Compassionate Registered Nurse Case Manager experienced in coordinating patient care, implementing treatment plans, and managing healthcare teams. Strengths include critical thinking, communication skills, and ability to work in high-stress environments. Have positively impacted previous workplaces by improving patient satisfaction rates and streamlining case management processes.
Overview
18
18
years of professional experience
Work History
Registered Nurse Case Manager
APN Staffing/River People Health Center
Scottsdale, AZ
10.2024 - 01.2025
Assisted patients telephonically with referrals made by their PCPs.
Provided education about the benefits related to tribal affiliation.
Sent referrals to appropriate specialists, DME companies, and other clinics and hospitals.
Coordination of care done with patients and referral facilities to ensure orders are followed through correctly, and patients are not lost in the complex medical world.
This position was largely like a call center, but it required complex and critical thinking skills.
Collaborated with physicians, social workers and other healthcare professionals to coordinate care for patients.
Provided education and counseling on health promotion, risk reduction strategies, disease prevention and self-care techniques to patients and their families.
Maintained strict patient data procedures to comply with HIPAA laws and prevent information breaches.
Managed caseloads involving multiple chronic illnesses across various settings such as hospitals, long-term care facilities or private homes.
Coordinated discharge planning to ensure continuity of care post-hospitalization.
Referred patients to specialized health resources or community agencies to furnish additional assistance.
Advocated for patients by identifying insurance coverage, communicating care preferences to practitioners and verifying interventions met patients' treatment goals.
Coordinated home care, home infusion, and durable medical equipment reducing patient wait times.
Facilitated referrals for specialized services such as physical therapy or hospice care when needed.
Registered Nurse Case Manager
Horizon Health and Wellness
Apache Junction, AZ
02.2024 - 09.2024
Facilitated nursing care at a community health clinic for both primary care and behavioral health.
SMI home, FQHC clinic
Triaged phone calls, dealt with patients experiencing a mental health crisis.
Case-managed SMI patients living in residential facilities to assure continuity of care.
Performed annual and hospital discharge assessments for SMI patients, and other high-risk patients.
I gave long-acting injections for behavioral health and addiction problems, and performed new hire and ongoing competencies for MAs.
Assisted with lab draws and complex patient needs.
Monitored REMS program which is to monitor lab draws for schizophrenic patients taking the medication clozapine
Met with patients for education regarding medications, diabetes, blood pressure, self-injections, and proper nutrition.
Charting system – ECW
Addiction/Detox Nurse
Buena Vista Recovery Center
Chandler, Arizona
11.2022 - 04.2023
Performed nursing care and close monitoring of patients experiencing withdrawal from drugs and alcohol.
Gave medications, ensured the safety of patients, and provided emotional support.
Also, I gave education about the detox process and medication management.
Educated patients on the importance of following a healthy diet and lifestyle after detoxification.
Instructed families and caregivers on how to provide proper home care once discharged from facility.
Assessed patient conditions, monitored behaviors and updated supervising physicians with observations and concerns.
Observed strict safety measures, including checking medication dosages before administration to patients.
Monitored diet, physical activity, behaviors and other patient factors to assess conditions and adjust treatment plans.
Helped patients and families feel comfortable during challenging and stressful situations, promoting recovery and reducing compliance issues.
Coordinated with healthcare team to establish, enact and evaluate patient care plans.
Adapted nursing practice according to changes in regulations or standards of care related to addiction treatment services.
Maintained strict patient data procedures to comply with HIPAA laws and prevent information breaches.
Performed physical assessments on patients to determine level of intoxication or drug overdose.
Provided emotional support to patients and their families during difficult times.
Administered medications as prescribed by physician to reduce withdrawal symptoms or cravings during detoxification period.
Responded to emergency situations with speed, expertise and level-headed approaches to provide optimal care, support and life-saving interventions.
Attended weekly team meetings with other medical staff members to discuss patient cases and share best practices.
Referred patients to specialized health resources or community agencies to furnish additional assistance.
Interpreted and evaluated diagnostic tests to identify and assess patient's condition.
Advocated for patient needs with interdisciplinary team and implemented outlined treatment plans.
Assessed patients for risk of withdrawal symptoms and provided appropriate interventions.
Collaborated with physicians, psychiatrists, social workers, counselors, and other healthcare professionals to develop individualized treatment plans for each patient.
Evaluated progress of patients throughout the detoxification process and adjusted treatments accordingly.
RN Case Manager
Gateway Hospice
Phoenix, AZ
04.2022 - 07.2022
Company Overview: (Company closed.)
Provided nursing care to hospice patients in their home setting, group homes, and assisted living facilities.
I had a caseload of 10 to 13 patients.
The primary focus is comfort rather than heroic measures for terminal patients.
Under the direction of the hospice MD, function as the PCP of patients with terminal illnesses.
Perform routine physical assessments, medication management, wound care, and Foley catheters for comfort.
Ensure the comfort and dignity of dying patients, educate the patient and family, provide emotional support, and actively listen to the patient and family.
Follow Medicare guidelines closely, perform recertifications for continued eligibility, and supervise LPNs and CNAs to ensure proper care of patients.
(Company closed.)
Assessed patient conditions, monitored behaviors and updated supervising physicians with observations and concerns.
Monitored and evaluated effectiveness of treatment plans and interventions.
Facilitated transitions between levels of care through effective coordination of resources within a managed care environment.
RN Case Manager
Unity Hospice
Mesa, AZ
04.2021 - 04.2022
I was part-time and assigned a caseload of 8 to 10 patients.
Provided nursing care to hospice patients in their home setting, group homes, and assisted living facilities
The primary focus is comfort rather than heroic measures for terminal patients.
Under the direction of the hospice MD, function as the PCP of patients with terminal illnesses.
