Rachel Kearns

Experience

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  Camellia Care Center

  May 2008 - Mar 2009

  RN and Evening Supervisor

  • Utilize nursing knowledge and skills in the safe implementation of basic preventative therapeutic and rehabilitative nursing care of assigned patient/family as evidenced by documentation and observation of positive patient care outcomes.• Records patient histories, performs various diagnostic tests, administers medications, and develops patient care plans in conjunction with other medical professionals.• Assists physicians during examinations and procedures, operating and monitoring medical equipment as necessary.• Perform delegated independent nursing functions using established procedures, policies, guidelines and standards as observed by the registered nurse.• Administer medication accurately, observing patient response, as evidenced by documentation in the medical record and lack of negative outcomes.• Maintain and coordinate communication among patient/significant other, staff and physician as evidenced within medical record, client and health care team feedback. Show less

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  Alpine Living Center

  Apr 2009 - Jun 2012

  Assistant Director Of Nursing

  • Assist with management of the Department of Nursing• Evaluate and take action around complaints, failed audits, and staff problems.• Maintain and update audit, compliance and legal documentation, including analyzing patient and staff data.• Plan resource utilization and care interventions according to available data and known trends.• Ensure regulatory compliance by conducting mock surveys, interviewing patients and randomly assessing medical administration records. Regulatory compliance includes understanding health care rules and regulations at the local, state and federal levels.• Plan and assign workload to nursing staffs on shift basis.• Supervise and guide nursing staffs on their daily job duties. Ensure nursing staffs follow department procedures and policies• Assist in department budget preparation and expense management activities.• Assist in recruiting, training and disciplining new hires.• Provide job training to nursing staff to meet department goals. Show less

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  The Denver Hospice

  Jun 2012 - Nov 2014

  Registered Nurse

  • Provided skilled nursing coordination of care to patient/families as determined by Plan of Care. • Used education, mentoring, guidance and interventions to achieve goals of care.• Developed care plan with patients/families, Primary Physician and IDT: Social Workers, Nurse Practitioner, Physician Assistants, and Medical Director. • Reviewed and evaluated patients and POC in IDT meetings on a regular basis.• Demonstrated appropriate nursing care including communications with Attending Provider for ordering of medications and supplies.• Provided accurate and timely documentation in Electronic Medical Record (EMR). Used, clear concise, and professional written and verbal; communication.• Used sound nursing judgement and strong assessment skills to perform complex telephone interviews and triaging as appropriate.• Supervised Certified Nurse Aide (CNA); delegates specific tasks per agency policy. Show less

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  Kaiser Permanente

  Nov 2014 - now

  Serves in an expanded nursing role to collaborate with members and care team to ensure high risk members are provided personalized care coordination services. Provides panel management for the most complex members. Ensures members/caregivers have the resources and ability to thrive at home with education and access to the appropriate care for their required health condition. Works closely with the Primary Care Teams to build a model of care for those who would benefit from proactive complex care coordination. Integrates evidence based clinical guidelines, protocols, and other metrics in the development of treatment and care plans focused on patient centered goals of care. Promotes quality and efficiency in the delivery of the targeted high risk population. Promotes optimum clinical outcomes and builds trusting relationships with our members to positively impact utilization of resources, palliative care services and better health. Show less • Responsible for utilizing the nursing process (assessment, diagnosis, outcomes/planning, implementation and evaluation) to provide individualized nursing care to patients. • Collaborates with other inter-professional colleagues, including physicians, to plan, implement and evaluate care. • Demonstrates competency and practices within the full scope of nursing expertise/knowledge and utilizes appropriate age and population specific standards as designated in their assigned clinical setting. • Cares for patients in all phases of preventative care, health maintenance, diagnosis, treatment, and follow-up as patients move along the continuum of care. • Responsible for the planning and coordination of care, patient assessment, patient education, triage, and various other nursing interventions• Optimize quality care for patients receiving palliative care and/or end-of-life and communicates this in action and word• Triage new consults for Palliative Care and assigns priority as well as clinician to see patient Show less

  • Complex RN Coordinator

    Apr 2022 - now

  • RN (In-Patient Palliative/Supportive Care)

    Nov 2014 - May 2022