ISHA PATEL
East Brunswick
Summary
Registered Nurse with proven leadership and mentoring expertise, blending hands-on acute care experience with comprehensive Medicaid and Medicare care management. Skilled at coordinating multidisciplinary teams and developing care plans that drive positive patient outcomes. Highly adaptable and motivated to embrace new challenges while advancing and growing within dynamic healthcare roles.
Overview
5
5
years of professional experience
Work History
Care Manager I, RN
Centene Corp / Fidelis Care NJ
02.2023 - Current
- Coordinate MLTSS services among Primary Care Physicians (PCP), specialists, medical adult day care providers, other medical professionals, and non-medical staff to address members' comprehensive medical, social, and economic needs.
- Stepped in to train new hires on NJHCs certifications and MRO processes, and conducted SME and Krames education sessions to support onboarding when assigned mentors were unavailable.
- Actively participate in team care management meetings, perform follow-up calls, develop patient-centered care plans for both MLTSS and DSNP members, and promptly report critical incidents.
- Utilize electronic health record systems (EMMA and AcuteNet) to coordinate care, document case notes, and ensure compliance with state audits, consistently achieving scores of 90% or higher.
Registered Nurse Endoscopy
Ocean Surgical Pavilion
11.2021 - Current
- Directed, managed, and scheduled staff of 10 nurses, fostering an environment supportive of patient care.
- Performed the roles of pre-, intra-, and post-operative nurse.
- Collaborated with surgeons, surgical technologists, and other surgical staff to provide patient care plans from admission to discharge, ensuring safe transitions and continuum of care.
- Contacted insurance companies to obtain necessary preauthorization and provide diagnostic codes for upcoming tests and procedures.
Nurse, Functional Medicine
Kaya Health and Wellness
08.2023 - 09.2024
- Administer intravenous therapy and intramuscular injections using prescribed formulas and an array of vitamins, minerals, and antioxidants.
- Prepare and mix ingredients for Vitamin IV bags and IM injections.
- Administer holistic treatment to clients by performing Ozone and Ultra Violet light (UBI) therapy.
Nurse, Surgical Intensive Care Unit
Penn Medical Princeton Medical Center
09.2020 - 11.2021
- Provided pre-operative preparation and postoperative care for patients with musculoskeletal, breast/plastic, and gynecological/urological interventions.
- Served as multidisciplinary team member and collaborated with family, physicians, case managers, and clinical care supervisors in planning perioperative, postoperative, and discharge care.
- Managed patient admissions, discharge, and referrals to other facilities, home health agencies, and rehabilitation services.
Education
Bachelor of Science - Nursing
Monmouth University
West Long Branch, NJ05.2020
Skills
- Proficient in Excel, Word, Epic, EMMA, and AcuteNet
- Fluent in English, Gujarati, and Hindi
- Certifications: ACLS/CPR/BLS Certified, Collaboration and Teamwork, Discharge Planning
Timeline
Nurse, Functional Medicine
Kaya Health and Wellness
08.2023 - 09.2024
Care Manager I, RN
Centene Corp / Fidelis Care NJ
02.2023 - Current
Registered Nurse Endoscopy
Ocean Surgical Pavilion
11.2021 - Current
Nurse, Surgical Intensive Care Unit
Penn Medical Princeton Medical Center
09.2020 - 11.2021
Bachelor of Science - Nursing
Monmouth University
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