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Registered Nurse Case Manager Resume Example

Resume Score: 80%

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REGISTERED NURSE CASE MANAGER
Professional Summary

Accomplished bilingual Spanish-speaking Registered Nurse Case Manager with 3+ years of experience dedicated to quality care of diverse patients. Skillfully blend hands-on skills with advanced background in workman's compensation settings. Work effectively with all levels of healthcare providers, physicians and administrators to address patient needs. Team-oriented and reliable with expert healthcare knowledge, clear verbal and written communication skills and sound clinical judgment. Expert multitask capable of prioritizing clinical and operational tasks in fast-paced emergency medicine settings.

Monitor and coordinate patient care to deliver optimal support for individual needs. Efficiently carry out assessments, document point of care details and collaborate between different parties to monitor and enhance support. Experienced in developing management and control strategies to easily identify and address deficiencies.

Work History
Coventry Health Care Workers Compensation Inc.. Springfield, VARegistered Nurse Case Manager | 01/2017 - Current
  • Reduced care costs without sacrificing quality through effective service coordination and collaboration
  • Coordinated care of injured workers by liaising with providers to organize treatmentsand resources
  • Identified care needs of patients and coordinated responses via physician advice, insurance limitations and procedural costs
  • Advocated for patients care preferences to practitioners, met treatment goals, and identified insurance coverage limitations
  • Advocated for patients by identifying insurance coverage, communicating care preferences to practitioners and verifying interventions met patients' treatment goals
  • Developed appropriate care plans for at-risk individuals and high-risk families
  • Determined and coordinated appropriate level of care to meet individual patient needs
  • Liaised between injured workers and hospital staff to organize treatment and after-care services
  • Lowered costs while improving care quality by coordinating services and collaborating with dedicated healthcare team
  • Collaborated in consults, patient care plans development, patient monitoring and evaluations
  • Arranged placement of admissions and transfers in accordance with clinical standards and guidelines
  • Collaborated with physicians on patient medications, medical needs and performance
  • Developed patient care plans, including overall patient health assessments and evaluations
  • Helped patients navigate healthcare system and care options by educating on relevant subject areas and answering questions throughout treatment process
  • Secured insurance authorizations to rehabilitation facilities or long-term care placement
  • Assessed and reviewed patients for discharge and planning, including integrating services for patients requiring home care, home infusion, and durable medical equipment (D.M.E)
  • Coordinated with vendors and suppliers and negotiated medical equipment and supply prices
Dr. David Schreiner Internal Medicine. Arlington, VirginiaRegistered Nurse | 05/2015 - 12/2017

-Delivered outstanding care to patients with various diagnoses and managed care treatment

  • Answered patient questions and provided take-home materials for further information
  • Monitored and recorded patient condition, vital signs, recovery progress and medication side effects
  • Completed daily chart audits and assessed clinical records to verify accuracy, evaluate performance against goals and check for appropriate education of patients and families
  • Conducted patient assessments and diagnostic tests to provide physician with important patient health information used to create focused treatment plans and manage ongoing care
  • Guided therapeutic communication, conflict resolutions and interventions by deflecting undesirable behaviors to assist patients with developing and amplifying coping skills
  • Reached out to patients to convey lab results and provide care instructions
  • Educated patients and families on treatment strategies and at-home care
Options For Senior America Corp.. Manassas, VAHome Health Nurse | 01/2014 - 04/2015
  • Collaborated with interdisciplinary healthcare team plan and implement effective treatment plans
  • Participated in on-call rotations and delivered after-hours care
  • Provided compassionate care to patients with debilitating conditions, including back pain, arthritis, fractures, head injuries and strokes
  • Charted changes in patient conditions and discussed concerns with supervising healthcare provider
  • Assisted patients with activities of daily living and functional mobility to increase comfort and quality of life
  • Completed initial assessments of patients and family to determine and address individual home care needs
  • Supported patients with activities of daily living and functional mobility to improve comfort and quality of life and reduce pain
  • Answered patient calls, identified issues and determined how best to provide assistance within parameters established by facility and supervisor
  • Administered medications and therapies in accordance with physicians orders
  • Administered general care to patients, including recording of temperature and blood pressure, wound dressing and [Type] testing
  • Assisted patients with daily tasks, such as dressing, hygiene upkeep and movement throughout facility,
Skills
  • Fluent in Spanish
  • Certified Case Management
  • Nurse Case Manager certification
  • Current Virginia,, Maryland, D.C. licensure with State Board of Nurse Examiners
  • MS Office Word, Excel, Outlook
  • Preventative health
  • Healthcare ethics
Education
Northern Virginia Community CollegeAnnandale, VA05/2013Associate of Science: Nursing
ECPI UniversityManassas, VA01/2015ADN: Nursing
Chamberlain University College of NursingArlington, VAExpected in 2021Master of Science: Family Practice Nurse Practitioner
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Resume Overview

Companies Worked For:

  • Coventry Health Care Workers Compensation Inc.
  • Dr. David Schreiner Internal Medicine
  • Options For Senior America Corp.

School Attended

  • Northern Virginia Community College
  • ECPI University
  • Chamberlain University College of Nursing

Job Titles Held:

  • Registered Nurse Case Manager
  • Registered Nurse
  • Home Health Nurse

Degrees

  • Associate of Science : Nursing
    ADN : Nursing
    Master of Science : Family Practice Nurse Practitioner

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