ADMISSIONS NURSE RESUME EXAMPLE

Madison Clark

Columbus, OH

(614) 555-0192

madison.clark@email.com

linkedin.com/in/madisonclark-rn

SUMMARY

Results-driven Admissions Nurse with 1+ years of experience in hospice admissions, patient assessment, and care plan initiation within clinical healthcare operations. Proven record of completing 100% of admission documentation within required regulatory timeframes. Expertise in admission criteria evaluation and interdisciplinary communication to optimize intake workflows, mitigate care transition gaps, and drive patient-centered outcomes.

SKILLS

Hospice Admissions Assessment

Care Plan Initiation

Clinical Documentation

Admission Criteria Evaluation

Interdisciplinary Communication

Patient Family Education

EXPERIENCE

Admissions Nurse

Lakeview Hospice and Palliative Care, Columbus, OH

June 2023 - Present

• Conduct comprehensive initial nursing assessments for 100% of incoming hospice patients, identifying immediate care needs and initiating individualized plans of care at Start of Care.
• Evaluate referred patients for hospice appropriateness through medical records review, ensuring all admissions meet established eligibility criteria before obtaining physician orders.
• Complete all required admission documentation, consent forms, and patient and family education materials accurately and within required regulatory timeframes across every intake encounter.
• Communicate the patient and family's immediate needs and significant clinical issues to assigned care team members, obtaining provider orders to support zero-gap transitions into hospice services.
• Arrange necessary supplies, equipment, and medications before care initiation, reducing resource delays for newly admitted patients by coordinating with vendors and clinical staff.

Charge Nurse

Maplewood Skilled Nursing and Rehabilitation, Columbus, OH

August 2022 - May 2023

• Supervised direct patient care delivery across a 30-bed unit, ensuring nursing staff maintained compliance with facility documentation standards and care plan protocols.
• Initiated admission assessments for new residents within 8 hours of arrival, capturing baseline clinical data and communicating findings to attending physicians and the interdisciplinary team.
• Audited resident charts weekly to identify documentation gaps, achieving a 95% compliance rate with facility recordkeeping standards during quarterly internal reviews.
• Coordinated with interdisciplinary team members to develop individualized care plans based on diagnosis-specific goals, reducing care plan initiation delays by an average of 2 hours per admission.

EDUCATION

Bachelor of Science in Nursing

Midwestern State University, Wichita Falls, TX

Jordan Reyes

Phoenix, AZ

(602) 555-0347

jordan.reyes@promail.com

linkedin.com/in/jordanreyes-admissionsnurse

SUMMARY

Results-driven Admissions Nurse with 4+ years of experience in hospice intake coordination, OASIS assessment completion, and referral source engagement within clinical healthcare operations. Proven record of converting referral inquiries into admissions at a rate exceeding 80% of qualified leads. Expertise in level of care determination and interdisciplinary care planning to optimize admission workflows, mitigate transition delays, and drive consistent census growth outcomes.

SKILLS

OASIS Assessment Completion

Referral Source Engagement

Level of Care Determination

Admission Workflow Coordination

Interdisciplinary Care Planning

Insurance Authorization Management

EXPERIENCE

Admissions Nurse

Sonoran Home Health and Hospice, Phoenix, AZ

March 2021 - Present

• Conduct Start of Care OASIS admissions across a designated geographic territory, completing comprehensive home visit assessments for an average of 15 new patients per month.
• Evaluate referred patients for hospice and home health appropriateness through medical records review and direct clinical assessment, maintaining an 85% referral-to-admission conversion rate.
• Coordinate all admission process components with interdisciplinary team members, securing physician orders and arranging equipment, medications, and services within 24 hours of admission confirmation.
• Communicate complete handoff reports to nurse case managers, social workers, and on-call staff for 100% of new admissions, ensuring trans-disciplinary alignment on patient and family care goals.
• Document all clinical findings, interventions, and care plan updates accurately in the electronic health record, sustaining zero-deficiency documentation standards across quarterly compliance reviews.

