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RN Care Manager Resume Example

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RN CARE MANAGER
Professional Summary

Compassionate and motivated RN complex care manager with over 6 years of experience in care management. Recognized consistently for quality patient care, interpersonal skills, team collaboration and critical thinking. Selected to lead care management programs and have been in high demand for opportunities within the field. Specifically chosen to work with patients of high profile, complex situations, or personality conflicts. Strong desire to holistically care for patients in their current situations and give them the tools needed for the best outcomes in their futures.

Skills
  • Competent in Motivational Interviewing
  • Complex Care Management trained
  • Excellent interpersonal, empathy, and listening skills
  • Experienced in care management among various health insurance plans
  • Advanced computer knowledge, including Excel & Word
  • Comfortable working in team and individual settings
  • Fast learner & tech savvy
  • Proficient in numerous EMR programs
  • Experienced in care management billing
Work History
RN Care Manager, 11/2015 to 02/2020
Company Name – City, State
  • Supported a large physician organization in providing ongoing care management to moderate and high acuity patients with various health insurance companies to improve health outcomes, decrease hospital admissions and health care costs, and improve patients' knowledge and self-management.
  • Engaged patients through telephonic and face to face home and office visits according to their insurance guidelines and individual needs.
  • Created, evaluated, and modified care plans based on health, social, financial and support needs for each patient.
  • Used motivational interviewing and chart review to assist patient in creating individual, realistic and measurable goals.
  • Collaborated closely with other members of the care management team, including primary care physicians, social workers, dietitians, nurse practitioners, pharmacists and community health workers.
  • Guided patients, caregivers and family members on plans of treatment and helpful resources available locally to support care.
  • Communicated with other physicians, DME companies, home care agencies, etc, as needed to support patients' needs and goals.
  • Guided and educated patients and caregivers on diagnoses, disease management, preventative measures, medication use and self-care to foster consistency in care administration.
  • Provided supportive patient visits surrounding transitions of care and coordination with hospital and facility staff when appropriate.
  • Assisted with onboarding and training of new staff.
Lead HICM RN Care Manager/Educator, 07/2014 to 11/2015
Company Name – City, State
  • Primarily supported BCBS High Intensity Care Model (HICM) program in conjunction with a physician hospital organization (PHO).
  • Collaborated closely with the physicians and care coordinator to provide excellent individualized care to moderate and high risk patients with multiple chronic health conditions.
  • Coordinated care, interventions, and education with interdisciplinary team, patients, and families, as well as with any involved skilled home care personnel.
  • Conducted quarterly comprehensive assessments and motivational interviews, monthly phone evaluations, and face to face home visits as needed, according to the patients' holistic and comprehensive needs.
  • Educated patients and families about diagnoses, medications, diet, and safety to support patients in acquiring their highest quality of life, while maintaining as much independence and wellbeing as possible.
  • Trained other care managers and office staff on the HICM program, documentation, and processes.
  • Conducted home visits as needed for patients in Medicare ACO care management for another physician organization, whose primary care managers provided the ongoing telephonic care management.
RN Case Manager, 07/2012 to 11/2015
Company Name – City, State
  • Delivered quality care for patients after injuries, hospitalizations, or decline in health.
  • Collaborated with physicians, social workers, activity therapists, dietitians and other case managers to develop and implement individualized care plans and documented all patient interactions and interventions in electronic charting systems.
  • Educatee patients and caregivers about diagnoses, medications, diet, activity, and safety to assist patients in reaching their maximum potential.
  • Provided wound, ostomy, drain, and catheter care, while educating patients and/or their caregivers on their maintenance.
  • Collected lab specimens and reported abnormal values as appropriate.
RN - Medical ICU, 09/2010 to 06/2012
Company Name – City, State
  • Delivered high quality care for adult patients with various severe and life-threatening conditions, including those with ventilators, hemodynamic monitors, central and peripheral lines, wounds, and drains.
  • Collaborated with physicians, therapists, patients, and families to provide individualized care, according to physician orders and best practices.
  • Monitored patient conditions, including interpretation and tracking of EKG and telemetry, vital signs, test and lab results, and updating team members on changes in stability or acuity.
  • Educated patients and their support system about their diagnoses, medications, tests/procedures, diet, and activity to improve overall health and outcomes.
  • Provided various tasks, including patient assessments, documentation, med/treatment administration, wound and drain care, team updates and communication, delegation of tasks, and discharge teaching.
Education
Bachelor of Science: Nursing, 05/2010
Oakland University - City, State
Professional References

Cyndy Kudray, RN, BSN

United Physicians, Bingham Farms

(586) 876-5251

Mary Ball, RDN CM

PRISM Medical Group, Rochester Hills

(586) 925-6888

Risa Blau, LBSW, MA, LPC

United Physicians, Bingham Farms

(248) 914-1830

Michelle Spring, RN, BSN

United Physicians, Bingham Farms

(586) 447-6588

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Resume Overview

School Attended

  • Oakland University

Job Titles Held:

  • RN Care Manager
  • Lead HICM RN Care Manager/Educator
  • RN Case Manager
  • RN - Medical ICU

Degrees

  • Bachelor of Science : Nursing , 05/2010

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