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Jessica Claire
Montgomery Street, San Francisco, CA 94105
Home: (555) 432-1000 - Cell: - resumesample@example.com - -
Professional Summary

Telephonic Nurse Educator, Case Manager, and Certified Oncology Nurse with 11 years of industry experience seeking to move into a leadership role. Extensive experience training and leading nursing professionals and managing all aspects of clinical and telephonic patient care and support. Well-developed skills performing member healthcare and financial needs assessments, educating members on healthcare plan options, and collaborating with providers and other healthcare professionals to coordinate and follow up on comprehensive, individualized patient care plans. Dedicated leader with exceptional written and verbal communication skills and a demonstrated ability to utilize extensive background in critical patient care and unit management to make key decisions that lead to optimal financial outcomes while ensuring the highest level of patient care and satisfaction.

Core Qualifications
  • Nursing Leadership & Support
  • Computer proficient
  • Results-oriented
  • Educating Patients & Families
  • Training & Developing Staff
  • Developing Patient Care Plans
  • Prior Authorizations & Third Party Reimbursement
  • Patient Care Coordination
Experience
07/2012 to 07/2014
Telephonic Nurse Case Manager Humana Inc. Dayton, OH,
  • Manage a caseload of 100-125 members/patients.
  • Adhere to company medical policies and guidelines to identify, review, assess, and allocate members for plan participation according to their identified health and financial needs.
  • Identify members' understanding deficits regarding their specific plan and situation, and provide the appropriate education, support, and materials to facilitate informed decision-making and understanding.
  • Communicate with providers and other members of each patient's healthcare team to coordinate individualized and comprehensive care according to plan specifications.
  • Utilize the telephone and other electronic communication formats to remotely monitor member care, including conducting admission reviews, post-discharge calls, and discharge planning.
  • Provide a strong and effective reciprocal communication process with members, providers, and other extended care team members to ensure all issues and concerns are addressed and resolved.
  • Collaborate with the Medical Director on case reviews to review/render decisions on pre-determination cases (chemotherapy, radiation therapy, clinical trials, etc.), and assist members in obtaining second opinions.
  • Meet or exceed set monthly goals and complete monthly job update reviews.
  • Complete ongoing education and training courses as required by the company.
09/XXX2 to 07/2012
Oncology Nurse Community Health System Birmingham, AL,
  • National Oncology Certified Nurse (OCN) · Provided nursing leadership, support, and care to patients in the Oncology clinic, and coordinated the delivery of triage and critical care treatments in accordance with clinic procedures.
  • Performed comprehensive patient assessments, developed individual patient care plans, and performed follow-up healthcare procedures in collaboration with physicians and medical professionals.
  • Assisted doctors in the execution of sterile medical procedures and performed port access, port flushes, lab draws, shots, and administration of medication as needed.
  • Educated, led, and directed Nurses on preceptoring procedures, medical equipment use, and the execution of daily roles and responsibilities.
05/1995 to 10/XXX2
Clinical Registered Nurse Maine Health Biddeford, ME,
  • National Oncology Certified Nurse continued) Utilized high-tech radiation, chemotherapy, and other medical equipment to treat patients.
  • Served as a patient advocate and educated patients and family members about treatment method options and possible reactions or side effects.
  • Coordinated patient admission and discharge from the clinic while ensuring the highest levels of efficiency, quality, service, and patient satisfaction.
  • Assisted in the training and orientation of new staff members, delivering comprehensive clinical skills training and education programs to enhance staff knowledge.
  • Provided nursing leadership, coordination, support, and care for inpatients in the Oncology unit.
  • Served as Charge Nurse as needed, overseeing all aspects of unit operation, staff supervision, reporting, resource planning, scheduling, floor assignments, and staff mentoring and training.
  • Performed patient assessments and provided direct care, including administering chemotherapy treatments and assisting with pain management.
  • Educated patients and family members and provided information on related therapies and medical treatments.
  • Collaborated with Doctors and Nurse Managers to ensure the timely and effective delivery of critical care procedures, as well as to achieve goals to improve quality of patient care.
  • Maintained accountability for the quality of care delivery, patient progression, service excellence, and workplace experience.
Education
Expected in
Bachelor of Science Degree: Nursing
UNIVERSITY OF TEXAS AT TYLER ­ COLLEGE OF NURSING & HEALTH SCIENCES - , TX
GPA:
Nursing
Professional Affiliations
Skills
Case Management, chemotherapy, clinical trials, critical care, decision-making, delivery, discharge planning, financial, Leadership, Director, materials, mentoring, access, Needs Assessment, Nursing, Oncology, pain management, patient advocate, Patient Care, Patient Care Coordination, treat patients, policies, quality, reporting, scheduling, staff supervision, telephone, therapy, triage

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School Attended

  • UNIVERSITY OF TEXAS AT TYLER ­ COLLEGE OF NURSING & HEALTH SCIENCES

Job Titles Held:

  • Telephonic Nurse Case Manager
  • Oncology Nurse
  • Clinical Registered Nurse

Degrees

  • Bachelor of Science Degree

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