Strategic RN Care Manager with expertise in chronic condition management and care transitions. Focus on risk stratification, closing care gaps, and coordinating services to enhance quality and patient outcomes. Collaborates with providers and community resources to support complex patient populations.
Overview
31
31
years of professional experience
1
1
Certification
1
1
RN License
Work History
Registered Nurse, Ambulatory Care Manager
Intermountain Healthcare
Billings
03.2022 - Current
Comprehensive health assessment (bio-psycho-social, functional and risk assessments)
Conducted medication reconciliation and monitored adherence to optimize patient safety and treatment effectiveness
Symptom triage and clinical decision-making (phone, virtual, in-clinic)
Preventative care coordination and health maintenance
Care planning with measurable goals and outcomes
Managed transitions of care between ED/hospital, skilled nursing facility, outpatient settings to reduce readmissions
Coordinated care among primary care, specialty care, behavioral health, pharmacy, and community services to enhance integrated patient management
Navigation of community resources (home health, DME, social services)
Efficient in EPIC/Compassus Rose/NCQA charting
Interim Director of Nursing
Wheatland Memorial Hospital
Harlowton
11.2021 - 02.2022
Managed nursing employees in the provision of care and services to patients; supervised staff, scheduled shifts, conducted interviews, developed policies, and trained team members on safe work practices.
Developed and implemented policies to ensure compliance with healthcare regulations.
Completed 13-week contract assignment, enhancing operational continuity and care delivery during transitional period
Director of Nursing
Heritage Place
Kalispell
03.2019 - 06.2021
Managed nursing staff to deliver high-quality care to residents; supervised recruitment, training, and performance evaluations.
Coordinated care and services with residents, families, medical staff, interdisciplinary team members, and department heads to implement care plans and uphold quality of care and quality of life.
Developed comprehensive staffing plans and schedules to ensure adequate staffing levels across departments.
Provided educational in-services to staff, enhancing knowledge on best practices in resident care.
Directed the infection control program;
Coordinate admissions, room assignments and discharges of residents;
Verify compliance with state and federal regulations;
Actively engaged in state and federal survey processes to uphold compliance and maintain quality standards.
RN Case Manager
Compassus Hospice
Missoula
07.2016 - 09.2017
Coordinated clinical, psychosocial, and spiritual services per individualized care plans, optimizing patient support.
Collaborated with medical providers and interdisciplinary team members to facilitate comprehensive patient care.
Delivered skilled nursing care to patients in their homes, prioritizing comfort and support during end-of-life transitions.
Medical Services Administrator
Missoula Developmental Services Corporation
Missoula
02.2014 - 07.2016
Developed and implemented policies and procedures for effective health care management;
Managed medical care for severely intellectually delayed adults in community group homes, ensuring quality support and treatment;
Oversaw medical care provided by personal care attendants in group homes, ensuring compliance with health standards and client needs;
Monitored medical conditions and followed up with medical providers.
Taught staff to take vital signs and assist with medications;
Communicate with clients, families, case managers and caregivers.
Director of Nursing
Missoula Heath and Rehab
Missoula
10.2012 - 07.2013
RN Case Manager
Partners In Home Care
Missoula
02.2011 - 03.2012
Delivered quality care and symptom management, promoting optimal health and quality of life through teaching, counseling, and targeted interventions.
Coordinate and integrate services to ensure continuity of care;
Oversaw care provided by home health aides while maintaining accurate and complete patient records to ensure continuity and quality of care.
Duties include providing skilled nursing care and care management of assigned patients in their place of residence;
Registered Nurse – 6 west / Medical Surgical at UMass Medical Center- University CampusRegistered Nurse – 6 west / Medical Surgical at UMass Medical Center- University Campus
Registered Nurse/Medical-Surgical Telemetry at Houton Methodist West HospitalRegistered Nurse/Medical-Surgical Telemetry at Houton Methodist West Hospital