Admissions Nurse

Desert Valley Hospice Services, Tempe, AZ

January 2019 - February 2021

• Processed an average of 40 referral inquiries per month, accurately recording intake data and coordinating physician office contacts to obtain admission approvals within required timeframes.
• Educated patients and families on hospice philosophy, insurance benefits, and transfer processes, contributing to a measurable improvement in family satisfaction scores across 12 months.
• Completed all admission paperwork, consent documentation, and electronic health record entries for 100% of admitted patients, maintaining full regulatory compliance across all intake encounters.
• Collaborated with referral sources and case management teams to facilitate patient placement based on clinical need, bed availability, and geographic preference, reducing placement delays by an average of 4 hours.

EDUCATION

Bachelor of Science in Nursing

Arizona Western College, Yuma, AZ

Catherine Whitmore

Nashville, TN

(615) 555-0284

c.whitmore@professionalmail.com

linkedin.com/in/catherinewhitmore-admissionsnurse

PROFESSIONAL SUMMARY

Results-driven Admissions Nurse with 10+ years of experience in hospice admissions leadership, interdisciplinary care coordination, and referral pipeline development within clinical healthcare operations. Proven record of increasing facility census by 30% through structured community outreach and referral source relationship management. Expertise in regulatory compliance documentation and admission program development to optimize intake performance, mitigate census volatility, and drive measurable organizational growth outcomes.

CORE SKILLS

Hospice Census Development

Regulatory Compliance Documentation

Admission Program Leadership

Community Referral Development

Transdisciplinary Team Coordination

Medical Financial Qualification

EXPERIENCE

Admissions Nurse

Cumberland Hospice and Palliative Services, Nashville, TN

April 2018 - Present

• Oversee end-to-end hospice admissions operations for a 200-patient census organization, maintaining a referral-to-admission conversion rate exceeding 82% across all market territories.
• Evaluate and determine green, yellow, and red light admission status for all prospective patients, applying level of care criteria consistently across 100% of intake encounters to ensure regulatory and clinical compliance.
• Lead day-of-admission handoff coordination for onsite teams, delivering structured verbal handovers to on-site Charge Nurses and reducing care transition errors by 40% over three years.
• Collaborate with physicians, referral sources, and interdisciplinary staff to gather comprehensive medical and psychiatric data, supporting accurate admission eligibility determinations within an average of 6 hours of referral receipt.
• Drive community referral development initiatives and represent organizational hospice programs to community stakeholders, generating a 30% increase in new referral volume over 24 months.
• Mentor and cross-train admission specialists and admission counselors on clinical admissions competencies, building team-wide proficiency and reducing admission coverage gaps by 60%.

Admissions Nurse

Riverstone Home Health and Hospice, Knoxville, TN

July 2013 - March 2018

• Conducted comprehensive OASIS admissions and Start of Care assessments for an average of 20 new patients monthly, achieving 100% on-time documentation completion across all required visit types.
• Secured initial insurance authorizations and pre-certifications for all admitted patients, partnering with the UR department to manage ongoing approvals, denials, and peer-to-peer reviews across a 150-patient caseload.
• Developed and maintained active referral source relationships with 35+ hospital discharge planners, specialty physicians, and community agencies, contributing to a consistent 15% year-over-year census growth rate.
• Audited new client charts and assisted on-site Charge Nurses in obtaining all required admission documentation, reducing chart deficiency rates by 25% across two consecutive annual compliance reviews.
• Coordinated patient placement decisions based on clinical service requirements, bed availability, and patient and family preferences, facilitating timely admissions across multiple contracted facility settings.

EDUCATION

Bachelor of Science in Nursing

Middle Tennessee School of Nursing, Murfreesboro, TN

• Evaluated and screened hospice admission eligibility for incoming patients through clinical interviews, chart reviews, and direct patient assessments across multi-disciplinary care settings.
• Completed comprehensive initial assessments for up to 100% of new admissions, addressing immediate physical, psychosocial, and end-of-life care needs for patients and families.
• Guided patients and families through the full admission and transfer process, explaining hospice services, insurance benefits, and securing all required consents and regulatory documentation.
• Delivered targeted education on symptom management and end-of-life physical care to patients, caregivers, and facility teams, reducing family distress and improving care transition outcomes.
• Coordinated real-time communication of critical IDG Care Plan issues and patient needs to assigned RNCMs and on-call staff, supporting continuity across 24-hour care cycles.
• Collaborated with attending physicians to obtain timely orders and secure essential medications, equipment, and supplies, ensuring zero gaps in patient care at time of admission.

