registered nurse case manager resume example with 5 years of experience
JessicaClaire
, , 609 Johnson Ave., 49204, Tulsa, OK100 Montgomery St. 10th Floor
H: (555) 432-1000
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resumesample@example.com
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Work History
Registered Nurse Case Manager, Travel Nurse, 03/2023 - Current Medstar Research Institute – Columbia, MD,
Advocated for patients by communicating care preferences to practitioners, verifying interventions met treatment goals and identifying insurance coverage limitations.
Evaluated healthcare needs, goals for treatment, and available resources of each patient and connected to optimal providers and care.
Developed care plans based on nursing diagnosis and incorporated therapeutic, preventive and rehabilitative nursing methods.
Coordinated rehabilitative and preventive nursing processes and procedures.
Delivered outstanding care to patients with various diagnoses and managed care from treatment initiation through to completion.
Documented patient interactions and interventions in EPIC EMR.
Documented all elements of care and updated patient charts and confidential files to reflect changes in care plans, interventions applied, and observations.
Planned, developed, assessed and evaluated care provided to patients while providing case management and outreach services. Assisted with discharge planning and follow up for hospitalized patients.
Quickly and effectively worked as a travel case manager for Trauma 1 center in Honolulu, HI. Adapted and implemented processes set forth by hospital.
Worked with analytic staff to identify barriers and gaps in care to improve quality outcome.
Assess, plan and implement care strategies with individual collaboration and directed toward most appropriate, least restrictive level of care
Identify and initiate referrals for social service programs, including financial, psychosocial, community and state supportive services
Manage care plan throughout continuum of care as single point of contact
Communicate with all stakeholders required health-related information to ensure quality coordinated care and services are provided expeditiously to all members
Advocate for both members and families as needed to ensure patient's needs and choices are fully represented and supported by healthcare team.
Evaluated healthcare needs, goals for treatment and available resources of each member and connected to optimal providers and care.
Took active role in member and family planning process, detailing instructions and responding appropriately and effectively to questions and concerns.
Educated patients and loved ones about different treatment options and outside care approaches to reduce burden on hospital resources.
Conducted regular re-evaluations to address changes in needs and conditions, introducing revisions to care plans.
Updated patient charts with data such as medications to keep records current and support accurate treatments.
Explained useful coping methods to relieve depression and anxiety.
Communicated with healthcare team members to plan, implement and enhance treatment strategies.
Identified behaviors that necessitated intervention and obtained assistance from qualified personnel to complete intervention.
Assessed patients' physical and mental status by analyzing complaints and symptoms.
Educated patients and family members about medical conditions and mental health, medications, treatments and preventive measures.
Advocated and coordinate care for individuals with mental health diagnoses which can present as intellectual and or developmental disabilities holistically alongside physical comorbidities.
Managed mental disabilities including crisis management, family education
addictions and substance abuse, evidence-based counseling techniques such as motivational interviewing, and stress management
Managed caseloads at over 100% capacity by efficiently prioritizing patients and clearing insurance obstacles
Service Coordinator, 09/2019 - 04/2022 United Healthcare Group – City, STATE,
Manage care plan across continuum of care as single point contact
Engage in case management and care coordination
Assess, plan, implement, and evaluate individualized care strategies along with member input to provide most appropriate and least restrictive level of care
Advocate for members and families as needed to ensure members' needs and choices are honored and supported
Identify solutions outside standard requests and problems such as assisting member and caregiver with housing after being awarded city funded home renovation which did not include alternative housing during renovation
Resolve complex problems and analyses
Work with minimal guidance
Provide explanations and information to others on difficult issues.
Coach, provide feedback, and assist colleagues
Design individualized service plans that took into account clients' goals and preferences
Maintain accurate records and full compliance with government regulations and agency guidelines
Evaluate final results to determine quality levels and isolate root causes of any identified faults
Explained useful coping methods to relieve depression and anxiety.
Communicated with healthcare team members to plan, implement and enhance treatment strategies.
Identified behaviors that necessitated intervention and obtained assistance from qualified personnel to complete intervention.
