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rn case manager resume example with 12+ years of experience

Jessica
Claire
resumesample@example.com
(555) 432-1000,
, , 100 Montgomery St. 10th Floor
:
Professional Summary

Compassionate health care professional seeking excellence in the delivery of skilled, holistic and globally accepted quality nursing care services through continuous improvement to achieve total satisfaction of clients.

Hardworking, conscientious and devoted health care provider with great respect in human dignity.

Efficient and effective in verbal and written communication with high level empathy towards every person and all people with firm determination to promote the common good.

Skills
  • Bachelor of Science in Nursing
  • California Registered Nurse License # 95251906
  • Registered Nurse (Philippines) License #0412674
  • Licensed Vocational Nurse California License # 287675
  • Trained in Intravenous Therapy and Blood Withdrawal
  • Trained in Advanced Cardiovascular Life Support
  • Experienced in Medical - Surgical Care, Operating Room Nursing, Labor and Delivery
  • Skilled in Infection Prevention and Control
  • Experienced in Post Acute and Rehabilitative Care
  • Highly experienced in Hospice and Palliative Care
  • Psychiatric and Behavioral Care
  • Proficient in Triage Nursing
  • Proficient in HIPPA compliance
  • Proficient in Cloud -based software -Electronic Health Records
  • Highly experienced in Computer- based Programs (Microsoft Word, Excel)
  • Experienced in Telephonic and Virtual care services
Education
Saint Anthony College- Hospital, Inc. Capiz, Philippines Expected in 2006 Bachelor of Science : Nursing - GPA :

Recipient, Student Leadership Award

President, Student Council Organization- S.Y 2003-2004 and

S.Y 2005- 2006

Cultural Awardee

Work History
Lane Regional Medical Center - RN Case Manager
Zachary, LA, 07/2021 - Current
  • Responsible for coordinating hospice care services for managed-care patients which includes establishing and updating patient’s plan of care.
  • Providing and promoting positive and harmonious relationships with patients, families and caregivers alike.
  • Coordinating related-referral sources and negotiating service agreements.
  • Assess and evaluate patient for hospice appropriateness and initiate admission process upon MD orders.
  • Update comprehensive assessment every 14 days based on hospice guidelines.
  • Recommend and plan discharge as necessary based on current and continued healthcare needs/ services
Baptist Health Care - LVN Care Coordinator/ SN Visiting Field Staff
Orlando, FL, 06/2019 - 06/2021
  • Responsible for coordinating hospice care services for managed-care patients which includes following and maintaining patient’s established plan of care, providing and promoting positive and harmonious relationships with patients, families and caregivers alike. Coordinating related-referral sources and negotiating service agreements.
  • Coordinates client care needs over 30 calls per day
  • Maintained excellent attendance record, consistently arriving to work on time.
  • Adhered to social distancing protocols and wore mask or face shield.
  • Proved successful working within tight deadlines and fast-paced atmosphere.
  • Increased customer satisfaction by resolving client issues.
  • Participated in continuous improvement by generating suggestions, engaging in problem-solving activities to support teamwork.
Midwest Health - LVN Care Coordinator
Ulysses, KS, 11/2018 - 05/2019
  • Works under supervision of Clinical Supervisors with staff clinicians to gather and report patient care summary information.
  • Promotes harmonious relationships with patients, PCGs and staff as well as third party customers and related referral sources.
  • Promotes third party reimbursement through price negotiations with managed care organizations within established financial, credit, and contractual parameters.
  • Assists and participates in team communication such as IDT meetings every two weeks to ensure and maintain comprehensive working knowledge of care service contract being delivered in accordance with provisions held by company.
  • Answer client and family calls over 20 calls per day and coordinate as needed.
  • Actively listened to customers' requests, confirming full understanding before addressing concerns.
  • Demonstrated respect, friendliness and willingness to help wherever needed
  • Successfully maintain clean, valid driver's license and access to reliable transportation.
Total Education Solutions - Charge Nurse
San Diego, CA, 06/2017 - 11/2018
  • Maintained in-depth understanding of individual patient care plans.
  • Maintained patient care by following and adhering to established Plan of Care, in collaboration with other members of healthcare team towards client goals
  • Assisted with rehabilitative care ensuring top level nursing that is patient centered with safety and dignity are in focused.
  • Reported issues relating to patient care or conditions that might hinder patient well-being.
  • Adheres to facility organizational protocol on HIPAA compliance.
  • Continually maintained and help improved company's reputation and positive image.
  • Cared for patients in 133-bed unit, supporting fellow nurses in delivering outstanding treatment to patients.
  • Administer medication
  • Performs nursing procedure within scope of LVN practice
D & B Health Care - Field/ Visiting Nurse - Home Health
City, STATE, 01/2016 - 12/2017
  • Provides skilled nursing service to patients in their Place of Service.
  • Provides skilled nurse visits In-person about 5-6 patient per day
  • Demonstrates skillful notes and observation of body systems.
  • Records blood glucose, and wound types and report deviation abnormalities to RN Case Manager as needed.
  • Helps identify source and level of pain. Provides calm, safe and comfortable environment.
  • Communicates closely to Supervisor and Case Managers in regards to patient/ PCG healthcare needs.
  • Charts and maintains accurate documentation in computer web- based platform.
  • Performs assigned duties in manner consistent with organizational policies and procedures.
  • Help and support, resolved problems, improved operations and provided exceptional service.
CV Hospice Inc. - Field/ Visiting Nurse- Hospice and Palliative Care
City, STATE, 09/2016 - 06/2017
  • Provided direct patient care as defined in State Nurse Practice Act, including specialized duties related to end of life care.
  • Completed skillful observation and timely charting and documentation of pain, vitals and measurements, follow up symptoms reported, alteration in status, ADL, mobility, and safety issues.
  • Performs skilled nursing care visits 4-5 patients per day In- person
  • Maintained communication reports to RN/Clinical Supervisors of patient condition and changes.
  • Assisted in peaceful passing of terminally ill patients.
  • Participates in personal, professional growth and development. Involved in quality assessment performance improvement and other programs handled by organization.
D & B Health Care - Quality Assurance Assistant
City, STATE, 06/2015 - 12/2015
  • Checked over 20 SN visit notes for completeness, accuracy, and adherence to Plan of Care per day.
  • Reviewed report contents and make arrangements based on organizations protocol and procedure. Coordinated with SN visiting staff or clinician, and find discrepancies on visit calendars, case conference, and overall visit schedule.
  • Assisted in establishing accuracy and timeliness of admission, discharge, and resumption of care and other references for patient demographics and health history etc.
  • Made sure all orders from Physicians are properly carried out, signed and update.
  • Supported in quality assurance team in order to help satisfy patients claim of health care needs
HANA Medical Group - Medical Assistant
City, STATE, 01/2015 - 06/2015
  • Obtained and report vital signs and pertinent information to patient health records in preparation for MD clinic consultation and follow up appointments.
  • Directed patients to exam rooms, fielded questions and prepared for physician examinations.
  • Assisted in performing non- invasive procedures and diagnostics.
  • Helped facilitate positive and productive working environment.
  • Assisted on over 30 patient appointments and calls per day.
Lescoulie Nurses' Registry - Caregiver/ Companion
City, STATE, 02/2013 - 12/2014
  • Helped in ADL such as bathing, toiling, ambulating, light housekeeping, meal preparation and eating etc as appropriate for patient needs transitioning from hospitalization towards recovery or comfort.
  • Encouraged patient independence with personal care and assistance living services.
  • Provide safety and comfortable environment for patients.
  • Established good working relationships with patient and family by reporting on time and as scheduled.
  • Worked flexible hours at 8- 12 hours per day as needed not to exceed 48 hours as week
Saint Anthony College, Inc. (HOSPITAL) - Staff Nurse: Operating and Recovery Room Theatre, Labor and Delivery Complex
City, STATE, 04/2009 - 06/2012

