Montgomery Street, San Francisco, CA 94105
Home: (555) 432-1000 - Cell: - resumesample@example.com - -
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.
- Community outreach
- Well-trained in CPSI
- Effective customer communication
- Planning and coordination
- Supervision
- Administrative support
- Insurance billing
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- Team management
- Team building
- Relationship development
- Utilization review
- Continuous assessments
- Patient transfers and transitions
- Intake and discharge
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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.
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:
- Accreddited Case Manager (ACM)
- Certified Medical Surgical RN (CMSRN)
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