Summary
Overview
Work History
Education
Skills
Timeline
67
CHARLOTTE MCLOUGHLIN  RN BSN

CHARLOTTE MCLOUGHLIN RN BSN

Flushing,NY

Summary

PROFILE:

Professional with strong background in case management, prepared to make significant impact. Proven ability to collaborate with teams and adapt to changing needs. Skilled in client assessment, resource coordination, and crisis intervention. Reliable and results-focused, with commitment to achieving positive outcomes Registered Nurse with Bachelor's of Science in Nursing with years of clinical and documentation skills . Hope to use past experiences of reviewing of medical documentation and clinical medical research for information for prior authorization, to answer denials and apply appeals to insurance companies Currently seeking position to utilize critical thinking with a focus on professional growth in the business aspect of HealthCare.

Overview

20
20
years of professional experience

Work History

Case Manager

ROYAL Health Care Inc.
04.2024 - Current
  • Conducted initial care assessments to meet Medicare requirements.
  • Verified all case records for accuracy to meet compliance regulations.
  • Conducted thorough assessments of clients'' situations, identifying issues, goals, and necessary interventions.
  • Informed clients about various available programs and benefits.
  • Facilitated better client-provider communication via regular follow-ups.

Public Health Nurse One School Nurse

New York City Department of Health and Mental Hygiene
09.2019 - 02.2024

Worked in a school setting providing primary to triage care to students 10-65 a day out of student population of 900 Holy Cross High School up to 700

  • Providing to varying level of care as required
  • Helped autistic non- verbal four-year-old with T1 diabetic to do own finger stick
  • Dealt with feeding tubes and feeding pump care, urinary catheters and daily care of PICC lines for students with them
  • Set up Excel worksheets for the Principal List for each grade
  • Audit school physicals and , NY State Sport Physicals
  • Set up excel worksheets to track Students with Diabetes, Asthma, Allergies or Epilepsy track medical orders updated work sheet as needed
  • Excel helps schools get zero charges with either New York City or New York State for two years
  • Instructed on many health issues including Understanding your Asthma to third and fifth grades using power point presentation
  • Reaching out to doctors and community resources as needed
  • Electrically documented on everything in ASHER
  • Became the telehealth resource for all students Elm Tree School, with a chronic condition during pandemic
  • Was their medical professional contact help guide them thru pandemic
  • Had them Reaching out to PCP early and getting emergency medicine and supplies in home like insulin or rescue inhalers medicine prescriptions in pharmacy to pick up before they needed them
  • Drew up an informing flyer list of Elmhurst/Corona food banks with days hours and locations. Our Parent Coordinator Edited and translated it into Spanish. We got it out to all school families
  • Later Nursing Supervisor gave to whole district to use.
  • I used Excel to organize and track school records was able to help school get 100 on vaccine records avoiding fines for the two years in a row

Point of Distribution Nurse

New York City
01.2021 - 03.2021
  • Set site up Points of Distribution
  • Administer the CoVid vaccines up to 100 a shift
  • Clean up the site
  • Assisted from sign in to the recovery post vaccine
  • Carried emergency kit and monitored for anaphylaxis reactions among patients and staff

Public Health Nurse One, Covid Tracer

New York City Health and Hospital
04.2020 - 09.2020
  • Used clinical knowledge experience and CDC guidelines to guide clients on test results and navigating the ever-changing environment
  • Instructed cough hygiene hand washing isolation guidelines within shared homes mask guidelines what symptoms to call 911 Plus, resources like food and medicine for chronic conditions to have in the home
  • Follow up as needed

