Responsible Nurse Case Manager with excellent communication skills demonstrated by 25 years of experience in healthcare. Solid clinical, utilization review and case management experience within a managed care environment. I am enthusiastic with excellent people skills and dedicated work ethic. Creative, resourceful and efficient in work environments.
Strong clinical judgment
Adept at prioritizing/managing deadlines
Patient and family advocacy
Diligent and highly motivated
Registered Nurse - Hospital Case Manager, 2001
to Current Straub Medical Center – 888 S King Street Honolulu HI 96813 Evaluate patient for appropriate utilization of services and Diagnostic Related Group (DRG) maximization. Perform daily chart reviews, justify admissions (inpatient/observation/same day stay) and continued stay using Interqual and Milliman criteria. Participate in daily multidisciplinary rounds to identify, plan, treat and implement discharge requirements to reduce length of stay. Facilitate discharge planning through individualized home assessments to achieve timely and safe discharges by utilizing available community resources. Serve as a medicare, medicaid, commercial insurance liaison to the medical staff and maintain updated knowledge of rules and regulations. Coordinate transfers to acute, skilled, care homes/foster homes, hospice and rehab facilities locally, on the mainland and to different countries. Screen patients for appropriateness for admission into hospital. Proficient with EPIC system.
Registered Nurse - Telemetry/Burns, Straub Medical Center – 888 S King Street Honolulu HI 96813
Closely monitored, diagnosed and treated acute and critical care patients with cardiovascular/respiratory and burns
Liaised between patients and physicians to ensure patient comprehension of treatment plans.
Instructed patients and family members on proper discharge care.
Developed patient care plans, including assessments, evaluations and nursing diagnoses.
Charge nurse for telemetry/burn unit. Made staff assignments. Delegated staff nurse duties and a strong leader for nursing personnel assigned to unit/shift.
Preceptor/mentor to the new hire.
Assisted physicians with bedside procedures for the critically illed - intubation, cardioversion, bedside debridements, escharotomies and other invasive procedures that required conscious sedation.
Registered Nurse - Medical/Surgical Unit, Straub Medical Center – 888 S King Street
Responsible for prepping patients for surgery and providing immediate post operative care from various specialties -general surgery/neurosurgery/orthopedic/vascular surgery/urology
Conducted an individualized patient assessment based upon the patients immediate condition or needs.
Charge nurse overseeing the delivery of patient care, directed and delegated duties, investigated patient complaints and took appropriate action in a timely manner.
Preceptor/mentor to new registered nurse graduates and new hire
Provided patient and family education a continual basis
Registered Nurse - Home Health , Straub Medical Center – 888 S King Street Honolulu HI 96813
Provided in home care/assessments for patients who were recently discharge from the hospital.
Assisted patients with wound care, medication regimens, blood draws, physical assessments and assisted with other medical issues that may have occurred in the home setting
Assisted with setting patient and family with community resources
Provided patient and family education on a continual basis
Patient advocate/liasion - communicated and provided medical updates to patients primary care physician/specialists
Registered Nurse - call in for the medical/surgical/telemetry units, 1998
to 2001 Castle Medical Center – Kailua HI Performed same duties as listed above - registered nurse medical/surgical/telemetry
Bachelor of Science: Registered Nurse,
1992 Seattle University - Seattle,