Senior Case Manager Resume Example Humana

SENIOR CASE MANAGER

Professional Summary

Seasoned nursing professional offering proven clinical knowledge, natural interpersonal strengths and technical abilities. Knowledgeable about EMR charting, medication administration and interdisciplinary collaboration focused on optimizing patient care and support. Quality-focused and efficiency-driven leader.

Skills

Needs assessment
Resource advocacy
Care coordination
Intravenous therapy
Oxygen saturation standards
Strong clinical judgment
Patient and family advocacy

Case management
Medication administration
Chronic disease management
Preventative health
Family planning services education
Women's health exams

Work History

Senior Case Manager, 11/2017 to Current
Humana – Louisville , KY

Partnered with physicians, social workers, activity therapists, nutritionists and case managers to develop and implement individualized care plans and documented all patient interactions and interventions in electronic charting systems.
Educated family members and caregivers on patient care instructions.
Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process and management and lifestyle options.
Educated patients and answered questions about health condition, prognosis and treatment.
Explained course of care and medications, including side effects to patients and caregivers in easy-to-understand terms.
Audited charts and reviewed clinical documents to verify accuracy.
Equipped patients with tools and knowledge needed for speedy and sustained recovery.
Promoted patient and family comfort during challenging recoveries to enhance healing and eliminate non-compliance problems.

Registered Nurse, 09/2011 to 11/2017
Ireland Army Community Hospital: Labor & Delivery – Ft. Knox, KY

Informed patients and families of effective treatment options and at-home care strategies, enhancing long-term outcomes.
Administered medications and treatment to patients and monitored responses while working with healthcare teams to adjust care plans.
Monitored patient condition, including interpreting and tracking EKG readings, identifying irregular telemetry readings and updating team members on changes in stability or acuity.
Facilitated therapeutic communication, conflict resolution and crisis intervention by redirecting negative behaviors and helping patients regain or improve coping abilities to prevent further disability.
Delivered proper care to victims of domestic violence at urgent care clinic.
Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
Kept optimal supply levels in treatment rooms, triage and other areas to meet typical patient loads.
Provided didactic and clinical instructions to orient new nurses and potential student nurses to achieve training outcomes.
Collected blood, tissue and other laboratory specimens and prepared for lab testing.
Accurately documented all elements of nursing assessment, including treatment, medications and IVs administered, discharge instructions and follow-up care.
Audited charts and reviewed clinical documents to verify accuracy.
Observed and reported patient condition, progress and medication side effects to accurately document updates.
Performed ongoing assessments to evaluate mental health needs, working with multidisciplinary team to develop, initiate, manage and modify individualized plans of care.
Monitored patient reactions to drugs and carefully documented progress of individuals participating in clinical trials.
Secured controlled narcotics and distributed medication on schedule to meet patient needs and minimize misuse opportunities.
Reviewed post-operative orders and continuously monitored patients' post-operative vitals, set up PCA and fluids and oriented patients to unit to achieve optimal outcomes.
Trained new nurses in proper techniques, care standards, operational procedures and safety protocols to optimize performance and safety.
Performed triage on all incoming patients and determined severity of injuries and illnesses.
Promoted professional development opportunities to encourage nurses to pursue continuous training.
Contributed substantially to successful department JCAHO accreditation by consistently operating to highest standards of care.
Participated in nursing simulation activities, evidence-based practice project implementation and competency development to further nursing education.
Quickly responded to situations impacting safety and security to unit, actualizing crisis prevention interventions to control and de-escalate situations.
Collaborated with interdisciplinary healthcare personnel to meet patients' personal, physical, psychological and cognitive needs.
Participated in education activities, including evidence-based practice project implementation, nursing competency development and nursing simulation activities.
Delivered medications via oral, IV and intramuscular injections, monitoring responses to address new concerns.
Advised patients and caregivers of proper wound management, discharge plan objectives, safe medication use and disease management.
Worked with families, caregivers and patients to determine best options for treatment, diagnosis and prevention.
Ensured quality patient care and maintenance of rooms in alignment with safety, health and organizational regulations.
Prioritized urgent and non-urgent patient needs calmly and effectively
Protected patients and healthcare team members from infection by sterilizing equipment and reusable supplies.
Performed real-time chart audits for all patients ensuring accuracy and completeness of information while capitalizing on opportunities for process improvement.
Participated in non-invasive medical procedures as instructed by surgeons.
Built rapport with patients and family members to deliver exceptional care.
Actively engaged and participated in consults, patient care plan development and patient monitoring.
Provided quality patient care and maintenance of rooms to properly comply safety, health and organizational regulations and federal, state and local rules.
Educated patients and families on diagnosis, neurological conditions and processes, treatments and expected outcomes.
Communicated, updated and advocated care plans to patients and family.
Collaborated in consults, patient care plan development and patient monitoring.

