Livecareer-Resume
Jessica Claire
  • Montgomery Street, San Francisco, CA 94105
  • Home: (555) 432-1000
  • Cell:
  • resumesample@example.com
Professional Summary
Highly motivated Sales Associate with extensive customer service and sales experience. Outgoing sales professional with track record of driving increased sales, improving buying experience and elevating company profile with target market.
Skills
  • Microsoft Word, Excel, Pivot Tables, V-Lookup, PowerPoint
  • EMR: Meditech, Athena, EPIC
  • HEDIS, GPRO, ACO, Phlebotomy, EKG
  • Management Skills: Excellent customer care, Communication and organization, Staff leadership
  • Benefits, Quality
  • Billing, Recording
  • Contracts, Reporting
  • Council, Requirement
  • CPR, Research
  • Critical-thinking, Spanish
  • Customer care, Tables
  • Data Entry, Teaching
  • Database, Transportation
  • Delivery
  • Documentation
  • English
  • Fat
  • Financial
  • Insurance
  • Inventory
  • Leadership
  • Managing
  • Management Skills
  • Materials
  • Meditech
  • Memory
  • Access
  • Excel
  • PowerPoint
  • 98
  • Microsoft Word
  • Works
  • Monitors
  • Negotiating
  • Nursing
  • Phlebotomy
  • Policies
  • Coding
  • Progress
  • Project Management
Work History
Population Health LPN Case Manager, 04/XXX9 to Current
Baptist Health CarePensacola, FL,
  • Project Management: o Maintaining and monitoring Accountable Care Organization’s (ACO) patient census.
  • O Maintaining PHI data documentation for the purposes of Population Health Management initiatives.
  • O Prepares reports, data or other materials for committee presentation.
  • O Provides feedback on the effectiveness of policies and procedures.
  • Transitional Care Management: o Coordination of services and cost-effective management of health care resources to meet individual members’ health care needs and promote positive health outcomes.
  • O Acts as a member advocate and a liaison between providers, members and HN to seamlessly integrate complex services.
  • O Manages individual member cases by coordinating the provisions of services, assuring the cost-effective utilization of health care resources to meet individual members’ health care needs and promote positive health outcomes.
  • O Reviews, screens and prioritizes members for possible case management services.
  • O Participates in programs to proactively identify members at risk who are appropriate for case management services.
  • O Expedites access to appropriate care for members with urgent or immediate needs using expedited review process.
  • O Performs comprehensive case assessment: Acquires appropriate clinical records, clinical guidelines, policies, EOC, Benefit Policy and coding guidelines.
  • Performs research and analyzes on complex issues.
  • Assesses the member’s current health status, resource utilization, past and present treatment plan and services; prognosis, short- and long-term goals, treatment and provider options.
  • O Evaluates and determines patient centered interventions: Using professional judgement, independent analysis and critical-thinking skills applies clinical guidelines, policies, benefit plans, etc.
  • To determine the appropriate level of care, intensity of service, length of stay and place of service.
  • Identifies appropriate health care resources based on member's medical needs, including but not limited to evaluating contracts and negotiating with facilities/vendors.
  • Works with the member/family, provider(s), and other members of the health care team to develop a plan of care that enhances the clinical outcome while maximizing the member’s benefits.
  • Implements and coordinates interventions and other activities that lead to the accomplishment of goals established in the case management plan.
  • Provide patient education on management of chronic conditions, medication prescriptions or on post-discharge instructions.
  • Assist in ensuring timely delivery of services to your patients such Home Health, DME, Home Infusion and other critical needs.
  • Utilizes financial and insurance resources, as well as UW Health assistance programs, i.e., Medical Assistance Program, of the patients to maximize the health care benefit to the patient.
  • O Monitor Patient Progress: Continually reassesses services delivered to the member to determine if the goals of the plan of care are being met, whether the goals continue to be appropriate and realistic, and what actions may be implemented to enhance positive outcomes.
  • Monitors information from all relevant sources about the case management plan and interventions to determine the plan’s effectiveness.
  • Revises care plan when goals are met, new needs are identified, or changes in interventions are made.
  • Performs evaluation in multiple environments including process and relationships, health care management, community resource and support, service delivery, psychosocial intervention and rehabilitation.
  • Closes cases according to the defined case closure procedure in a timely manner, and in accordance with guidelines established.
  • Chronic Care Management: o Identifies and refers members who may benefit from disease management.
  • O Identifies potential reinsurance cases and notifies the appropriate department according to policy and procedure.
  • O Collaborates and communicates with hospitalists, attending physicians and utilization management staff and other health care professionals when appropriate.
  • O Identifies cases needing leadership review or input.
  • Presents cases to medical council for potential review or determinations when needed.
  • Refers potentially inappropriate resource utilization or quality related concerns to leadership.
  • Note: References can be provided upon request.
Charge Nurse, 01/XXX5 to 01/2021
Bickford Senior LivingMarion, IA,
  • Hang Intravenous medications.
  • Performing Tracheostomy care, Colostomy care, Respiratory care, Gastric tube feeding, Wound care, Catheter care.
  • Insert catheters, Care planning.
  • Maintaining peripheral lines patent.
  • Administering medications to patients intravenously, subcutaneously, transdermaly, intramuscularly, enterally.
  • Performing Patient assessment, measuring vital signs, performing Glucose screenings.
