Brannon House
Clarksville,FL
Summary
Experienced RN Case Manager with background in providing high-quality patient care and effective case management. Strengths include strong decision-making skills, efficient coordination of care plans, and effective communication with multidisciplinary teams. Previous work has demonstrated significant impact on improving patient outcomes through the development and implementation of comprehensive care strategies.
Overview
14
14
years of professional experience
1
1
Certification
Work History
RN Case Manager/UR/ Swing Bed Coordinator
Calhoun Liberty Hospital
Blountstown, Fl
01.2017 - Current
- As the only employee in the department. I directed, designed, managed, monitored, and evaluated all operational functions of case management, discharge planning, and rehab coordination.
- Provided emotional support to patients and their families during difficult times.
- Facilitated referrals to community resources for additional support services.
- Analyzed financial information related to insurance coverage eligibility prior to initiating services.
- Conducted weekly interdisciplinary team meetings to review case management activities for assigned caseloads.
- Developed discharge plans for patients transitioning from acute care settings to home or alternate facilities.
- Monitored and evaluated effectiveness of treatment plans and interventions.
- Communicated regularly with family members regarding patient care needs and progress toward goals.
- Coordinated discharge planning to ensure continuity of care post-hospitalization.
- Maintained strict patient data procedures to comply with HIPAA laws and prevent information breaches.
- Facilitated transitions between levels of care through effective coordination of resources within a managed care environment.
- Ensured compliance with regulatory standards concerning utilization review, ethical decision making and legal aspects of case management practice.
- Utilized computerized Resource and Patient Management System (RPMS) and Electronic Health Record (EHR) system.
- Provided support to family members by answering questions about the rehabilitative process and helping them understand their loved one's condition.
- Ensured that all relevant documents are completed accurately prior to discharge from rehab unit.
- Maintained accurate documentation of patient assessments, treatments, progress notes, discharge summaries.
- Collaborated with physicians and other healthcare professionals regarding short-term goals for each patient's rehabilitation program.
- Served as a liaison between therapists, case managers, social workers, insurance companies, families and caregivers.
- Reviewed patient medical records to assess eligibility for services, develop care plans, and determine appropriate levels of care.
- Developed and implemented individualized treatment plans for physical therapy patients.
- Developed case management plans based on individual patient needs and eligibility criteria.
- Identified opportunities for improvement in processes related to utilization management functions.
- Managed appeals for denied services, providing additional information to support medical necessity.
- Provided education to providers regarding utilization management processes and protocols.
- Analyzed utilization data to identify patterns and make recommendations for cost-effective care delivery.
- Monitored patient admissions and discharges to optimize care coordination and resource utilization.
- Participated in multidisciplinary team meetings to discuss patient care issues and utilization review findings.
- Documented all utilization review activities, findings, and decisions in patient records and databases.
Registered Nurse Manager
Calhoun Liberty Hospital
Blountstown , FL
03.2016 - 01.2017
- Monitored patient outcomes for improvement opportunities.
- Monitored staff performance and provided coaching and formal counseling to staff.
- Received and investigated complaints from families, patients and clinical staff, devising solutions to multifaceted challenges.
- Assessed patient conditions, monitored behaviors and updated supervising physicians with observations and concerns.
- Managed budgetary resources allocated to the department.
- Ensured compliance with all applicable state regulations related to nursing practice.
- Improved patient outcomes through peer groups and facilitating continuing education.
- Participated in clinical rounds to evaluate patient care needs.
- Provided education and guidance to nursing staff on the interpretation of hospital policies and procedures.
- Utilized computerized Resource and Patient Management System (RPMS) and Electronic Health Record (EHR) system.
- Assisted in developing protocols for handling emergency situations.
- Evaluated new technology solutions for potential use in the department. This includes the rollout of a new EMR system.
- Performed personnel interviewing, hiring, disciplinary actions and dismissals.
- Resolved conflicts between staff members in a timely manner.
- Collaborated with Human Resources personnel to resolve scheduling conflicts or issues.
- Managed the onboarding process for new hires by providing orientation materials and assigning initial tasks.
- Assisted in the recruitment process by scheduling interviews for potential new hires.
- Monitored staff attendance records to identify any irregularities or discrepancies.
Staff Development Coordinator/ Employee Health
Signature Healthcare The Bridge at Bay St Joe.
Port Saint Joe, FL
01.2015 - 03.2016
- Evaluated employee skill levels and implemented new techniques to boost staff knowledge.
- Assisted with the recruitment, selection, and onboarding of new staff members.
- Served as a mentor and coach for newly hired personnel.
- Managed training calendar for entire fiscal year, including setting course plans, training spaces and department rotations.
- Presented training information via role playing, simulations and team exercises.
- Spearheaded entire onboarding and orientation process for new employees, providing education and information to facilitate learning and improve employee job satisfaction.
- Conducted assessments of employee skill sets and identified areas for improvement.
- Planned and led training programs on staff development to enhance employee knowledge, engagement, satisfaction and performance.
- Monitored employee immunization records and administered necessary vaccinations.
- Performed routine follow-up visits with employees who have been absent due to illness or injury.
- Identified potential occupational hazards in the workplace and recommended safety protocols to reduce risk of injury or illness.
Staff RN
Blountstown Health And Rehabilitation Center
Blountstown, Florida
05.2011 - 01.2015
- 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.
- Interpreted and evaluated diagnostic tests to identify and assess patient's condition.
- Provided guidance and support to less experienced staff members when needed and assisted them with difficult tasks if necessary.
- Facilitated timely discharge planning activities by collaborating with social workers and case managers for appropriate placement and follow up instructions.
- Coordinated care with physicians and other clinical staff to prepare for treatment, carry out interventions and enhance continuum of care.
- Stocked clinical workstations and procedure rooms with necessary supplies.
- Responded quickly and effectively to life-saving situations using nursing standards and protocols for treatment.
- Utilized computerized Resource and Patient Management System (RPMS) and Electronic Health Record (EHR) system.
- Demonstrated expertise in the assessment, diagnosis, planning, implementation and evaluation of patient care.
- Performed various tests such as blood glucose monitoring, EKGs, wound dressings and care according to established protocols.
- Administered prescribed medications and monitored patient reactions while ensuring accuracy in medication dosages administered.
- Administered oral, IV and intra-muscular medications and monitored patient reactions.
- Treated and monitored wounds using liquid skin, sutures, and bandages.
Education
Associate of Science - Nursing
Chipola College
Marianna, FL05-2012
Skills
- Care coordination
- Multidisciplinary approach
- Clinical assessment
- Community resources
- Discharge planning
- Utilization review
- BLS Certified
- Case management
- Professionalism
- Interpersonal skills
- Excellent communication
- Time management abilities
- Problem-solving abilities
Accomplishments
- 2018 Nominee for Prepared Healths Outstanding Case Manager Award
- 2023 Recipient of Calhoun Liberty Hospital I-CARE award.
Certification
- BLS Certification ( Expires in 2025)
Timeline
RN Case Manager/UR/ Swing Bed Coordinator
Calhoun Liberty Hospital
01.2017 - Current
Registered Nurse Manager
Calhoun Liberty Hospital
03.2016 - 01.2017
Staff Development Coordinator/ Employee Health
Signature Healthcare The Bridge at Bay St Joe.
01.2015 - 03.2016
Staff RN
Blountstown Health And Rehabilitation Center
05.2011 - 01.2015
Associate of Science - Nursing
Chipola College