Dawn Higgins
Jersey City,NJ
Summary
Experienced and highly motivated Nurse Care Manager achieves expected outcomes, demonstrates leadership and serves as resource in management of clinically complex patients. Displays excellent interpersonal and team-building skills and collaborates effectively with physicians, nurses and members of healthcare team. Proficient and functional working knowledge of computer databases, electronic medical record systems and information technology.
Overview
8
8
years of professional experience
Work History
Care Manager
Horizon Blue Cross Blue Shield Of NJ
Hopewell, NJ
04.2014 - Current
- Assisted clients with daily living needs to maintain self-esteem and general wellness.
- Monitored client vital signs, administered medications and tracked behaviors to keep healthcare supervisor well-informed.
- Educated and evaluated clinical and support staff regarding care quality management regulations and standards of care.
- Coordinated referrals to specialists, hospitalizations, ER visits, ancillary testing and other enabling services for patients.
- Consulted with supervisors to assess cases and plan strategies for enhancing care.
- Arranged transportation and documented details of discharge transition plans.
- Analyzed key performance indicators to assess and manage risk, evaluating patient care and creating procedural changes to increase efficiency.
- Worked with providers to define quality metrics and outcome reporting process.
- Created customized care plans, working with hospital staff and families to assess and meet individual needs.
Education
Associate of Arts - Nursing
Saint Peter's University
Jersey City, NJ06.1989
Skills
- Budget Planning
- Verbal and Written Communication
- Operational Records Maintenance
- Time Management
- Decision Making
- Employee Performance Evaluations
- Critical Thinking
- Patient Care Assessment
- Medicare Compliance
- Patient Advocacy
- Organizational Goal Development
Timeline
Care Manager
Horizon Blue Cross Blue Shield Of NJ
04.2014 - Current
Associate of Arts - Nursing
Saint Peter's University