Experience

Tufts Medicine Integrated Network

• United States
• Hospitals and Health Care
• 1 - 100 Employee

• Nurse Care Manager, RN, CDCES, CCM

  • Feb 2010 - Present

  I am a Nurse Care Manager who works closely with patients, primary care physicians, and various health care teams to help ensure that patients receive comprehensive and coordinated care. As a Nurse Care Manager, I conduct comprehensive clinical assessments, develop patient-centric care plans, and engage the patient through coaching, with the focus of preventing admissions, readmissions, and adverse events. I assess, plan, implement, coordinate, and evaluate the plan of care in partnership with the family and other members of the health care team. I identify and track all co-morbidities and lab results through conversations with the physician, chart review, New England Quality Care Alliance (NEQCA) patient registry and the practice specific Electronic Health Records (EHR) platforms. Other duties as Nurse care Manger consist of input into program development, management, and reporting on enrollment aspects of the program.I am a member of the American Association of Diabetes Educators and of the Diabetes Clinical Advisory Committee at Tufts Medical Center.