Core Skills:

• Hospice Admissions Assessment
• End-of-Life Education
• IDG Care Coordination
• Clinical Documentation
• Symptom Management Consultation
• Physician Collaboration

• Cultivated and sustained strategic relationships with referral sources and community partners to expand Bristol Hospice's presence across underserved service areas.
• Communicated community-specific education needs to internal teams, ensuring hospice philosophy and service delivery aligned with local patient population expectations.
• Drove growth initiatives that increased community access to Bristol Hospice Services, directly contributing to higher referral volume and broader geographic reach.
• Facilitated end-to-end coordination of the referral and admission process, supporting a seamless continuum of care model across clinical and community touchpoints.
• Guided patients and families through individualized assessment and admission workflows, reducing transition friction and improving early-stage care experience outcomes.
• Partnered with interdisciplinary teams to align community outreach efforts with organizational admission targets, strengthening referral pipeline consistency across all served communities.

Core Skills:

• Community Relationship Development
• Referral Source Engagement
• Hospice Care Education
• Admission Process Coordination
• Continuum of Care
• Service Access Expansion

• Initiated comprehensive admission assessments and preliminary care plans for new Residents and hospital returns, ensuring immediate clinical needs were identified and documented within required timeframes.
• Supported the Nursing Department's operational development under DON's direction, contributing to departmental performance standards across a long-term care facility environment.
• Assessed PRIs and coordinated all admission process components with the interdisciplinary team, streamlining cross-functional intake workflows for 100% of incoming Residents.
• Audited clinical records to verify compliance with facility standards, identifying documentation gaps and driving corrective action to maintain regulatory and accreditation readiness.
• Completed MDS assessments, individualized care plans, and assigned clinical documentation in full accordance with facility policy, procedure, and HIPAA confidentiality requirements.
• Supervised, directed, and delivered direct Resident care as operationally assigned, maintaining care continuity and staffing coverage across shifting census and acuity demands.

Core Skills:

• Admission Assessment
• MDS Documentation
• Care Plan Development
• Interdisciplinary Coordination
• Compliance Auditing
• Nursing Department Support

• Reviewed and assessed preadmission inquiries to determine appropriate facility placement, ensuring clinical suitability and resource alignment before confirmed admission.
• Conducted timely, accurate, and descriptive resident assessments at admission, capturing comprehensive clinical baselines to support immediate care planning and physician order accuracy.
• Verified completeness of physician admission orders and resident medical charts, ensuring full documentation integrity before delivery to the nurses' station for active care transitions.
• Cultivated superior customer service relationships with residents and next of kin from admission through the duration of stay, strengthening trust and satisfaction across the care continuum.
• Spearheaded resident discharge planning and facilitated transitions back into the community or alternate care settings, coordinating interdisciplinary resources to support safe and timely discharges.
• Maintained daily survey-ready standards and demonstrated confident working knowledge of regulatory compliance and documentation requirements across all applicable state and federal guidelines.

Core Skills:

• Preadmission Screening
• Resident Admission Assessment
• Physician Order Verification
• Discharge Planning
• Regulatory Compliance
• Customer Service Excellence

• Coordinated directly with the Admission Director and Marketing team to facilitate seamless care transitions, aligning clinical readiness with census development and referral intake goals.
• Ordered and secured specialized equipment, including trach supplies, BiPAP units, and air mattresses for incoming residents, ensuring clinical tools were in place before admission.
• Managed patient data entry into PCC, completed admission assessments, and established baseline care plans while interviewing residents to capture required clinical information and obtain necessary signatures.
• Oversaw the medical records department to ensure timely filing, accurate chart preparation, insurance record requests, changeover completion, and appropriate archiving of discharged resident charts.
• Tracked and reported monthly infection data in full compliance with CDC and ODH guidelines, monitoring antibiotic utilization and COVID trends to support evidence-based infection control decisions.
• Delivered targeted staff education initiatives and coordinated transportation scheduling for resident follow-up appointments, strengthening care continuity and workforce clinical competency across the facility.

