Registered Nurse Case Manager Resume Example

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Jessica Claire
  • Montgomery Street, San Francisco, CA 94105
  • H: (555) 432-1000
  • C:
  • Date of Birth:
  • India:
  • :
  • single:

Knowledgeable Registered Nurse with over 13 years of experience in delivering comprehensive patient care. Advanced skill working with diverse patient populations. Demonstrated ability to foster relationships and coordinate with healthcare professionals to advance patient care.

  • Patient care planning
  • Medical assessment
  • Intake and discharge
Registered Nurse Case Manager, 02/2019 to Current
Carson-Tahoe Regional Health Care Reno, NV,
  • Determined and coordinated appropriate level of care to meet individual patient needs.
  • Obtained recommendations for inpatient or outpatient level of care by discussing cases with physician advisor.
  • Secured insurance authorizations to inpatient hospitalizations, inpatient acute rehabilitation facilities, neuro rehabilitation facilites or long-term care placement.
  • Reviewed patient admissions to determine medical necessity as directed by the inpatient criteria.
  • Determined medical necessity and cost-effectiveness of services through utilization review processes.
  • Remained up-to-date on various benefit plans, medical policies and state-specific clinical guidelines or criteria.
  • Collaborated with providers to obtain required clinical information, supporting prior authorization determinations and individual inquiries.
  • Referred cases to secondary review for failure to meet inpatient criteria.
Medical Surgical Registered Nurse, 04/2013 to 02/2019
Broward Health North Lauderdale, FL,
  • Assessed patients using comprehensive evaluation techniques and sound clinical judgment.
  • Improved care outcomes with proactive education, communication and guidance for patients and family members.
  • Cared expertly for individuals with wide array of medical issues such as pulmonary, cardiology and infectious disease patients.
  • Delivered physician-ordered treatments and monitored responses to quickly spot complications and side effects.
  • Developed and implemented individualized care plans to meet each patients' unique needs.
  • Recorded any action or behavior of clinical significance in Sunrise chart and kept physicians informed.
  • Provided training and supervision to many-member staff in Outpatient Surgery unit.
  • Developed and adapted individualized treatment plans according to patient recovery goals.
  • Observed strict safety measures, including checking medication dosages before administration to patients.
  • Administered oral, intramuscular and IV medications to patients and monitored responses.
  • Stocked clinical workstations and procedure rooms with necessary supplies.
  • Conducted patient assessments and diagnostic tests to provide physician with important patient health information used to create focused treatment plans and manage ongoing care.
  • Maintained strict patient data procedures to comply with HIPAA laws and prevent information breaches.
  • Utilized computerized Resource and Patient Management System (RPMS) and Electronic Health Record (EHR) system.
  • Coordinated care for up to 8 patients per shift in busy Outpatient Surgery setting.
  • Treated patients using pharmacological and non-pharmacological treatment modalities to address various disorders, diseases and injuries.
  • Assessed patient conditions, monitored behaviors and updated supervising physicians with observations and concerns.
  • Treated patients by administering various types of medications and therapies.
  • Monitored and recorded patient condition, vital signs, recovery progress and medication side effects.
  • Answered patient questions and provided take-home materials for further information.
  • Imparted medical, operational and patient care knowledge to junior nurses to maximize performance and quality of team operations.
  • Participated in continuing education programs and skills workshops to enhance training and nursing knowledge.
  • Advocated for patient needs with interdisciplinary team and implemented outlined treatment plans.
  • Trained and mentored new RNs on best practices, hospital policies and standards of care.
  • Monitored post-op vitals, set up PCA, fluids, reviewed post-op orders and assimilated patients to unit.
  • Delivered information regarding care and medications to patients and caregivers in comprehendible terminology.
  • Cared for patients recovering from procedures and provided personalized daily assistance.
  • Administered oral, IV and intra-muscular medications and monitored patient reactions.
Registered Nurse, Medical-Surgical Unit, 10/2007 to 04/2013
Memorialcare Health System Long Beach, CA,
  • Delivered high-quality nursing care to patients on 54-bed medical-surgical unit.
  • Educated patients and families on treatment strategies and at-home care.
  • Administered medications, tracked dosages and documented patient conditions.
  • Coordinated care with physicians and other clinical staff to prepare for treatment, carry out interventions and enhance continuum of care to deliver comprehensive services.
  • Monitored and recorded patient condition, vital signs, recovery progress and medication side effects.
  • Delivered high-quality and compassionate treatment to all patients.
  • Monitored and educated nursing students and externs on proper care procedures and prioritization strategies.
  • Participated in bedside reporting and handoff at change of shift and for patient transfers.
  • Monitored and managed various treatment and care interventions, including IV administration, wound and ostomy care and catheter insertion.
  • Communicated with primary care physicians to relay patient needs.
  • Documented nursing intervention and patient and family responses accurately and in compliance with hospital policies.
  • Conducted patient assessments and diagnostic tests to provide physician with important patient health information used to create focused treatment plans and manage ongoing care.
  • Delivered direct patient care, including stabilizing patients and identifying treatment options.
  • Promoted safe and calm environment for complex patients by keeping services, supplies and necessary equipment on hand.
  • Oversaw patient admission and discharge processes to coordinate efficient movements and related paperwork.
  • Worked with management to identify and implement initiatives to increase nursing staff retention, morale and satisfaction.
  • Performed blood and blood product transfusions and intravenous infusions to address patient symptoms or underlying causes.
  • Collected lab specimens, ordering and interpreting diagnostic tests and lab results.
  • Exhibited professionalism and leadership to peers by participating in professional activities and continuing education.
Education and Training
Bachelor of Science: Nursing, Expected in 12/2013
The University of Texas At El Paso - El Paso, TX
Associate of Applied Science: Nursing, Expected in 05/2007
San Antonio College - San Antonio, TX,

American Nurses Credentialing Center Certification

Medical-Surgical Nursing RN-BC

November 17, 2019 to November 16, 2024

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Resume Overview

School Attended
  • The University of Texas At El Paso
  • San Antonio College
Job Titles Held:
  • Registered Nurse Case Manager
  • Medical Surgical Registered Nurse
  • Registered Nurse, Medical-Surgical Unit
  • Bachelor of Science
  • Associate of Applied Science

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