Pediatric Certified Diabetes Educator

Cohens Children’s Medical Center
09.2012 - 06.2015
  • Pediatric Certified Nurse Diabetic Educator: Lake Success, NY
  • Conducted knowledge assessments for patients to identify educational needs.
  • Coordinated the development of care plans and treatment regimens and instructed patients and their families on how to implement the plans
  • Monitored and followed up on treatment and recovery, communicated with families to ensure medical directions were being followed
  • Provided blood sugar information and information on ADA guidelines for disabled and chronically ill individuals
  • Often informed primary physicians of patient medical needs based on information gained through successful communication with patients
  • Lake Success, NY
  • Promoted a supportive environment where patients felt comfortable discussing personal challenges related to diabetes selfmanagement.
  • Facilitated group workshops, empowering participants to take control of their diabetes management.
  • Enhanced patient understanding of diabetes management through personalized coaching and support.
  • Worked closely with multidisciplinary teams to create holistic approaches for effective diabetes care management.
  • Served as a resource for the latest evidence-based practices in diabetes care, ensuring accurate information dissemination.
  • Implemented data-driven improvements to existing education programs based on relevant research findings and established guidelines.
  • Developed educational materials that catered to various learning styles and literacy levels.
  • Increased patient adherence to treatment plans by providing ongoing support and resources.
  • Promoted and supported pertinent lifestyle changes through nutritional counseling and carbohydrate counting.
  • Assisted patients in setting realistic goals for healthy lifestyle changes, resulting in better blood glucose control.
  • Educated patients and families on diabetes-related care.
  • Trained other healthcare professionals on best practices in diabetes care, elevating the overall quality of services provided within the organization.
  • Maintained and completed documentation.
  • Assisted nutritional staff with serving meals and enhancing mealtime experience.
  • Promoted available resources and connected individuals with services.
  • Assisted with development of improved seminars and training materials.
  • Participated in health education research initiatives, developing and evaluating health education programs.
  • Gave public talks on importance of health education and specific disease prevention and treatment strategies.
  • Created pamphlets, videos and other health education materials to promote health awareness and preventive health practices.
  • Educated and trained healthcare providers on health education practices for patients.
  • Analyzed health data and created reports to present to community leaders and stakeholders.
  • Taught health education classes for community workers and members of public.
  • Provided technical assistance to healthcare providers and organizations to improve health education services.
  • Monitored health trends and data to identify health concerns and develop related health education initiatives.
  • Provide self-management education on daily management on diabetes survival skills management taught on bio-medical devices to help with diabetes self care classes taught either one-on-one, group classes and telephonic diabetes care
    Became a certified trained for three pumps (Medtronic, Tandem, Omni pod) and certified in CGM Continuous Glucose Monitoring) therapy for (Medtronic, Dexcom and Libre)
    Instructed patients and hospital staff on medications, treatment of hypoglycemia and lead the classes for pumps and CGM groups
    Also provided individual training for pumps and CGMs
    Worked with a wonderful multidisciplinary team member to provide optimal diabetes care to patients
    Educated patients to provide them with the knowledge to selfcare for their diabetes
    Learned and followed the ADA yearly guidelines for diabetes medicine, diet and exercise
    Maintain Patients electric medical records
    Reviewed medical records and clinical research articles to obtain authorizations and appeals and fight insurance denials with the clinical medical fact for patients optimal living with their Diabetes

Certified Diabetes Educator

Endocrinology & Diabetes Associates of Long Island, P.C.
08.2008 - 07.2010

Developed individualized treatment plans for young diabetes patients.

  • Created unique diabetes treatment plans tailored to patient needs.
  • Coordinated the delivery of information related to home care and glucose monitoring, to ensure patient treatment success
  • Provided after-care and follow up treatment and education to ensure compliance with the medical treatment plan and to assess the results of the prescribed training
  • Built trusting patient interactions that motivated active participation in their care.
  • Became practice pump trainer

Trained for three pump companies (Medtronic Tandem and Omnipod )and three CGM companies (FreeStyle Libre, Medtronic and Dexcom ) Led group classes on pumps and CGM provided one on one constellations help patients discover best for their lifestyle helped train in use and emergency back up.

Did clinical documentation review and reviewed clinical research to file prior-authorization , find clinical information to answer denials and support appeals for patients of the practice

Case Manager Joint Replacement Program

1199 National Benefit Fund
08.2007 - 09.2009
  • Handled Direct referrals
  • Audit or denied cases based on clinical records findings provided
  • Instructed plan members on benefits of pre surgery Physical Therapy
  • Helped a multitude of clients’ set up their residence for post-surgery accommodation and educate patients on what to anticipate after surgery
  • Interacted with Social Workers or Discharge Planners at hospitals, Communicated with plan members and vendors to obtain proper home delivery of supplies and DMEs
  • Performed retroactive and appeal reviews
  • Maintain electric and paper medical documents
  • Developed and educated on Excel workbooks for program to keep it up to date with accurate records
  • Managed up to 249 cases

Nursing for an Acute Myeloid Leukemia Patient

M.M Private Duty Nursing
05.2003 - 08.2005
  • He was giving two months and lived for over two years
  • Provided all aspects of care for oncology social, physical neutropenic environment then later a hospice patient in home and at hospital
  • Also set up medical/clinical connections for his travels back to Ireland and England before trips provided all care as required
  • Procrit IM watched for bruising or bleeds, labored breathing or fatigue signs/symptoms of low blood count allow him to cross off the things on his bucket list