Assessed patients' physical and mental status by analyzing complaints and symptoms.
Educated patients and family members about medical conditions and mental health, medications, treatments and preventive measures.
Advocated and coordinate care for individuals with mental health diagnoses which can present as intellectual and or developmental disabilities holistically alongside physical comorbidities.
Explained useful coping methods to relieve depression and anxiety.
Communicated with healthcare team members to plan, implement and enhance treatment strategies.
Identified behaviors that necessitated intervention and obtained assistance from qualified personnel to complete intervention.
Assessed patients' physical and mental status by analyzing complaints and symptoms.
Educated patients and family members about medical conditions and mental health, medications, treatments and preventive measures.
Advocated and coordinate care for individuals with mental health diagnoses which can present as intellectual and or developmental disabilities holistically alongside physical comorbidities.
Managed mental disabilities including crisis management, family education
addictions and substance abuse, evidence-based counseling techniques such as motivational interviewing, and stress management
Managed caseloads at over 100% capacity by efficiently prioritizing patients and clearing insurance obstacles
RN Case Manager, 09/2017 - 08/2019 Company Name – City, State,
Resolved member service inquiries related to medical and pharmacy benefits and eligibility
Educated members about fundamentals of consumer-driven health care by: Maximizing value of their health plan benefits choosing quality care provider
Intervened with care providers on behalf of members to resolve issues
Provided process and status on previously submitted pre-authorizations or pre-determination requests
Utilized coaching techniques, activation, and motivational skills to empower members to take action and participate in shared decision-making process
Quickly learned new skills and applied them to daily tasks, improving efficiency and productivity
Registered Nurse, ICU, 01/2016 - 08/2017 Company Name – City, State,
Managed care from admission to discharge.
Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
Audited charts and reviewed clinical documents to verify accuracy.
Provided didactic and clinical instructions to orient new nurses and potential student nurses to achieve training outcomes.
Implemented medication and IV administration, catheter insertion, and airway management.
Managed quality care for patients with heart failure, end-stage renal disease and coronary artery disease.
Contributed substantially to successful department JCAHO accreditation by consistently operating to highest standards of care.
Maintained quality care and comfort for patients with heart failure, pulmonary hypertension, and other conditions.
Registered Nurse, Intermediate Care Unit, 12/2014 - 12/2015 Company Name – City, State,
Administered medications via oral, IV, and intramuscular injections and monitored responses.
Provided direct patient care, stabilized patients, and determined next course of action.
Administered medications and treatment to patients and monitored responses while working with healthcare teams to adjust care plans.
Maintained quality care and comfort for patients with heart failure, pulmonary hypertension, and other conditions.
Advised patients and caregivers of proper wound management, discharge plan objectives, safe medication use, and disease management.
Oversaw delivery of care for patients on medical-surgical unit, providing direct care, delegating nursing assignments and supervising team comprised of nurses, LPNs, technicians, and unit clerks.
Updated patient charts with data such as medications to keep records current and support accurate treatments.
Implemented medication and IV administration, catheter insertion, and airway management.
Registered Nurse, 11/2012 - 12/2014 Company Name – City, State,
Organized and managed care of patients undergoing various therapies and procedures.
Updated patient charts with data such as medications to keep records current and support accurate treatments.
Implemented medication and IV administration, catheter insertion, and airway management.
Administered medications and treatment to patients and monitored responses while working with healthcare teams to adjust care plans.
Audited charts and reviewed clinical documents to verify accuracy.
Assisted surgeons with cutting of tissue, clamping and suturing during operational procedures.
Monitored patient condition by interpreting and tracking EKG readings, identifying irregular telemetry readings and updating team members on changes in stability or acuity.
Collected blood, tissue, and other laboratory specimens and prepared for lab testing.
Administered medications via oral, IV, and intramuscular injections and monitored responses.
Education
Master of Science: Psychiatric Mental Health Nurse Practitioner, Expected in 07/2024 - Chamberlain University - Downers Grove, IL, GPA: Status -
Associate of Science: Nursing, Expected in 05/2012 - Tennessee State University - Nashville, TN GPA: Status -
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