFESSIONAL SERVICES
Houston, TX
Clinical LVN
10/2017 - 10/2022
Worked in various positions with this agency that included homehealth, OBGYN clinical nurse for Methodist, COVID Vaccination nurse Methodist hospitals and COVID Vaccination nurse for FEMA.
Performed nursing procedures such as administering Pedi Pfizer, Adult Pfizer, and Pfizer booster to children and adults
Monitored pts for adverse reactions post vaccination Maintained medical consents and registration to in ensure thorough and accurate completion
Provided individual and family patient education concerning immunizations, allergens, and possible adverse reactions Mixed vaccinations solution of Pfizer for adults and pediatrics according to protocol and procedures
Maintained infection control procedures throughout and post vaccination process
Maintained effective communication and team work between nurses, staff, and patients
Performed treatments, such as wound dressing changes, catheterizations, and injections.
Assisted physicians and registered nurses in providing direct patient care. Administered medications, monitored vital signs, and documented patient progress.
Provided education to patients regarding their health condition and medication regimen.
Collaborated with other healthcare professionals to ensure optimal patient outcomes were achieved.
Maintained accurate records of patient care services provided including documentation of medications administered or discontinued. Ensured compliance with federal regulations governing clinical practice standards.
Provided emotional support to patients and families during difficult times. Advised family members on proper homecare techniques after discharge from facility.
Monitored patients for adverse reactions to prescribed medications or treatments.
Reported any changes in a patient's condition immediately to supervising RN or physician.
Educated patients and family members about preventive health care and recovery.
Administered medications and treatments to residents per doctors' orders or CRNP orders.
Used Epic to update electronic medical records with relevant patient information, laboratory test results and clinician orders. Conducted patient assessments to determine eligibility for COVID-19 vaccination.
Prepared and administered vaccines according to established protocols. Instructed patients on vaccine administration, side effects, and post-vaccination care.
Monitored patients for adverse reactions following vaccinations. Maintained accurate records of vaccinations administered. Managed inventory of vaccine supplies and ensured they were stored in accordance with recommended standards.
Ensured proper disposal of used needles, syringes, and other medical waste materials related to vaccination services.
PRO HEALTH STAFFING Houston, TX
Vaccination Nurse
07/2021 - 10/2021
At Willowbrook Methodist
Used EPIC to document PT status, update orders, and document immunizations received
Administered Influenza, TB, and TDAP vaccines to employees Maintained infection control protocols
Blood draws
Documentation of injection sites
Employee education on vaccines and possible adverse reactions MEDMARK TREATMENT CENTER
Lufkin, TX
LVN Dispensing Nurse
08/2017 - 08/2018
Provided skilled professional nursing care to patients directed by the supervisor in compliance with all applicable laws and regulations and with Medmark's policies and procedures
Provided timely documentation of patient services based on plan of care Traveled as necessary
Calibrated pump monthly and maintained dispensing equipment Administered vaccinations, injections, and other medications as prescribed by physicians.
Maintained accurate records of patient information including medical histories and vital signs.
Evaluated patient's response to medications and reported any adverse reactions.
Monitored drug levels in blood or urine samples to ensure therapeutic effectiveness of drugs.
Conducted regular inventory of medications and restocked supplies as needed.
Ensured compliance with all applicable laws, regulations, policies, procedures, guidelines, and standards relating to dispensing medications. Communicated effectively with healthcare providers about changes in the status of patients' conditions.
Responded quickly to inquiries from doctors regarding prescriptions for new or existing patients.
Assessed potential risks associated with certain drugs and provided appropriate advice accordingly.
