Conscientious, analytical and highly skilled Registered Nurse, with current position of Supervisor of Case Manager. Provides appropriate training and education for all medical staff members. Empowers staff to maintain accountability while satisfying patient concerns. Analyzes patient care data to identify improvement areas, provide education and support to staff to increase standards of compliance.
Skills
Team building
Coordination
Active listening
Working collaboratively
Troubleshooting
Problem resolution
Leadership
Organizational skills
Experience
Supervisor of Case Management, 07/2019 to Current Universal Health Services – Temescal Valley, CA,
Support Direct Reports to achieve metrics required by the SCO program and UHC SCO goals and compliances.
Collaborate with Manager of Team 4 to assure team staff understand policies and changes within the SCO program.
Provide support to CSM and all staff members assigned to this workgroup via listening, determining need and providing.
Evaluate, provide training and support to Direct Reports by reviewing policies, job aides, and service regulations.
Assess and assign work to Team Members.
Clinical Liaison, 04/2017 to 07/2019 Seasons Hospice & Palliative Care – Oak Creek, WI,
Provide education and review policies with newly hired care team staff.
Provide individual trainings to new staff and other team members that require review and ongoing education to better service members via services and programs.
Demonstrated leadership by making improvements to work processes and helping to train others.
Worked closely with team members to deliver project requirements, develop solutions and meet deadlines.
Educated patients and families on treatments, procedures, medications, continuing care and community resources.
Prioritized and organized tasks to efficiently accomplish service goals.
Accessed patient information through variety of office software applications, maintaining strict confidentiality to remain compliant with HIPAA regulations.
Registered Nurse Case Manager, 06/2013 to 04/2017 Corizon Health – Frostproof, FL,
Optimized program resource utilization to prevent unnecessary hospital admissions.
Helped patients navigate healthcare system and care options by educating on relevant subject areas and answering questions throughout treatment process.
Determined and coordinated appropriate level of care to meet individual patient needs.
Developed appropriate care plans for at-risk individuals and high-risk families.
Informed patients and families of treatment options and at-home care strategies to reduce unnecessary burden on hospital resources.
Coordinated with vendors and suppliers to obtain appropriate medical equipment and supplies to promote safety.
Collaborated with physicians on patient medications, medical needs and performance.
Clinical Sales Liaison, 06/2007 to 06/2013 Brookdale Senior Living – Winter Haven, FL,
Fostered relationships with customers to expand customer base and enhance loyalty and retention.
Placed orders and answered customer questions in-person, through email and over phone to maximize customer service.
Responsible for assisting medical staff members in facilitating home infusion and nutritional services utilizing assessment skills, document procurement and providing hands-on teaching to patients and their caregivers.
Successfully generated increased referrals year over year in infusion, nutritional and respiratory product line resulting in positive revenue, requiring the need for a second Clinical Sales Liaison at Children's Hospital to then focus on Respiratory and DME needs.
Admissions Clinical Coordinator, 11/2006 to 06/2007 Masc Medical – Jersey City, NJ,
Responsible in obtaining demographic, insurance and clinical information that will allow acceptance of infusion therapy patients onto service.
Responsible for successfully initiating and implementing a patient specific, safe and cost efficient care plan that will generate patient success.
Scheduling nursing home visits. Collaborate with nursing staff or home health agencies, and implement a successful care plan specific to each individual patient needs.
Admission Team Supervisor, 05/2000 to 11/2006 Charles River Community Health – Both Sites, MA,
Responsible for instructing and supporting clinical and nonclinical staff on the Intake Team.
Resource to staff for problem solving skills and assisting in elimination of obstacles.
Collaborate with nursing agencies in subcontracting of nursing servies and manage cost via visit approvals for patient specific and regional contracts.
Approval process for payment of subcontracted services in a prompt and efficient manner.
Admission Clinical Coordinator, 05/1994 to 05/2000 Apria Healthcare – City, STATE,
Responsible in obtaining demographic, insurance and clinical information that will allow acceptance of infusion therapy patients onto service.
Responsible for successfully initiating and implementing a patient specific, safe and cost efficient care plan that will generate patient success.
Emergency Room Registered Nurse, 09/1991 to 05/1994 Hahnemann Hospital – City, STATE,
Collaborate with other medical staff members to provide safe and cost efficient care.
Triaged and treated high-volume caseload in busy emergency room setting.
Coordinated care with physicians and other clinical staff to prepare for treatment, carry out interventions and enhance continuum of care to deliver comprehensive services.
Conducted patient assessments and diagnostic tests to provide physician with important patient health information.
Monitored and recorded patient condition, vital signs, recovery progress and medication side effects.
Staff Nurse, 06/1986 to 09/1991 Worcester City Hospital – City, STATE,
Monitored patient vitals post-surgery, managed medical equipment and administered medications and IVs.
Addressed rapid response and code situations by strategically organizing and delegating tasks.
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.
Monitored and recorded patient condition, vital signs, recovery progress and medication side effects.
Recorded patients' medical history, vital statistics and test results in electronic medical records.
Education and Training
Diploma Nurse: Registered Nurse, Expected in 06/1986 Worcester City Hospital School Of Nursing - Worcester, MA, GPA:
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