DENISE GUENIOT
Houma,LA
Summary
Skilled nursing professional with strong background in patient care coordination and healthcare management. Demonstrates expertise in clinical assessment, discharge planning, and patient advocacy. Known for fostering team collaboration, adapting to evolving needs, and delivering meaningful outcomes. Equipped with excellent communication skills, critical thinking, and ability to navigate complex healthcare systems.
Overview
36
36
years of professional experience
1
1
Certification
Work History
Rn – Case Manager/Clinical Coordinator
Peoples Health Insurance
06.2022 - Current
- Managed a panel of Medicare Advantage plan members
- Completed Health Risk Assessments
- Offered guidance, assistance, and education for medical problems and obtaining DME
- Monitored and educated on Stars/Hedis measures
- Remote position
Rn – Case Manager, field nurse
The Medical Team Home Health
05.2021 - 08.2023
- Assessment, evaluation, and patient/caregiver education
- Medication reconciliations
- Speak to providers and other team members
- Wound care and skilled nursing procedures
- Admissions, recertifications, resumption of care, and discharges
Rn – Case Manager, field nurse
Amedisys Home Health
03.2021 - 04.2021
- Assessment, evaluation, and patient/caregiver education
- Medication reconciliations
- Speak to providers and other team members
- Wound care and skilled nursing procedures
- Admissions, recertifications, resumption of care, and discharges
Rn – Outpatient Medical Management
Vantage Health Plans
07.2020 - 02.2021
- Utilization review, work from home position
- Review criteria for Outpatient procedures, including Outpatient surgeries, testing, and DME supplies
- Member Coverage Determinations for Medicare members
- Part B drugs authorizations
- Handle a high volume of provider and member calls
Rn - Case Manager
TGMC
09.2018 - 07.2020
- Review patient criteria for appropriate admission status
- Helped each patient understand his or her illness and the contributing personal, social and economic factors.
- Manage a wide range of social issues
- Discuss plan of care with physicians and other team members
- Communicate with insurance companies and send reviews
- Manage and find appropriate placement for PEC patients
Rn - Outpatient Surgery
TGMC
11.2017 - 09.2018
- Review entire history and physical
- Complete medication reconciliation
- Review chart for proper documentation and orders
- Prepare patient for surgery
- Complete Phase II recovery after surgery
- Teaching for discharge home with homecare instructions
Rn - Case Manager
TGMC
04.2015 - 11.2017
- Review patient criteria for appropriate admission status
- Helped each patient understand his or her illness and the contributing personal, social and economic factors.
- Manage a wide range of social issues
- Discuss plan of care with physicians and other team members
- Communicate with insurance companies and send reviews
- Manage and find appropriate placement for PEC patients
Staff Rn And Charge Nurse
TGMC
03.2006 - 04.2015
- Delegated staff nurse duties
- Effectively supervised RN’s, LPN's, Na’s and non-clinical staff.
- Demonstrated ability to lead and motivate outstanding healthcare teams
- Staff nurse duties in Emergency Department
Rn Supervisor from 2001-2009, LPN staff Nurse from 1992-2001
SLMA
11.1992 - 04.2009
- Managed clinical and support staff in patient care activities while maintaining a high level of staff morale and professionalism in an Internal Medicine Residency and Student teaching clinic
- Performed daily staff nursing duties
- Worked in a procedure room assisting with minor surgical procedures, including but not limited to flexible sigmoidoscopy, endoduodenoscopy, and bronchoscopy
Rn Staff Nurse
Teche Regional Medical Center
02.2002 - 02.2003
- Developed patient care plans, including assessments, evaluations and nursing diagnoses
- Staff nurse duties - prn assignment
LPN staff nurse
TGMC
06.1990 - 11.1992
- Developed and implemented nursing care plans
- Worked as a staff nurse on the pediatric and pulmonary unit
Education
Associate of Science - Nursing
Excelsior College
Albany, NY01.2001
Diploma - Practical Nursing
South LA Vocational Technical Institute
Houma, LA01.1990
Skills
- Patient care management
- Strategic goal setting
- Electronic health record proficiency
- Empathy in communication
- Elderly care management
- Case review expertise
- Patient discharge coordination
- Comprehensive patient evaluations
- Accurate health information tracking
- Home care coordination
- Team leadership
- Emotional wellness support
- Efficient resource management
- Understanding ethical implications
- Supportive patient care
- Clinical assessment
- Quality assurance initiatives
- Individualized care planning
- Patient care coordination
- Client case management
- Chronic illness management
- HIPAA regulations knowledge
- Clinical utilization review
- Comprehensive patient evaluation
- Meticulous attention to detail
- Effective patient communication
- Effective clinical decision-making
- Critical care response
- Healthcare team oversight
- Preventive health strategies
- Health promotion strategies
- Efficient management of specialized referrals
- Continuous health monitoring
- Strategic decision-making
- Detailed health documentation practices
Accomplishments
- Earned "Great 100 Nurse" for exceptional nursing and compassion.
Certification
- Certified Case Manager
Timeline
Rn – Case Manager/Clinical Coordinator
Peoples Health Insurance
06.2022 - Current
Rn – Case Manager, field nurse
The Medical Team Home Health
05.2021 - 08.2023
Rn – Case Manager, field nurse
Amedisys Home Health
03.2021 - 04.2021
Rn – Outpatient Medical Management
Vantage Health Plans
07.2020 - 02.2021
Rn - Case Manager
TGMC
09.2018 - 07.2020
Rn - Outpatient Surgery
TGMC
11.2017 - 09.2018
Rn - Case Manager
TGMC
04.2015 - 11.2017
Staff Rn And Charge Nurse
TGMC
03.2006 - 04.2015
Rn Staff Nurse
Teche Regional Medical Center
02.2002 - 02.2003
Rn Supervisor from 2001-2009, LPN staff Nurse from 1992-2001
SLMA
11.1992 - 04.2009
LPN staff nurse
TGMC
06.1990 - 11.1992
Diploma - Practical Nursing
South LA Vocational Technical Institute
Associate of Science - Nursing
Excelsior College