Charge Nurse, 03/2000 to 09/2011
Hardin Memorial Hospital – Elizabethtown , KY

Trained new nurses in proper techniques, care standards, operational procedures and safety protocols to optimize performance and safety.
Established and continuously optimized unit schedules and individual work assignments.
Managed care for post-operative patients from initial recovery through discharge.
Administered medications and treatments to patients as ordered by physician, maintaining accountability for accurate narcotic count at end of each shift.
Worked with families, caregivers and patients to determine best options for treatment, diagnosis and prevention.
Kept optimal supply levels in treatment rooms, triage and other areas to meet typical patient loads.
Implemented effective strategies and care plans to improve patient outcomes and meet recovery objectives.
Took samples such as blood and urine to complete diagnostic and routine assessment tests.
Identified unit areas of inadequacy and adjusted procedures to close gaps and improve policies.
Ensured quality patient care and maintenance of rooms in alignment with safety, health and organizational regulations.
Built rapport with patients and family members to deliver exceptional care.
Provided wound care and dressing changes routinely.
Collaborated in consults, patient care plan development and patient monitoring.
Maintained in-depth understanding of individual patient care plans.
Managed patient admissions and discharges from hospital to homecare, extended care facility or self-care.
Performed patient assessments and adjusted care plans accordingly.
Met with and patients to discuss and distribute information on health maintenance and disease prevention.
Prioritized and distributed assignments and workload based on individual staff strengths and experience.
Provided quality patient care and maintenance of rooms to properly comply safety, health and organizational regulations and federal, state and local rules.
Evaluated skills of all nursing personnel and verified staff certifications were valid and up-to-date.
Educated patients and families on diagnosis, neurological conditions and processes, treatments and expected outcomes.
Delegated and prioritized assignments and nursing tasks based on individual staff strengths and expertise.
Worked with multidisciplinary team to carry out successful treatment plans for diverse acute and chronic conditions.
Prioritized urgent and non-urgent patient needs calmly and effectively
Administered wound care, medications, and any necessary treatments.
Executed patient satisfaction and independence by promoting self nursing skills and knowledge of medications.
Educated patients on health maintenance and disease prevention.
Protected patients and healthcare team members from infection by sterilizing equipment and reusable supplies.
Performed real-time chart audits for all patients ensuring accuracy and completeness of information while capitalizing on opportunities for process improvement.
Responded to patient requests with appropriate clinical and personal assistance.
Participated in non-invasive medical procedures as instructed by surgeons.
Supervised patient admissions and discharges from hospital to various settings, including home care, rehabilitative facility or self-care.
Delivered oral medications, intramuscular injections and IV fluids to mitigate or resolve patient symptoms.
Worked as part of interdisciplinary and rapid response team to determine each patients' imaging and assessment needs in order to develop and initiate appropriate care plans.
Developed and advocated patient care plans.
Oversaw patient conditions, administered medicine, performed interventions and took detailed records.
Educated patients and caregivers of various available external resources to support wound management, disease management and medication administration.
Collaborated with doctors and staff members to ensure quality care.
Utilized nursing knowledge to identify patient needs and offer appropriate remedies.
Effectively addressed rapid response situations by strategically organizing and delegating tasks.
Streamlined all steps in rapid response situations by prioritizing and delegating tasks.
Maximized team performance by monitoring nursing care, including patient assessment processes and treatment implementations.
Evaluated patients' progress in treatment, communicating observations to physician on duty to maintain or adjust prescribed care.
Overseen operations, including admissions and discharges and scheduling of nursing staff.
Strengthened unit care standards and policies with focus on patient safety and dignity.
Communicated, updated and advocated care plans to patients and family.

Education

Nursing, 05/2001
St. Catharine College - St. Catharine, KY

BSN : Nursing, 05/2011
Indiana Wesleyan University - Marion, IN

Certifications

BLS

NRP

STABLE

Lactation Counselor

Accomplishments

•2011 Awarded for Nursing Excellence at HMH

•2016 Received Award for Nursing Excellence from the Hospital Commander for unit Joint Commission preparation

Additional Information

1992 Honorable Discharge from the United States Navy

Resume Overview

Companies Worked For:

Humana
Ireland Army Community Hospital: Labor & Delivery
Hardin Memorial Hospital

School Attended

St. Catharine College
Indiana Wesleyan University

Job Titles Held:

Senior Case Manager
Registered Nurse
Charge Nurse

Degrees

Nursing , 05/2001
BSN : Nursing , 05/2011

Senior Case Manager Resume Example

Resume Score: 80%

DISCLAIMER

Resume Overview

Create a job alert for [job role title] at [location].

Similar Resumes