Angeline Rudlaff
Honolulu,HI
Summary
Diligent nursing professional with demonstrated success in patient care. Agile and responsive to dynamic patient needs and environmental conditions. Team-oriented and reliable with strong healthcare knowledge, clear verbal and written communication skills and sound clinical judgment.
Overview
10
10
years of professional experience
1
1
Certification
Work History
Registered Nurse Case Manager
United Healthcare Group
Honolulu, HI
04.2022 - Current
- Assess, plan and implement care strategies with individual collaboration and directed toward most appropriate, least restrictive level of care
- Identify and initiate referrals for social service programs, including financial, psychosocial, community and state supportive services
- Manage care plan throughout continuum of care as single point of contact
- Communicate with all stakeholders required health-related information to ensure quality coordinated care and services are provided expeditiously to all members
- Advocate for both members and families as needed to ensure patient's needs and choices are fully represented and supported by healthcare team.
- Evaluated healthcare needs, goals for treatment and available resources of each member and connected to optimal providers and care.
- Took active role in member and family planning process, detailing instructions and responding appropriately and effectively to questions and concerns.
- Educated patients and loved ones about different treatment options and outside care approaches to reduce burden on hospital resources.
- Conducted regular re-evaluations to address changes in needs and conditions, introducing revisions to care plans.
- Updated patient charts with data such as medications to keep records current and support accurate treatments.
Service Coordinator
United Healthcare Group
Houston, TX
09.2019 - 04.2022
- Manage care plan across the continuum of care as a single point contact
- Engage in case management and care coordination
- Assess, plan, implement, and evaluate individualized care strategies along with member input to provide the most appropriate and least restrictive level of care
- Advocate for members and families as needed to ensure members' needs and choices are honored and supported
- Identify solutions outside standard requests and problems such as assisting member and caregiver with housing after being awarded city funded home renovation which did not include alternative housing during renovation
- Resolve complex problems and analyses
- Work with minimal guidance
- Provide explanations and information to others on difficult issues.
- Coach, provide feedback, and assist colleagues
- Design individualized service plans that took into account clients' goals and preferences
- Maintain accurate records and full compliance with government regulations and agency guidelines
- Evaluate final results to determine quality levels and isolate root causes of any identified faults
Telephonic RN Advocate
United Healthcare Group
Houston, TX
09.2017 - 08.2019
- Resolved member service inquiries related to medical and pharmacy benefits and eligibility
- Educated members about fundamentals of consumer-driven health care by: Maximizing value of their health plan benefits choosing quality care provider
- Intervened with care providers on behalf of members to resolve issues
- Provided process and status on previously submitted pre-authorizations or pre-determination requests
- Utilized coaching techniques, activation, and motivational skills to empower members to take action and participate in shared decision-making process
- Quickly learned new skills and applied them to daily tasks, improving efficiency and productivity
Education
Master of Science - Psychiatric Mental Health Nurse Practitioner
Chamberlain University
Downers Grove, IL07.2024
Associate of Science - Nursing
Tennessee State University
Nashville, TN05.2012
Skills
- Total 10 years of nursing experience
- 5 years of hospital beside nursing in ICU, IMCU, PACU, OR, and Pre-Op
- 5 years of managed care experience
- 3 year of case management for intellectual and developmental disabilities and waiver
- 3 year of Medicaid experience
- 2 years with long term care services and support
- CCM certified
- Advanced knowledge in MS office
- Full COVID – 19 vaccination including booster
Certification
- Certified Case Manager
Timeline
Registered Nurse Case Manager
United Healthcare Group
04.2022 - Current
Service Coordinator
United Healthcare Group
09.2019 - 04.2022
Telephonic RN Advocate
United Healthcare Group
09.2017 - 08.2019
Master of Science - Psychiatric Mental Health Nurse Practitioner
Chamberlain University
Associate of Science - Nursing
Tennessee State University