Core Skills:

• Care Transition Coordination
• Specialized Equipment Procurement
• PCC Data Management
• Medical Records Oversight
• Infection Surveillance Reporting
• Staff Education

• Managed the full pre-admission and admission lifecycle, including patient transfers, room readiness verification, and completion of admission paperwork with patients and families across long-term care settings.
• Gathered pertinent clinical and financial information from patients, families, referral sources, and social agencies, verifying reimbursement eligibility across Medicare, Medicaid, private pay, and third-party payers before admission.
• Provided sustained emotional and financial support to patients and families throughout the admission process, conducting in-person visits to new admissions and delivering follow-up thank-you correspondence within one week.
• Oriented incoming residents to the center environment and communicated admission details cross-departmentally, ensuring clinical, dietary, and support teams were prepared to deliver immediate coordinated care.
• Cultivated active relationships with community social workers and discharge planners while maintaining current agency referral directories and an organized waiting list file to support continuous census development.
• Demonstrated comprehensive working knowledge of long-term care admission requirements, advanced directives, and payer-specific reimbursement structures, ensuring accurate explanation of admission packets to patients and families.

Core Skills:

• Pre-Admission Management
• Financial Verification
• Family Support Services
• Community Referral Networking
• Long-Term Care Compliance
• Interdepartmental Communication

• Prepared and verified resident rooms for safe, clean, and comfortable occupancy upon arrival, confirming all necessary equipment and supplies were staged and operationally ready before admission.
• Served as the primary point of contact for incoming residents and families, conducting facility tours, addressing admission inquiries, and establishing trust from the first point of engagement.
• Conducted and coordinated comprehensive resident assessments at admission, initiating individualized care plans in collaboration with nursing staff and all relevant interdisciplinary departments and personnel.
• Alerted department heads to admission-specific changes affecting their operational areas, ensuring real-time cross-departmental awareness and preparedness across 100% of incoming resident transitions.
• Collected, organized, and completed all required admission documentation and recordkeeping, maintaining accurate resident files in full compliance with facility standards and regulatory requirements.
• Participated actively in government-authorized facility surveys and fulfilled additional nursing duties as assigned, demonstrating operational flexibility and consistent adherence to care quality standards.

Core Skills:

• Admission Readiness Coordination
• Family Engagement
• Resident Assessment
• Interdisciplinary Care Planning
• Regulatory Survey Participation
• Clinical Documentation

• Ensured all referral source communications were prompt, professional, and customer service-driven, reinforcing Navian Hawaii's organizational reputation across hospital, facility, and community partner relationships.
• Educated patients and caregivers on Navian Hawaii's hospice philosophy, transfer processes, insurance benefits, and placement options, securing all relevant patient data to support benefit determination and discharge planning.
• Coordinated end-to-end patient admissions to Navian services, facilitating seamless hospital transitions and contracted facility transfers while arranging timely acquisition of all required equipment and clinical services.
• Documented and completed all admission activities in full compliance with hospice protocol and regulatory timeframe requirements, maintaining zero-deficiency standards across clinical recordkeeping and consent processes.
• Delivered comprehensive handoff reports to nurse case managers, social workers, and on-call staff, driving a trans-disciplinary team approach to individualized patient and family care needs and goals.
• Engaged in continuous professional development through Hospice Hawaii educational offerings and ongoing training activities, strengthening clinical expertise and advancing evidence-based hospice admissions practice.

Core Skills:

• Referral Source Communication
• Hospice Philosophy Education
• Admission Transition Coordination
• Regulatory Documentation Compliance
• Transdisciplinary Team Reporting
• Professional Development

• Conducted Start of Care OASIS admissions across designated geographic territories, performing comprehensive home visits to establish clinical baselines and initiate individualized patient care plans.
• Administered medications, wound care, treatments, and clinical procedures during home visits, executing physician orders accurately and documenting all interventions through a state-of-the-art touch pad tablet system.
• Monitored patient conditions across an active home health caseload, identifying and reporting clinical changes to the Clinical or Client Services Manager to support timely care plan adjustments.
• Performed ongoing client assessments as clinically indicated, ensuring care plan adherence aligned with each patient's evolving needs and physician-directed treatment protocols.
• Accurately documented observations, interventions, and evaluations for all client care management activities, maintaining complete and regulatory-compliant clinical records across every patient encounter.
• Followed up on and executed physician orders with precision and timeliness, supporting continuity of care across a geographically dispersed home health patient population.

