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• I offer TeleAdvocacy Service
• I am insured
• My geographical area of practice is Massachusetts, Connecticut and remote situations throughout New England and nationwide

Early on in my nursing career, when I was a new graduate, I took care of individuals who had multiple traumas, many of them with head injuries or spinal cord injuries. Patients and families who were in the Intensive Care Unit for weeks, sometimes months before coming to me. Due to the complexity of their medical, psycho-social, financial, and rehabilitation needs, to me, it was easy to go over and above the scope of the general nursing practice; but i did. I later found out that much of what I was doing daily fell under the role of a Case Manager, but to me it was just who I was, and am, as a nurse.



I coordinated care planning meeting between the ICU and our unit teams which had never been done before. Met with the patient and families several times prior to them being transferred to our floor, which was a new concept. I was young and could not understand why this never happening before. Clearly, in doing so, It had many benefits such as enhancing communication, decreased family/individual stress and allowed for an overall smoother transition to the next phase of care. I always loved doing thorough chart reviews/assessments, and often found incorrect or missed information. Doing these activities helped to establish a more comprehensive plan of care. I even toured rehabilitation facilities with families, sometimes hours away. And of course developed the list of questions for the family to ask and educated them on what to look for.



At that time, Case Management was just being recognized as a profession and when I left the hospital, I became the first case manager in the post-acute industry (then called sub-acute) in all of New England. I was already an Advocate as outlined in practice and ethics standards, but realized that I too was a natural case manager.



The Case Management Society of America's definition of Case Managers is to help provide an array of services to help individuals and families cope with complicated situations in the most effective way possible, thereby achieving a better quality of life. They help people to identify their goals, needs, and resources. The case manager and the client work together to formulate a plan to meet those goals. The case manager helps clients to find resources and facilitates connection with services. She or he advocates on behalf of a client to obtain needed services. The case manager also maintains communication with the client to evaluate whether the plan is effective in meeting the client's goal.