In my previous role, I coordinated care transitions for over 200 patients annually, ensuring seamless handoffs between healthcare providers. I developed individualized care plans, communicated with multidisciplinary teams, and educated patients and families on post-discharge care. By leveraging electronic health records and care management tools, I reduced readmission rates by 15% within a year. My focus on patient-centered care and proactive communication has consistently improved outcomes and patient satisfaction.

I stay updated on healthcare regulations like HIPAA and CMS guidelines to ensure compliance during care transitions. I conduct regular audits of care plans and documentation, provide staff training on regulatory requirements, and implement standardized protocols. By maintaining open communication with legal and compliance teams, I address potential risks proactively. This approach ensures that all transitions adhere to legal and ethical standards while prioritizing patient safety and confidentiality.

I use a patient-centered approach, involving patients and families in care planning from the outset. I provide clear, jargon-free explanations of care plans, encourage questions, and address concerns. Tools like teach-back methods and visual aids help ensure understanding. I also connect families with community resources and support groups. By fostering trust and collaboration, I empower patients and families to actively participate in their care, leading to better adherence and outcomes.

I approach conflicts with empathy and active listening, seeking to understand all perspectives. I facilitate open communication between stakeholders, mediate disagreements, and focus on shared goals. For example, when a patient’s family disagreed with a discharge plan, I arranged a meeting with the care team to address concerns and adjust the plan collaboratively. My ability to remain calm, solution-focused, and patient-centered ensures smooth transitions even in challenging situations.

I measure success through key performance indicators like readmission rates, patient satisfaction scores, and adherence to care plans. I also track metrics such as timely follow-up appointments and medication reconciliation accuracy. Regular feedback from patients, families, and care teams helps identify areas for improvement. By analyzing data and implementing evidence-based practices, I continuously refine transition processes to enhance outcomes and reduce healthcare costs.