Dedicated RN Case Manager with expertise in care coordination, discharge planning, and utilization review. Committed to enhancing patient outcomes through effective communication and collaboration with multidisciplinary teams.
Overview
12
12
years of professional experience
Work History
RN Case Manager
Beverly Hospital
Beverly, MA
10.2013 - Current
Collaborated with multidisciplinary teams to optimize treatment strategies and improve patient outcomes.
Served as a key liaison between patients, families, and healthcare providers, fostering open communication and trust among all parties involved in the care process.
Managed support services and fostered communication among social workers, therapists, hospital staff, and patients.
Implemented evidence-based practices to improve overall clinical performance and patient outcomes.
Streamlined discharge planning, ensuring patients received necessary resources and support for recovery at home.
Communicated with healthcare team members to plan, implement and enhance treatment strategies.
RN Case Manager
BMC Brighton
Boston, MA
10.2014 - 03.2026
Managed complex cases involving multiple comorbidities, requiring close monitoring and coordination of various healthcare services.
Collaborated closely with physicians to develop individualized treatment plans, supporting optimal patient outcomes.
Educated patients and families on available community resources, facilitating access to necessary support services.
Reduced hospital readmission rates through effective case management and patient education on self-care techniques.
Coordinated care conferences with interdisciplinary team members, ensuring all perspectives were considered in the development of comprehensive treatment plans.
Streamlined discharge planning processes, ensuring a smoother transition for patients back to their homes or other facilities.
Coordinated utilization review processes to ensure compliance with healthcare regulations and policies.
Analyzed patient data to determine appropriateness of care services and interventions.
Monitored authorization requests to optimize resource allocation and reduce unnecessary costs.
Collaborated with case managers on patient assessments, identifying opportunities for improvement in care transitions and reducing avoidable delays.
Evaluated medical necessity criteria using evidence-based guidelines to ensure that services provided were both clinically appropriate and costeffective.