Assist client to improve their health, decrease ER visits, cost containment, nurse triage.
RN Case Manager
Aetna
Blue Bell, PA
10.2004 - 12.2012
Collaborated with acute care and skilled nursing discharge planners to acquire a working plan of care for the patient going home to recover.
Responsibilities included setting up all home care needs for both the patient and the family, including home nursing care for the purpose of rehabilitation and education.
Responsibilities also included direct contact with the patient and family to assess progress, and educational needs including motivational interviewing to give the patient a sense of autonomy with knowledge to prevent frequent readmissions.
Collaborated with social workers.
Direct contact day of admission with discharge planner.
Focus on decreasing unnecessary admissions.
Patient focused care.
RN Nurse Coordinator
Independence Blue Cross Blue Shield
Philadelphia, PA
09.2002 - 10.2004
Coordinated home care needs for the medicare population through education, assistance with medications, direct contact with physicians and other collaborative caregivers to ensure optimal care for the elderly patient.
RN Concurrent Review
Intracorp
Plymouth Meeting, PA
01.1997 - 08.2002
Collected clinical data and referenced data analysis software and nursing judgement to authorize initial hospital stays and extension of patient days.
Responsibilities also included direct contact with hospital utilization review nurses and Intracorp physicians.