RN Case ManagerRN Case ManagerRN Case ManagerRN Case ManagerRegistered Nurse - Medical Surgical, Kidney Transplant, Neuro Unit
Salary Range
45000/yr - 200000/yr
Summary
Responsible Nurse Case Manager with excellent communication skills demonstrated by 10 plus years of experience in healthcare. Solid clinical, utilization review and case management experience within a managed care environment. I am enthusiastic with excellent people skills and dedicated work ethic. Creative, resourceful and efficient in work environments.
Overview
33
33
years of professional experience
1
1
Certification
Work History
RN Case Manager
UNIVERSITY MEDICAL CENTER
04.2023 - Current
Nurse Case Manager assist in providing system of health delivery which utilizes a coordinated, collaborative, multidisciplinary approach to assess, plan, coordinate and evaluate health care needs of patient.
Nurse Case Manager is responsive to patient and provider requests and ensures customer satisfaction which reflects an understanding of surgical procedures. This includes coordination of anesthesia evaluations, validation of testing as ordered by the surgeon and adjunct providers, transportation assistance, lodging arrangements, identifying potential roadblocks to scheduling patients for procedures.
Responsible for ensuring that care is provided at appropriate level of care based on medical necessity and to assess the patient for transition needs to promote timely throughput, safe discharge, and prevent avoidable readmission.
Nurse Case Manager assists in providing system of health care delivery which utilizes a coordinated, collaborative, multidisciplinary approach to assess, plan, coordinate and evaluate the health care needs of patient throughout the healthcare continuum.
RN Case Manager serve as an advanced clinical resource to the patients, families, staff and physicians in the delivery of care.
RN Case Manager
Mountain View Medical Center
05.2019 - 04.2023
RN Case manager responsible to facilitate care along a continuum through effective resource coordination to help patient achieve optimal health, access to care, and appropriate utilization of resources.
Responsible for ensuring that care is provided at the appropriate level of care based on medical necessity and to assess the patient for transition needs to promote timely throughput, safe discharge, and prevent avoidable readmissions.
RN Case Manager
DIGNITY HEALTH – ST. ROSE SIENA
08.2015 - 05.2019
Established individual POC and goals
Evaluate patient for appropriate utilization of services and Diagnostic Related Group (DRG) maximization.
Perform daily chart reviews, justify admissions (inpatient/observation/same day stay) and continued stay using InterQual and Milliman criteria.
Participate in daily multidisciplinary rounds to identify, plan, treat and implement discharge requirements to reduce length of stay.
RN Case Manager
UNITED HEALTH CARE
04.2010 - 07.2015
Performs the following case management skills on a daily basis: Perform patient assessment of all major domains using evidence-based criteria (physical, functional, financial and psychosocial)
Develop individualized discharge plans that involve provider, patient, and caregiver goals for successful transitions of care.
Implement discharge plan involving health care resources across the continuum.
Monitor and report variances that may challenge timely quality care.
Performed different kinds of health services and care.
Registered Nurse - Medical Surgical, Kidney Transplant, Neuro Unit
UNIVERSITY MEDICAL CENTER
01.2007 - 01.2015
Closely monitored, diagnosed and treated acute and critical care patients with cardiovascular/respiratory and wound.
Liaised between patients and physicians to ensure patient comprehension of treatment plans.
Instructed patients and family members on proper discharge.
License Practical Nurse
UNIVERSITY MEDICAL CENTER
07.2001 - 05.2007
Administer medication such as oral, topical IV within my scope of practice.
Monitor results on a routine as needed basis 6-8 patient load per shift in Medical–Surgical Unit.
Check vital signs each shift.
Work under the supervision with RN.
Certified Nursing Assistant
HARMON Rehabilitation Hospital
11.1999 - 01.2000
Responsibilities for this position included providing support to families, assisting licensed nurses, charting vitals, injury prevention, quality patient care, including toileting, feeding, and hygiene.
Certified Nursing Assistant
TERRACE CARE CENTER
01.1993 - 01.1995
Assist nursing staff and help patients achieves their maximum ability, a degree of independence and positive attitude about their life.
Check patients’ vital signs.
Assist patients with ADLs such as oral hygiene, bathing, dressing.