Maternity Case Manager Resume Example Blue Cross Blue Shield / Anthem

MATERNITY CASE MANAGER

Professional Summary

Current RN license in Georgia, Alabama, Florida, Connecticut, Minnesota, Wyoming and New Hampshire

Registered Nurse with 8+ years experience in obstetrical settings providing nursing care to diverse populations with an emphasis on high risk pregnancy. 3+ years Case Management telephonic experience.

Work History

05/2016

Maternity Case ManagerBlue Cross Blue Shield / Anthem – Atlanta, Ga

Telephonic management of high risk and low risk maternity members.
Target members predicted to be at risk or high risk future medical costs or hospital admissions
Help members achieve a healthy pregnancy, prevent readmission and prevent NICU stay
Support member engagement, education, ongoing assessment, and coordination of care specific to the need of high risk pregnancies

01/2013 to 05/2016

Maternity Case ManagerUnited Health Care/ Optum – Atlanta, Ga

Telephonic management of high risk maternity members.
Assess and interprets customer needs and requirements
Identifies solutions to non-standard requests and problems Solves moderately complex problems and/or conducts moderately complex analysts
Works with minimal guidance; seeks guidance on only the most complex tasks Translates concepts into practice Serves as a resource to others.

08/2011 to 10/2012

OB Nurse EducatorAtlanta Women\'s OB/GYN Obstetric RN – Atlanta, Ga

Evaluated obstetric patients in office and via telephone triage.
Planned, implemented and documented nursing care for obstetric patients
Accountable for creating and updating policies and procedures Facilitated transitions and coordination of care across the continuum
Managed messages and triage to physicians Used critical thinking and decisive judgment skills when setting priorities Practiced excellent time management skills.

08/2008 to 08/2011

Registered NursePiedmont Hospital RN – Atlanta, Ga

Delivered patient care through the nursing process of assessment, planning, intervention and evaluation.
Cared for and supported low-risk and high-risk patients and families throughout all stages of labor and delivery Cared for Antepartum patients Transitioned newborns Circulated and recovered OR cases Provided patient teaching Delegated patient care to ancillary personnel as needed.

Education

2008

Bachelor of Science: Nursing
Georgia Baptist College of Nursing of Mercer University - Atlanta, Ga

Recipient of Piedmont Scholar Scholarship
Student Honor Council representative

Resume Overview

Companies Worked For:

Blue Cross Blue Shield / Anthem
United Health Care/ Optum
Atlanta Women\'s OB/GYN Obstetric RN
Piedmont Hospital RN

School Attended

Georgia Baptist College of Nursing of Mercer University

Job Titles Held:

Maternity Case Manager
OB Nurse Educator
Registered Nurse

Degrees

Bachelor of Science : Nursing

Maternity Case Manager Resume Example

Resume Score: 80%

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