Proven 20 year history of success in optimizing patient care as well-qualified and highly experienced Registered Nurse Care Manager. Minimize hospital stays through detailed focus on internal systems and individual patient needs. Focused on boosting utilization and department operational efficiency.
Skills
Patient and family advocacy
Preventative health
Diabetes and nutrition education
High level of autonomy
Chronic disease management
Microsoft, Excel and Word use
EMR / EHR
Case management
Resource Allocation
Education
Western Carolina UniversityCullowhee, NCExpected in 05/2000 – –Bachelor of Science:Nursing - GPA:
Certifications
Certified Case Manager
Work History
Cross Country Healthcare - RN Case Manager Wyoming, WY, 08/2015 - Current
Evaluated patient care needs by performing telephonic assessments or home assessments and establishing patient centered plan of care for 70 + patients per month.
Cooperated and communicated effectively with physicians to ensure client satisfaction and compliance with set standards.
Facilitated on-going assessment of patient/family needs and implementation of interdisciplinary team care plan.
Educating patients and caregivers on medications and disease process to set clear patient centered goals to reduce hospital utilization and ensure optimal wellness.
Providing interdisciplinary Care Management by collaborating with Medical Providers(physicians, pharmacy, specialists, home health, palliative care, behavioral health) to ensure safe transition to home upon inpatient discharge.
Utilized clinical nursing skills to coordinate medical services and psycho social resources.
Used critical thinking skills to assist with interpreting policies and procedures of various organizations to ensure appropriate medical care.
Consulted with clinicians to devise and manage effective ongoing care plans for at-risk patients.
Took active role in patient and family planning process, detailing instructions and responding appropriately and effectively to questions and concerns.
Identified care needs of individual patients and coordinated responses based on physician advice, insurance limitations and procedural costs.
Advocated for patients by communicating care preferences to practitioners, verifying interventions met treatment goals and identifying insurance coverage limitations.
Negotiated with suppliers and vendors to procure medical equipment, supplies and services.
Cross Country Healthcare - RN Orders Specialist and Triage Yorktown Heights, NY, 04/2012 - 08/2015
Routinely collaborated with department managers to correct problems and improve services.
Triage patient calls, assess need for nursing visit, MD appointment or ER.
Obtaining MD orders and coordinating discipline visits.
Maintaining current information regarding payer source coverage for home care services.
Conferred with physicians to discuss diagnoses and devise well-coordinated treatment approaches.
Performed ongoing assessments to evaluate mental health needs, working with multidisciplinary team to develop, initiate, manage and modify individualized plans of care.
CarePartners Home Health & Hospice - RN Case Manager City, STATE, 05/2001 - 10/2010
Facilitated on-going assessment of patient/family needs and implementation of interdisciplinary team care plan to ensure safe transition from hospital to home.
Provided patient and family education on in home treatments, infusions, wound care and medications.
Led planning and achievement of goals and objectives consistent with agency mission and philosophy.
Served as leader of clinical care team.
Coordination of care with visiting staff for proactive patient care from admission to discharge.
Plan, conduct and record case conferences to coordinate appropriate patient care.
Medical record audits.
Consulted with clinicians to devise and manage effective ongoing care plans for at-risk patients.
Mission Hospital Regional Medical Center - RN Orthopedic Hospital Post-operative Care | City, STATE, 06/2000 - 05/2001
Developed patient care plans, including assessments, evaluations and nursing diagnoses.
Oral, Intravenous and subcutaneous medication administration.
Physical assessment of patients, including pain scale.
Post-operative wound care.
Developed and implemented nursing care plans.
Supervised students when administering medications to ensure patient safety.
Cooperated and communicated effectively with physicians to ensure client satisfaction and compliance of set standards.
Monitored vital signs and levels of consciousness to verify sedation wore off properly and patient regained consciousness.
Evaluated patient pain, nausea, difficulty breathing and fear and agitation in recovery room and employed various nursing interventions to manage vulnerabilities.
Followed all personal and health data procedures to effectively comply with HIPAA laws and prevent information breaches.
Assessed patient incision site, monitored body temperature and tracked other indicators of stability or complications.
Delivered timely and effective physical, social and emotional nursing care according to established standards.
Reported patients' status and delegated nurse assignments to achieve optimal outcomes.
Developed and maintained courteous and effective working relationships
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