LVN-Case Management Resume Example
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LVN-CASE MANAGEMENT
Professional Summary
Well trained Licensed Vocational Nurse, self-motivated, detailed oriented and hard working. Calm and poised in the most stressful environments. Experienced with medical data gathering, analysis and authorization obtainment following strict guidelines. Seeking the opportunity to join a new organization in the role of Utilization Review Nurse.
Skills
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Work History
LVN-Case ManagementDec 2017 - Jul 2020
Acadia Healthcare Inc.Boca Raton , FL
Acadia Healthcare Inc.Boca Raton , FL
- Reviewed 20-35 electronic clinical documents from pharmacy's, physician offices and health insurance appeals daily to determine if any adverse events from specialty medical medications occurred.
- Experience writing clinical quality narratives auditing for individual drug safety reports.
- Assisted with medical utilization review of clinical documentation to identify approval or denial of medical necessity criteria of specialty medications.
- Transcribed calls between patient's and case managers to provide to client for review.
- Demonstrated knowledge of safety concepts, global regulatory reporting obligations.
- Worked effectively within healthcare teams on successful audits and quality initiatives.
- Audited charts and reviewed clinical documents to verify accuracy.
- Carefully reviewed patient files for clarity on diseases, diagnoses and procedures to determine quality of care.
- Managed electronic clinical documentation and uploaded changes or updates using multiple systems.
- Maintained strong knowledge of medical terminology, diseases and conditions and procedures.
- Identifies new methods to optimize medical records management.
- Assisted with site evaluations, internal audits.
LVN-Post AcuteJul 2019 - Apr 2020
HIGHLAND SPRINGSCity , STATE
HIGHLAND SPRINGSCity , STATE
- Worked as needed with multidisciplinary team to carry out successful medical treatment plans for diverse acute and chronic conditions.
- Responded to patient requests with appropriate clinical and personal assistance.
- Assessed 7-14 patients' temperature, pulse and blood pressure and recorded in electronic medical records.
- Delivered oral medications, intramuscular injections and IV fluids to mitigate or resolve patient symptoms.
- Managed various general office duties such as answering multiple telephone lines, completing insurance forms and mailing monthly invoice statements to patients.
- Protected patients and healthcare team members from infection by sterilizing equipment and reusable supplies.
- Reviewed patient history to verify conditions and current medications.
- Circulated assigned floor to measure and record patients' fluid and food levels, implementing measures to promote healthy intake and output as necessary.
- Documented patient information obtained from interviews concerning symptoms, medications and prior treatment.
- Clearly and thoroughly explained diagnoses, treatment options and procedures to patients and loved ones, checking in to verify understanding.
Outpatient Surgical NurseMar 2017 - Dec 2017
Sono BelloCity , STATE
Sono BelloCity , STATE
- Circulated within operating room.
- Providing observations of patient's vital signs and providing intervention.
- Stocked exam rooms and operating room as needed.
- Ordered office and surgical supplies.
- Utilized autoclave daily and maintained strict sterile technique.
- Created warm, supportive atmosphere to keep patients feeling safe and comfortable immediately before and after surgery.
- Educated family members and caregivers on patient care instructions.
- Audited charts and reviewed clinical documents to verify accuracy.
- Educated patients and answered questions about health condition, prognosis and treatment.
- Sustained quality standards by performing routine medication audits and upholding internal and industry best practices.
- Updated patient charts using EHR with data such as medications to keep records current and support accurate treatments.
- Accurately documented all elements of nursing assessment, including treatment, medications and IVs administered, discharge instructions and follow-up care.
- Reported findings to quality departments after conducting routine restraint audits and worked with team to devise corrective actions for deficiencies.
- Trained new nurses in proper techniques, care standards, operational procedures and safety protocols to optimize performance and safety.
- Managed care from admission to discharge, including patient assessments, care planning, health educations and discharging support to provide comprehensive care to over 10 patients daily.
LVN- Charge NurseAug 2016 - Mar 2017
RAMBLING OAKS- REHABILITATION CENTERCity , STATE
RAMBLING OAKS- REHABILITATION CENTERCity , STATE
- Worked with multidisciplinary team to carry out successful treatment plans for diverse acute and chronic conditions.
- Responded to patient requests with appropriate clinical and personal assistance.
- Helped long-term care residents with bathing, dressing, feeding and other daily living activities.
- Assessed 14 patients' temperature, pulse and blood pressure and recorded in electronic medical records.
- Managed various general office duties such as answering multiple telephone lines, completing insurance forms and mailing monthly invoice statements to patients.
- Protected patients and healthcare team members from infection by sterilizing equipment and reusable supplies.
- Took samples such as blood and urine to complete diagnostic and routine assessment tests.
- Documented patient vitals, behaviors and conditions to communicate concerns to supervising nurse.
- Reviewed patient history to verify conditions and current medications.
Education
Associate: NursingExpected in 2021
Excelsior CollegeCity
Excelsior CollegeCity
In progress
Vocational Nursing Diploma: Nursing2016
Concorde Career CollegeCity
Concorde Career CollegeCity
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Resume Strength
- Completeness
- Formatting
- Word choice
- Length
- Measurable results
- Strong summary
- Target job
- Clear contact info
- Typos
Resume Overview
School Attended
- Excelsior College
- Concorde Career College
Job Titles Held:
- LVN-Case Management
- LVN-Post Acute
- Outpatient Surgical Nurse
- LVN- Charge Nurse
Degrees
- Associate : Nursing Expected in 2021
Vocational Nursing Diploma : Nursing 2016
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