Jessica Claire
, , 100 Montgomery St. 10th Floor
Home: (555) 432-1000 - Cell: - - -

Dedicated RN Case Manager with 20+ years of experience. Quality driven and efficient with strong interpersonal skills. Channels knowledge and leadership skills to provide training and support to all members of the healthcare team. Ensures continuity of care using optimal clinical resources to deliver exceptional patient care.


Professional Case Mgt. Exp. 20 yrs.

Management / Leadership Exp. 3+ yrs.

Acute Care Case Mgt. Exp. 7 yrs.

Utilization Review Exp. 7 yrs.

Staff Education / Teamwork

Problem Solve / Multi-Task

Strong Communication Skills

Accomplished Computer Skills

Policies & Budget Mgt.

10/2014 to Current
RN Case Manager Nascentia Health Rochester, NY,

Provide case management services to active duty service members, families, and retirees at a Level II Trauma Military Teaching Hospital in the internal medicine clinic, specialty clinics, MSW, and discharge planning. Perform comprehensive assessment of the physical and psychosocial needs of patients in order to provide age-specific care and services. Coordinate with patients, families, members of the health care team, and community. Helped patients/family navigate the healthcare system and care options by educating on relevant subject areas and answering questions throughout the treatment process. Discharge planning includes focusing on transitioning the patient from the MTF by arranging care needed that may include: skilled nursing/rehabilitation facilities, home health/hospice, durable medical equipment, and other community resources. Clear understanding of federal, state, and local guidelines. Direct experience working with Tricare, Medicare, Medicaid, and third party payors. Multi-task through prioritizing and planning. Knowledge to junior staff, supporting personal growth and enhancing professional development. Oversee monitoring of monthly of census in internal medicine and specialty clinics with average of 15 new referrals per month. Perform monthly utilization chart reviews using CMS, InterQual Level of Care, and Millman guidelines. Working knowledge of NCQA, HEDIS,and other regulatory standards. Electronic charting through AHLTA, CHCS, and Essentris. Accomplished computer skills include: Microsoft Word, Outlook, Excel, PowerPoint, Internet, and Intranet.

08/2002 to 04/2014
RN Case Manager Nascentia Health Syracuse, NY,

Focus on patient progress to decrease probability of re-hospitalization and providing care in the most cost effective manner with the goal of patient being independent with understanding and managing care. Collaborate with physicians on patient medical needs and treatment plan. Update and maintain discharge plan of care with physician, members of the healthcare team, patients, and families. Train, guide, and mentor home health team members to ensure all objectives were met. Utilization chart reviews to meet QI standards using the UM model. Ability to meet productivity and time management with minimal supervisory intervention through electronic charting using Meditech/PTCT and Cerner.

09/2000 to 08/2002
RN Home Care Administrator Onslow Senior Services City, STATE,

Nursing Administrator of the In Home Aide Department and the Adult Day Care Program supervising a staff of over 100 consisting RNs, LPNs, CNAs, and office staff. Responsible for the daily assessment, planning, implementation, coordination, and monitoring of the adult day care, PCS program through Medicaid, and the Block Grant program through Onslow County. In charge of hiring, orientation, and on the job training. Daily supervision of staff, mentoring, delegation of tasks, and conflict resolution to make recommendations and motivate employees to achieve peak performance and productivity. Serve as a conduit for positive patient and employee relations. Identify, resolve, and provide follow up on problems involving patients, employees, and or unit operations. Participate in long range planning, resource allocation, and marketing of services. Continue growth of patient census through patient surveys and the CAP and PCS programs through Medicaid to maintain and possible increase funding for staff and hours allocated for care. Model leadership behavior, for all employees, set expectations for teamwork, and hold staff accountable for job performance.

Education and Training
Expected in
Master of Science: Nursing Leadership And Management
Walden University - Minneapolis, MN

National Honor Society Inductee Fall 2018

Expected in 12/1998
Bachelor of Science: Nursing
East Carolina University - Greenville, NC
  • Dean's List Honoree 1998
  • Thrived within high-volume settings throughout current employment at Naval Medical Center Level II Trauma Teaching Center
  • Recognized by the Naval Medical Center Office of the Commanding Officer (CO) for Outstanding Service as a Patient Advocate for 2016 and 2017
  • Raised donations consisting of clothing, supplies,and toys for patients/families of the hospital affected by Hurricane Florence in September 2018
  • Registered Nurse NC (Compact) NCBON License# 146479 Expires: September 2023
  • CMGT-BC-Nursing Case Management (ANCC) American Nurse Credentialing Center License# 2015018559 Expires: February 2026
Additional Information
  • American Heart Association (AHA) BLS: Issue Date: 09/2021 Recommended Renewal Date: 09/2023
  • COVID-19 Vaccination: 1st Dose Date: 01/05/2021 PFIZER Naval Medical Center Camp Lejeune 2nd Dose Date: 02/10/2021 PFIZER Naval Medical Center Camp Lejeune

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