Brooklyn, New York, United States
Ardent Registered Nurse with double masters in Public Health and Nursing and several years of primary, acute, mental, rehab and long term health care experience; with a commitment to excellence and professionalism desirous of an opportunity for continuous growth and development centered on rewarding diverse consumers of health care. As an advocate for community services I believe I can make a contribution to those less fortunate, who deserve the finest of care as they re-enter and become an active part of society. Experienced in working with populations from different economic status, cultures and degrees of illnesses at Bellevue Hospital, Institute for Family Health, Doctors of the World and Glengariff Rehabilitation and Skilled Nursing Facility. Prior to migrating to the United States of America, I worked in several supervisory capacities including being a Customer Service Specialist and Compliance Officer in the Banking Industry for ten years ensuring that the industry operated within statutory guidelines; and as a Field Supervisor for three years on the sugar plantations ensuring that workers were given a fair days work and income while at the same time negotiating grievances. I am confident that my qualifications and expertise proves that I am an ardent Registered Nurse with primary, acute and long term health care experience desirous of an opportunity to communicate responsible health education to diverse groups in order to promote positive health outcomes.
Advances as a liaison between the healthcare settings and providers for a seamless transition from one level of care to another e.g. transition from inpatient acute care to long term acute hospitals for rehabilitation, ventilator weaning. Arranges post-hospital/community services as needed e.g., home care, durable medical equipment, outpatient physical therapy, cardiac and pulmonary rehabilitation. Negotiates with participating providers and vendors to minimize out-of-pocket costs. Schedule comprehensive telephonic assessment of members with selective medical conditions including diabetes, hypertension, hyperlipidemia, asthma. Establishes individual members’ goals and care plans. Reconciles medication with physicians and members to ensure compliance. Educate members about a healthy lifestyle including healthy food choices and increasing physical activity. Promote self-management skills to achieve quality outcomes such as monitoring blood glucose levels. Facilitate coordination of benefits throughout members lifespan. Propose community resources and health care alternatives to members. Enhances skill and aptitude in using multiple computerized platforms including Zoom, Salesforce, QNXT, CVS, Aerial, ICIS, MCG and V3 to document participation in various evidenced based programs. Supports patients, customers, peers, and members of management including pharmacists, social workers, doctors, and therapists to ensure patient’s overall well-being and functionality.
Perform thorough patient care by working with the interdisciplinary teams to ensure optimal wellness for patients on the medical surgical units. Assesses & plans with patients and their significant others to identify nursing care needs. Collaborates and participates in planning care across the continuum (hospital to home), including teaching and working with the interdisciplinary team. Plans, prioritizes, & provides direct nursing care to patients in a safe environment. Administers treatments and medications as prescribed by the physician. Supervises the care performed by nonprofessional nursing staff. Continually reassesses patient needs and modifies the nursing care plan accordingly. Records and reports pertinent observations, treatments, medications, incidents and accidents associated with patients and others. Assumes charge nurse responsibilities as assigned by the Nurse Manager.
Coordinated chronic disease management related to quality direct patient care and performance improvement e.g. downtrending of A1Cs by teaching self monitoring of daily glucose levels. Increased community interventions including education regarding hypertension and diabetes management, and self administration of medications. Identified socioeconomic, cultural, physical or language barriers using motivational interviewing and brief action planning strategies e.g consume whole wheat pasta instead of regular pasta. Organized and moderated discussions at group visits to optimize peer-peer support. Assessed and shared quality metrics with facility's clinical, nursing, and administrative staff to encourage collaboration across departments. Collaborated with Central Office of Population Health to address fallouts and successes in achieving improvement targets for the overall success of the entire organization and its patients.
Developed and implemented a social intake form, social interviewing process and teaching aid that would facilitate providing medical care and social services to the undocumented and uninsured clients in the Rockaway section of New York City
Providing health education instructions on a variety of topics including healthy eating and physical activity, smoking cessation and instituting health care proxies; navigated and facilitated client escort services for medical appointments for homeless clients affiliated with the Institute.