RN Case Manager Resume Example Aetna

RN CASE MANAGER

Summary

Caring, hardworking and service-oriented Registered Nurse with more than 35 years of nursing experience. Well-versed in offering evidence-based, therapeutic care for patients dealing with acute and chronic disorders. Collaborative and motivational leader with expertise in training new nursing staff while providing top-notch service to diverse patient populations.

Skills

Diagnostic tools experience
Geriatric treatment knowledge
Medication administration expert
Diabetes management
Care planning
Staff Development and Precepting

Laparasopic procedures familiarity
Acute and rehabilitative care
Triaging patient concerns
Computerized charting specialist
Broad medical terminology knowledge

Experience

RN Case Manager
April 2013 to January 2017Aetna － Hartford, CT

Coordinated care with physicians and other clinical staff to prepare for treatment, carry out interventions and enhance continuum of care to deliver comprehensive services.
Assessed patient conditions, monitored behaviors and updated supervising physicians with observations and concerns.
Imparted medical, operational and patient care knowledge to junior nurses to maximize performance and quality of team operations.
Counseled caregivers and families on end-of-life planning and educated on patient care options.
Monitored diet, physical activity, behaviors and other patient factors to assess conditions and adjust treatment plans.
Immunized patients against diseases such as influenza and pneumonia to protect vulnerable populations from serious illnesses.
Delivered information regarding care and medications to patients and caregivers in comprehendible terminology.
Answered patient questions and provided take-home materials for further information.
Counseled patients and caregivers, providing emotional, psychological and spiritual support.

RN Case Manager
May 2007 to April 2013Blue Cross Blue Shield － Durham, NC

Participated in continuing education programs and CCM workshops to enhance training and nursing knowledge.
Coordinated care with physicians and other clinical staff to prepare for treatment, carry out interventions and enhance continuum of care to deliver comprehensive services.
Imparted medical, operational and patient care knowledge to junior nurses to maximize performance and quality of team operations.
Counseled caregivers and families on end-of-life planning and educated on patient care options.
Monitored diet, physical activity, behaviors and other patient factors to assess conditions and adjust treatment plans.
Helped patients and families feel comfortable during challenging and stressful situations, promoting recovery and reducing compliance issues.
Trained and mentored new RNs on best practices, hospital policies and standards of care.
Delivered information regarding care and medications to patients and caregivers in comprehendible terminology.
Answered patient questions and provided take-home materials for further information.
Counseled patients and caregivers, providing emotional, psychological and spiritual support.
Advocated for patient needs with interdisciplinary team and implemented outlined treatment plans.

Care Coordinator in Call Center
February 2004 to May 2007Healthways Inc. － Columbia , MD

Facilitated on-going assessment of patient and family needs and oversaw implementation of interdisciplinary team plan of care.
Coordinated care with physicians and other clinical staff to prepare for treatment, carry out interventions and enhance continuum of care to deliver comprehensive services.
Developed and adapted individualized treatment plans according to patient recovery goals.
Utilized computerized Resource and Patient Management System (RPMS) and Electronic Health Record (EHR) system.
Communicated with primary care physicians or emergency care providers to relay patient needs.
Counseled patients and caregivers, providing emotional, psychological and spiritual support.
Imparted medical, operational and patient care knowledge to junior nurses to maximize performance and quality of team operations.
Developed and maintained quality care systems and standards, including creating and improving medical protocols and guidelines.
Trained and mentored new RNs on best practices and standards of care.
Delivered information regarding care and medications to patients and caregivers in comprehendible terminology.
Monitored diet, physical activity, behaviors and other patient factors to assess conditions and adjust treatment plans.
Helped patients and families feel comfortable during challenging and stressful situations, promoting recovery and reducing compliance issues.
Participated in home monitoring program specifically for patients with CHF.

Education and Training

Associate of Science : NursingBaltimore City Community College － Baltimore, MD

Bachelor of Science : PsychologyDrexel University － Philadelphia, PA

Bachelor of Arts : Business AdministrationDeVry University － Downers Grove, IL

Accomplishments

Phi Theta Kappa

Certified Case Manager

Pediatric and Adult ACLS

Who‘s Who in Community Colleges

Resume Overview

Companies Worked For:

Aetna
Blue Cross Blue Shield
Healthways Inc.

School Attended

Baltimore City Community College
Drexel University
DeVry University

Job Titles Held:

RN Case Manager
Care Coordinator in Call Center

Degrees

Associate of Science : Nursing
Bachelor of Science : Psychology
Bachelor of Arts : Business Administration

RN Case Manager Resume Example

Resume Score: 80%

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