Noted and took orders from the doctor or medical director, including verbal orders
Verified dosing levels for transferring patients
Administered and read TB test as needed
Annual and random physical to include drawing blood, labeling, and shipping of blood
Maintained patient confidentiality, other duties as assigned HEIGHTS OF NORTH HOUSTON
Houston, TX
LVN/ADON
06/2015 - 03/2017
Served as the assistant director of nursing for a 110 Medicare/Medicaid certified bed facility
Worked alongside the nursing staff and performed duties such as recruiting and training employees, budgeted, scheduled shifts, assigned tasks, and made sure patient care is delivered at high standards As well as supervising nursing staff, assisted in decreasing falls, psychotropic medication use, and other quality measures Performed daily job duties and fill in when needed
Managed multiple programs with success including bowel and bladder, restorative, infection control, fall tracking and trending, MDS audits, skilled program, and admission process
AMAZING GRACE NURSING SERVICES
Houston, TX
Home Health Licensed Vocational Nurse
04/2015 - 10/2015
Worked in a home health setting under the direct supervision of a registered nurse
Provided direct nursing care
Under the order of the physician, administered prescribed medications Wound Care
Blood Draws
Communicated with PCP and RN on pt
Status/change in status
Performed various types of catheterizations and irrigations Took and recorded vital signs
Medication administration via mouth, ear, eye, rectal, vaginal, SQ, SL, intradermal, IM, and IV
Maintained Infection Control
Adhered to HIPPA Laws
Oxygen Therapy
Observed, recorded, and reported unusual conditions and behaviors Maintained accurate documentation
Licensed Vocational Nurse
05/2010 - 10/2015
Traveled to different area hospitals and MHMR facilities as an LVN Worked in med/surgical, ER, ICU, and L&D unit
Provided direct nursing care
Worked with patients with different levels of ability mentally and physically in a controlled permanent setting at Lufkin state supported living center
Interview pts and record medical/personal information on pt records Assisted in controlling pt flow, explain clinic procedures and prepare pts for exams
Draw blood, obtained urine samples, and fecal samples for analysis Assisted with f/u on abnormal test results
Under the order of the physician, administer prescribed medications Assisted with clerical tasks such as daily/monthly reports Provided for the safety, emotional and physical comfort of patients Performed various types of catheterizations and irrigations Observed, recorded, and reported unusual conditions or behaviors Took and recorded blood pressure, temperature, pulse, and respiration Started, adjusted, or discontinued flow of intravenous therapy Communicated with PCP and RN on patients change in status LUFKIN STATE SUPPORTED LIVING
CENTER Lufkin, TX
Licensed Vocational Nurse
11/2010 - 03/2014
Provided direct nursing care
Different levels of ability mentally and physically in a controlled permanent setting at Lufkin state supported living center Interview pts and record medical/personal information on pt records Assisted in controlling pt flow, explained clinic procedures and prepare pts for exams
Drew blood, obtained urine samples, and fecal samples for analysis Assisted with f/u on abnormal test results
Under the order of the physician, administer prescribed medications Assisted with clerical tasks such as daily/monthly reports Provided for the safety, emotional and physical comfort of patients Performed various types of catheterizations and irrigations Observed, recorded, and reported unusual conditions or behaviors Took and recorded blood pressure, temperature, pulse, and respiration Started, adjusted, or discontinued flow of intravenous therapy Communicated with PCP and RN on patients change in status SOUTHLAND REHABILITATION
CENTER Lufkin, TX
Licensed Vocational Nurse
01/2010 - 01/2011
Dispensed of medications
Vital signs
Intravenous therapy
Oxygen therapy
Wound care
Application of dressings
Tracheotomy care
Nasopharyngeal and oral suctioning
Insertion of catheters
Administered control narcotics assuming full responsibility for possession of keys
Enforced regulations requiring the witnessed counting and charted of medications during change of shift
Developed and implemented nursing care plans, and supervise pts admissions and discharge procedures
Oversaw direct pt care requirements within the nursing rehabilitations and ambulatory program
Liaison between pts nurses and physicians to address problems requiring immediate/long term resolve
Educated CNAs on the prevention of transmitted infectious bacteria and the prevention
Ensured open lines of communication and accurate charting procedures Facilitated a creative and safe environment with diversified and stimulated recreational activities
Assisted staff nurses with initial assessment of patients upon admission Reported changes in patients' conditions and other matters of concern requiring prompt attention
LUFKIN INDEPENDENT SCHOOL
DISTRICT Lufkin, TX
Teacher
08/2004 - 08/2008
Grades Pre-K3, Pre-K4, Bilingual Pre-K4
Developed and implemented lesson plans based on curriculum objectives. Assessed student performance through tests, quizzes, and other assessments.
Provided individualized instruction to meet the needs of all students. Instructed students in academic subjects such as math, science, language arts, social studies, and history.
Encouraged critical thinking skills and problem-solving strategies among students.
Maintained a safe and orderly learning environment for all students. Monitored student behavior in classrooms, hallways, cafeteria, playgrounds.
Established positive relationships with parents to ensure effective communication regarding student progress and well-being. Utilized technology-based learning tools to enhance classroom instruction. Collaborated with colleagues to plan lessons that integrate various subject areas into a cohesive unit of study.
Planned field trips to enrich students' educational experiences outside of the traditional classroom setting.
Supervised after school activities such as clubs or sports teams. Enforced school rules and regulations in order to maintain an appropriate learning environment for all students.
Prepared weekly newsletters for parents outlining upcoming assignments or events at school.
TYLER COUNTY SCHOOL OF VOCATIONAL NURSING Woodville Vocational License in Nursing, LVN
01/2010
STEPHEN F AUSTIN STATE UNIVERSITY Nacogdoches, TX Bachelor of Science in Education
01/2003
UT Arlington Arlington, TX
Bachelor of Arts in Nursing
REFERENCES Janice White/ADON/832-***-**** Angela Hawkins-Owino/MDS(co-worker) 936-***-**** Tiffany Jackson/LVN (co-worker)/936-***-****
Licensed Vocational Nurse - 2010
EC-4 Education License - 2003
Education and Training
References
Certifications
Contact this candidate