Healthcare professional with extensive experience in telephonic nurse case management, adept at coordinating comprehensive care plans and facilitating patient recovery. Valued for team collaboration and achieving positive outcomes in patient health. Highly adaptable, with strong communication and critical-thinking skills, ensuring seamless care continuity.
Overview
6
6
years of professional experience
Work History
Telephonic Nurse Case Manager
Optum
08.2023 - Current
Screened medical records and information for necessity and appropriateness and referred for physician review cases not meeting medical criteria.
Interfaced with third-party payers, insurance companies and providers for utilization review activities and submitted timely reports to clients and providers.
Conducted thorough follow-up calls to assess the effectiveness of treatment plans, making adjustments as needed for optimal results.
Collaborated with other health care professionals regarding plan of care and variances in plan implementation to achieve outcomes.
Managed caseloads efficiently while prioritizing urgent cases requiring immediate intervention.
Contract Registered Nurse
Texas Health Huguley Hospital
01.2023 - 02.2025
Improved patient outcomes by providing high-quality nursing care and closely monitoring vital signs.
Demonstrated strong clinical judgment when making critical decisions under pressure, ensuring patient safety at all times.
Managed multiple patients simultaneously while prioritizing urgent needs and delegating tasks effectively.
Reduced hospital readmissions by developing comprehensive discharge plans tailored to individual needs.
Collaborated with interdisciplinary teams to develop effective care plans, improving overall patient satisfaction.
Travel Registered Nurse
Fastaff Nursing
04.2023 - 08.2023
Demonstrated adaptability when assigned to different units or shifts as needed, seamlessly integrating into diverse healthcare teams while maintaining exceptional performance levels.
Administered medications and treatment to patients and monitored responses.
Prevented complications in critical situations by promptly recognizing symptoms and initiating appropriate interventions.
Safeguarded patient privacy rights through diligent compliance with HIPAA regulations during all interactions with medical records and personal information.
Improved patient outcomes by diligently monitoring vital signs and adjusting treatment plans accordingly.
Enhanced patient care by efficiently managing multiple cases in high-stress environments.
Travel Registered Nurse
Cross Country Staffing
03.2021 - 12.2022
Demonstrated adaptability when assigned to different units or shifts as needed, seamlessly integrating into diverse healthcare teams while maintaining exceptional performance levels.
Administered medications and treatment to patients and monitored responses.
Maintained strict adherence to infection control protocols, ensuring a safe environment for patients and colleagues alike.
Streamlined communication among healthcare teams by providing accurate and timely updates on patient conditions.
Documented treatments delivered, medications and IVs administered, discharge instructions, and follow-up care.
Registered Nurse Case Manager
Parkinson's Specialty Care
02.2019 - 12.2020
Evaluated patient progress and adjusted care plans accordingly, ensuring continuity of care across all healthcare settings.
Collaborated with physicians and other healthcare providers to ensure appropriate resource utilization for complex cases.
Provided education and support to patients and families, empowering them to make informed decisions regarding their healthcare needs.
Improved patient outcomes by consistently providing comprehensive assessments and developing tailored care plans.
Coordinated rehabilitative and preventive nursing processes and procedures.
Worked with suppliers and vendors on provision of medical equipment, items and services.
Orthopedics Registered Nurse
Park Nicollet Methodist Hospital
02.2019 - 11.2020
Adhered to ANA Code of Ethics for nurses and maintained confidentiality within legal and regulatory parameters to protect human and legal rights of patient and family.
Educated patients and families on managing post-treatment home care needs and medication administration.
Educated patients and families on post-operative care, including medication administration, wound care, and rehabilitation exercises.
Participated in ongoing professional development opportunities to stay current on best practices and emerging trends in orthopedic nursing.
Used critical thinking skills to assess and evaluate patient physical, psychosocial and emotional needs.