Montgomery Street, San Francisco, CA94105(555) 432-1000, resumesample@example.com
Professional Summary
A highly professional registered nurse with strong interpersonal and communication skills. Organized and efficient team player. Able to multitask, to collaborate with team toward meeting the main goal; to accept constructive criticism and provide efficient customer service; to successfully deal with challenging and difficult situations within her work realm; to apply critical thinking.
Core Qualifications
Microsoft Office
Internet Research
HER system
CCMS
HF intranet
Epaces
Outlook E mail system
Excel
Health Commerse System
HF EMR
Experience
01/2015 to CurrentReassessment /Intake NurseUniversity Of Pittsburgh Medical Center | Mcsherrystown, PA,
Conducts UAS for active members every six months to determine service needs and continued eligibility.
Completes reassessment of service needs at the request of the Care Team, Member's family/caregiver to determine if service level(s) needs to be adjusted.
Completes Patient Review Instruments/Screens and all required nursing assessments for active members to determine adjustments/updates in Care Plan and/or to assist with nursing home admission.
Completes required documentation and enters data into HCS (Health Commerce System/ DOH Software) and CCMS (Care Enhance Clinical Management Software) systems.
Coordinates with CMT (Care Management Team or Healthfirst Medical management) to maintain a high level of efficient and effective individualized Care Management operations for members.
Serves as a liaison between the member and the CMT; assesses home environment and psychosocial status.
Engages with CMT to collaboratively plan, develop and/or modify member's individualized Care Plan(s).
Accountable for maintaining a paperless work environment, which includes compiling reassessment package requirements and electronic archiving using Macess Exp Service Module.
Handles other duties as assigned including working weekends, overtime and/or working from other Healthfirst locations.
Contributes creative solutions and ownership of daily assignments for seamless communication and systematic completion of routine and special projects while representing SHP in the community.
Remains current with industry standards as they relate to Medicaid and Medicare.
Identifies barriers and develops innovation solutions to ensure quality of member care.
Communicates with home care agencies and CMT providing feedback regarding home care issues and the performance of Contract Nurses and Aids.
Provides grass roots, community-based training for frail population care including self-care techniques and prevention strategies.
01/2014 to 2015Field COC nurseAlpine Home Health Care, LLC | City, STATE,
Responsible for an assigned caseload of patients, conducting patient visits and
coordination, developing and implementing comprehensive care plan for each patient,
making adjustments as needed based on clinical changes.
Make home visits to assess, evaluate and provide direct nursing care, such as wound care,
medication management, insulin administration, teaching related to disease process and
offer support, guidance, and instructions to patients and caregivers.
Initiate appropriate preventative and rehabilitative nursing procedures, communicate with
MD about changes in patient's status and concerns.
Identify any safety issues and appropriately implementing necessary changes to keep
patient safe in patient's residence.
Prepare and maintain clinical progress notes according to Agency's policies and
acceptable nursing standards.
Case coordinate other needed services (PT, OT, ST, SW, HHA, DME) and make
necessary referrals as indicated.
Initiate and maintain continuous contact with patient's
physician to describe patient's need, status and plan of care.
Provide instructions and guidelines to workers providing health and personal care
services, including ongoing supervision and evaluation of the services delivered.
Coordinate with therapist, home health aides, caregivers to ensure consistent and
appropriate care is provided.
Establish goals, coordination of services of interdisciplinary team members, evaluate
effectiveness and outcomes of care, plan with client/caregiver for discharge from services.
Visiting patients in their homes and doing assessments on daily, every other day, weekly or biweekly basis depending on insurance coverage and approval, on whether there are wounds present or whether there is HHA services at the house.
Educating patients, caregivers and HHA on disease process and management, medication and diet management, bleeding, safety and fall precautions.
Teaching done on usage of glucometers, blood pressure, CPAP and Wound VAC machines.
Performing wound care using different kind of dressings from wet to dry to wound vac dressing.
Doing skilled nursing care for different kinds of stomas.
Removal and insertion of one time application urinary catheter or indwelling one.
Coordinating all patient care with case managers, physical therapists, medical social worker, occupational therapist and anyone else involved in that one particular case.
03/2013 to 01/2014Supervising nurse in group homesARC Of Rockland | City, STATE,
Supervising residential RN s and direct care staff.
Assessing the individuals, we serve and providing care.
Educating staff and residents.
Reviewing charts and making sure all documentation is current
CPR instructor
Participating in monthly meeting discussions about residents
08/2005 to 03/2013Staff nurseNeurology Group Of Westchester | City, STATE,
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