Rn Case Manager resume example with 9+ years of experience
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Highly organized, patient centered, compassionate Case Manager with 8 years of experience as Registered Nurse. Highly skilled with 5 years woking in a hospital environment caring for high risk patients while taking on the roll as charge nurse, preceptor and mentor. Followed by over 3 years of experience working as a RN/BSN Case Manager in addition to assisting with Utilization Review on an as needed basis. Highly motivated to continue a career path in Long term care to deliver quality care with a reputable organization. Successful at working with all levels of healthcare providers, physicians and administrators to address patient needs.
Procedure development, internet research, software application. Proficient in Patient record auditing, Microsoft teams. Jabber, web-ex and online calendars. Patient Care Planning and advising. | Experienced in Home & Community Based Long Term Care Service Delivery. Care Plan Management. |
- Perform Care Management duties to assess, plan and coordinate all aspects of medical supporting services across the continuum of care for select members to promote quality, cost effective care to every patient.
- Develop, assess and adjust as necessary the care plan and promote desired outcome.
- Review and record progress.
- Perform home visits assisting members with safe, effective transitions from care environments.
- Coordinate resources from diverse providers, acting as educator and evaluator between provider and member to assist in intervention plans.
- Determine and coordinate appropriate level of care to meet individual patients needs.
- Optimize program resources to prevent unnecessary hospital admissions and costly gaps. Which in turn will aide in decreased stress levels and an effective healthcare system.
- Create individualized treatment plans along with short term and long term goals and healthcare standards.
- Inform patients and families of treatment options and at-home care strategies to reduce unnecessary burden on hospital resources.
- Assist patients in receiving high-quality, appropriate care with best possible results.
- Actively participate in integrated team care management rounds such as behavior health hourly rounding.
- Maintained strict patient data procedures to comply with HIPAA laws and prevent information breaches.
- Promotes the use of evidence based protocols and or order sets to influence high quality and cost effective care on an as needed basis.
- Gather clinical information to conduct utilization review on an as needed basis.
- Maintained composure and efficiency during rapid response situation and emergency codes.
- Maintain strong Critical thinking Skills.
- Identify and manage Life-threatening post-operative/post-partum complications.
- Addressed unit staff concerns, including staffing ratios, resource management, allocation of responsibilities and optimized workload management.
- Leveraged nursing skills to provide relief assistance to ICU and NICU departments.
- Treated patients using pharmacological and non-pharmacological treatment modalities to address various disorders, diseases and injuries.
- Took vital signs of newborns while assisting in NICU.
- Provided supervision and training to 6 member staff on Mother/baby unit.
- Closely monitored post-operative vital signs, set up PCA pump, fluids, reviewed and evaluated post-op orders and acclimated patients and family members to the unit.
- Provided patient care while acting as charge nurse, addressed staff concerns including nurse to patient ratio, resource management, allocation of resource management and optimized workload management.
- Experienced in Telemetry. Cardiac, Peritoneal Dialysis, Hospice. Medical/Surgical, Pre and Post Cardiac Catheterization, Wound care and Neurology during 5 years at Community Medical Center.
- Trained and mentored new RNs on best practices, hospital policies and standards of care.
- Administered oral, intramuscular and IV medications to patients and monitored responses.
- Talked with individuals, sharing positive life experiences to encourage improved self-esteem and boost socialization.
- Answered patient questions and provided take-home materials for further information.
- Kept all information confidential except in cases pertaining to abuse, neglect or threats.
- Recommended coping mechanisms and offered guidance to individuals dealing with intense problems.
- Monitored and educated nursing students and externs on proper care procedures and prioritization strategies.
- Created and executed successful strategies to facilitate collaboration between stakeholders.
- Actualized interventions and strategies to manage chest tubes, nasogastric tubes, G-tubes and educated new nurses on proper precautions utilized.
- Educated and counseled inmates on diagnoses, disease prevention, disease management and therapy options. RN worked per-diem at Ocean County Jail which was helpful in educating inmates.
Oklahoma Panhandle State University - Goodwell, OK
Ocean County College - Toms River, NJ
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Resume Overview
School Attended
- Oklahoma Panhandle State University
- Ocean County College
Job Titles Held:
- RN Case Manager
- RN Floor Nurse
- RN Staff Nurse, Charge Nurse, Preceptor, Mentor
Degrees
- Bachelor of Science
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