Experienced registered nurse leader with a demonstrated history of working in the health care industry. Highly skilled in Healthcare Management, Case Management, Community Health, Social Determinants of Health, and Patient Advocacy with a Masters in Science of Nursing; concentration in Case Management.
Overview
15
15
years of professional experience
1
1
Certification
Work History
Clinical Nursing Supervisor
Horizon Blue Cross Blue Shield of New Jersey
10.2021 - Current
Manage and oversee three care teams with13 direct reports
Oversee productivity highlighting quality maintenance of clinical metrics.
Increased patient engagement by 50%
Evaluated nursing staff's performance; developed education programs and professional development opportunities to improve individual and team competencies, clinical knowledge, and delivery of care
Sought opportunities to improve patient care, outcomes, and nursing staff performance
Fostered improvement in staff development, personnel training, and standards of patient care
Sought opportunities to improve patient care, outcomes, and nursing staff performance.
Fostered improvement in staff development, personnel training, and standards of patient care.
Sought opportunities to improve patient care, outcomes and nursing staff performance.
Motivated nursing staff to pursue advanced training and collaborated with unit leaders to identify skill needs.
Supervised professional and paraprofessional nursing staff and delegated tasks to maintain continuum of care.
RN Complex Case Manager
Horizon Blue Cross Blue Shield of New Jersey
12.2010 - 10.2021
Served as case manager for ASO and fully insured members
Dedicated primary nurse manager to pharmaceutical accounts
Managed acute and chronic health conditions
Performed care coordination, discharge planning, health promotion, and prevention services.
Used strong analytical and problem-solving skills to develop effective solutions for challenging situations
Excellent communication skills, both verbal and written
Worked flexible hours across night, weekend, and holiday shifts
Used critical thinking to break down problems, evaluate solutions and make decisions
Developed and maintained courteous and effective working relationships
Nurse Case Manager
Atlanticare Health Plans
12.2007 - 12.2010
Provided case management services for two large casinos
Establish guidelines to ensure appropriate level of care
Plan for transition across continuum of care
Develop member-centric plan of care.
Developed and modified patient care plans and assisted interdisciplinary team in identifying client needs and goals to determine priorities of care
Educated patients and caregivers on healthcare protocols and processes
Analyzed patient responses to medications, therapies, variances in plans of care
Collaborated with healthcare leaders and physicians to support and offer resources in performance of duties to maintain high-quality and efficient patient care
Managed support services and fostered communication among social workers, therapists, hospital staff, and patients
Implemented aspects of patient care under physician orders and sought clarification when needed to promote safety, quality, and cost-efficient care
Collaborated with healthcare leaders and physicians to support and offer resources in performance of duties to maintain high-quality and efficient patient care
Senior IT Project coordinator at Horizon Blue Cross Blue Shield of New JerseySenior IT Project coordinator at Horizon Blue Cross Blue Shield of New Jersey