Ann Muse
Gainesville,FL
Summary
Accomplished Registered Nurse Case Manager with 15+ years of experience dedicated to quality care of diverse patients. Work effectively with all levels of healthcare providers, physicians and administrators to address patient needs.
Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
28
28
years of professional experience
Work History
Behavioral Health RN
HCA Florida North Florida
07.2022 - Current
- Oversaw care of suicidal patients and acted swiftly to reduce risk of harm to themselves or others.
- Monitored vital signs, nutritional intake and signs and symptoms of complications to report deviations to supervisor.
- Educated patients and families about mental health, diagnoses and treatment options.
- Facilitated group therapy sessions to provide additional support and guidance.
- Administered medication and treatments to patients to observe and record responses.
- Explained useful coping methods to relieve depression and anxiety.
- Performed patient assessments to monitor expected response to medications and altering treatment plans.
- Responded to numerous volatile situations and violent outbreaks to restore safety and security of patients and staff.
RN Case Manager
Hca Florida North Florida
11.2013 - 07.2022
- Advocated for patients by communicating care preferences to practitioners, verifying interventions met treatment goals and identifying insurance coverage limitations.
- Effectively communicated with physicians regarding patient needs, performance, medications and changes.
- Evaluated healthcare needs, goals for treatment, and available resources of each patient and connected to optimal providers and care.
- Responded promptly and professionally to patient questions and concerns.
- Participated in patient and family planning process, as well as provided instructions and addressed question and concerns.
- Completed initial assessments of patients and family to determine and address individual home care needs. ·
- Coordinated with interdisciplinary professionals to develop plans of care, administer tests and monitor patient status.
RN Hospice Nurse
Haven Hospice
08.2012 - 10.2013
- Recognized and understood specific stages of dying process, providing comfort-based care during vulnerable times.
- Offered listening ear to both patients and loved ones to meet emotional and mental, as well as physical needs.
- Developed and implemented individualized care plan for each hospice patient while following physician instructions.
- Provided high level of quality, compassionate care to patients and caregivers during each nursing shift.
- Established hospice care services for elderly and disabled patients.
- Established and maintained successful relationships with patients, families and physicians by utilizing exemplary communication and active listening skills.
RN Utilization Review
Hca Florida North Florida
06.2008 - 08.2012
- Performed prior authorization review of services requiring notification.
- Evaluated medical guidelines and benefit coverage to determine appropriateness of services.
- Submitted cases for criteria failures and helped facilitate resolutions and approvals.
- Obtained authorizations from multiple insurance carriers for various levels of care.
- Performed admission reviews based for medical necessity based upon InterQual specification.
- Evaluated patient histories, complaints, and current symptoms.
Rn Patient Care Representative , Hem/Onc
UF Health Shands Hospital
01.2008 - 06.2008
- Maximized preventive care utilization to reduce hospital burden and help eliminate readmissions.
- Coordinated charitable, government, and community resources for patients.
- Worked closely with patients to deliver excellent and direct individualized patient care.
- Communicated with insurance companies to verify coverage and obtain authorizations for medical treatments and procedures.
- Organized discharge planning for home care and rehabilitation care stays to ease patients' transition from hospital.
North Florida RN
Hca Florida North Florida
06.2005 - 01.2008
- Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
- Administered medications via oral, IV, and intramuscular injections and monitored responses.
- Administered medications and treatment to patients and monitored responses while working with healthcare teams to adjust care plans.
- Provided direct patient care, stabilized patients, and determined next course of action.
- Trained new nurses in proper techniques, care standards, operational procedures, and safety protocols.
- Updated patient charts with data such as medications to keep records current and support accurate treatments.
RN
Lake Cumberland Regional Hospital
06.1995 - 05.2005
- Audited charts and reviewed clinical documents to verify accuracy.
- Oversaw delivery of care for patients on medical-surgical unit, providing direct care, delegating nursing assignments and supervising team comprised of nurses, LPNs, technicians, and unit clerks.
- Assessed, evaluated, and cared for neonate and pediatric patients.
- Monitored and assessed mother and newborn after delivery to ascertain proper healing and recovery.
- Educated new parents on how to properly care for infants by instructing parents on bottle feeding, bathing, circumcision care and breastfeeding.
- Communicated with healthcare team members to plan, implement and enhance treatment strategies.
Education
Associate of Science - Nursing
Somerset Community College
Somerset, KY05.1995
Skills
- Patient Discharging
- Mental and Physical Assessments
- Team Coordination
- Medication Administration
- InterQual Criteria
- Patient Education
- Medicare Regulation
- Resource Utilization
- Determine Medical Necessity
Accomplishments
Nurse of the Year 2010 Case Management
Nurse of the Year 2014 Case Management
Midas Super User
Timeline
Behavioral Health RN
HCA Florida North Florida
07.2022 - Current
RN Case Manager
Hca Florida North Florida
11.2013 - 07.2022
RN Hospice Nurse
Haven Hospice
08.2012 - 10.2013
RN Utilization Review
Hca Florida North Florida
06.2008 - 08.2012
Rn Patient Care Representative , Hem/Onc
UF Health Shands Hospital
01.2008 - 06.2008
North Florida RN
Hca Florida North Florida
06.2005 - 01.2008
RN
Lake Cumberland Regional Hospital
06.1995 - 05.2005
Associate of Science - Nursing
Somerset Community College