ITA MCTERNAN
El Paso,Tx
Summary
Highly motivated and responsible case manager with excellent communication skills and extensive knowledge of CMS guidelines. Skilled in finding a delicate balance between the fiscal needs of a medical facility and the individual care needs of each patient. Adept at reviewing clinical records to determine medical necessity through Interqual criteria. Coordinating appropriate levels of care for patients being transferred to the next level of care.
Overview
23
23
years of professional experience
1
1
Certification
Work History
RN Case Manager
University Medical Center
05.2017 - Current
- Develops and coordinates the implementation of a discharge plan to meet patient’s identified needs
- Acts as a liaison between in-patient facility and referral facilities/agencies
- Identifies high risk patients in need of post hospital care planning
- Collaborates with various staff within provider networks and discharge planning team, electronically, telephonically and onsite to coordinate patient care
- Secures insurance authorizations to LTAC (Long Term Acute Care), IRF (Inpatient Rehab Facilities ) and SNFs (Skilled Nursing Facilities)
- Records utilization reviews using Interqual guidelines for prospective, concurrent and retrospective reviews
- Coordinates home care, home infusion therapies and durable medical equipment (DME) for patient’s that are being discharged home
- Updates and maintains discharge plan of care within the multidisciplinary team, patients and family members to ensure accuracy of treatment/discharge plan
Registered Nurse/Case Manager
DaVita
11.2010 - 10.2016
- Developed comprehensive adult teaching plans to enable patients and caregivers to perform life sustaining dialysis treatments in their own homes
- Provided on-going education to patients and family members/care givers regarding their illness, co-morbid conditions and infection control
- Empowered patients to adhere to their treatment modality and thus reduce/prevent unnecessary hospitalizations
- Communicated effectively with the multidisciplinary team and outside healthcare providers to provide seamless continuity of care
- Reviewed, gathered and submitted Continuous Quality Improvement (CQI) information for weekly review
- Submitted state required reports on infection related occurrences
Registered Nurse
South Bristol Dialysis Unit
08.2007 - 09.2009
- Provided primary nursing care by assessing, planning, implementing and evaluating hemodialysis treatment to patients with ESRD
- Anemia manager for patients with ESRD to include the administration of intravenous iron and erythropoietin stimulating agents
- Supervised and supported dialysis technicians and ancillary staff
- Collaborated closely with other healthcare providers outside of the dialysis unit
Senior Registered Nurse
Mayo General Hospital
02.2002 - 06.2007
- Coordinated and managed dialysis schedules for 40 patients with ESRD while optimizing their independence
- Scheduled registered nurses and dialysis technicians to ensure seamless running of the dialysis unit
- Organized staff to attend mandatory training and staff development classes
- Conceived, researched and developed an 'In-house' training program for new graduates and for nurses rotating to the dialysis unit to develop their dialysis skills
Education
Certificate -
Case Management (CCM)
07-2024
Certification - Health Management
Office for Health Management
01.2006
Post Graduate Degree - Clinical Practice
Trinity College
01.2005
Associates Degree - Nursing
Thames Valley University
01.1991
Skills
- Analytical Clinical Assessment
- Analysis of Documentation
- Effective Task Prioritization
- Time Management
Certification
- Certified Nephrology Nurse (CNN) - Nephrology Nursing Certification Commission.
- CPR/AED Certification
- Texas Driver's License
- Case Management Certificate CCM
Timeline
RN Case Manager
University Medical Center
05.2017 - Current
Registered Nurse/Case Manager
DaVita
11.2010 - 10.2016
Registered Nurse
South Bristol Dialysis Unit
08.2007 - 09.2009
Senior Registered Nurse
Mayo General Hospital
02.2002 - 06.2007
Certification - Health Management
Office for Health Management
Post Graduate Degree - Clinical Practice
Trinity College
Associates Degree - Nursing
Thames Valley University
- Certified Nephrology Nurse (CNN) - Nephrology Nursing Certification Commission.
- CPR/AED Certification
- Texas Driver's License
- Case Management Certificate CCM
Certificate -
Case Management (CCM)
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