Dedicated RN Care Manager with extensive experience at Essentia Health, skilled in chronic disease management and compassionate care coordination. Proven track record in developing effective care plans and enhancing patient health outcomes. Adept at navigating complex healthcare systems and fostering interdisciplinary collaboration to achieve quality improvement in patient care.
* Worked in both MSHO Care Management Program and as a Care Coordinator for Adult Care management.
* Assisted with members enrollment in dual eligible Minnesota Health Care Programs to make informed choices about health care services.
* Conducted assessments, planning interventions and evaluations
* Service Coordination
* Assisted members in making progress towards health goals.
* Coordinated care with interdisciplinary team.
* In person visits at member's homes and phone.
* Managed complex cases with members with multiple comorbidities.
* Oriented and educated patients and patient's families on treatment care plans in radiation oncology and chemo infusion.
* Navigated patients through treatment care plan by coordinating doctor, lab, x-ray, surgery, and other procedures with setting up appointments.
* Assisted patients with obtaining financial/insurance support, and prior authorization with treatment care and medications.
* Maintained and monitored cost and utilization of supplies.
* Collected and documented all patient information using electronic "Epic" computer charting system.
* Follow up with patients using phone, letter or patient portal.
* Triage patient phone messages.
* Total patient care including assessment, nurse diagnosis, plan of care, implementation of plan, and evaluation of outcome.
* Revised all patient care plans for disease specific treatment pathways and protocols on Med/Surg/Peds Unit.
* Participated in building first electronic patient care system in Cerner, and on IT team.
* Participated on Professional Nurse Council, which helps ensure and develops professional nursing care standards.
* Oriented and trained new RN hires.
* Floated to ICU, OB, ER