Spinal Cord Stimulator Case Manager/ Pre Op PACU RN, Nursing Supervisor Resume Example Coastal Orthopedics And Pain Management

SPINAL CORD STIMULATOR CASE MANAGER/ PRE-OP-PACU RN, NURSING SUPERVISOR

Professional Summary

Highly experienced nursing professional with exceptional critical thinking and sound clinical judgment developed over a 30 year career. Self-directed, efficient nurse seeking position as Musculoskeletal Orthopedic Care Manager in your diverse healthcare company. Ready to use diverse knowledge base and experience to leverage resources, remove barriers and create quality outcomes in a cost effective manner.

Skills

Adaptability
Electronic documentation
Clinical resource
Communication

Pain Management
Problem solving
Case management
Medical necessity

Work History

Spinal Cord Stimulator Case Manager/ Pre-op-PACU RN, Nursing SupervisorAug 2016 - Current
Coastal Orthopedics and Pain ManagementBradenton, FL

Determined medical necessity for spinal cord stimulator trial/permanent implantation, kyphoplasty and Vertiflex procedures
Reviewed medical records looking at physician/mid-level/physical therapy/radiology documentation for completeness and accuracy prior to sending to attorneys and/or insurance companies
Concurrent and retrospective review of records for appropriate ICD-10 codes and CPT codes to reduce insurance denials, rejections and need for re-submits
Planned and prepared for pre-operative nursing care of out-patient orthopedic and pain management patients
Coordinate with physician's team to ensure all required documents were submitted for authorization in timely manner
Made appointment for MD/PA for peer review
Communicated status of pending auth cases with patient
Educated patients and their families on orthopedic and pain management procedures
Provided optimal post-op care during patient's recovery from anesthesia in outpatient surgery setting
Functioned as both scrub and circulator in interventional pain management operating room including injections and surgeries such as kyphoplasty, spinal cord stimulator trials/implantations, and Vertiflex
Evaluated and assessed patient medical status using histories, review of medical records, labs, and other tests to accurately determine current health status and appropriateness for outpatient surgery
Delegated tasks and supervised activities of other licensed and unlicensed care providers
Coordinated care with physicians and other clinical staff to prepare for treatment, perform interventions and enhance continuum of care to deliver comprehensive services
Trained and mentored new RN's on best practices, surgery center policies and standards of care
Recruited and hired intelligent clinical staff to bolster skills set of already talented team
Collaborated with multi-disciplinary staff to improve overall patient care
Evaluated employee job performance, and motivated staff to improve productivity
Engaged employees in progressive discipline up to and including termination
Developed and implemented staffing plans/schedules for shifts based on patient acuity, patient census, and available staff

Telephonic Nurse Case ManagerJul 2015 - Jul 2016
Coastal Orthopedics and Pain ManagementBradenton, FL

Independently managed 250 Medicare clients telephonically assisting them to meet their health care goals while meeting company matrix (% reach, talk time, referrals, participation in program)
Telephonically assess members functioning to evaluate their needs and requirements to achieve and/or maintain their optimal wellness state
Utilized empathy and motivational interviewing along with assessment data to assist members to move health status along their health continuum
Guide members and their families toward resources appropriate for their care and well-being
Educate members regarding Medicare, their basic coverage, and how to resolve issues within the health care system
Utilized advanced technological and PC skills with different Microsoft programs to document in electronic medical record systems
Instructed members and caregivers on diagnoses, chronic disease management and prevention, as well as medication self-management to maintain continuum of care
Collaborated with interdisciplinary healthcare professionals to create, implement and adapt individualized plans of care to restore patients' health and drive recovery goals
Counseled members and caregivers, providing emotional, psychological and spiritual support
Advocated for members needs with interdisciplinary team and implemented outlined treatment plans

School Registered NurseMar 2008 - Jun 2015
Manatee County School BoardBradenton, FL

Supervised three elementary school clinics comprised of a total of 2300 students, 260 teachers and staff
Student and staff visits totaled over 25,000 annually
Conducted student assessments and screening exams to identify high risk students in need of additional school, community or medical services
Administered medications and performed procedures, according to physician orders, to students and monitored responses
Monitored and recorded student condition, vital signs, recovery progress and medication side effects
Counseled caregivers, families, and teachers on variety of health prevention/promotion/maintenance topics to ensure student could remain in school, if possible, with the goal of increasing learning time
Coordinated with school team and parents to establish student's needs and develop plans to ensure those needs are met during all school activities
Advocated for student needs with interdisciplinary team and ensured that plans were implemented appropriately
Responded to emergency situations with speed, expertise and level-headed approaches to provide optimal care, support and life-saving interventions

Nurse Case ManagerMay 2006 - Aug 2008
Gentiva Home Care ServicesBradenton, FL

Managed a case load of 30-45 patients as case manager for a home health agency including scheduling all nursing and ancillary visit according to Medicare and commercial insurance guidelines
Develop, implement, evaluate and revise the plan of care in accordance with the physician orders and Medicare guidelines

Education

MBA: Business AdministrationSacred Heart UniversityFairfield, CT

Master of Science: NursingSacred Heart UniversityFairfield, CT

Bachelor of Science: NursingRussell Sage CollegeTroy, NY

Resume Overview

Companies Worked For:

Coastal Orthopedics and Pain Management
Manatee County School Board
Gentiva Home Care Services

School Attended

Sacred Heart University
Russell Sage College

Job Titles Held:

Spinal Cord Stimulator Case Manager/ Pre-op-PACU RN, Nursing Supervisor
Telephonic Nurse Case Manager
School Registered Nurse
Nurse Case Manager

Degrees

MBA : Business Administration
Master of Science : Nursing
Bachelor of Science : Nursing

Spinal Cord Stimulator Case Manager/ Pre-op-PACU RN, Nursing Supervisor Resume Example

Resume Score: 80%

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