Medical Surgical RN, BSN

Booth Memorial Hospital
04.2003 - 06.2005
  • Started on telemetry floor later moved on to vent and step down floor
  • Communication with primary care providers pulmonary specialist to promotes optimal outcomes
  • Obtain ventilator setting per patient
  • Assess vital signs oxygen saturation, breathing and capnography wave patient’s ventilator setting
  • Check gastrointestinal system activity and tube feeding setting check for proper room supplies
  • Observe patients’ pain, anxiety
  • Notify physicians pulmonary therapist of anything not within normal limits
  • Suction as needed and changed tracheostomy, endotracheal, or nasotracheal tubes
  • Provide oral and tube care
  • Provided skin checks, body and position changes
  • Observed and maintain feeding tube
  • Encourage support systems to interact with patients and health care team

Coordinator of Care RN, BSN

Visiting Nurse Service of New York
12.2000 - 04.2003
  • Field nursing in patients’ homes and daycare setting
  • Primary Case load of 20 patients
  • Managed and instructed home health aide
  • Communicated with doctors for orders and medicine, and other health professionals to avoid duplications of services and obtain approval for patients care plans
  • Help with audits and denials by reviewing and finding clinically significant information in health records
  • Assisted other staff with preparing medical records for submission to insurance companies
  • My cases were used to present for JACO review and later used to instruct new recruits on complete proper documentation of social, physical, environmental and emotional aspects of patient being
  • Became team resource for Diabetes instructed team and patients on all aspects of diabetes care
  • Got known for wound care
  • Became proficient in use of Wound Vac, Unna Boots for healing previous non healing wounds
  • Provided clear and accurate clear documentations on wounds for insurance approval of care
  • Informed and helped patients and caregivers find assorted community services from meals on wheels to day care
  • Mentor new nurses

Office Manager

West Philadelphia Visiting Nurse
09.2000 - 12.2000

Coordinated care for all visits based on staff ability and availability

  • Reviewed staff documents for appropriate missing info etc
  • Worked as a liaison for insurance companies getting all approval for visits

Medical/Surgical Telemetry RN, Stepdown RN

Saint Francis Hospital
01.1998 - 06.1999

Assessed patients physiologic and psychosocial health status

  • Explained procedure and policies to patients and their significant others
  • Assessed patients for physical and sensory deficits, mobility issues aides used, skin condition change care plan as appropriate
  • Collaborated with Health Care Team to provide quality optimal care for patient
  • Determined patients knowledge level and ability to comprehend
  • Answered patients’ concern and questions in a courteous manner
  • Carrying out quality optimal care for patients together
  • Followed telemetry rhythm for many of patients followed
  • Administered oral, SQ, IM, IV medicines
  • Observed and document on for patients’ reaction to medicine
  • Provided and gathered preop medicine needed, assessed knowledge and consent for correct procedure and site
  • Documented on Electronic Medical Records
  • Preop set up to five patients in one morning
  • Post op documentation review implement Doctors Orders
  • eMoved onto Step Downtown to care for patients of more acuityatus updated as needed
  • eMoved onto Step Downtown to care for patients of more acuity

Education

Nursing

SUNY At Buffalo
Buffalo, NY
02-1998

High School Diploma -

Saint John's Preparatory School
Astoria, NY
06-1993

Skills

  • Holistic Patient Assessments
  • Problem-solving
  • Case management
  • Documentation and reporting
  • Email and telephone etiquette
  • Critical thinking
  • Data entry and analysis
  • Interdisciplinary collaboration
  • Medical records management
  • Patient, Family and Staff education
  • Health history documentation
  • Chronic disease management
  • Multitasking and organization
  • Insurance regulations

Timeline

Case Manager

ROYAL Health Care Inc.
04.2024 - Current

Point of Distribution Nurse

New York City
01.2021 - 03.2021

Public Health Nurse One, Covid Tracer

New York City Health and Hospital
04.2020 - 09.2020

Public Health Nurse One School Nurse

New York City Department of Health and Mental Hygiene
09.2019 - 02.2024

Pediatric Certified Diabetes Educator

Cohens Children’s Medical Center
09.2012 - 06.2015

Certified Diabetes Educator

Endocrinology & Diabetes Associates of Long Island, P.C.
08.2008 - 07.2010

Case Manager Joint Replacement Program

1199 National Benefit Fund
08.2007 - 09.2009

Nursing for an Acute Myeloid Leukemia Patient

M.M Private Duty Nursing
05.2003 - 08.2005

Medical Surgical RN, BSN

Booth Memorial Hospital
04.2003 - 06.2005

Coordinator of Care RN, BSN

Visiting Nurse Service of New York
12.2000 - 04.2003

Office Manager

West Philadelphia Visiting Nurse
09.2000 - 12.2000

Medical/Surgical Telemetry RN, Stepdown RN

Saint Francis Hospital
01.1998 - 06.1999

Nursing

SUNY At Buffalo

High School Diploma -

Saint John's Preparatory School
CHARLOTTE MCLOUGHLIN RN BSN