Experienced RN Case Manager with background in providing high-quality patient care and effective case management. Strengths include strong decision-making skills, efficient coordination of care plans, and effective communication with multidisciplinary teams.
Overview
15
15
years of professional experience
1
1
Certification
Work History
RN Case Manager
PAM Rehabilitation Hospital
Golden, CO
08.2024 - Current
Collaborated with physicians, nurses, and other healthcare professionals to ensure optimal patient outcomes.
Communicated regularly with family members regarding patient care needs and progress toward goals.
Participated in quality improvement initiatives related to case management processes.
Coordinated medical services between primary care providers, specialists, hospitals and outpatient clinics.
Actively participated in multidisciplinary rounds discussing complex cases with members of the healthcare team.
Developed discharge plans for patients transitioning from acute care settings to home or alternate facilities.
Facilitated referrals to community resources for additional support services.
Facilitated transitions between levels of care through effective coordination of resources within a managed care environment.
Registered Nurse Case Manager
St. Anthony Hospital
Lakewood, Co
08.2023 - 07.2024
Coordination of clinical care across continuum.
Completes admission screening, following specific guidelines, including post-discharge assessment to ensure care coordination meets the patients expectations.
Organizing, facilitating, and evaluating care options to best meet an individual’s mental, physical, and emotional health.
Attends daily rounds that focus on a proactive plan of care for the day and identify barriers to discharge.
Involve patient and family in planning goals of care and discharge planning.
Attended GOC (Goals of care meeting) and palliative complex rounds.
Provided direct patient care and management of acute medical issues in a timely manner.
Coordinated discharge planning with multidisciplinary teams ensuring safe transitions back into the community.
Created detailed documentation of patient health history including lab results, treatments and medications prescribed.
Facilitated referrals for specialized services such as physical therapy or hospice care when needed.
Collaborated with physicians, social workers and other healthcare professionals to coordinate care for patients.
Developed patient care plans, overall patient health assessments and evaluations.
Facility Administrator
Fresenius Kidney Care
Denver, Co
07.2016 - 08.2022
Demonstrated sustained improvement in all measurable outcomes while developing facility practices and enabling employee growth, development, and accountability.
Implemented systems and processes to improve efficiency and reduce costs.
Supervised daily clinic activities, managed both staff and patient schedules, reinforced policies and procedures.
Supported clinic leadership team (Social Workers, Dieticians, Insurance coordinators) in problem solving to address issues relating to patient safety, mental health, food insecurities and complex needs.
Assisted in development of capital planning, labor, and operating budgets.
Worked alongside clinic interdisciplinary teams on quality initiatives and managing quality metrics.
Collaborated with the leadership team and physician leaders to identify and drive quality and performance improvement initiatives.
Worked in collaboration with the Regional Quality Manager to analyze and report clinical outcomes.
Ensured compliance with applicable regulatory guidelines and licensure, participated in formal auditing conducted by the Centers of Medicaid/Medicare.
Ensured compliance with established departmental policies and procedures, objectives, quality assurance program, safety, environmental and infection control standards.
Renal Coordinator, Case Manager RN
Denver Health Hospital
Denver, Co
08.2010 - 06.2016
Arrange admission to initiate hemodialysis, biopsies, and infusions.
Arrange admission to chronic units, transferring of all pertinent medical records, labs, diagnostics, exams and orders.
Work with outside nephrologists, social workers, managed care specialist, and dialysis company placement coordinators re: Fresenius, DaVita, ARA.
Manage referrals for transplant and peritoneal dialysis at University Hospital.
Mindful of timely patient discharges from Hospital to maintain Denver Health bottom line financially.
Manage prior authorizations and referrals for both procedures and medications.
Coordinate communication with patients, fellows, families, and staff, along the continuum within the renal division.
Maintaining clinical outcomes for the purposes of year end statistical reporting (new pts. vascular access, admissions, clinic no shows etc.)
Education
Bachelor of Science in Nursing -
Regis University
Denver, Co
12.2007
Bachelor of Science - Business Apparel & Merchandising
CSU
Denver, Co
12.2001
Skills
Care coordination
Patient advocacy
Interdisciplinary collaboration
Discharge planning
Quality improvement
Utilization review
Certification
BLS
References
Upon Request
Timeline
RN Case Manager
PAM Rehabilitation Hospital
08.2024 - Current
Registered Nurse Case Manager
St. Anthony Hospital
08.2023 - 07.2024
Facility Administrator
Fresenius Kidney Care
07.2016 - 08.2022
Renal Coordinator, Case Manager RN
Denver Health Hospital
08.2010 - 06.2016
Bachelor of Science in Nursing -
Regis University
Bachelor of Science - Business Apparel & Merchandising
Cardiopulmonary/Laboratory Manager at PAM Rehabilitation Hospital of Overland ParkCardiopulmonary/Laboratory Manager at PAM Rehabilitation Hospital of Overland Park