Ching Gayken
Ashland City,TN
Summary
Hardworking and detail-oriented nurse case manager with strong organization skills dedicated to quality care of diverse patients. Works effectively with all levels of healthcare providers, physicians, and administrators to address patient needs. Committed to increasing patient satisfaction and streamlining procedures. Consistently developing strong relationships with patients and families through empathetic communication, respectful attitude and excellent customer service.
Overview
12
12
years of professional experience
Work History
Case Manager
Williamson Health
04.2022 - 05.2024
- Maintained all utilization review documentation through Indicia/MCG and InterQual.
- Increased efficiency of the utilization review process through regular communication with insurance companies for timely authorizations.
- Ensured compliance with regulations and accreditation standards by maintaining accurate documentation of all utilization review activities.
- Collaborated with physicians to develop appropriate care plans based on utilization review findings that were both medically necessary and cost effective.
- Presented findings from utilization reviews at interdisciplinary meetings, resulting in improved collaboration among healthcare professionals involved in patient care decisions.
- Expedited discharge planning processes through timely completion of utilization reviews that identified necessary services, supports, or referrals post discharge.
- Collaborated with financial counselors to ensure accurate billing practices based on clinical documentation from utilization reviews.
- Advocated for patient needs, addressing concerns with healthcare providers and insurance companies to ensure optimal care was received.
- Served as a liaison between healthcare providers, insurance companies, and patients for efficient resolution of coverage issues or denials following a utilization review assessment.
- Developed strong relationships with patients, families, and healthcare providers, fostering trust and open communication.
- Demonstrated strong organizational and time management skills.
- Streamlined workflows within the department by developing tools and resources aimed at improving consistency in utilization review practices.
- Enhanced overall departmental productivity by assisting in training new staff members on utilization review processes, policies, and procedures.
Registered Nurse Team Lead
Williamson Health
08.2016 - 04.2022
- Oversaw delivery of care for patients on medical-surgical unit, providing direct care, delegating nursing assignments and supervising team comprised of nurses, LPNs, technicians, and unit clerks.
- Facilitated continuity of care between shifts through comprehensive handoff reports, minimizing risk for potential errors or oversights in treatment plans.
- Elevated teamwork among staff members through open communication channels, fostering a collaborative work environment conducive to problem-solving and continuous learning.
- Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
- Served as a liaison between patients'' families, physicians, and other healthcare practitioners to ensure seamless coordination of care throughout the treatment process.
- Expedited patient discharge process by collaborating with multidisciplinary teams, ensuring timely completion of required documentation and follow-up appointments.
- Increased patient satisfaction scores by consistently delivering compassionate, patient-centered nursing care in accordance with hospital policies and procedures.
- Facilitated therapeutic communication, conflict resolution and crisis intervention by redirecting negative behaviors and helping patients regain or improve coping abilities.
- Enhanced team efficiency by providing mentorship and guidance to junior nurses on clinical procedures and best practices.
- Contributed to a positive work culture by recognizing individual achievements among staff members and promoting ongoing professional development opportunities.
- Proved successful working within a fast-paced environment.
- Organized and detail-oriented with a strong work ethic.
- Self-motivated, with a strong sense of personal responsibility.
- Passionate about learning and committed to continual improvement.
Registered Nurse, Medical-Surgical Unit
Williamson Health
12.2012 - 08.2016
- Managed caseload of 6 patients simultaneously by providing bedside care, treatments, IV therapy, and wound/ostomy care.
- Monitored hemodynamic variances to identify signs of life-threatening complications.
- Managed patients' pain by implementing pharmacological and non-pharmacological pain management interventions.
- Offered exceptional care and support to individuals recovering from acute incidents and dealing with chronic conditions.
- Demonstrated flexibility in managing multiple priorities concurrently during high-stress periods while maintaining a calm demeanor.
- Collaborated with interdisciplinary teams for optimal patient care, ensuring seamless communication between healthcare providers.
- Developed strong rapport with patients and families through active listening, empathy, and clear communication during challenging situations.
- Provided education on disease management strategies to empower patients in self-care activities throughout their recovery journey.
- Advocated for and strived to protect health, safety, and rights of patient.
- Utilized Meditech to document data related to patient care such as medications, interventions and patient responses.
- Worked effectively in fast-paced environments.
- Demonstrated respect, friendliness and willingness to help wherever needed.
- Mentored new staff members and nursing students, fostering a supportive learning environment within the unit.
Nurse Technician
Williamson Health
03.2012 - 12.2012
- Monitored, tracked, and conveyed important patient information to healthcare staff to help optimize treatment planning and care delivery.
- Facilitated smooth transitions between shifts by providing detailed reports on patient status during change-of-shift handovers.
- Assisted nursing staff with completing daily rounds, documenting vital signs and answering calls.
- Provided personal hygiene assistance, giving baths, and performing dress changes for patients.
- Provided emotional support to patients and families during difficult situations, fostering trust and open communication.
- Managed time effectively while multitasking between various responsibilities within a fast-paced clinical setting.
- Improved patient care by providing compassionate and attentive support to patients during daily activities.
Education
Associate of Science - Nursing
Columbia State Community College
Columbia, TN12.2012
Bachelor of Science - Chemistry
Middle Tennessee State University
Murfreesboro, TN05.2008
Skills
- Utilization review
- Proficient in MCG and InterQual
- Organization and Multitasking
- Teamwork and Collaboration
- Written and verbal communication
- Attention to Detail
- Self Motivation
Timeline
Case Manager
Williamson Health
04.2022 - 05.2024
Registered Nurse Team Lead
Williamson Health
08.2016 - 04.2022
Registered Nurse, Medical-Surgical Unit
Williamson Health
12.2012 - 08.2016
Nurse Technician
Williamson Health
03.2012 - 12.2012
Associate of Science - Nursing
Columbia State Community College
Bachelor of Science - Chemistry
Middle Tennessee State University
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