Professional Summary
Overview
Work History
Education
Skills
Certification
Timeline

Emily Boheler

Community Care Of North Carolina
Kings Mountain,NC
1
Certification
20
years of professional experience

Experienced and highly motivated Nurse Care Manager Supervisor; achieves expected outcomes, demonstrates leadership and serves as a resource with over 20 years of nursing experience. Displays excellent interpersonal and team-building skills and collaborates effectively with physician practices, health plans and members of the healthcare team. Proficient and functional working knowledge of computer databases, electronic medical record systems, information technology and data analytics.

Work History

NURSE CARE MANAGER SUPERVISOR

5 Years
Community Care Of North Carolina | 10.2021 - Current
  • Analyzed key performance indicators to assess and manage risk, evaluating patient care and creating procedural changes to increase efficiency.
  • Educated and evaluated clinical and support staff regarding care quality management regulations and standards of care.
  • Worked with providers to define quality metrics and outcome reporting process.
  • Recruited, hired and trained all staff, providing direct supervision, ongoing staff development and continuing education to employees.
  • Developed and updated policies and procedures, maintaining compliance with statutory, regulatory and local, state and federal guidelines relating to HIPAA, benefits administration and general liability.
  • Collaborated with primary care teams to close care gaps and improve continuity across service settings.
  • Monitored nursing assessments, interventions, and outcomes in care management systems with accuracy.
  • Collected and aggregated data to identify problems or trends, such as turnaround time and issues with physician offices.
  • Collaborated with community organizations to connect patients to additional resources for further support in achieving their health goals.
  • Assisted in the development of evidence-based clinical policies, contributing to the overall improvement of nursing practice within the organization.
  • Provided leadership in crisis situations, effectively managing multiple priorities while maintaining a calm demeanor.
  • Served as an advocate for both patients and staff members alike when addressing concerns related to policy implementation or ethical dilemmas.
  • Monitored transitions of care to identify discharge needs, barriers, and timely follow-up appointments.

COMPLEX CARE MANAGER

4 Years 9 Months
Community Care of North Carolina | 01.2017 - 10.2021
  • EMR / EHR Telephonic case management Strong clinical judgement
  • Assisted clients with daily living needs to maintain self-esteem and general wellness.
  • Coordinated referrals to specialists, hospitalizations, ER visits, ancillary testing and other enabling services for patients.
  • Arranged transportation and documented details of discharge transition plans.
  • BLS certified
  • Suicide risk screenings
  • Expertise in crisis intervention
  • Medicaid/Medicare/ MCO familiarity
  • Responsible for primary care, case management, and medication management
  • Worked with different disciplines to provide cohesive care to patients.
  • Facilitated an on-going assessment of patient/family needs and implementation of interdisciplinary team care plan
  • Developed patient care plans, including assessments, evaluations and nursing diagnoses
  • Provided patient education.
  • Conducted home visits with transitional patients coming out of the hospital and linking them to care in the community
  • Caseload of >70 members.
  • Precept/Mentor for new Care Managers.

PHYSICAL HEALTH CARE MANAGER

8 Months
Healthfirst | 08.2017 - 04.2018
  • Conducted post- discharge assessments and post ER visit assessments
  • Care plan development.
  • Disease education and prevention.
  • Medication review and education.
  • Collaboration with Providers and assisted with appointments.
  • Linked members to community resources.
  • Conducted regular evaluations to address changes in needs and conditions, introducing revisions to care plans as needed
  • Caseload of 400 members.

COMPLEX CARE MANAGER/TRANSITIONAL CARE MANAGER

1 Year 3 Months
Community Health Partners Inc | 05.2016 - 08.2017
  • Consulted with supervisors to assess cases and plan strategies for enhancing care.
  • Assisted clients with daily living needs to maintain self-esteem and general wellness.
  • Coordinated referrals to specialists, hospitalizations, ER visits, ancillary testing and other enabling services for patients.
  • Arranged transportation and documented details of discharge transition plans.

ED NURSE, CHARGE NURSE

9 Years 3 Months
Atrium Health Cleveland | 01.2007 - 04.2016
  • Supervised patient admissions and discharges from hospital to home care, rehabilitative facility or self-care.
  • Coordinated nursing care on unit through staff assignments, assisting and rounding with physicians, monitoring patient orders and communicating with ancillary departments.
  • Documented information in patients' electronic medical record, relaying information to clinicians and care providers to facilitate continuity of care.
  • Monitored nursing care, patient assessment processes and treatment implementations.
  • Trained new nurses in proper techniques, care standards, operational procedures and safety protocols.
  • Prioritized treatment and maintained patient flow
  • Accurate documentation of nursing assessment, treatment, medications and discharge instructions
  • Coordination with doctors and other staff to develop care plans/discharge planning
  • Disease education and management.

Education

Associate of Applied Science - Nursing

CAROLINAS COLLEGE OF HEALTH SCIENCES | Charlotte, NC | 06-2003

Skills

Supervision of clinical and non-clinical staff
Employee Performance Evaluations
Employee Training Programs/ NHO Orientation scheduling and Mentor huddle facilitator
Employee Work Scheduling
Care coordination
Monitoring documentation processes in Kintegra EHR and updating workflows.
Point of contact for several high profile practices that we serve and meeting monthly with these practices to provide support from the Care Management team.

Certification

CCMC- CCM Certification

RN License

BLS

Mental Health First Aid

Timeline

NURSE CARE MANAGER SUPERVISOR

Community Care Of North Carolina
10.2021 - CurrentRead More

PHYSICAL HEALTH CARE MANAGER

Healthfirst
08.2017 - 04.2018Read More

COMPLEX CARE MANAGER

Community Care of North Carolina
01.2017 - 10.2021Read More

COMPLEX CARE MANAGER/TRANSITIONAL CARE MANAGER

Community Health Partners Inc
05.2016 - 08.2017Read More

ED NURSE, CHARGE NURSE

Atrium Health Cleveland
01.2007 - 04.2016Read More

CAROLINAS COLLEGE OF HEALTH SCIENCES

Associate of Applied Science from Nursing
Read More
Emily Boheler