Hardworking Registered Nurse Case Manager with excellent problem-solving and time management skills. Organized, efficient and always willing to go extra mile to provide exceptional patient care through effective education and communication skills.
Overview
20
20
years of professional experience
Work History
Registered Nurse Case Manager
Banner Health
Phoenix, AZ
07.2017 - Current
Complete post hospital assessments with members within 72 hours of discharge from acute and rehabilitation facilities to ensure continuity of care, and to avoid repeated hospital stays.
Complete authorizations for home health services, as well as authorizations for skilled nursing facilities using clinical data from providers.
Provide education on Medicaid program benefits and resources to contracted providers and members.
Update patient digital charts with documentation to reflect current health status, and education provided.
Monitor facility census reports to confirm member placement on a day to day basis.
Collaborate with members, providers, facility staff, and co-workers to obtain best outcomes for members.
Provide patient centered education on disease and disease processes to empower members to manage their care.
Evaluate healthcare needs, goals for treatment and available resources of each patient and connected to optimal providers and care.
Advocated for patients by communicating care preferences to practitioners, and identifying insurance coverage limitations.
Educated patients and loved ones about different treatment options and outside care approaches to reduce burden on hospital resources.
Case Manager
UnitedHealthcare And Bridgeway Health Solutions
Phoenix, AZ
11.2009 - 07.2017
Evaluated treatment plans against individual goals and healthcare standards.
Partnered with social workers, members, and case managers to develop and implement individualized care plans and documented patient interactions and interventions in electronic charting systems.
Developed positive relationships with members to foster communication and encourage involvement for better health outcomes.
Worked with minimal guidance and seek guidance on complex cases
Provided education and information to members, fellow case managers, and providers on a variety of topics related to health and wellness.
Acted as a resource to non clinical staff as needed.
High Risk Case Manager
UnitedHealthcare
Phoenix , AZ
09.2007 - 11.2009
Completed telephonic contact with members to assess health status.
Coordinated care for member in various healthcare settings.
Made member referrals to outside resources.
Coordinated services for members as needed.
Educated members on disease processes.
Documented activities in a timely and accurate fashion.
Reviewed pharmacy/medication utilization by members and provided education on medications.
Collaborated with healthcare team including medical director and managers as required.
Public Health Nurse
Yuma County Health Department
Yuma, AZ
04.2002 - 08.2007
HiMet with members of public and local leaders at various community events and discussed ways to reduce illness and promote a health lifestyle.
Prevented illness by education public on healthy practices to stop disease.
Drafted and edited correspondence and prepared meeting materials.
Provided follow up for high risk infants under the Neonatal Intensive Care Program.
Visited homes, assessing patient and family needs.
Assessed and responded to individual and community health education needs.
Provided immunizations for both children and adults in the clinic setting, as well as for homebound patients, and rural areas.
Worked with individuals to determine specific needs based on general tests and refer them to other community resources.
Coordinated work groups and outreach activities such as sexually transmitted disease education to teens in the community.
Safely administered flu and pneumonia vaccinations, providing education to customers on vaccines, dosage, indications, precautions, contraindications and potential side effects.
Provided extensive materials and answered questions from public during Hepatitis A disease outbreak, while advising on protective measures.
Coordinated patient care with other allied health providers such as AHCCCS, CPS, CRS, WIC and local law enforcement as needed.
Registered Nurse
Yuma Regional Medical Center
Yuma, AZ
11.2001 - 04.2002
Provided direct care from admission to discharge on medical surgical floor.
Administered medications via oral, IV and intramuscular injections and monitored responses.
Provided wound care as ordered using sterile and clean technique.
Provided education and information to patients, family members, physicians and other healthcare providers involved in member care.
Communicated effectively with multiple staff members as well as patient constantly throughout shift.
Completed blood transfusions as ordered.
Prepared patients for transport to various diagnostic tests.
Performed physical assessment on patient, and completed appropriate documentation on assessment in the patient chart.