Montgomery Street, San Francisco, CA94105(555) 432-1000, resumesample@example.com
Professional Summary
Dynamic, certified Case Manager bringing 16 years of clinical experience and coordination of care. Proven history of leveraging critical thinking, analysis and clinical knowledge to deliver superior care in a complex environment. Significant experience with acute care, post-acute care and services, and the private insurance industry.
Skills
Case Management
Treatment Planning
Readmission reduction
Clinical/Nursing care
Discharge Planning
Length of Stay improvement
Quality Management
Patient Care Coordination
Work History
10/2017 to CurrentRN Case ManagerCommunity Care, Inc. | Appleton, WI,
Conduct regular re-evaluations to address changes in needs and conditions, introducing revisions to care plans as needed.
Effectively communicate with physicians regarding patient needs and medication reconciliation.
Respond promptly and professionally to patient questions and concerns.
Collaborate with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
Gather information about useful resources and help coordinate referrals.
Document case notes daily and coordinate follow-up for seamless case management.
Participate in Case Management policy committee to discuss policies, propose revisions and implement changes.
09/2013 to 10/2017RN Case ManagerCommunity Health Network | Beech Grove, IN,
Liaised with physicians regarding patient needs, performance and changes.
Identified care needs of individual patients and coordinated responses based on physician advice, insurance limitations and procedural costs.
Evaluated healthcare needs, goals for treatment and available resources of each patient and connected to optimal providers and care.
Coordinated rehabilitative and preventive nursing processes and procedures.
Managed support services and fostered communication among social workers, therapists, hospital staff and patients.
Developed and monitored a readmission reduction program for CHF and pneumonia patients Worked directly with the Director of Quality to ensure readmission rates decreased.
Developed a discharge nurse education program to ensure quality measure were met before discharge. Also ensured that patient left with follow up appointment in place and home health referral was in place at time of discharge if needed to reduce chance of readmission.
Worked to ensure length of stay was as low as possible.
Worked in Emergency Room to begin discharge planning assessment for admissions to help foresee any possible difficult discharge planning needs.
06/2005 to 08/2013RN Staff NurseAmerican Red Cross | Vero Beach, FL,
Performed various nursing interventions in the areas of Emergency Department, Surgery, Telemetry and Med/Surg area.
Worked within interdisciplinary health care team to develop, implement and make adjustments to patient care plans, individualizing strategies and methods to improve health and meet recovery goals.
Educated patients and families regarding disease processes, interventions and lifestyle changes.
Delivered medications via oral, IV and intramuscular injections, monitoring responses to address new concerns.
Gathered patient health data through interviews and observation, documenting all data in Medi-Tech.
Monitored patient condition, including interpreting and tracking EKG readings, identifying irregular telemetry readings and updating team members on changes in stability or acuity.
Assisted patients dealing with traumatic injuries or illnesses, including stroke patients, accident victims and cardiac patients.
Planned, prioritized and provided nursing care by applying advanced specialty clinical nursing knowledge and skills to support comfort and safety of patients and families.
Followed facility policies, OSHA safety rules and HIPAA regulations to maintain legal compliance.
Supported, educated and comforted patients and families during emergency room experience, resulting in beneficial patient outcomes and positive impact on treatment.
10/2006 to 12/2008Nurse ManagerPost Acute Medical | Victoria, TX,
Investigated and independently resolved complaints from staff, physicians and patients by leveraging clinical judgment and unit management expertise.
Evaluated nursing staff's performance and developed education programs and professional development opportunities to improve individual and team competencies, clinical knowledge and delivery of care.
Introduced initiatives based on staff education, infection control audits, safe medication administration and proper wound care to achieve unit and facility goals.
Directed day-to-day nursing and operational functions for 24-bed nursing unit, ensuring exceptional delivery of care when developing well-rounded nursing teams.
Obtained national wound care certification and led a wound care prevention task force.
Developed a patient fall reduction program to help reduce falls and injuries Led educational program with nursing staff and collaborated with Director of quality to ensure program was effective.
Education
Expected in 09/2016Bachelor of Science | NursingSouth University, Savannah, GAGPA:
Expected in 05/2006Associate of Science | NursingCentral Carolina Technical College, Sumter, SCGPA:
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