Accomplished Registered Nurse Case Manager with five years of experience dedicated to quality care of diverse patients. Skillfully blend hands-on skills with advanced background in patient home settings. Work effectively with all levels of healthcare providers, physicians and administrators to address patient needs. 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.
Provided case management to assigned clients, maintained and utilized authorized CM hours allotted in home plane of care, continued education, training, performance improvement as required. Performed initial evaluation visits maintained open communication with SCM, NA, and RD to collaborate needs of client care. Completed CA, ACR, face to face, home plan of care and letter of medical necessity requirements on time and with in the agency policy and state-specific regulation timelines maintaining medical rationale so client received care that is needed. I collaborated with staffing for scheduling needs and issues. Maintained open communication with each of my assigned team of RNs, LPNs, CNAs, HHAs, PCA/RPCAs as well as performing in-home supervisory visits monitoring the clinical skills of team members mandated by state-specific regulations and PCM policies, where I was able to identify the educational needs of my team. Completed audit's on client home charts, insuring accuracy and completeness of SOPIER and time sheet documentation. I became an approachable, available, confident and educated rescore for client and nursing staff to come to when they needed help with agency policy, client care and any other issues or conflicts effecting client care. I attend team meetings and one-on-one CM meetings, where I continue to gain insight from colleagues. I am also the administrator back up for Audrey Wiederholt in the Monticello office fulfilling the duties, responsibilities complying with professional standards and principles that are applicable to professional home care practices.
Patient support, assessment, counseling, patient education, medication treatment, lab work, documentation with care plan diagnosis, vital signs, administration of treatment procedures, Doctor/patient/staff interactions and communication skills, with patient follow-ups, referrals, keeping accurate documentation/record maintenance/paperwork.
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