Core Skills:

• OASIS Admission Assessment
• Home Health Care Delivery
• Wound Care Management
• Physician Order Execution
• Clinical Documentation
• Patient Condition Monitoring

• Received and converted leads from providers, specialty physicians, county Aging offices, Veterans service organizations, and facilities into qualified admissions, serving as the primary market-facing representative for Avalon Health Care.
• Coordinated all hospital-based inquiries across the full market territory, clinically assessing patients against admission criteria through chart reviews and direct evaluations to determine placement eligibility.
• Obtained comprehensive medical and financial qualification data from patients, families, referral sources, and case management teams, resolving admission questions and accelerating intake decision timelines.
• Facilitated strategic patient placement decisions based on clinical service requirements, bed availability, geographic location, and patient and family preference across multiple facility settings.
• Troubleshot complex issues spanning admissions workflows, public relations, pre-certification processes, and physician follow-up coordination in direct partnership with facility leadership and clinical operations teams.
• Conducted required clinical assessments for all prospective admissions, ensuring consistent evaluation standards and regulatory compliance across every inquiry converted within the Avalon Health Care service area.

Core Skills:

• Lead Conversion
• Market Referral Coordination
• Clinical Admissions Assessment
• Patient Placement Facilitation
• Pre-Certification Management
• Medical Financial Qualification

• Conducted comprehensive initial admission assessments, including patient interviews, vital signs, ECG, lab draws, skin checks, and full electronic health record documentation for behavioral health patients across multiple levels of care.
• Collaborated with Intake Coordinators and the facility's Medical Director to determine medical clearance, reviewing intake forms for behavioral and medical appropriateness and establishing preliminary level of care and length of stay recommendations.
• Secured initial insurance authorizations and pre-certifications by contacting payers directly, documenting approvals in Sigmund, and partnering with the UR department to manage ongoing authorizations, denials, and peer-to-peer reviews.
• Delivered patient and parent psychoeducation groups, including medication education, provided crisis intervention support, and furnished additional nursing coverage across meal support and staff relief responsibilities.
• Cross-trained staff nurses on admissions competencies to ensure facility-wide coverage capacity, while collaborating with Organizational Learning and Development to deliver CPI, BLS, First Aid, and scope-appropriate staff training programs.
• Provided unit-level handoff reports to accepting Charge RNs and lead Therapeutic Assistants at time of admission, ensuring seamless care transitions and interdisciplinary alignment across inpatient, residential, PHP, and IOP settings.

Core Skills:

• Behavioral Health Admissions
• Insurance Authorization Management
• Level of Care Determination
• Psychoeducation Facilitation
• Staff Cross-Training
• Crisis Intervention Support

• Evaluated referred patients for hospice appropriateness through comprehensive medical records review, analyzing LPN-collected clinical data to facilitate and obtain timely admission orders aligned with eligibility criteria.
• Secured informed agreement for admission from referred patients and families meeting hospice criteria, guiding each through the full information gathering, education, and form completion aspects of the admissions process.
• Built and sustained effective referral source relationships, consistently meeting high-quality and responsiveness expectations to support a reliable and growing hospice referral pipeline.
• Applied advanced interpersonal skills to educate patients and families on hospice and palliative care services, addressing clinical and emotional questions with accuracy, empathy, and professional authority.
• Developed productive internal relationships with admissions personnel and patient care resource staff, taking initiative to strengthen cross-functional collaboration and accelerate admission workflow efficiency.
• Maintained continuous clinical and professional competence through active engagement in hospice-specific education, ensuring all admissions practices reflected current regulatory standards and evidence-based care delivery.

