Carla Schroeder
Altoona,WI
Summary
Caring Intake Specialist with proven skills in case management, client registration and document processing. Highly organized and with an empathetic communication style. Ready to bring ten years' experience to a rewarding to new position. Talented Substance Abuse Nurse proven successful with high-volume calls, patient referrals and providing resources for patients and families. Knowledgeable regarding nursing regulations, managing files and producing professional correspondence for diverse needs. Articulate communicator with strong attention to detail and superior work ethic. Highly-motivated employee with desire to take on new challenges. Adept at working effectively unsupervised and quickly mastering new skills. Organized and motivated employee eager to apply time management and organizational skills in various environments.
Overview
10
10
years of professional experience
Work History
Intake Coordinator
St Joseph’s Hospital
Chippewa Falls, WI
11.2016 - 03.2024
- Coordinated the intake process for new clients, including scheduling initial assessments and providing necessary paperwork.
- Maintained accurate records of client intakes in electronic database system.
- Conducted comprehensive interviews with potential clients to determine eligibility for services.
- Provided information and resources to individuals, families, and groups seeking assistance.
- Assisted in determining appropriate referrals for clients to other community agencies or programs.
- Developed strategies to assist clients in overcoming barriers that impede successful outcomes.
- Collaborated with multidisciplinary team members to ensure quality care is provided to all clients.
- Participated in daily case conferences with clinical staff regarding treatment planning and goal setting.
- Provided education about available services, benefits, rights, responsibilities, risks and benefits of treatment options.
- Offered crisis intervention techniques when needed.
- Assisted in developing policies and procedures related to intake processes.
- Actively sought out opportunities for professional development through continuing education courses or workshops.
- Adhered to confidentiality guidelines when handling sensitive information about clients.
- Conducted patient intake interviews to collect medical information and insurance details.
- Answered phone calls to provide assistance, information and medical personnel access.
- Delegated work to staff, setting priorities and goals.
- Provided leadership, insight and mentoring to newly hired employees to supply knowledge of various company programs.
- Resolved customer complaints or answered customers' questions.
- Coordinated with other supervisors, combining group efforts to achieve goals.
- Guided employees in handling difficult or complex problems.
- Consulted with managers to resolve problems relating to employee performance, office equipment and work schedules.
- Participated in subordinates' tasks to facilitate productivity or help overcome difficulties.
- Discussed job performance problems with employees, identifying causes and issues to find solutions.
- Compiled physical and digital documents, charts and reports.
- Attended trainings on topics such as trauma-informed care, cultural competence, ethics.
- Communicated effectively with supervisors regarding current caseloads and resource availability.
- Ensured compliance with relevant regulations pertaining to the provision of services.
- Facilitated group sessions designed to address specific issues related to client's mental health needs.
- Met regularly with clients to review progress towards established goals and objectives.
Utilization Review Nurse
St Joseph’s Hospital
Chippewa Falls, WI
01.2019 - 11.2019
- Conducted reviews of inpatient utilization for compliance with admission criteria and concurrent review requirements.
- Evaluated clinical documentation for accuracy and completeness in order to make decisions about coverage determinations.
- Monitored pre-authorization requests to ensure that all necessary information was received prior to approval or denial of services.
- Maintained up-to-date knowledge of health plan benefits, policies, procedures, regulations, coding guidelines.
- Generated reports related to utilization management activities such as length of stay trends, denials rates.
- Developed case management plans based on individual patient needs and eligibility criteria.
- Performed discharge planning including referrals for post-acute care services when appropriate.
- Participated in provider meetings to discuss cases involving complex medical conditions or difficult authorization decisions.
- Facilitated communication between payers, providers and patients concerning authorization issues or concerns.
- Coordinated with other departments within the organization regarding changes in policy or procedure implementation.
- Served as a resource for staff members seeking guidance on utilization review matters.
- Determined medical necessity and cost-effectiveness of services through utilization review processes.
- Reviewed patient admissions to determine medical necessity as directed by ASAM criteria.
- Contacted insurance carriers to obtain authorizations for services delivered to patients.
- Kept detailed documentation on all utilization reviews by using EPIC.
- Maintained strict patient data procedures to comply with HIPAA laws and prevent information breaches.
- Advocated for patient needs with interdisciplinary team and implemented outlined treatment plans.
- Interpreted and evaluated diagnostic tests to identify and assess patient's condition.
- Referred patients to specialized health resources or community agencies to furnish additional assistance.
Behavioral Health Nurse
Sacred Heart Hospital Pensacola
Eau Claire, WI
01.2015 - 11.2016
- Provided direct patient care and assessments in a variety of behavioral health settings.
- Coordinated with other healthcare professionals to ensure best practices in patient care.
- Monitored client progress towards recovery goals using evidence-based interventions and techniques.
- Educated patients on their diagnosis, medications, and treatment options available to them.
- Collaborated with multidisciplinary teams to develop effective strategies for managing difficult behaviors.
- Assessed suicide risk factors among patients and created safety plans as needed.
- Counseled clients through crisis intervention services when appropriate.
