Seeking case management position as RN CM in insurance/healthcare environment.
Overview
18
18
years of professional experience
Work History
Case Manager
Unied Health Care
06.2020 - Current
Case manager of long-term support services; RN CM for Medicaid mycare waiver program; manage members ages 60 and older; assist and transition; monitor eligibility monthly; Use a variety of platforms to obtain comprehensive medical history; assessments coordination of care and assist with community resources, discuss concerns about members with medical directors BH staff and coworkers by presenting interactive meetings work with direction home of northeast Ohio
Waiver service providers to initiate redetermine or ending waiver services plans
Review Carestar service plans, complete incident reports per Medicaid guidelines secure health, safety and welfare of members
Complete health safety risk agreements with members; assist members to stay in their homes longer by providing services needed to members; minor home modification processes per orc, complete members visits and documentation guidelines per NMP protocols
RN
Ohio Living home health care
02.2019 - 06.2020
Head to toe assessments, medication compliance and reconciliation, wound care/ vacuum protocols; ostomy care, catheter care, drain tube care, blood drains, iv care
Oasis medicare documentation; patient education
COMFORT KEEPERS
10.2015 - 08.2019
Monitor members receiving home health and services; every 60 days assessments and report findings, if abnormal, to affiliate to casemanagers
Home Health Care RN
COMMUNITY HOME HEALTH CARE
07.2013 - 10.2015
Head to toe assessments as well as well as cardiopulmonary assessment, medication compliance, wound cam protocols, wound vac changes, general wound care, ostomy care, drain care with teach and return demonstrations for patient and family to learn, insertion of Foley and coude` catheters, iv medication administration with teach and return demonstrations for patient and patient families to learn, blood draws from both PICC lines and venipuncture per protocols, remove sutures…, case management, recertification, post hospital Evaluations, admission paperwork, discharging a patient from service, oasis and summaries needed for transfer, admission, and discharge
Clinical Nurse Manager
CARETENDERS HOME HEALTH CARE
YO, OHIO
10.2012 - 05.2013
Management of clinical staff, nurses, therapists and home health aids
Responsible for charts, audits, infection control measures, payroll variances, on call assignments, intake and referrals process, insurance authorizations and program certifications, manage staff meetings, in service, and reading Oasis and processing F@F forms and 485s
MVI home Care and Hospice care
08.2011 - 09.2012
Head to toe assessments as well as well as cardiopulmonary assessment, medication compliance, wound cam protocols, wound vac changes, general wound care, ostomy care, drain care with teach and return demonstrations for patient and family to learn, insertion of Foley and coude` catheters, iv medication administration with teach and return demonstrations for patient and patient families to learn, blood draws from both PICC lines and venipuncture per protocols, removesutures…, case management, recertification, post hospital Evaluations, admission paperwork, discharging a patient from service, oasis and summaries needed for transfer, admission, and discharge
Intermediate Cardiac Care
Northside Medical center
12.2008 - 08.2012
Cardiac and EKG monitoring, assessment, Vital Signs, Medication administration, Phlebotomy, Patient Education, Assist the Physicians, ECT
Coronary Intensive Care
Humility Of Mary Health partners-St. Elizabeth’s Hospital