Proven history of success in optimizing patient care as well-qualified and experienced Care/Case Manager. Minimize hospital stays through detailed focus on internal systems and individual patient needs. Focused on boosting utilization and department operational efficiency.
Coordinated delivery of optimal patient care to diverse patients through effective monitoring and treatment organization. Skillfully conduct assessments, update documentation and complete ongoing case reviews to strengthen support. Well-versed in enforcing strict controls to quickly identify and resolve concerns.
Knowledgeable Case Manager experienced in coordinating care for diverse individuals. Proactive and resourceful profession able to make appropriate decisions for high-quality and cost-effective care.
Caring Registered Nurse with 20 years of experience in various types of long-term and home health care settings. Proven ability to provide individualized care plans and help patients meet goals by delivering direct and effective patient care. Committed to increasing patient satisfaction and streamlining procedures.
Nurse Case Manager with valid State RN License. Solid clinical, utilization review, and case management experience within managed care environment.
Skills
Chronic disease management
Staff education and training
Documentation proficiency
Direct patient care
Patient management
Progress evaluations
Patient assessments
Case management
Interdisciplinary collaboration
Data entry
Indirect patient care
Regulatory compliance
Charting and clinical documentation
Work History
Private Duty Nurse, 01/2004 to 01/2005 Addus Homecare Corporation – Avondale, AZ,
Educated patients and answered questions about health condition, prognosis and treatment
Offered exceptional care and support to individuals recovering from acute incidents and dealing with chronic conditions
Applied nursing expertise to meet needs of Paraplegic patients in challenging environment
Staff Registered Nurse, 02/2008 to 04/2014 Sunrise Senior Living – Edison, NJ,
Delivered medications via oral, IV and intramuscular injections, monitoring responses to catch and address new concerns
Kept optimal supply levels in treatment rooms, triage and other areas to meet typical patient loads
Informed patients and families of effective treatment options and at-home care strategies, enhancing long-term outcomes
Taught patients how to improve lifestyle choices, dramatically reducing chance of symptom reoccurrence
Worked within interdisciplinary health care team to develop, implement and make adjustments to patient care plans, individualizing strategies and methods to improve health and meet recovery goals
Trained new nurses in proper techniques, care standards, operational procedures and safety protocols to optimize performance and safety
Conferred with physicians to discuss diagnoses and devise well-coordinated treatment approaches
Effectively prioritized assignments, executing care based on each patient's relative condition and delegating tasks to available personnel deliver safe and efficient care
Observed and reported patient condition, progress and medication side effects to accurately document updates
Ensured patients had information necessary for ongoing care, providing guidance on diagnoses, management of medications and prevention methods
Orchestrated quality-driven, cost-effective care for as many as 6-7 patients each day in high-volume setting
Administered testing and sent results to physician to create focused treatment plans, adjust treatment and
Updated patient charts using [Software] with data such as medications to keep records current and support accurate treatments
Educated patients and answered questions about health condition, prognosis and treatment
Offered exceptional care and support to individuals recovering from acute incidents and dealing with chronic conditions
Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions
Adhered to strict safety measures by carefully determining proper dosages before administering medications
Implemented interventions, including medication and IV administration, catheter insertion and airway management
Monitored patient condition, including interpreting and tracking EKG readings, identifying irregular telemetry readings and updating team members on changes in stability or acuity
Sustained quality standards by performing routine medication audits and upholding internal and industry best practices
Managed patients recovering from medical or surgical procedures, including facilitating wound care, ostomy care, pressure ulcer prevention and pain management
Implemented care plans for patient treatment after assessing physician medical regimens
Provided skilled, timely and level-headed emergency response to critically-ill patients
Observed and documented patient factors such as diets, physical activity levels and behaviors to understand conditions and effectively modify treatment plans
Collected blood, tissue and other laboratory specimens and prepared for lab testing
Explained course of care and medications, including side effects to patients and caregivers in easy-to-understand terms
Applied nursing expertise to meet needs of patients in challenging environment
Quickly responded to situations impacting safety and security to unit, actualizing crisis prevention interventions to control and de-escalate situations
Followed all personal and health data procedures to effectively comply with HIPAA laws and prevent information breaches
Audited charts and reviewed clinical documents to verify accuracy
Accurately documented all elements of nursing assessment, including treatment, medications and IVs administered, discharge instructions and follow-up care
Partnered with physicians, social workers, activity therapists, nutritionists and case managers to develop and implement individualized care plans and documented all patient interactions and interventions in electronic charting systems
Reviewed post-operative orders and continuously monitored patients' post-operative vitals, set up PCA and fluids and oriented patients to unit to achieve optimal outcomes
Performed ongoing assessments to evaluate mental health needs, working with multidisciplinary team to develop, initiate, manage and modify individualized plans of care
Administered different therapies and medications in line with physician orders and treatment plan
Monitored patient reactions after administering medications and IV therapies
Equipped patients with tools and knowledge needed for speedy and sustained recovery
Promoted patient and family comfort during challenging recoveries to enhance healing and eliminate non-compliance problems
Educated family members and caregivers on patient care instructions
Managed care from admission to discharge, including patient assessments, care planning, health educations and discharging support to provide comprehensive care to over [6 patients daily
Provided direct patient care, stabilized patients and determined next course of action
Performed frequent checks on life support equipment and made necessary adjustments to preserve optimal patient conditions
Reported patients' status and delegated nurse assignments to achieve optimal outcomes
Administered medications and treatment to patients and monitored responses while working with healthcare teams to adjust care plans
Care Manager, 01/2015 to 04/2019 Affinity Living Group – Hayesville, NC,
Identified care needs of individual patients and coordinated responses based on physician advice, insurance limitations and procedural costs
Partnered with physicians, social workers, activity therapists, nutritionists and case managers to develop and implement individualized care plans and documented all patient interactions and interventions in electronic charting systems
Took active role in patient and family planning process, detailing instructions and responding appropriately and effectively to question and concerns
Educated patients and loved ones about different treatment options and outside care approaches, reducing burden on hospital resources
Evaluated treatment plans against individual goals and healthcare standards
Reduced care costs without sacrificing quality through effective service coordination and multidisciplinary collaboration
Worked with different disciplines to provide cohesive care to patients
Helped patients receive appropriate, high-quality care with reasonable results
RN Transitional Care/Case Manager, 04/2019 to Current Palmetto Primary Care Physicians – City, STATE,
Identified care needs of individual patients and coordinated responses based on physician advice, insurance limitations and procedural costs
Partnered with physicians, social workers, activity therapists, nutritionists and case managers to develop and implement individualized care plans and documented all patient interactions and interventions in electronic charting systems
Took active role in patient and family planning process, detailing instructions and responding appropriately and effectively to question and concerns
Education
Associate of Applied Science: Nursing, Expected in Tri-County Technical College - Pendleton, SC GPA:
Associate of Arts: Liberal Arts And General Studies, Expected in Anderson University - Anderson, SC, GPA:
: Elementary Education, Expected in Winthrop University - Rock Hill, SC GPA:
High School Diploma: , Expected in Westside High School - Anderson, SC, GPA:
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