- Participated in regularly scheduled meetings with supervisors to discuss clinical cases and improve quality of care.
- Maintained accurate records of all patient encounters according to HIPAA regulations.
- Administered medications to patients to decrease risk of aggression and treat symptomology.
- Collaborated with interdisciplinary professionals to determine and provide best possible care for patients.
- Documented assessments, interventions, evaluations and progress toward outcomes in patient records.
- Monitored behavioral and psychosocial responses to nursing intervention with assigned patient load.
- Implemented behavioral management interventions to defuse and de-escalate volatile situations.
- Monitored patients prescribed psychotropic medications to assess medications' effectiveness and side effects.
- Handled vital sign monitoring, medication administration and patient behavior assessments.
- Collaborated with prescribing professionals to get patients necessary medications.
- Documented all medications administered to mental health patients, following instructions from physicians and healthcare providers.
- Helped patients and families feel comfortable during challenging and stressful situations, promoting recovery and reducing compliance issues.
- 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.
Substance Abuse RN
St Joseph’s Hospital
Chippewa Falls, WI
09.2014 - 11.2016
- Educated patients on health maintenance, disease prevention, and treatment options.
- Performed physical examinations and assessments of patients' medical histories.
- Counseled patients on lifestyle changes that could improve their overall health outcomes.
- Documented patient progress notes accurately and efficiently in the electronic medical record system.
- Collaborated with physicians, nurses, therapists, social workers and other healthcare professionals to develop individualized treatment plans for each patient.
- Participated in multidisciplinary team meetings to discuss patient care plans.
- Ensured compliance with standards of professional practice as well as state and federal regulations related to health care delivery services.
- Demonstrated knowledge of current trends in nursing practices by attending continuing education classes or seminars.
- Actively participated in quality improvement initiatives within the department.
- Utilized critical thinking skills to assess clinical situations quickly and accurately.
- Maintained a safe environment for all patients by adhering to infection control policies and procedures.
- Managed complex cases involving multiple diagnoses or treatments.
- Advised family members on the best course of action for their loved ones' healthcare needs.
- Identified potential safety hazards in the environment or among patients' behaviors.
- Attended continuing education courses to stay up-to-date on current trends in nursing practice.
- Administered medications and treatments, monitoring patients for reactions and side effects.
- Coordinated discharge planning activities including arranging follow up appointments or referrals for additional services.
- Evaluated effectiveness of interventions through ongoing assessment of patient responses.
- Adhered to infection control procedures to facilitate safe, clean patient environment.
- Evaluated patients, recognized and addressed complications and coordinated treatment with other members of critical care team.
- Maintained thorough, accurate and confidential documentation in electronic medical records.
- Acted as patient advocate and implemented total patient care through team nursing process.
- Recorded patient condition, vital signs, recovery progress and medication side effects.
- Advocated for patients by supporting and respecting basic rights, values and beliefs.
- Administered medications, tracked dosages and documented patient conditions.
- Trained and mentored new RNs on best practices, hospital policies and standards of care.
- Updated charts throughout shifts with current, accurate information to maintain strict recordkeeping standards.
- Provided patient and family health education focusing on self-management, prevention and wellness.
- Assessed and prepared patients for procedures, performing initial and ongoing patient assessments.
- Collected lab specimens, ordering and interpreting diagnostic tests and lab results.
- Maintained personal and team compliance with medication administration standards and patient care best practices.
- Managed multiple tasks simultaneously while delivering quality patient care.
- Provided emotional support and reassurance to family members during times of distress.
- Communicated with nursing personnel to enforce procedures, policies and regulations.
- Responded to emergency situations with speed, expertise and level-headed approaches to provide optimal care, support and life-saving interventions.
- Helped patients and families feel comfortable during challenging and stressful situations, promoting recovery and reducing compliance issues.
- Counseled patients and caregivers, providing emotional, psychological and spiritual support.
Education
Associate of Applied Science - Nursing
Chippewa Valley Technical College
Eau Claire, WI12-2013
Skills
- Patient Scheduling
- Appointment Scheduling
- Client Intake
- Customer Acquisition
- Patient Referrals
- Patient Insurance Authorizations
- Benefit Coverage
- Crisis Intervention
- Process Improvements
- Continuous Professional Development
- Group And Individual Instruction
- Customer Service
- Regulatory Compliance
Affiliations
- Gardening, landscaping, crafts, hunting, fishing
Accomplishments
- Team safety champion
- Participant of drug take-back day bi-annually
- Educator for Residential Substance Abuse patients - providing group therapy monthly for several years
References
References available upon request.
Timeline
Utilization Review Nurse
St Joseph’s Hospital
01.2019 - 11.2019
Intake Coordinator
St Joseph’s Hospital
11.2016 - 03.2024
Behavioral Health Nurse
Sacred Heart Hospital Pensacola
01.2015 - 11.2016
Substance Abuse RN
St Joseph’s Hospital
09.2014 - 11.2016
Associate of Applied Science - Nursing
Chippewa Valley Technical College
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