An experienced RN with 34 years of case management experience. Most recently working for a Managed Medicaid Insurance Company as a LTSS and Medical Case Manager.
Overview
38
38
years of professional experience
1
1
Certification
Work History
RN Case Manager
Monroe Plan For Medical Care
05.2021 - Current
Case Manager for 100 members of a Managed Medicaid Insurance Provider in New York State
I provide care coordination to members to assist in maintaining their independence in their home
Collaborated with interdisciplinary team members including physicians, social workers, and therapists to develop comprehensive care plans for patients
Advocated for patients' rights and ensured that they received appropriate medical services in a timely manner
Served as a resource for staff members regarding best practices in case management principles and procedures
Participated in multidisciplinary meetings to discuss complex cases, share knowledge, and collaborate on effective interventions
Mentored new case managers providing guidance on best practices within the organization's policies
Utilized strong critical thinking skills to assess complex situations, prioritize tasks, and make informed decisions regarding patient care
Ensured compliance with regulatory standards and guidelines related to case management practices, maintaining accurate documentation of interventions
Demonstrated proficiency in conducting psychosocial assessments, identifying mental health needs, and coordinating appropriate interventions
Clinical Nurse Liaison
Willcare Home Health Care
02.2007 - 04.2021
Coordinates the referral process of patients to home health
Evaluates patient's suitability for home health upon request from the Physician office, rehab facility or hospital
Receives appropriate documentation for the branch office to properly start services for clients
Provide educational in-services regarding the services provided by the home health agency to physicians, nurses, and other practitioners within a facility/ physician office
Meets personal performance goals assigned and admission budget for the location
Participated in sales calls and company in-services
Facilitate orders to coordinate DME's, IV care and enteral nutrition with vendors
Facilitate obtaining proper MD orders
And that the signed orders are returned to the assigned branch office
Follow up on re hospitalized clients to return them to be cared for at home
With reevaluating the current needs of the client
Have exceeded monthly admission goals and take pride in my relationships that I have made in my role
RN Staff Nurse and Liaison Coordinator
Staff Builders Home care
05.1991 - 02.2007
Working in the field caring for patients that need certified home care
Caring out nursing duties which include all aspects of skilled services
Case management of assigned case load
Receiving physician orders and documenting in clients medical record as per co
Policy
Having the duty of supervising Home Health Aides
Communicating with team members to coordinate services to meet clients' care needs
I actively performed Liaison duties while employed by Staff Builders
I serviced both Erie and Chautauqua counties
Having assessed clients in the settings of hospital inpatient, SNF, rehab, assisted living facilities and clients in their own home
Hospital RN
Gowanda State Hospital
06.1987 - 05.1991
Administered medications accurately and safely, reducing medication errors and adverse reactions.
Enhanced patient satisfaction through effective communication, empathy, and timely response to their needs.
Collaborated with interdisciplinary teams for comprehensive patient care plans, resulting in better health outcomes.
Administered medications via oral, IV, and intramuscular injections and monitored responses.
Education
Associate's degree - Science of Nursing
Jamestown Community College
Jamestown, NY
05.1987
Skills
Case Management
Home Care
EMR knowledge
Managed care
Certification
Nursing license, 10/24, 11/27
Personal Information
Work Permit: Authorized to work in the US for any employer
Additional Information - Board Member
The Tricounty Pregnancy Center
Timeline
RN Case Manager
Monroe Plan For Medical Care
05.2021 - Current
Clinical Nurse Liaison
Willcare Home Health Care
02.2007 - 04.2021
RN Staff Nurse and Liaison Coordinator
Staff Builders Home care
05.1991 - 02.2007
Hospital RN
Gowanda State Hospital
06.1987 - 05.1991
Associate's degree - Science of Nursing
Jamestown Community College
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