Director Of Nursing Case Management Provider Services Coordinator Resume Example

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(555) 432-1000,
, , 100 Montgomery St. 10th Floor
Professional Summary

Highly experienced Bilingual, Multistate Licensure Registered Nurse, Certified Case Manager with 35+ years’ experience, hospital, home health, hospice, community/long-term care settings. Previous Certified Psychiatric Nurse, evaluating patients’ mental health needs, geriatric, young adults. Compassionate healthcare industry professional with proven abilities delivering comprehensive, community-based care planning, support. Strong understanding, background working with Medicare / Medicaid /Managed Care programs.

  • Fluent in Spanish
    Written and verbal communication
    Case management proficiency
    Time management
    Cultural Sensitivity & Diversification Awareness
    Documentation proficiency/ Oasis documentation
    Interviewing skills
    Technology/ Microsoft Office
East Los Angeles College Monterey Park, CA Expected in 06/1983 Associate of Arts : Nursing - GPA :
Los Angeles City College Los Angeles, CA Expected in : Psychology - GPA :
  • Continuing education in Psychology
Commission For Case Management Mount Laurel, NJ, Expected in : Case Management - GPA :

Continuing education Certified Case Manager

, Expected in : - GPA :

Licensing and Certifications

  • Registered Nurse Texas Multistate License No. 684284
  • Certified Case Manager Certification No. 4252676
Work History
Grane - RN Case Manager
Indiana, PA, 07/2018 - Current
  • Conducted comprehensive assessments, reassessments, admission to discharge, care planning, health education, client needs to determine medical necessity and level of care needed for clients' to remain at home.
  • Established, implemented culturally competent, quality-driven, care plans for diverse acute and chronic conditions, revising plans as needed.
  • Collaborated with interdisciplinary professionals, coordinated program referrals for state, federal, community-based resources centered on client, family clinical, financial challenges, insurance limitations.
  • Prepared and entered documentation into care management applications to ensure compliance with documentation requirements.
Wellness Healthcare Inc. - Administrator/Director of Nursing Services
City, STATE, 03/2006 - 06/2018
  • Direct day-to-day administration of Licensed and Certified home health/hospice company, with Licensed Personal Attendant Services providing client care services in home environment.
  • Administered charts audits, reviewed clinical documents to verify accuracy, compliance with agency state, federal guidelines.
  • Provided continuing education, skills training to clinical, nonclinical staff.
Lifecare Options Home Health Care - Director of Nursing/Case Management/Provider Services Coordinator
City, STATE, 01/2005 - 08/2006
  • Established, implemented effective care plans that address clinical, financial challenges, client, family requirements, providing community referrals, while maintaining compliance with statutory, regulatory, state, federal guidelines.
  • Overseeing management of client care admission to discharge assessments, health educations, discharge support and reevaluating, revising plans, when necessary, per client changing needs.
  • Collaborating with multidisciplinary team members to provide safe, timely, efficient, client-centered care.

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Resume Overview

School Attended
  • East Los Angeles College
  • Los Angeles City College
  • Commission For Case Management
Job Titles Held:
  • RN Case Manager
  • Administrator/Director of Nursing Services
  • Director of Nursing/Case Management/Provider Services Coordinator
  • Associate of Arts
  • Some College (No Degree)
  • Some College (No Degree)