Case Manager RN Resume Example United Heathcare

CASE MANAGER - RN

Summary

Patient-oriented, compassionate Nurse with over Eight years' experience in patient care and advocacy within multiple units, seeking to continue a career path in long-term health care with a respected organization. Highly skilled in case management, charge nursing and precepting. Accomplished in implementing policies, procedures, and protocols to achieve core measures benchmarks. Demonstrated ability to foster relationships with patients and nursing teams to drive patient outcome goals.

Skills

Procedure development. internet research, software application
Patient record auditing, email, jabber, web-ex, use of online calendars
Care plan management

Patient care management
Experience in Home & Community based or Long Term Care service delivery

Experience

United HeathCare | Iselin, NJCase Manager - RN09/2017 - Current

Review and record progress of patients.
Perform home visits assisting members with safe, effective transitions from care environments
Coordinate resources from diverse providers, acting as educator and evaluator between provider and member to assist in intervention plans.
Communicate with social services agencies regarding cases.
Develop appropriate care plans for at-risk and high-risk individuals.
Determine and coordinated appropriate level of care to meet individual patient needs.
Manage and identified logistics for abuse and neglect cases.
Collaborate with various healthcare providers to facilitate delivery of services.
Coordinate support services and optimized communication between healthcare workers and patients.
Optimize program resource utilization to prevent unnecessary hospital admissions and costly service gaps in addition to decreased stress and an effective healthcare system.
Assist patients in receiving high-quality, appropriate care with best possible results.
Lower costs while improving care quality by coordinating services and collaborating with dedicated healthcare team.
Foster staff satisfaction and performance by implementing improved disciplinary policies.

Monmouth Medical Center | Long Branch, NJRN Staff Nurse - 12/2015 - 09/2017

Maintain strong Critical thinking Skills
Identify and manage Life-threatening post-operative/post-partum complications.
Maintained strict patient data procedures to comply with HIPAA laws and prevent information breaches.
Helped pediatric patients understand and feel at ease with vaccines, tests and minor procedures.
Delivered quality care and comfort to patients with heart failure, pulmonary hypertension, pulmonary embolisms and end-stage renal disease.
Helped patients and families feel comfortable during challenging and stressful situations, promoting recovery and reducing compliance issues.
Administered scheduled medications and therapies intravenously, rectally, orally, subcutaneously and via intramuscular injections while overseeing pain management plans.
Assessed patient conditions, monitored behaviors and updated supervising physicians with observations and concerns.
Developed and adapted individualized treatment plans according to patient recovery goals.
Provided training and supervision to 6 member staff in Mother/baby unit.
Monitored post-op vitals, set up PCA, fluids, reviewed post-op orders and assimilated patients to unit.
Provided patient care while acting as Charge Nurse, Addressed unit staff concerns, including staffing ratios, resource management, allocation of responsibilities and optimized workload management.

Community Medical Center | Toms River, NJRN Staff Nurse05/2012 - 09/2017

Ramonita

Staff Nurse, Charge Nurse, Preceptor, Mentor
Telemetry, Cardiac, Medical/Surgical RN, Peritoneal Dialysis, Pre and Post Cardiac Catheterization, Wound Care, Hospice, Neurology
Addressed unit staff concerns, including staffing ratios, resource management, allocation of responsibilities and optimized workload management.
Monitored patient vitals post-surgery, managed medical equipment and administered medications and IVs.
Trained and mentored new RNs on best practices, hospital policies and standards of care.
Organized and delegated tasks during rapid response and high-pressure code situations.
Charted changes in patient conditions and discussed concerns with supervising healthcare provider.
Addressed patient care needs, collected vitals, dressed wounds and managed catheters.
Assigned daily tasks to nurses based on experience and strengths.
Prioritized care and assessed needs through effective triaging of incoming phone calls from ER and inpatient units.
Collaborated with physicians and nursing staff to deliver quality care.

Education and Training

Oklahoma Panhandle State University | Goodwell, OKBachelor of Science And Nursing in Nursing12/2016

Ocean County College | Toms River, NJAssociates of Science And Nursing in Registered Nurse04/2012

Resume Overview

Companies Worked For:

United HeathCare
Monmouth Medical Center
Community Medical Center

School Attended

Oklahoma Panhandle State University
Ocean County College

Job Titles Held:

Case Manager - RN
RN Staff Nurse -
RN Staff Nurse

Degrees

Bachelor of Science And Nursing in Nursing
Associates of Science And Nursing in Registered Nurse

Case Manager - RN Resume Example

Resume Score: 80%

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