Operating Room

- As Scrub Nurse-

  • Worked in sterile field, responsible for maintaining sterility all throughout operating procedure.
  • Prepared operating room to include laying out and organizing instruments.
  • Helped in preparing patient. Set up attachments to equipments and monitors.
  • Performed standard preoperative skin antisepsis and surgical prep.
  • Assisted in passing instruments to surgeons. Monitored patient during procedure.
  • Cared over 3 patients per day.

-As Circulating Nurse-

  • Completed pre-op checklist, paper works i.e informed consent, insurance data.
  • Organized and maintained documentation in patients chart.
  • Replenished surgical supplies as needed during procedure.
  • Verified instruments count, sponges, needles, and sharps. Completed record on chart on timely manner after procedure.
  • Provided patient/ family /PCG instructions and education about procedures, reportable conditions and conveying information to other healthcare workers related to as necessary.
  • Cared and covered cases over 3 patients per day.

Post Anesthesia Recovery Unit

  • Obtained vital signs, oxygen level, and ECGs. Administered medications, start IVF and follow-up as ordered.
  • Assessed for bleeding or hemorrhage.
  • Determines when patient is stable enough to be transferred to hospital room or discharged home.
  • Cared over 3 patients per day in unit

Labor Room and Delivery

  • Provided support for mother during labor. Assisted with inducing labor as needed. Coached mother during delivery.
  • Identified complications. Assisted with Cesarean Sections, and various procedures. Monitored fetal heart rate, and mother’s vital signs. Measured strength and timing of contractions.
  • Provided education and support to mothers and families after delivery.
  • Cared over 3 patients per day
  • Covered and cared more than 3 case per day and prepared all documentation related to labor and delivery .
Saint Anthony College, Inc. (HOSPITAL) - Staff Nurse: Medical- Surgical Units, Nursery Department
City, STATE, 06/2007 - 02/2008

Medical- Surgical Unit

  • Developed nursing diagnosis to individualized patient care plans. Instructed patients/ PCG on planned discharge
  • Monitored fluid intake and output levels.
  • Adheres to infection control procedures.
  • Ensured efficacy of treatments through monitoring of signs and symptoms.
  • Liaised between patients and physicians to ensure care are provided in safe and effective way
  • Managed over 15 patients per day

Nursery Department

  • Provided care for newborns and infants.
  • Administered treatments, medications, tests, and procedures as ordered by physician.
  • Provided patients/ families instructions about proper home and follow-up care for babies.
  • Maintained patient health records and documents.
  • Worked with Clinical Supervisors to resolve issues.
  • Handled over 8 babies per day

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Resume Overview

School Attended

  • Saint Anthony College- Hospital, Inc.

Job Titles Held:

  • RN Case Manager
  • LVN Care Coordinator/ SN Visiting Field Staff
  • LVN Care Coordinator
  • Charge Nurse
  • Field/ Visiting Nurse - Home Health
  • Field/ Visiting Nurse- Hospice and Palliative Care
  • Quality Assurance Assistant
  • Medical Assistant
  • Caregiver/ Companion
  • Staff Nurse: Operating and Recovery Room Theatre, Labor and Delivery Complex
  • Staff Nurse: Medical- Surgical Units, Nursery Department

Degrees

  • Bachelor of Science

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