JACQUELINE SMITH

RN case manager for this acute care hospital.

Discharge planning and utilization review for case load of 20-30 patients.

• Collaborated closely with physicians to develop individualized treatment plans, supporting optimal patient outcomes.
• Reduced hospital readmission rates through effective case management and patient education on self-care techniques.
• Served as a key liaison between patients, families, and healthcare providers, fostering open communication and trust among all parties involved in the care process.

RN case manager for this acute care hospital.

Discharge planning and utilization review for case load of 20-30 patients.

• Managed complex cases involving multiple comorbidities, requiring close monitoring and coordination of various healthcare services.
• Educated patients and families on available community resources, facilitating access to necessary support services.
• Enhanced patient care by developing comprehensive care plans and coordinating with interdisciplinary healthcare teams.

RN case manager for this acute care hospital.

Discharge planning and utilization review for case load of 20-30 patients.

RN Case manager for this acute care short stay hospital.

• Developed strong rapport with patients and families to facilitate trust and communication during challenging medical situations.
• Coordinated specialized services referrals ensuring timely access essential resources tailored each unique case.
• Discharge planning and Utilization review for case load of 20+ patients.

Acted as RN Case Manager for approximately 25 - 30 patients on various med-surg units throughout the hospital. Discharge planning and utilization review.

• Proven ability to learn quickly and adapt to new situations.
• Excellent communication skills, both verbal and written.
• Worked effectively in fast-paced environments.

• Demonstrated flexibility and adaptability in adjusting to varying acuity levels within diverse units while maintaining consistent attention to detail.
• Served as resource to colleagues by sharing clinical expertise and offering guidance in challenging situations, fostering an environment of mutual professional growth.
• Conducted thorough assessments of clients'' situations, identifying issues, goals, and necessary interventions.
• Educated clients on available programs, benefits, and services, empowering them to make informed decisions about their care needs.
• Enhanced communication between clients and providers through consistent follow-ups and progress updates.

• Discharge Planning
• 25-30 patients per day
• Neuro Stroke and Neuro ICU units
• Cardiac step-down

• Care Coordination for assigned patients
• Discharge and UR for all patients assigned.
• Lead for daily bedside rounds with IDT including attending physician.
• Cerner-Power chart use
• InterQual for all reviews
• NaviHealth/Curaspan use for DC referrals.

• Care Coordination for 20-28 assigned patients on Med-Surg, Tele or ICU units
• Discharge and UR for all patients assigned.
• Lead for daily bedside rounds with IDT including attending physician.
• Cerner-Power chart use
• InterQual for all reviews
• NaviHealth/Curaspan use for DC referrals.

• Discharge Planning
• Utilization Review

• Discharge planning for 20 bed MSICU and at times in combination with 20 bed CVICU
• Daily caseload of 20-40 patients.
• EPIC, Allscripts

• UR and Discharge planning for caseload of 12-14
• On an oncology/pulmonology floor and a cardiology floor.
• Cerner, Curaspan, MCG

• Use of INTERQUAL, MCG, and Allscripts programs Certified as MCG train the trainer

• Use of Interqual criteria for UR.

• Utilization review case manager for several acute care facilities in the state of Missouri and Kansas.

• Review admissions and discuss admission status with physicians for this 200 bed acute care hospital.
• Assist with bed placement. Review for medical necessity including use of Milliman's Care Guideline's.

• Case Manager/ Utilization Management Nurse Onsite and telephonic concurrent review. Use of Interqual program.
• Discharge planning and review of cases with Medical Director.

• Managed Access Case Manager
• Medical Chart Review Auditor