Disease Manager Nurse Resume Example
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DISEASE MANAGER NURSE
Professional Summary
To obtain a position as a Case Manager Disease Manager where I may utilize my skills in improving care and quality performance measurements.
Licenses
CPR certified through American Heart Association
Illinois Registered Nurse
Skill Highlights
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Professional Experience
Disease Manager Nurse11/2011 to 10/2014
Catholic Health InitiativeCenterville , IA
Catholic Health InitiativeCenterville , IA
- Managed care for adults with chronic diseases of congestive heart failure, chronic obstructive pulmonary disease, and diabetes.
- Provided a comprehensive assessment of patient risk and needs for education, discharge planning and resource needs during an episode of illness and across the continuum of care using EMR.
- Directed the patient throughout the system by coordinating care with the physician, direct care staff, and interdisciplinary team which includes the patient and family.
- Reinforced discharge plan and compliance.
- Streamlines transitions in and out of the hospital, speeds up referrals and ensures prompt scheduling of follow-up appointments taking into consideration patient preference and schedule.
- Participated in the redesign of the Congestive Heart Failure Pathway Admitting Form and Collaborative Discharge Form for Holy Cross Hospital.
- Collaborated with the Information System at Holy Cross Hospital to develop documentation in the hospital computer database for social work, nutrition, and pharmacy.
- Designated Disease Manager for congestive heart failure for the Better Outcomes by Optimizing Safe Transitions (BOOST) Mentoring initiative sponsored by Blue Cross Blue Shield of Illinois in collaboration with the Society of Hospital Medicine, Northwestern University Feinberg School of Medicine and the Illinois Hospital Association (IHA).
Discharge Advocate for Project RE-Engineered Discharge (RED) Pilot 02/2010 to 11/2011
Onward HealthcareMcallen , TX
Onward HealthcareMcallen , TX
- Case managed patients with primary principle diagnosis of Congestive Heart Failure.
- Perform telephonic and inpatient concurrent review.
- Coordinated multidisciplinary services among care team members who contributed to reducing the readmission rate for the Congestive Heart Failure patients.
- Conducted hospital wide educational training and symposium presentations on reducing readmission rate for Congestive Heart Failure patients.
Disease Manager Specialist03/2008 to 01/2010
Mount Sinai HospitalCity , STATE
Mount Sinai HospitalCity , STATE
- Responsible for early identification of selected populations (AMI, CAP, CHF, SCIP, STROKE) for data submission to federal government entities such as Medicaid and Medicare.
- Facilitated a system of coordinated healthcare interventions based on the evidence-based guidelines for those populations and for monitoring and reporting compliance with those guidelines.
- Identified and communicated opportunities to improve care and support processes as appropriate.
- Provided Core Measure instruction to new resident and nursing orientations, and conducted update in-services to nursing units and physician staff.
Cardiac Nurse05/2007 to 03/2008
Mount Sinai HospitalCity , STATE
Mount Sinai HospitalCity , STATE
- Cared for cardiac patients on 43-bed unit which include post-CABG, ventilated, cardiac procedural patients such as cardiac catheterization, stress test, and ECHO.
- Acted as patient advocate and implemented total patient care through a team nursing process covering 6-8 high acuity patients per shift.
- Adhered to the documentation compliance for quality core measures.
Agency Nurse03/2007 to 12/2011
PNI Nursing AgencyCity , STATE
PNI Nursing AgencyCity , STATE
- Assignment consisted of working at various hospitals throughout the Chicagoland area.
- Responsible for providing care to patients in medical-surgical, telemetry, psych, and rehab units.
- Developed patient care plans, including assessment, evaluations, and nursing diagnosis.
Medical-Surgical Nurse07/2004 to 03/2007
Mercy Hospital And Medical CenterCity , STATE
Mercy Hospital And Medical CenterCity , STATE
- Performed all tasks with a patient-centered focus while seeking opportunities for improvement of processes and treatments.
- Actively participated in unit-based Quality Assurance Program..
- Served as preceptor/ charge nurse where duties included orientating new nursing staff, and monitoring patient assignment for nursing students and new nursing staff based upon knowledge and experience.
- Responsible for ensuring that patients were prepped and ready for surgery and ensuring that patients were appropriately monitored post surgery, maintaining staff to patient ratio based upon acuity, and ensuring that the best level of customer service was provided to patient and family.
Education and Training
Basic Life Support2013Mt. Sinai HospitalCity, State
Basic EKG Interpretation2007Mt Sinai HospitalCity, State
Basic Certificate in Mental Health: Alcoholism and Substance Abuse Counseling5 2000Harold Washington City CollegeCity, State
Bachelor of Science: Nursing5 1997University of IllinoisCity, State
Associates of Science7 1992Daley City CollegeCity, State
Associate: Arts5 1992Daley City CollegeCity, State
Skills
Basic, Counseling, CPR, customer service, database, diagnosis, documentation, government, instruction, instructor, Interpretation, Mental Health, Mentoring, nursing, Pathway, presentations, processes, quality, reporting, safety, scheduling, symposium, telemetry
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Resume Overview
School Attended
- Mt. Sinai Hospital
- Mt Sinai Hospital
- Harold Washington City College
- University of Illinois
- Daley City College
Job Titles Held:
- Disease Manager Nurse
- Discharge Advocate for Project RE-Engineered Discharge (RED) Pilot
- Disease Manager Specialist
- Cardiac Nurse
- Agency Nurse
- Medical-Surgical Nurse
Degrees
- Basic Life Support 2013
Basic EKG Interpretation 2007
Basic Certificate in Mental Health : Alcoholism and Substance Abuse Counseling 5 2000
Bachelor of Science : Nursing 5 1997
Associates of Science 7 1992
Associate : Arts 5 1992
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