RN Case Manager Resume Example
Organized and personable RN Case Manager with 11 years of experience in healthcare. Frequently commended for consistent patient advocacy and proficient communication. In-depth knowledge of case research and relevant regulatory standards. Well-qualified RN with full IL credentials and extensive experience in Acute care settings. Open and clear communicator with analytical problem-solving abilities and advanced clinical expertise.
Dedicated and compassionate Registered Nurse (RN) with progressive career history in direct patient care, and care coordination in fast-paced environment. Proven ability to remain calm under pressure and skillfully handle difficult patients and high-stress situations. Consistently developing strong relationships with patients and families through empathetic communication, respectful attitude and excellent customer service.
Skilled at Minimizing hospital stays through detailed focus on internal systems and individual patient need. Skillfully conduct assessments, update clinical documentation and complete ongoing case reviews to strengthen support. Well-versed in enforcing strict controls to quickly identify and resolve concerns.
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Orange Regional Medical Center – Harris , NY
- Evaluate healthcare needs, goals for treatment and available resources of each patient and connect to optimal healthcare providers and care.
- Took active role in patient and family discharge planning process, detailing instructions and responding appropriately and effectively to questions and concerns.
- Used Meditech, Midas, Interqual, and Allscripts to maintain databases of relevant patient information for multidisciplinary teams to access and coordinate patient care.
- Completed initial assessments of patients and family to determine and address individual home care needs.
- Performed evaluations though daily rounds with multidisciplinary team members to address changes in patient needs, conditions and medications, altering care plans when required.
- Acquired Insurance Precertification for medical treatment, transportation and Pre-authorization for transition of care facilities via clinical review.
- Identify ICD 10 payor codes, procedure codes, and DRG.
- Lead multi-disciplinary care plan teams and collaborations to including insurance, workman comp payers, patients and families.
- Analysis of under/over utilization acute care by use of concurrent review/Interqual.
- Educate providers on payor clinical documentation guidelines to positively impact the institutions financial reimbursement.
- Coordinate high acuity Hospital transfers, DME, Home Health, SNF, LTACH and Hospice care services.
- Identifying gaps or barriers to care plans and providing solutions to reduce re-admission.
- Assign patient screens to CMA's, follow up with homehealth orders and Inform patients of their Medicare rights.
Infinity Infusion Nursing – City , STATE
- Initiated patient care meetings with multidisciplinary team to revise plan of care as patient condition warrants.
- Educated patients on proper nutrition and medication side effects.
- Educated family members and caregivers on patient care instructions.
- Performed ongoing assessments to evaluate mental health needs, working with multidisciplinary team to develop, initiate, manage and modify individualized plans of care.
- Adhered to strict safety measures by carefully determining proper dosages before administering medications.
- Implemented care plans for patient treatment after assessing physician medical regimens.
- Monitored patient reactions after administering medications and IV therapies.
NorthShore University HealthSystem – City , STATE
- Monitored patients' conditions and reported changes in physical ability, appearance and behavior to discuss treatment with physicians.
- Used first-hand knowledge and clinical expertise to advocate for patients under care and enacted prescribed treatment strategies.
- Explained course of care and medications, including side effects to patients and caregivers in easy-to-understand terms.
- Participated in education activities, including evidence-based practice project implementation, nursing competency development and nursing simulation activities.
- Monitored patient condition, including interpreting and tracking EKG readings, identifying irregular telemetry readings and updating team members on changes in stability or acuity.
- Vaccinated patients to protect individuals from measles, pneumonia, influenza and other illnesses of concern.
Amita Saint Francis Hospital – City , STATE
- Managed caseload of 8 patients simultaneously by providing bedside care, treatments, IV therapy and wound care.
- Started intravenous fluids, administered medications and documented patient charts by recording food and fluid output and intake.
- Used Epic to document patient plan of care by taking into account nursing interventions, diagnosis and expected patient outcomes.
- Accurately documented all elements of nursing assessment, including treatment, medications and IVs administered, discharge instructions and follow-up care.
- Conveyed treatment options, diagnosis information and home care techniques to patients and caregivers to continue care consistency.
- Provided skilled, timely and level-headed emergency response to critically-ill patients.
- Followed all personal and health data procedures to effectively comply with HIPAA laws and prevent information breaches.
Loyola University Of Chicago - City, State
Loyola University Of Chicago - City, State
- Licensed RN - 2010-2022
- Basic Life Support Training - 2010-2022
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Resume Overview
School Attended
- Loyola University Of Chicago
Job Titles Held:
- RN Case Manager
- Pediatric Infusion/ Research RN
- Medical Surgical Telemetry Staff Registered Nurse
- Medical Surgical Staff Registered Nurse
Degrees
- Bachelor of Science : Nursing , 05/2010
Bachelor of Science : Psychology , 05/2010
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