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Intake Case Mangement Manager Resume Example

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INTAKE CASE MANGEMENT MANAGER
Professional Summary

Caring and skilled Nurse passionate about positively impacting programs and helping participants by providing expert support. Familiar with Case Management ,Leadership and always looking for ways to improve operations and personalize assistance. Well-organized and resourceful with detail-oriented and conscientious approach.

Skills
  • First Aid/CPR
  • Critical thinking
  • Verbal and written communication
  • Project Management
  • Training & Development
  • MS Office
  • Relationship-Building
  • Data management
  • Flexible & Adaptable
  • Telephonic
  • Leadership
  • Customer Service
  • Teamwork
  • Excellent work ethic
  • Cultural awareness
  • Organization and Time management
  • Epic/McKesson/Nextiva/HCHB software proficiency
  • Compassion
  • Responsible
  • Multitasking abilities
Work History
07/2018 - 09/2020Intake Case Mangement Manager | Houston Methodist - Miami , FL
  • Detailed program operations and participant activities with comprehensive recordkeeping.
  • Identified service gaps and located needed resources for individuals, including housing, work placement and other support.
  • Educated healthcare staff to provide resources and available services and processes to engage in program.
  • Oversaw day-to-day activities of intake staff.
  • Worked closely with Utilization team to maintain optimum levels of communication to effectively and efficiently complete intake, authorization - reauthorizations or discharges
  • Trained staff on how to complete (TSS) Agency documentation according to accreditation policies and funding policies, ie; assessments, treatment planning, progress notes. Improved their treatment plan and progress note writing skills as needed through evaluations and or PIPs
  • Conducted quality assurance on the Agency's assessment/treatment planning tool to assure it meets the external auditing Agency requirements
  • Audited charts for quality assurance weekly / Assist Biller in Monthly Billing Audits
  • Managed team of employees, overseeing hiring, training, and professional growth of employees.
12/2016 - 03/2018Medical Surgical Charge Nurse | Wexford Health - Plainfield , IN
  • Managed patients' pain by implementing pharmacological and non-pharmacological pain management interventions
  • Collaborated daily with health care team to achieve optimum patient care, boosting. HCAPHs, patient satisfaction scores.
  • Used Epic to document patient plan of care by taking into account nursing interventions, diagnosis and expected patient outcomes.
  • Started intravenous fluids, administered medications and documented patient charts by recording food and fluid output and intake.
  • Educated patients and families on medical-surgical procedures, therapeutic regimens and pain management techniques.
  • Managed pre-op and post-operative patient care by stocking medical supplies and preparing operating rooms.
  • Managed caseload simultaneously with the charge Nurse oversight by providing bedside care, treatments, IV therapy and wound care.
  • Strengthened training and nursing knowledge by taking part in continuing education programs and workshops.
  • Adhered to strict safety measures by carefully determining proper dosages before administering medications.
  • Applied nursing expertise to meet needs of patients in challenging environment.
  • Trained new nurses in proper techniques, care standards, operational procedures and safety protocols to optimize performance and safety.
  • Facilitated therapeutic communication, conflict resolution and crisis intervention by redirecting negative behaviors and helping patients regain or improve coping abilities to prevent further disability.
  • Audited charts and reviewed clinical documents to verify accuracy.
  • Managed patients recovering from medical or surgical procedures, including facilitating wound care, ostomy care, pressure ulcer prevention and pain management to list a few.
  • Conducted ongoing monitoring and evaluations of behaviors and conditions, and updated clinical supervisors with current information.
  • Used first-hand knowledge and clinical expertise to advocate for patients under care and enacted prescribed treatment strategies.
06/2014 - 12/2016ADON | Palmetto Health - Batesville , SC
  • Developed positive employee relations, incentives and recognition programs to promote teamwork and mutual respect.
  • Planned and assigned workload to nursing staff to direct patient care.
  • Prepared and reviewed EOC and infection control surveillance reports to identify trends and develop effective actions to control and prevent infections.
  • Conducted routine facility inspections, identifying areas needing improvement and eliminating hazards posed to staff and residents for continued compliance with associated regulations.
  • Identified department issues to recommend corrective actions.
  • Evaluated work performance of nursing personnel to determine wage increases and implement discipline.
  • Established new policies and updated existing policies to improve standard of care for patients.
  • Recruited and developed quality individuals to develop accountable top quality staff.
  • Used Ultipro to maintain department budgets, analytics, and record expenses.
  • Participated in Department Head team meetings to discuss resident status, census changes and resident complaints or concerns.
  • Devised and introduced initiatives and projects to maintain or improve existing facilities, allowing for maximization of capital component of Medicaid's per diem rate.
  • Discussed medical histories with patients in effort to provide most effective medical advice.
12/2012 - 05/2016Registered Nurse Consultant | PruittHealth - City , STATE
  • Sustained quality standards by performing routine medication audits and upholding internal and industry best practices.
  • Conducted ongoing monitoring and evaluations of behaviors and conditions, and updated clinical supervisors with current information.
  • Reported findings to quality departments after conducting routine restraint audits and worked with team to devise corrective actions for deficiencies.
  • Communicated with healthcare team members to plan, implement and enhance treatment strategies.
  • Partnered with physicians, social workers, activity therapists, nutritionists and case managers to develop and implement individualized care plans and documented all patient interactions and interventions in electronic charting systems.
  • Eliminated process gaps by implementing new methods of standardized training.
  • Scheduled and taught in class and online courses to increase learning opportunities.
  • Identified and proactively solved internal problems related to employee turnover by revamping training approaches.
  • Recognized and tapped talented staff to fill key positions and maximize productivity.
  • Assessed student needs to develop effective training plans.
  • Tracked attendance and progress against goals for each participant.
  • Mentored new hires, resulting in stronger staff development and increased productivity.
  • Scheduled appointments for trainee using McKesson to maintain 100% accuracy.
  • Maximized preventative care utilization to reduce hospital burden and help eliminate readmissions.
  • Completed documentation of care, hospital actions and patient activities.
  • Evaluated effectiveness of current strategies with interdisciplinary team and utilized recommendations to make permanent improvements to care standards.
  • Resolved problems with areas such as communication and billing that could negatively impact services.
  • Liaised between hospital departments to facilitate effective communication.
  • Cross-trained to support other medical staff with emphasis on establishing patient rapport and developing relationships with external partners.
  • Monitored logistics for patient intake and implementation of proposed courses of treatment.
  • Monitored ongoing care and proactively corrected problems.
  • Enhanced application of nursing and medical practices in alignment with laws and regulations.
  • Monitored, tracked and conveyed important patient information to healthcare staff to help optimize treatment planning and care delivery.
  • Evaluated Nursing staff to ensure patients care/ needs were identified included addressed wounds, behavioral concerns and medically relevant symptoms.
Education
Strayer University, City, StateBBA: Business Administration
05/2012Brown Mackie College, CityAssociate of Science: Nursing Practice
04/2020The American Institute Of Healthcare Professionals, CityCase Management
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Resume Overview

School Attended

  • Strayer University
  • Brown Mackie College
  • The American Institute Of Healthcare Professionals

Job Titles Held:

  • Intake Case Mangement Manager
  • Medical Surgical Charge Nurse
  • ADON
  • Registered Nurse Consultant

Degrees

  • BBA : Business Administration
    Associate of Science : Nursing Practice
    Case Management

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