Highly organized, patient centered, compassionate Case Manager with 8 years of experience as a Registered Nurse. Multi-skilled with 5 years working 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.
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• RN Case Manager proficiently manages over 64 patients in addition to assist covering for fellow RN's 60 plus patients as needed while assisting social worker with RN assessments and assisting Utilization Review team with charting analysis, review and authorization as needed.
• Perform Care Management duties to assess, plan and coordinate all aspects of medical supporting services across continuum of care for select members to promote quality, cost effective care to every patient.
• Develop short term and long-term goals with members along with interventions for positive desired outcomes.
• Educate members on safety, disaster planning, vaccinations necessity and HIPPA.
• Review and record progress to evaluate effectiveness of desired goals
and interventions.
• 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 effective healthcare system.
• 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.
• Gather clinical information to conduct utilization review on 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 achievement.
• 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 and diseases.
• Took vital signs of newborn while monitoring infants in newborn nursery.
• 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.
• Educated new parents on how to properly core for infants by instructing parents on bottle feeding, bathing, circumcision core and breastfeeding.
• Monitored and assessed mother and newborn after delivery to ascertain proper healing and recovery.
• Assisted mothers in establishing breastfeeding relationships with infants through proper positioning, skin to skin and latching.
• Established 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 core.
• Administered oral, intramuscular and IV medications to patients and monitored responses for effectiveness.
• Answered patient questions and provided toke-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 new nurses on proper core procedures and prioritization strategies while toking on role of charge nurse.
• Actualized interventions and strategies to manage chest tubes, nasogastric tubes, G-tubes and educated new nurses on proper precautions utilized.
• Established RN performed duties as a Charge nurse overseeing LPN's. This role required nurse monitoring, supervising, advising, educating, and delegating tasks to multiple LPN's.
• Monitored acute and chronically ill inmates in addition to administering medications to inmates and monitored responses for effectiveness.
• Worked in collaboration with physicians and hospitals to provide best practice for inmates' health and safety.
• 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.
• Educated and counseled inmates on diagnoses, disease prevention and disease management.
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