LiveCareer-Resume

rn case manager resume example with 9+ years of experience

Jessica
Claire
resumesample@example.com
(555) 432-1000,
Montgomery Street, San Francisco, CA 94105
:
Professional Summary

Case Management professional offering strong communication skills and a commitment to patient advocacy and excellence that will enable a meaningful contribution in discharge planning, quality and utilization practices.

Skills
  • Patient Care Coordination
  • Discharge Planning
  • Insurance Knowledge
  • Utilization Review
  • HIPAA Compliance
  • Strong clinical judgment and critical thinking skills
  • Communication and Listening
  • Time Management with ability to multi-task
  • Negotiation and Collaboration
  • Compassion and Empathy
  • Autonomy
Education
Touro University California Vallejo, CA Expected in 12/2018 Master of Science : Nursing - GPA :
San Francisco State University San Francisco, CA, Expected in 01/2010 Bachelor of Science : Nursing - GPA :
Certifications

Basic Life Support (BLS)

Work History
Common Spirit - RN Case Manager
College Station, TX, 05/2018 - Current

▪ Assess, plan, implement, monitor & evaluate options & services to affect an appropriate, individualized plan for hospital patient care across the continuum of care for up to 22 patients.

▪ Participate and collaborate in daily interdisciplinary team rounds including physicians, medical social workers, pharmacy, and physical therapists to discuss barriers to discharge and potentially avoid delays for discharge.

▪ Conduct clinical utilization reviews through Milliman/MCG software in order to evaluate appropriate inpatient and observation status relative to hospitalization

▪ Follow up with insurance companies to provide continued stay patient information.

▪ Deliver Medicare beneficiary’s Important Message letter within two days of discharge.

▪ Knowledge of Medicare and Medi-Cal guidelines and commercial coverage plans plus usually covered benefits.

▪ Using independent judgment and discretion assess and reassess the patient as an ongoing process to address the patient’s needs.

▪ Utilize clinical knowledge, competence, communication skills, problem solving, and conflict resolution techniques in order to safely and effectively transition patient to next level of care

▪ Ability to affect change with strong skills in assessment, organization, and time management

▪ Focus on critical thinking skills, customer service skills, setting goals and measuring goals to effectively ensure optimal patient outcomes with consideration to financial and health plan resources.

▪ Demonstrate adherence to department & system policies, procedures, quality assurance, guidelines and goals of the department and the overall organization.

American Renal Associates - RN, Medical-Surgical, Stroke, Telemetry Unit
Sweeny, TX, 11/2013 - 04/2018
  • Provide high-quality nursing care with varying acuity levels, including medical-surgical, dedicated stroke unit, step down and telemetry levels of care.
  • Managed high quality care for patients with varied conditions, including neurological deficits,heart failure, end-stage renal disease, coronary artery disease and chronic obstructive pulmonary disease.
  • Monitor, intervene and manage stroke patients and implement plans as indicated by patient condition.
  • Monitored patient condition, including interpreting and tracking EKG readings, identifying irregular telemetry readings and updating team members on changes in stability or acuity.
  • Administer medications, total parenteral nutrition, blood and blood products.
  • Work with various medical equipment, including feeding pumps, IV pumps, PCA, cardiac monitors, chest tubes, suctioning, foley catheters.
  • Recognize, intervene, implement care plans and collaborate with interdisciplinary teams to maximize positive patient outcomes.
  • Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process and management and lifestyle options.
  • Delegate and supervise nursing assistants.
  • Participated in nursing simulation activities, evidence-based practice project implementation and competency development to further nursing education.
  • Provided didactic and clinical instructions to orient new nurses and potential student nurses to achieve training outcomes.
Community Regional Medical Center - RN Cardiovascular Progressive Care Unit
City, STATE, 11/2012 - 10/2013
  • Provided specialized care for patients with diagnoses including angina, sub-acute MI and congestive heart failure (CHF).
  • Monitored patients with acute and chronic disease for arrhythmias, including interpreting EKG/ telemetry readings, identifying irregular telemetry readings and updating team members on changes in stability or acuity.
  • Prepared patients for TEE, echocardiography, and stress testing, provided education to patients and families.
  • Provided acute and close monitoring of pre and post care for patients undergoing cardiac-catheterization, angioplasty, stent as well as pre and post-operative pacemaker and AICD implantation patients.
  • Closely monitored patients to determine effectiveness of complex IV drip cardiac medications that required titration.
  • Worked collaboratively with surgeons, cardiologists, and interns to discuss and identify patient needs
Aldersly Skilled Nursing Facility - Charge Registered Nurse
City, STATE, 11/2011 - 11/2012
  • Ensured patient care met established nursing care standards.
  • Determined patient care assignments based on nursing skill levels and patient needs.
  • Identified needs and levels in coordination with nurse staffing office.
  • Monitor and evaluate patient care through direct rounds.
  • Effectively supervised License Vocational Nurses, Certified Nursing Assistants, and nonclinical staff.
  • Self-directed with astute judgment skills. High level of personal accountability.

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Resume Overview

School Attended

  • Touro University California
  • San Francisco State University

Job Titles Held:

  • RN Case Manager
  • RN, Medical-Surgical, Stroke, Telemetry Unit
  • RN Cardiovascular Progressive Care Unit
  • Charge Registered Nurse

Degrees

  • Master of Science
  • Bachelor of Science

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