Dedicated and detail-oriented Registered Nurse Care Manager with extensive experience in the provision of member-centric care management services for a diverse and complex population. Committed to continuing to blaze the trail, to supporting the goals of a high-performing team, while seeking leadership opportunities for career advancement.
Experience
Physical Health Care Manager, 10/2015 - Current South Georgia Medical Center – Nashville, GA,
Provide care management services for a diverse, vulnerable, managed-Medicaid population, including members diagnosed with substance abuse disorders, psychiatric disorders and HIV, to meet their physical and behavioral health needs.
Participated in and trained Healthfirst Partners during the TruCare Mentor Activity initiative that included those on the supervisory level.
Collaborate with HARP supervision as needed to address unique situations.
Train and teach other Physical Health Care Managers in HARP team processes, systems, and best-practices in providing holistic, member-centric care management services.
Interdepartmental communication and collaboration to impart members with the appropriate information, services, supplies, and DME in an efficient and effective manner.
Seek information and inform team members of any resources that may enhance our productivity and ability to provide members with the best service possible.
NowPow champion/ point-person for HARP PH Team that entails training, trouble-shooting, and encouraging use of this community referral technology.
Review and utilize systems, such as TruCare, CCMS, and SharePoint to create and develop plans of care that provide members with optimal, member-centered care management services and meet state regulatory requirements.
Equip and empower members with free and low-cost community resources that will enhance their safety, support, and independence in the community.
Support members' PH and BH post-discharge needs, including acute rehabilitation, aftercare, DME, PCA, and Home Care services, to safely transition member back into the community and prevent re-admission.
Regular and as needed member follow up to meet acute and ongoing needs, while continuing to advance their plan of care.
Address and manage any member grievances and critical incidents to ensure member satisfaction.
Ensure HIPAA compliance and utilize active listening skills that include "teach-back" technique for providing health education to members.
Assess members who are in mental health crisis and initiate BH conference calls, EMS, mobile crisis, and APS referrals when appropriate.
Collaborate with HARP Behavioral Health Care Managers to ensure member's behavioral and mental health needs are met, thereby delivering a more holistic member care experience.
Facilitate Health Home referrals and encourage engagement.
Collaborate with Health Home CMAs to make certain member's ongoing physical, behavioral, vocational, and psychosocial needs are met in the community.
Prepare and present case reviews for ICT meetings.
On-Site Care Manager, 04/2013 - 09/2015 Wr Grace – Lake Charles, LA,
Reviewed patient medical records to identify readiness for discharge and identify missing services in discharge planning.
Supported members' post-discharge to prevent re-admission, including DME and SNF Rehab.
Communicated and discussed opportunities for developing and executing discharge plans with hospital staff (Medical team, social workers) and, where applicable, facilitate and implement a timely and appropriate discharge plan for the member.
Visited HF members at the bedside to facilitate and support pre and post d/c plan.
Focused on psychosocial and socio-economic needs.
Communicated with assigned telephonic Care Manager to assure post-discharge interventions are in place.
Ensured HIPAA compliance.
Attended and participated in interdisciplinary care team meetings between Healthfirst and the on-site hospital.
Prepared and presented case reviews in Interdisciplinary Care Team meetings.
Senior Staff Nurse, 09/2009 - 02/2013 NYU-Langone Medical Center – City, STATE,
Develop patient care plans, including assessments, evaluations, and nursing diagnoses for a 32-bed Neuroscience unit that includes ICU, floor, post-operative, stroke unit, and general medical-surgical patients.
Manage caseload of 3-6 clients per shift, providing education, advocacy, treatments, IV therapy, venipuncture and wound care.
Coordinate with doctors and registered nurses to develop care plans for patients.
Ensured efficacy of treatments through monitoring of treatment regimens.
Collect blood and other laboratory specimens and prepared them for lab testing.
Manage care of post-operative brain and spine patients.
Treat patients with strokes, head traumas, intracranial hematomas and other neurological diseases.
Experience with various medical conditions including COPD, asthma, Parkinson's, Dementia, Diabetes, Cancer, Alzheimer's and Paget's diseas.
Partner with team of Registered Nurses to ensure over all well-being of all patients.
Assist physicians examine and treat patients, assisting with instruments, injections and suture removal.
Evaluate health education needs of patient and family and provided necessary training and discharge instruction.
Accurately document all elements of nursing assessment, treatments, medications, discharge instructions, and follow-up care.
Achieve departmental goals and objectives by instituting new processes and standards for in-patient care.
Train new staff on quality control procedures.
Follow infection control procedures.
Provide treatment within scope of practice as defined by state law.
Intern, 12/2005 - 12/2008 Welfare Rights Initiative – City, STATE,
Guided over 100 public assistance students seeking higher education by recommending and coordinating child care, food stamps, housing and legal services.
Organized and implemented weekly outreach advisement services for 250 students within 24 months.
Education and Training
: , Expected in 2010 - NYU-Langone Medical Center - New York, NY GPA:
Nurse Residency Program
Completed 1-Year Residency
Bachelor's of Science: Nursing, Expected in 2009 - Hunter College - New York, NY GPA:
Activities and Honors
Sigma-Theta-Tau, Alpha-Phi Chapter, Inducted, May 2009
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