Rachel Welke
Sturgis
Summary
Registered nurse with extensive expertise in care coordination and patient advocacy. Proficient in conducting thorough assessments and mentoring healthcare staff to improve clinical outcomes. Committed to enhancing patient experiences and ensuring compliance with regulations while managing billing and data processes effectively.
Overview
14
14
years of professional experience
1
1
Certification
Work History
Registered Nurse
Interim Health Care
Rapid City
12.2021 - Current
- Conducted comprehensive patient assessments to identify care needs, establishing individualized plans of care that enhanced patient outcomes.
- Delivered home health care services including wound care, medication administration, and IV therapy.
- Advocated for patient needs, effectively navigating healthcare resources and community services to ensure access to essential care.
- Educated patients and families on disease management, lifestyle changes, nutrition, and preventive healthcare measures.
Clinical Reimbursement Analyst/Nurse Navigator
POWERBACK Center City
Philadelphia
07.2017 - 09.2021
- Coordinated patient care from admission through discharge in partnership with hospitals and physician groups.
- Managed resident MDS assessments, contributing to quality measures and five-star ratings.
- Collaborated with administrative team to improve care delivery processes at 147-bed rehab center.
Clinical Reimbursement Coordinator
Genesis Health Care - Hopkins Center
Wyncote
10.2013 - 07.2017
- Scheduled and transmitted MDS assessments, ensuring adherence to state and federal regulations for optimal resident care.
- Conducted comprehensive resident assessments for admissions and quarterly and annual reviews to ensure quality care and regulatory compliance.
- Coordinated quarterly resident care conferences with families and interdisciplinary teams to enhance care planning and communication.
RN Unit Manager
Genesis Health Care - Hopkins Center
Wyncote
05.2012 - 11.2013
- Collaborated with physicians and interdisciplinary team to implement treatment interventions, ensuring continuity of care.
- Mentored floor nurses on technical skills, enhancing clinical judgment and policy knowledge for effective care decisions.
- Evaluated patient care needs to prioritize medical treatment and optimize patient flow in 53-bed skilled nursing unit.
Education
Bachelor of Science - Nursing, Health Science
South Dakota State University
Rapid City, SD05-2009
Skills
- Billing and data management
- Care coordination
- Health system management
- Patient communication
- Disease management
- Leadership and staff mentoring
- Effective communication with patients and families
- Patient advocacy
- Patient assessment
Certification
- Registered Nurse, South Dakota, 01/20-present
- Registered Nurse, Pennsylvania, 01/09-12/21
- CPR/BLS, American Heart Association, 01/03-present
Accomplishments
- Initiated and coordinated a Fall Committee focused on preventing falls and implementing appropriate interventions.
- RN clinical team member in pilot study with an acute care hospital to reduce sepsis rehospitalizations and implement new clinical pathways.
References
- Jennifer Valinoti, Administrator, Promedica Philadelphia, 215-546-5960, 267-885-3048
- Miriam Duprey, Director of Nursing, Promedica Philadelphia, 215-546-5960, 267-981-2159
- Julie Galen, Assistant Director of Nursing, Promedica Philadelphia, 215-546-5960, 856-723-4146
Timeline
Registered Nurse
Interim Health Care
12.2021 - Current
Clinical Reimbursement Analyst/Nurse Navigator
POWERBACK Center City
07.2017 - 09.2021
Clinical Reimbursement Coordinator
Genesis Health Care - Hopkins Center
10.2013 - 07.2017
RN Unit Manager
Genesis Health Care - Hopkins Center
05.2012 - 11.2013
Bachelor of Science - Nursing, Health Science
South Dakota State University