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care transition nurse resume example with 9+ years of experience

Jessica Claire
, , 609 Johnson Ave., 49204, Tulsa, OK 100 Montgomery St. 10th Floor
Home: (555) 432-1000 - Cell: - resumesample@example.com - : - -
Summary

Organized Registered Nurse with 10+ years of experience with an Master of Science Nursing.Strong educator with outstanding communication skills willing to be a team player, and preceptor. Excellent planning and problem-solving skills who readily adapts to change, works independently and exceeds expectations with ability to juggle multiple priorities and meet tight deadlines without compromising quality.

Skills
  • Strong medical/ clinical skills Comfortable with technology and
  • Willing and able to learn new software
  • Attention to detail
  • Highly organized and able to prioritize
  • And follow through on multiple projects
  • Able to multitask
  • Led new hire preceptor training with
  • The ability to act as a role model
  • Demonstrating appropriate problem-
  • Solving skills and stress-management
  • Able to effectively communicate both written and verbally
  • Medical record chart audit review,
  • Quality, performance improvement, case
  • Utilization
  • Attention to detail
  • Data collection, Reporting
  • Documentation
  • Email
  • Teaching
  • Excel
  • Word
  • Problem-Solving
Experience
04/2020 to Current
Care Transition Nurse St Mary's Health System Tewksbury, MA,
  • Collaborated with transition team to evaluate care and discharge needs of current patient roster.
  • Worked with nursing staff and social workers to minimize healthcare burden by preventing unnecessary hospitalizations.
  • Prioritized care and attention each day to maximize nursing resource utilization and patient outcomes.
  • Followed up with recently discharged patients to check on care and upcoming visits and determine nursing needs.
  • Coordinated care with physicians and other clinical staff to prepare for treatment, carry out interventions and enhance continuum of care to deliver comprehensive services.
02/2017 to 04/2020
Remote Call Center Registered Nurse Crossing Rivers Health Prairie Du Chien, WI,
  • Accurately document all elements of nursing assessment, treatments, medications, education, discharge, and follow up care.
  • Comprehensive needs assessment and screening with clients to determine education need.
  • Assess the members current health status, resource utilization, past and present treatment plan Accurately document questions asked to patients over the phone and responses or advice given to caller.
  • Answered incoming patient calls, gathering history and symptoms to determine scope of medical complaints.
02/2015 to 11/2017
Telephonic SSI Case Manager Centene City, STATE,
  • Listens, communicated, and documents simultaneously and navigates computer programs to assess, process, educate and document all information in a professional timely manner.
  • Recalls knowledge of teaching principles of health care information related to pediatrics, adult and geriatric populations, Trained newly registered nurses in the correct nursing/HEDIS procedures, and performance strategies to elevate the team's performance and long-term success.
  • Monitored medical services to assess the quality of care and the appropriate allocation of resources.
  • Skillfully administered the facility's finances through effective budget control strategies and expense monitoring.
  • Active unrestricted RN license Addressed quality of care concerns for our members.
  • Research and investigation of member-dissatisfactions/complaints for quality of care.
  • Consistently models high levels of integrity, and takes responsibility for the impact of one's actions.
  • Medical record reviews for Quality of Care issues.
  • Knowledge of HEDIS specifications and data collection.
  • Conducted audits remotely as requested requested by senior management.
  • Maintain a detailed denial log for tracking and reporting purposes.
  • Follow-up with patients within 24 hours on inpatient discharge & within 48 hours of ED visit notification.
  • Hospice/ Palliative Care Case Manger Aurora Medical Center Kenosha Administered local, intravenous and inhalation anesthetics based on patient conditions and procedural requirements.
  • Trained newly hired -registered nurses in the correct nursing procedures and performance strategies.
  • Consulted with healthcare team to plan and implement patient treatment protocols.
  • Completed detailed patient intakes, discharges,!including documenting patient histories and current vitals.
  • Coordinated the transitions into and out of inpatient status to home.
  • Supported patients and families dealing with grief, and stress.
  • Conduct comprehensive assessment of patients' physical, mental, and psychosocial needs.
  • Develop care plans to prevent disease exacerbation, improve outcomes, increase patient engagement in self-care, decrease risk status, and minimize hospital and ED utilization.
  • Utilize behavioral strategies help patients adopt healthy behaviors and improve self-care in chronic disease management.
  • Promote self-management goals.
  • Follow-up with patients within 24 hours on inpatient discharge & within 48 hours of ED visit notification.
  • Partner with external case management programs to coordinate care.
  • Implemented new hire training to further develop skills and initiate discussions on task prioritization.
  • Communicated with patients with compassion while keeping medical information private.
02/2012 to 01/2017
Registered Nurse Advocate Aurora Health Care City, STATE,
  • Coordinated care with physicians and other clinical staff to prepare for treatment, carry out interventions and enhance continuum of care to deliver comprehensive services.
  • Administered medications, tracked dosages and documented patient conditions.
  • Maintained personal and team compliance with medication administration standards and patient care best practices.
  • Consistently assessed and evaluated patients' health needs by coordinating across medical disciplines to create, implement and modify personalized care plans.
  • Administered palliative care in outpatient settings ranging from assessment to development and implementation of care plans.
  • Collaborated with doctors to plan post-treatment home care and prevent return hospitalization due to complications.
  • Used facility EMR system to update patient records, transmit prescriptions and transfer files.
  • Delivered direct patient care, including stabilizing patients and identifying treatment options.
  • Updated physicians on patient test results and assisted in developing care plans.
Education and Training
Expected in 11/2017 to to
Master of Science: Nurse Leadership
Grand Canyon University - Phoenix, AZ
GPA:
Dean's List Honoree, two semesters. Awarded Black Nurses Association of Wisconsin Scholarship . Graduated with distinction
Expected in 07/2015 to to
Bachelor of Science: Nursing
Chamberlain University College of Nursing - Addison, IL
GPA:
with honors
Expected in 12/2009 to to
Associate of Science: Nursing
Gateway Technical College - Kenosha, WI
GPA:
Featured Presenter,[Community Health Fair] Voted most likely to excel in Nursing Dean's List Honoree

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Resume Overview

School Attended

  • Grand Canyon University
  • Chamberlain University College of Nursing
  • Gateway Technical College

Job Titles Held:

  • Care Transition Nurse
  • Remote Call Center Registered Nurse
  • Telephonic SSI Case Manager
  • Registered Nurse

Degrees

  • Master of Science
  • Bachelor of Science
  • Associate of Science

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