Perform routine physical assessments, medication management, wound care, and Foley catheters for comfort.
Ensure the comfort and dignity of dying patients, educate the patient and family, provide emotional support, and actively listen to the patient and family.
Follow Medicare guidelines closely, perform recertifications for continued eligibility, and supervise LPNs and CNAs to ensure proper care of patients.
Observed strict safety measures, including checking medication dosages before administration to patients.
Actively participated in multidisciplinary rounds discussing complex cases with members of the healthcare team.
Assessed patient conditions, monitored behaviors and updated supervising physicians with observations and concerns.
Utilized computerized Resource and Patient Management System (RPMS) and Electronic Health Record (EHR) system.
Monitored and evaluated effectiveness of treatment plans and interventions.
RN Case Manager/Admission Nurse
East Valley Hospice
Mesa, AZ
08.2017 - 01.2021
I began as an RN case manager and managed hospice patients in the home setting, group homes, and assisted living facilities.
Perform routine physical assessments, under the direction of the hospice MD, and function as the PCP of patients with terminal illnesses.
Ensure the comfort and dignity of dying patients, educate patients and their families, follow Medicare guidelines closely, perform recertifications for continued eligibility, and monitor LPNs and CNAs.
Collaborated with physicians, nurses, and other healthcare professionals to ensure optimal patient outcomes.
Helped patients and families feel comfortable during challenging and stressful situations, promoting recovery and reducing compliance issues.
Analyzed financial information related to insurance coverage eligibility prior to initiating services.
Participated in quality improvement initiatives related to case management processes.
Assessed patient conditions, monitored behaviors and updated supervising physicians with observations and concerns.
Identified high-risk cases requiring intensive monitoring or specialized interventions.
Advocated for patient needs with interdisciplinary team and implemented outlined treatment plans.
Ensured compliance with regulatory standards concerning utilization review, ethical decision making and legal aspects of case management practice.
Assessed patient's physical, mental, and psychosocial health status to develop individualized care plans.
Developed discharge plans for patients transitioning from acute care settings to home or alternate facilities.
Monitored and evaluated effectiveness of treatment plans and interventions.
Delivered information regarding care and medications to patients and caregivers in comprehendible terminology.
Communicated regularly with family members regarding patient care needs and progress toward goals.
Responded to emergency situations with speed, expertise and level-headed approaches to provide optimal care, support and life-saving interventions.
Maintained strict patient data procedures to comply with HIPAA laws and prevent information breaches.
Utilized computerized Resource and Patient Management System (RPMS) and Electronic Health Record (EHR) system.
Coordinated discharge planning to ensure continuity of care post-hospitalization.
Coordinated with healthcare team to establish, enact and evaluate patient care plans.
Facilitated transitions between levels of care through effective coordination of resources within a managed care environment.
Provided direct nursing care such as wound dressing changes, IV therapy, medication administration and patient education.
Achieved departmental goals and objectives by instituting new processes and standards for in-patient care.
Provided emotional support and counseling to patients dealing with chronic illness or end-of-life issues.
Provided emotional support to patients and their families during difficult times.
Observed strict safety measures, including checking medication dosages before administration to patients.
Maintained accurate documentation of patient progress in the electronic health record.
Educated patients on disease prevention strategies, wellness promotion techniques and lifestyle modifications.
Actively participated in multidisciplinary rounds discussing complex cases with members of the healthcare team.
Demonstrated strong problem-solving skills, resolving issues efficiently and effectively.
Registered Nurse
Honor Health Osborn Medical Center
Scottsdale, AZ
09.2006 - 07.2017
Performed nursing duties on a med-surg unit, caring for 4-5 patients.
I performed assessments, medication administration, and collaborated with other departments and doctors for ordered testing.
The largest area of focus is patient and family teaching.
I'm also exceptionally good at teaching other nurses, and I have been a preceptor many times in my career.
I worked for many years in the float pool, floating to med-surg, neuro, rehab, and telemetry units.
Assessed patient conditions, monitored behaviors and updated supervising physicians with observations and concerns.
Educated patients and families on health care needs, conditions, and options.
Updated charts throughout shifts with current, accurate information to maintain strict recordkeeping standards.
Education
BACHELOR OF SCIENCE - NURSING
IDAHO STATE UNIVERSITY
05.1999
Skills
Case Management
Critical Thinking
Medication Administration
Physical Examinations
Geriatrics
Medical Terminology
Diagnostic Interpretation
Cultural Sensitivity
Medical Ethics
Education
Communication
Patient care planning
Mental health support
Case evaluation
Cardiac monitoring
Patient management
Care coordination
EMR / EHR
Indirect patient care
Discharge planning
Healthcare regulations
Ethical considerations
Case management
Referral coordination
Care plan development
Clinical assessment
Chronic disease management
Emotional intelligence
Leadership Experience
Preceptor for new Air Force nurses and student nurses
Charge nurse of the overflow unit at Honor Health Osborn
Lead RN at Health and Wellness clinic
References
References available upon request.
Timeline
Registered Nurse Case Manager
APN Staffing/River People Health Center
10.2024 - 01.2025
Registered Nurse Case Manager
Horizon Health and Wellness
02.2024 - 09.2024
Addiction/Detox Nurse
Buena Vista Recovery Center
11.2022 - 04.2023
RN Case Manager
Gateway Hospice
04.2022 - 07.2022
RN Case Manager
Unity Hospice
04.2021 - 04.2022
RN Case Manager/Admission Nurse
East Valley Hospice
08.2017 - 01.2021
Registered Nurse
Honor Health Osborn Medical Center
09.2006 - 07.2017
BACHELOR OF SCIENCE - NURSING
IDAHO STATE UNIVERSITY
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