Livecareer-Resume
Jessica Claire
Montgomery Street, San Francisco, CA 94105
Home: (555) 432-1000 - Cell: - resumesample@example.com - -
Summary

Hardworking and reliable [Job Title] with strong ability in [Task] and [Task]. Offering [Soft skill], [Soft skill] and [Soft skill]. Highly organized, proactive and punctual with team-oriented mentality. Motivated to apply education and [Type] abilities to enhance [Type] operations. Eager to learn new skills and advance knowledge with hands-on experience. Proficient in [Software] and [Software] with advanced interpersonal abilities.

Skills
  • Community outreach
  • Well-trained in CPSI
  • Effective customer communication
  • Planning and coordination
  • Supervision
  • Administrative support
  • Insurance billing
  • Team management
  • Team building
  • Relationship development
  • Utilization review
  • Continuous assessments
  • Patient transfers and transitions
  • Intake and discharge
Experience
05/2020 to Current
Manager of Case Management Hca Brunswick, GA,
  • Collaborated with team members to identify and accomplish agency objectives.
  • Coordinated referrals to community services by advocating for individual needs and addressing roadblocks.
  • Collaborated with other interdiscplinary team members to discuss patient's needs.
  • Earned reputation for good attendance and hard work.
  • Provided excellent service and attention to customers when face-to-face or through phone conversations.
  • Worked closely with team members to deliver project requirements, develop solutions and meet deadlines.
  • Assessed each patient's psychosocial needs.
  • Collaborated with providers to obtain required clinical information, supporting prior authorization determinations and individual inquiries.
  • Contacted insurance carriers to obtain authorizations for services delivered to patients.
  • Managed [Type] and [Type] processes pertaining to denials and potential denials as outlined by insurance carriers.
  • Reviewed patient admissions to determine medical necessity as directed by the Interqual criteria.
  • Coordinated care with physicians and other clinical staff to prepare for treatment, carry out interventions and enhance continuum of care to deliver comprehensive services.
  • Counseled patients and caregivers, providing emotional, psychological and spiritual support.
  • Maintained strict patient data procedures to comply with HIPAA laws and prevent information breaches.
  • Developed and adapted individualized treatment plans according to patient recovery goals.
  • Communicated with primary care physicians or emergency care providers to relay patient needs.
  • Counseled caregivers and families on end-of-life planning and educated on patient care options.
to
RN Supervisor The Rehab Center At Bristol Bristol, VA,
  • Collaborated with team members to identify and accomplish agency objectives.
  • Developed and incorporated community-based programs to meet various needs and monitored each program's effectiveness.
  • Coordinated referrals to community services by advocating for individual needs and addressing roadblocks.
  • Documented services discussed and provided details in electronic medical records.
  • Maintained confidentiality in matters related to patient, family and client facility staff.
  • Collected data to represent symptoms, including onset, presenting problem and medical diagnoses.
  • Reviewed medical chart and requested appointments, prescriptions and consultations for urgent needs.
  • Communicated triage information to primary care team to discuss disposition.
  • Educated patients relative to health care urgency and community resources available to meet needs.
  • Answered incoming patient calls, gathering history and symptoms to determine scope of medical complaints.
to
RN Staff Nurse, House Supervisor Murphy Medical Center City, STATE,
  • Monitored post-op vitals, set up PCA, fluids, reviewed post-op orders and assimilated patients to unit.
  • Assessed patient conditions, monitored behaviors and updated supervising physicians with observations and concerns.
  • Administered oral, intramuscular and IV medications to patients and monitored responses.
  • Coordinated with healthcare team to establish, enact and evaluate patient care plans.
  • Conducted patient assessments and diagnostic tests to provide physician with important patient health information.
  • Communicated with primary care physicians or emergency care providers to relay patient needs.
  • Coordinated care with physicians and other clinical staff to prepare for treatment, carry out interventions and enhance continuum of care to deliver comprehensive services.
  • Administered scheduled medications and therapies intravenously, rectally, orally, subcutaneously and via intramuscular injections while overseeing pain management plans.
  • Administered oral, IV and intra-muscular medications and monitored patient reactions.
  • Monitored and recorded patient condition, vital signs, recovery progress and medication side effects.
  • Trained and mentored new RNs on best practices, hospital policies and standards of care.
  • Answered patient questions and provided take-home materials for further information.
  • Delivered quality patient care from admission to discharge through direct supervision of all nursing and ancillary staff.
  • Helped patients and families feel comfortable during challenging and stressful situations, promoting recovery and reducing compliance issues.
  • Delivered information regarding care and medications to patients and caregivers in comprehendible terminology.
  • Counseled patients and caregivers, providing emotional, psychological and spiritual support.
  • Advocated for patient needs with interdisciplinary team and implemented outlined treatment plans.
  • Maintained strict patient data procedures to comply with HIPAA laws and prevent information breaches.
Education and Training
Expected in 12/2014
Bachelor of Science: Nurisng
Western Carolina University - Cullowhee, NC
GPA:
Expected in 05/2009
Associate of Science: Nursing
Tri County Community College - Murphy, NC,
GPA:
Expected in 12/2000
Licensed Nurse Diploma: Nursing
Applachian Community College - Jasper, GA,
GPA:
Certifications
  • Accreddited Case Manager (ACM)
  • Certified Medical Surgical RN (CMSRN)

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Resume Overview

School Attended

  • Western Carolina University
  • Tri County Community College
  • Applachian Community College

Job Titles Held:

  • Manager of Case Management
  • RN Supervisor
  • RN Staff Nurse, House Supervisor

Degrees

  • Bachelor of Science
  • Associate of Science
  • Licensed Nurse Diploma

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