  • Maintain patient records and updated them.
  • Managed other staff on site and training new nurses on proper medication administration, wound care o Delegating to nurses’ aids.
  • Arranging patient transportation.
  • Transcribing doctor's orders.
  • Acting charge nurse on my unit if charge nurse is absent.
  • Provide evidence-based interventions in assessing and managing patients with dementia, and others with cognitive impairment that results in difficult behavior.
  • Participate actively in providing memory service initiatives for patients with dementia.
  • Note: References can be provided upon request.
, 01/XXX7 to 04/XXX9
ThedacareWaupaca, WI,
  • Collect data from a variety of electronic (EMR, EPIC) and paper sources.
  • Conduct reviews of the data/records to ensure abstraction accuracy of clinical data elements for HEDIS and GPRO reporting.
  • Document findings in HEDIS database tool.
  • Meeting and maintaining quality requirement of 98% review accuracy.
  • Note: References can be provided upon request.
Licensed Practical Nurse, 01/XXX0 to 01/XXX8
ThedacareWI, State,
  • Hang Intravenous medications.
  • Performing Tracheostomy care, Colostomy care, Respiratory care, Gastric tube feeding, Wound care, Catheter care.
  • Insert catheters, Care planning.
  • Maintaining peripheral lines patent.
  • Administering medications to patients intravenously, subcutaneously, transdermaly, intramuscularly, enterally.
  • Performing Patient assessment, measuring vital signs, performing Glucose screenings.
  • Maintain patient records and updated them.
  • Manage other staff on site and trained new nurses on proper medication administration, wound care etc.
  • Assisted Activities of Daily Living (ADLs).
  • Performed Sub Acute care, Long term care, Palliative care, Tracheotomy care, Colostomy care, Respiratory care, Wound care, Catheter care.
  • Coordinated patient care with other staff members and physicians.
  • Observed and assessed changes and trends in physical or mental condition of the patient as well as planned and implemented therapeutic interventions and evaluated response to such interventions Note: References can be provided upon request.
Licensed Practical Nurse/Clinical Allergy Specialist, 01/XXX2 to 01/XXX5
ThedacareShawano, WI,
  • Offer hands-on patient care for allergy-related conditions,.
  • Perform allergy testing for patients and provide them with diagnoses.
  • Meet and exceed company's monthly targets of tests.
  • Educate patients on the antigen therapy medication, (immunotherapy).
  • Work in a lab setting to formulate and make customized allergy medication for each patient.
  • Educate patients to self-administer medication.
  • Manage lab services and medical inventory, including patient appointments and billing documents.
  • Train new nurses on proper procedures and documentation.
  • Note: References can be provided upon request.
Licensed Practical Nurse, 01/XXX1 to 01/XXX3
Bickford Senior LivingBurlington, IA,
  • Hang Intravenous medications.
  • Performing Tracheostomy care, Colostomy care, Respiratory care, Gastric tube feeding, Wound care, Catheter care.
  • Insert catheters, Care planning.
  • Maintaining peripheral lines patent.
  • Administering medications to patients intravenously, subcutaneously, transdermaly, intramuscularly, enterally.
  • Performing Patient assessment, measuring vital signs, performing Glucose screenings.
  • Maintain patient records and updated them.
  • Manage other staff on site and trained new nurses on proper medication administration, wound care etc.
  • Performed Sub Acute care, Long term care, Palliative care, Tracheotomy care, Colostomy care, Respiratory care, Wound care, Catheter care.
  • Coordinated patient care with other staff members and physicians.
  • Observed and assessed changes and trends in physical or mental condition of the patient as well as planned and implemented therapeutic interventions and evaluated response to such interventions Note: References can be provided upon request.
Licensed Practical Nurse, 01/XXX0 to 01/XXX2
University Of CaliforniaSan Diego, CA,
  • Administered vaccines and provided healthcare screenings to patients daily.
  • Responsible for performing and monitoring body fat analysis, blood screenings for glucose and cholesterol, manual blood pressure checks and height/weight measurements.
  • Responsible for making observations and recording vital signs.
  • Provided Geriatric and Pediatric Care.
  • Note: References can be provided upon request Phlebotomist at Accu-Reference Lab.
, 01/2007 to 01/2009
City, STATE,
  • Measured patient vital signs.
  • Collected, processed and transported blood and urine specimens.
  • Performed Data Entry.
  • Performed Venipunctures and Administered injections Note: References can be provided upon request.
Medical Assistant, 01/2007 to 01/2007
NACity, STATE,
  • Set up and sterilized surgical room and equipment before surgeries.
  • Assisted in both medical and cosmetic surgeries.
  • Pre-screened patients.
  • Sent out tissue sample for biopsies.
  • Provided wound care after surgeries.
  • Removed sutures and staples.
  • Provided PT teaching when patient was discharged.
Education
Diploma: , Expected in XXX0
Lincoln Technical Institute - Paramus, NJ ​​​​​​​
GPA:
Practical Nursing Program
Clinical Medical Assistant / CPR Certification: , Expected in 2007
World Wide Educational Services - Jersey City, NJ ​​​​​​​​
GPA:
Accomplishments
  • Licensed Practical Nurse.
  • Clinical Allergy Specialist.
  • Clinical Medical Assistant.
  • CPR/BLS.
Languages
English, Spanish
Additional Information
  • Note: References can be provided upon request

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Resume Overview

School Attended

  • Lincoln Technical Institute
  • World Wide Educational Services

Job Titles Held:

  • Population Health LPN Case Manager
  • Charge Nurse
  • Licensed Practical Nurse
  • Licensed Practical Nurse/Clinical Allergy Specialist
  • Licensed Practical Nurse
  • Licensed Practical Nurse
  • Medical Assistant

Degrees

  • Diploma
  • Clinical Medical Assistant / CPR Certification

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