DAVID L. WELLS
CROWN POINT
Summary
Professional with strong background in nursing and telephonic case management, specializing in patient advocacy and care coordination. Adept at developing comprehensive care plans, managing complex medical cases, and working collaboratively with multidisciplinary teams to achieve optimal patient outcomes. Known for adaptability, reliability, and results-focused approach in dynamic healthcare environments. Skilled in patient assessment, discharge planning, and resource utilization.
Qualified Complex Case Manager with strong background in RN case management. Demonstrated ability to coordinate patient care plans and collaborate with healthcare teams to ensure optimal outcomes. Proven skills in patient advocacy and resource management.
Overview
30
30
years of professional experience
Work History
Telephonic Nurse Case Manager
Truepill
12.2022 - 02.2023
- Streamlined communication between healthcare providers, ensuring seamless coordination of care for optimal patient outcomes.
- Enhanced post discharge patient care by providing telephonic support and guidance to individuals with chronic illnesses.
- Interfaced with third-party payers, insurance companies and providers for utilization review activities and submitted timely reports to clients and providers.
- Educated patients on self-management techniques to prevent re-hospitalization and to promote independence and improve quality of life.
- Assisted patients in setting achievable health goals and monitoring progress to enhance motivation and adherence to care plans.
- Assessed current treatment plan to identify barriers, clarify or determine realistic goals and objectives and seek potential alternatives.
HCM-RN Case Manager
Humana At Home
12.2016 - 12.2022
- Engaging complex members to provide health, medication, and post discharge education for chronic and acute conditions; primarily focused on medically frail Medicare members. During 2020 and 2021 adapted practice focus to include emphasis on hurricane pre/post needs for wider population, Covid related and social determinants of health needs, as well as assignment with retail market for post discharge gap closure. Work to ensure compliance with NCQA assessments and HEDIS measures. Provide education to members with chronic conditions to prevent readmissions and ER utilization.
- Managed complex cases involving multiple comorbidities, requiring close monitoring and coordination of various healthcare services.
- Collaborated closely with physicians to develop individualized treatment plans, supporting optimal patient outcomes.
- Educated patients and families on available community resources, facilitating access to necessary support services.
- Streamlined discharge planning processes, ensuring a smoother transition for patients back to their homes or other facilities.
Home Health RN
Franciscan Hammond
11.2008 - 03.2016
- Providing direct patient care and case management in the areas of wound care and wound vac therapy, IV therapy, HF, COPD, diabetes and post-surgical with primary focus on post CABG and orthopedic joint replacement. Educated patients on their health condition, treatments, maintenance, and discharge planning.
Home Healthcare RN Case Manager: Behavioral Health
Ingalls Memorial Hospital
05.2007 - 10.2008
- Assessment, treatment, and case management of patients with a wide range of acute and chronic behavioral health conditions with most of the focus on acute/chronic depression, anxiety, bipolar, schizophrenia and schizoaffective disorders. Educated patients on their health condition, treatments, maintenance, and discharge planning.
Home Healthcare RN Case Manager: Behavioral Health
Palos Community Hospital
05.2000 - 05.2007
- Assessment, treatment, and case management of patients with a wide range of acute and chronic behavioral health conditions with most of the focus on acute/chronic depression, anxiety, bipolar, schizophrenia and schizoaffective disorders. Educated patients on their health condition, treatments, maintenance, and discharge planning.
RN-Inpatient Behavioral Health Acute Unit
Rush University Medical Center
03.1994 - 05.2000
- Charge nurse, preceptor, staff safety training. Wide range of behavioral health experience on this acute unit at a university teaching hospital in Chicago. Developed an understanding of the symptoms, diagnosis, and treatment of a wide range of mental health and substance abuse conditions and related treatments. Educated patients on their health condition, treatments, maintenance, and discharge planning.
RN-Medical-Surgical-Telemetry Unit
St Mary Medical Center
05.1993 - 03.1994
- Physical assessment, medication administration, wound care, IV therapy, reading telemetry and providing care to patients post angiogram, post-surgical and with acute and chronic medical conditions. Educated patients on their health condition, treatments, maintenance, and discharge planning.
Education
Associate Degree - Applied Science of Nursing
Purdue University Calumet
Hammond, INSkills
- Positive Approach to Change
- Inquisitive
- Self-Directed
- Adaptable to Business Needs
- Supportive of Team
- Chronic disease management
- Discharge planning
- HIPAA compliance
- Case management
- Critical thinking
Timeline
Telephonic Nurse Case Manager
Truepill
12.2022 - 02.2023
HCM-RN Case Manager
Humana At Home
12.2016 - 12.2022
Home Health RN
Franciscan Hammond
11.2008 - 03.2016
Home Healthcare RN Case Manager: Behavioral Health
Ingalls Memorial Hospital
05.2007 - 10.2008
Home Healthcare RN Case Manager: Behavioral Health
Palos Community Hospital
05.2000 - 05.2007
RN-Inpatient Behavioral Health Acute Unit
Rush University Medical Center
03.1994 - 05.2000
RN-Medical-Surgical-Telemetry Unit
St Mary Medical Center
05.1993 - 03.1994
Associate Degree - Applied Science of Nursing
Purdue University Calumet