Core Skills:

• Hospice Eligibility Evaluation
• Admission Order Facilitation
• Referral Source Relations
• Patient Family Education
• Clinical Competency Maintenance
• Interdisciplinary Collaboration

• Coordinated referrals and facilitated communication between Hospice Consultants, the interdisciplinary team, and referral sources, accurately recording all incoming referral data on required forms and tracking sheets.
• Responded to admission criteria inquiries, processed referral requests, and contacted physician offices for admission approval, ensuring all intake steps advanced within established clinical and regulatory timeframes.
• Contacted patients and families within 24 hours of referral to schedule admission interviews, explaining hospice services comprehensively and securing written consent upon confirmation of eligibility criteria.
• Processed and completed all admission paperwork and patient and family service documentation with accuracy, maintaining full compliance with hospice documentation standards across every admission encounter.
• Communicated proactively with referral sources regarding appointment scheduling, physician orders, admission timeframes, and obstacle resolution, sustaining high satisfaction levels among patients, families, referrers, and partner facilities.
• Collaborated with the marketing team to support census growth objectives, drive appropriate market penetration, and maximize hospice census goals through coordinated referral pipeline management and referral source engagement.

Core Skills:

• Referral Coordination
• Admission Criteria Communication
• Consent Procurement
• Census Growth Support
• Referral Source Engagement
• Interdisciplinary Team Liaison

• Conducted comprehensive initial nursing assessments during patient visits, evaluating physical, psychosocial, safety, spiritual, financial, environmental, cultural, and pain-related needs to establish a holistic and individualized Start of Care plan.
• Communicated clinical findings to the Medical Director and Attending Physician to complete Start of Care, coordinating service initiation and presenting new patient admissions at Interdisciplinary Team meetings.
• Assured that every initial Plan of Care reflected a thorough assessment of pain and symptom history, caregiver knowledge, and patient and family preferences, reviewed collaboratively with assigned nurses, Chaplains, Social Workers, and Hospice Aides.
• Educated patients comprehensively about Hope Hospice services, assessing individual needs and preferences to facilitate appropriate referrals and ensure care alignment with patient-centered goals and values.
• Generated community referral opportunities and represented Hope Hospice programs as an agency-wide marketing team member, presenting services to community stakeholders and advancing organizational census development goals.
• Maintained accurate, complete, and timely electronic documentation across all clinical and communication activities, ensuring full compliance with hospice policy, accreditation standards, and governmental regulations affecting reimbursement and care quality.

Core Skills:

• Comprehensive Nursing Assessment
• IDT Care Plan Coordination
• Start of Care Facilitation
• Community Referral Development
• Regulatory Compliance Documentation
• Hospice Patient Education

• Performed complete nursing assessments within 8 hours of admission, documenting findings in the Admission Assessment Record and ensuring collected data formed the individualized basis of each patient's diagnosis-specific plan of care and intervention goals.
• Conducted thorough skin assessments within every admission evaluation, capturing all wounds by photograph and accurately describing measurements and staging to support wound care protocol maintenance through weekly update rounds and chart reviews.
• Completed comprehensive Functional Independence Measure assessments at admission, recording findings in accordance with division policy and communicating all pertinent patient status information to primary nurses, attending physicians, and Nurse Managers or Charge Nurses.
• Provided patients and families with comprehensive rehabilitation process orientations, identifying diagnosis and comorbidity-specific teaching needs through collaborative assessment with patients, families, and Interdisciplinary Team members to initiate targeted education.
• Contributed positively to unit functioning by delivering calm direction and reassurance to ancillary staff and families, immediately escalating identified problems to the Nurse Manager to maintain safe and effective patient care delivery.
• Maintained current knowledge of departmental and hospital-wide policies through mandatory in-services and ongoing professional development, ensuring consistent regulatory compliance and evidence-based practice across all admission and wound care responsibilities.

Core Skills:

• Admission Nursing Assessment
• Wound Staging Documentation
• FIM Assessment
• Rehabilitation Patient Education
• Regulatory Policy Compliance
• Professional Development

• Evaluated referred patients for hospice appropriateness through comprehensive medical records review, analyzing LPN-collected clinical data to facilitate and obtain timely admission orders aligned with VITAS eligibility criteria.
• Secured informed agreement for admission from referred patients and families meeting hospice criteria, guiding each through the full information gathering, education, and form completion aspects of the admissions process.
• Built and sustained effective referral source relationships, consistently meeting the high-quality and responsiveness expectations associated with VITAS to support a reliable and growing hospice referral pipeline.
• Applied advanced interpersonal skills to educate patients and families on hospice and palliative care services, addressing clinical and emotional questions with accuracy, empathy, and professional authority.
• Developed productive internal relationships with VITAS admissions personnel and patient care resource staff, taking initiative to strengthen cross-functional collaboration and accelerate admission workflow efficiency.
• Maintained continuous clinical and professional competence through active engagement in hospice-specific education, ensuring all admissions practices reflected current regulatory standards and evidence-based care delivery.

