Dedicated and hard working rehab case manager, RN who can effectively plan, assist evaluate and coordinate care to carry out a client's need.
Able to communicate and work with the patients , their families and the patient's physician and support staff to achieve and optimal health care plan to aid in their well being in order for a safe discharge.
Able to document on health care systems electronic medical record. Have used Cerner and Athena.
As variable pert time case manager, able to adapt to multiple case loads at any given time.
Effectively plan, assist, evaluate and coordinate care to carry out a client's needs. Communicate and work with patients and their physicians to achieve an optimal healthcare plan to aid in their well being. Familiar with electronic medical records and software in health management systems ( Cerner and Athena). Review and assess patient's rights, serve as a patient's connection between families and other organizations or parties, discuss goals and coordinate with supervisors on specific cases. Coordinate and execute discharge from current facility for a safe discharge to home, SNF, etc. | Coordinate post acute discharge therapies and services, i.e, home health therapy, IV infusion therapy, wound care therapy, home care assistance, follow up medical appointments. Participate in weekly team meetings with patient and family with physiatrist and nursing, PT,OT, ST staff to coordinate and establish safe discharge plan. Compassionate and respectful listener to patient during initial assessment and throughout course of hospital stay and beyond. Advocate for patient between staff, physician and family. As variable part time, able to step in to any case load and be able to assist. |
Acted as a liaison between the patients and the Chairman of Neurosurgery and related physicians.
Worked as part of a multi -disciplinary team with several attending Neurosurgeons, medical students and residents in a dynamic teaching medical center. Participated in daily rounds on inpatients and attended weekly educational grand rounds.
Triaged patient phone calls in Neurosurgery office and executed appropriate nursing judgement.
Assisted in a high volume outpatient Neurosurgery clinic which included taking patient histories, obtaining all available lab and test results and x-rays and scheduling lab tests and x-rays as ordered by the physician.
Office responsibilities were but not limited to re-ordering patient's medications, communicating with insurance companies and making follow up telephone calls to the patient as directed by the physician.
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