RN with experience in case management, care coordination, and patient-centered education for complex health needs. Brings strong clinical judgment to referral tracking, discharge planning, symptom triage, and evidence-based care planning while collaborating with providers, facilities, and families to support access and safe transitions.
Overview
1
1
Certification
8
8
years of professional experience
Work History
Registered Nurse Case Manager
TriWest Healthcare Alliance
Phoenix, Arizona
03.2025 - Current
Supported complex case management for TRICARE beneficiaries across TriWest healthcare networks.
Coordinated referrals, authorizations, and care plans with providers and service teams to ensure seamless patient care.
Assessed, planned, implemented and evaluated individualized nursing care plans for each patient.
Implemented interventions based on evidence-based practice guidelines while working collaboratively with interdisciplinary teams.
Educated and counseled patients and families on health promotion, risk reduction, disease prevention, and self-care techniques to enhance overall health outcomes.
Worked with physicians, facilities, and community resources to support discharge planning.
Referred patients to specialized health resources or community agencies to address comprehensive needs and improve access to services.
Clinical Lead Registered Nurse & Case Management
Interior Community Health Center
Fairbanks, AK
09.2018 - 06.2024
Managed patient care through case management, ensuring continuity of care and coordinating necessary referrals.
Developed and implemented individualized care plans in collaboration with an interdisciplinary healthcare team.
Educated patients and their families on chronic disease management, medication administration, and post-discharge care.
Coordinated diagnostic tests and procedures ordered by physicians, ensuring timely follow-up.
Managed multiple patient assignments efficiently in a fast-paced environment, prioritizing tasks effectively.
Monitored and followed up with emergency room and hospitalized patients according to established protocols.
Utilized electronic data systems to track and maintain patient population information and ensure continuity of care.
Took the lead as the clinic's patient navigator for disease prevention and screening after completing specialized training.
Assessed client needs and determined appropriate services to support their care.
Facilitated patient and family education and connected clients with community resources to enhance care.
Provided direct patient care, including administering medications and vaccines and monitoring vital signs.
Handled walk-in and telephonic nursing triage, collecting symptom and complaint information to start evaluations.
Initiated and managed an additional quality improvement project to help increase colorectal cancer screening rates in the community.
Education
Master's degree - Nursing: Leadership and Management
Western Governors University
Remote
11-2022
Bachelor's degree - Nursing
University of Alaska Anchorage
Fairbanks, AK
07-2018
Skills
Patient management
Chronic disease management
Referral management
Care management
Nursing triage
Clinical decision-making
Analytical thinking
Attention to detail
Strong work ethic
Certification
RN License, BLS Certification
Language
Spanish Fluent, English Native
Timeline
Registered Nurse Case Manager
TriWest Healthcare Alliance
03.2025 - Current
Clinical Lead Registered Nurse & Case Management
Interior Community Health Center
09.2018 - 06.2024
Master's degree - Nursing: Leadership and Management