Core Skills:

• Hospice Eligibility Evaluation
• Admission Order Facilitation
• VITAS Referral Relations
• Patient Family Education
• Clinical Competency Maintenance
• Interdisciplinary Collaboration

• Completed the full admissions process across Home Health and Hospice settings, initiating individualized plans of care and ensuring all immediate patient care needs were identified and addressed at Start of Care.
• Performed comprehensive OASIS visits, including admission, recertification, evaluation, and discharge assessments, completing all accompanying documentation accurately and within required regulatory timeframes.
• Provided direct nursing care under physician orders throughout the duration of each patient's case, collaborating continuously with interdisciplinary team members to communicate Plan of Care updates and maintain care continuity.
• Communicated effectively with referring physicians through verbal and written channels, delivering accurate treatment notes and all required clinical documentation to support coordinated and compliant patient management.
• Audited new client charts and assisted on-site Charge Nurses in obtaining all required new admission documentation, including admission assessments, care plans, admission notes, and medication informed consent forms.
• Maintained rigorous documentation standards across all OASIS visit types and admission workflows, ensuring full compliance with Home Health and Hospice regulatory requirements and physician-directed treatment protocols.

Core Skills:

• OASIS Visit Completion
• Home Health Admissions
• Plan of Care Initiation
• Physician Communication
• Chart Auditing
• Clinical Documentation Compliance

• Determined hospice appropriateness for referred patients through clinical evaluation, addressing immediate care needs of patients and families while explaining hospice services, insurance benefits, and completing all required admission documentation.
• Communicated patient, family, and caregiver immediate needs and significant clinical issues to the hospice care team, obtaining necessary provider orders to ensure continuity and safety at the time of admission.
• Arranged all required supplies, equipment, medications, and available services before care initiation, facilitating seamless transitions into hospice and ensuring zero gaps in clinical resource availability at Start of Care.
• Produced thorough admission documentation to support accurate and complete handoff to the care team, maintaining regulatory compliance and clinical continuity across every patient transition into hospice services.
• Coached and trained admission specialists and admission counselors on the medical and psychiatric complications of eating disorders, building specialized competency across the admissions team for this complex patient population.
• Sustained a patient and family-centered admissions approach across all hospice intake encounters, balancing clinical precision with compassionate communication to support informed decision-making during end-of-life transitions.

Core Skills:

• Hospice Appropriateness Evaluation
• Admission Documentation
• Care Transition Coordination
• Provider Order Management
• Admissions Staff Training
• Resource Arrangement

• Coordinated day-of-admission handoffs for onsite teams, delivering structured verbal handovers to on-site Charge Nurses prior to every admission and ensuring seamless communication across admissions staff, on-site nursing, and clearance physicians.
• Determined green, yellow, and red light admission status for all prospective clients, making appropriate level of care determinations in full accordance with established admission criteria policies and procedures.
• Collaborated with physicians, referral sources, and multidisciplinary staff to gather comprehensive medical and psychiatric data on potential clients, supporting accurate and timely admission eligibility decisions.
• Coordinated all admission process touchpoints involving clients, families, referring facilities, physicians, emergency department crisis workers, and outside agencies at the request of the Admission Counselor.
• Participated actively in admission team development and programmatic growth initiatives, contributing clinical expertise and operational insight to strengthen departmental performance and admission workflow efficiency.
• Sustained clear and precise communication across all admission stakeholders throughout the intake process, ensuring zero-gap handoffs and consistent application of level of care standards across every client transition.

Core Skills:

• Day-of-Admission Coordination
• Level of Care Determination
• Verbal Handover Delivery
• Medical Psychiatric Evaluation
• Multidisciplinary Collaboration
• Admission Program Development