patient care coordinator rn case manager resume example with 5+ years of experience
JessicaClaire
, , 609 Johnson Ave., 49204, Tulsa, OK100 Montgomery St. 10th Floor
Home: (555) 432-1000
Cell:
resumesample@example.com
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Professional Summary
Compassionate Registered Nurse with background in home health case management and medical quality chart reviewing. 4 Years of experience in OASIS scoring and with CMS requirements. 1.5 Year experience in OASIS/quality chart reviews. Excellent time management and organizational skills. Strong communication skills. Works well with a diversity of people. Passionate and dedicated to delivering excellent service and care. Ready to work; eager to learn and grow.
Skills
Bachelor of Science in Nursing
Case Management Experience
OASIS scoring/reviewing
Knowledge on CMS requirements
Care Plan Development
Experience with geriatric, adult and pediatric population
BLS certification
Work History
Patient Care Coordinator/RN Case Manager , 07/2020 to Current Country Manor – Saint Joseph, MN,
Evaluate treatment plans against individual goals and healthcare standards.
Audit charts for CMS compliance and review for medical necessity.
Utilization review based off of documentation, diagnosis codes, patient's needs and HHRG/HIPPS scores.
Collaborate with physicians, social workers, therapists and RN case managers to develop and implement individualized care plans; documenting all patient interactions and interventions in electronic charting systems.
Develop and establish care plans based on nursing diagnosis and incorporate therapeutic, preventive and rehabilitative nursing methods.
Identify care needs of individual patients and coordinate responses based on physician advice, insurance limitations and procedural costs.
Collaborate with RN case managers from different insurance companies to ensure they are receiving needed documentation and to discuss patient statuses, changes in conditions, concerns and any improvements or recommendations.
Daily telephonic triage of patient situations including instructing patients on medical advise and recommendations, preventative teaching, medication education, disease process education and deciphering emergent from non-emergent situations.
Establish performance improvement and ensure core process measures are being met with each individual patient case
Work with Wellsky, Focura, TigerConnet and Gmail systems
Patient Care Manager (Supervisor), 10/2019 to Current At Home Healthcare – City, STATE,
Evaluated treatment plans against individual goals and healthcare standards.
Audited charts for CMS compliance and review for medical necessity.
Performed Utilization review on charts and made necessary changes to discipline frequencies based off of documentation, diagnosis codes, patient's needs and HHRG/HIPPS scores.
Oversaw clinical staff consisting of RN, LPN, HHA, PT, OT, ST, PTA, COTA and MSW disciplines.
Performed weekly employee evaluations and supervisory visits with field clinicians; conduct weekly chart audits and provide constructive criticism and education to field Nurses and Therapists
Lead Team Case conference meetings weekly, create agendas, power points, establish and organize teaching topics to present
Managed high volume workflow and tasks daily and in a timely matter, view and update coordination notes, respond to emails and phone calls daily
Used HomeCare Homebase, Outlook Email, Fax, Scan and Telemed app
RN Case Manager, 05/2017 to 10/2019 At Home Healthcare – City, STATE,
Performed OASIS admission visits, recertifications, resumption of cares and discharge visits.
Evaluated patients in their homes, perform home safety assessments, fall risk assessments and determine homebound status.
Scored patients using OASIS D Functional assessment
Performed the following skills routinely and independently in patient homes: Wound care including wound vacs, PICC line care, Central line care, IV infusions, TPN administration, IV starts and dc's, Tracheostomy care, Foley catheter care, colostomy/urostomy/illeostomy care, INR checks, Medication management, Disease process education and monitoring for exacerbation
Applied knowledge and educate patients on COPD, CHF, AFIB, Pneumonia, Sepsis, Wounds, post CABG and TAVR surgery and Diabetic disease process
Managed care from admission to discharge, including patient assessments, care planning, health educations and discharging support to provide comprehensive care
Triaged after hours phone calls from patients, Used critical thinking skills to determine safe solutions
Closely communicated with therapists, physicians and family to ensure patient is receiving needed care
Pediatric Emergency RN, 02/2016 to 05/2017 TMC – City, STATE,
Triage and Assess patients in timely and urgent matter
Provide care for neonates, infants, toddlers, school aged children and adolescents
Quickly recognize signs of Respiratory Distress, DKA, MI, Trauma and Sepsis and implement protocols
Follow hospital protocols and implement precaution requirements
Answered codes quickly and orchestrated efficient, skilled medical care
Assisted patients dealing with traumatic injuries or illnesses, including stroke patients, accident victims and cardiac patients
Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions
Airway management techniques; Work closely with Respiratory Therapy in caring for intubated patients
Assist MD with patient sedations; responsible for airway management and ensuring vital sings are stable through procedure
Care for patients with Suicidal and Homicidal Ideation, Implement psychiatric care protocols
Delivered medications via oral, IV and intramuscular injections, monitoring responses to address new concerns
Accurately documented all elements of nursing assessment, including treatment, medications and IVs administered, discharge instructions and follow-up care
Iv starts, lab draws, straight caths, oxygen and medication administration
Education
Bachelor of Science: Nursing, Expected in 2015 to Grand Canyon University - Phoenix, AZ GPA:
High School Diploma: , Expected in 2007 to Amphitheater High School - Tucson, AZ GPA:
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