Summary
Overview
Work History
Education
Skills
Licenses
Timeline
Generic

JAIME FREDERICK

SHELL ROCK

Summary

Energetic and empathetic individual with natural ability to connect with and support clients. Possesses solid understanding of client assessment and resource coordination, coupled with strong communication and organizational skills. Committed to making positive impact by effectively managing cases to improve client outcomes.

Overview

13
13
years of professional experience
6033
6033
years of post-secondary education

Work History

Case Manager

Included Health
01.2022 - Current
  • Provide education to patients with Chronic Illnesses and help them achieve wellness and autonomy
  • Coordinating and providing care that is safe, timely, effective, efficient, equitable, and client-centered
  • Handling case assignments, draft service plans, review case progress and determine case closure
  • Monitored patient progress closely, adjusting care plans as necessary to meet evolving health requirements.

PRN-Occupational On-Site Nurse

Unity Point at Work/John Deere
06.2012 - 03.2022



  • Improved employee health by implementing comprehensive wellness programs and initiatives.
  • Developed return-to-work plans tailored to individual needs that expedited recovery time after illness or injury.
  • Maintained detailed records of employee health data, ensuring compliance with privacy regulations and facilitating data-driven decision making on workplace wellness initiatives.
  • Collaborated with physicians or other licensed practitioners to arrange further medical treatment.
  • Promoted high level of service to every individual while observing confidentiality rules and company regulations.

Contracted Immunization Nurse

CVS Pharmacy
10.2021 - 02.2022
  • Provided compassionate care during immunization appointments, making patients feel comfortable throughout the process.

Outpatient Utilization Management Nurse

Anthem/Amerigroup
05.2021 - 10.2021
  • Supported cost containment efforts by identifying overutilization trends and recommending strategies for improvement.
  • Expedited claim resolution by effectively communicating clinical rationale for treatment recommendations to insurance reviewers.
  • Maintained up-to-date knowledge of payer-specific guidelines to ensure accurate authorizations for medically necessary services.
  • Evaluated medical guidelines and benefit coverage to determine appropriateness of services.

Transition Coordinator

Care Initiatives Hospice
05.2019 - 05.2021
  • Establish positive relationships with community referral sources with the intent to enhance and expedite hospice referrals
  • Coordinate the admission process with referral sources and staff
  • Community education on hospice services and perform in-services

Level of Care Assessor

United Health Care
02.2018 - 05.2019
  • Schedule level of care assessments with members on waivers within the state of Iowa by having face to face discussions with members and families regarding their health
  • Review available health records to assist with the members assessment
  • Utilize interviewing techniques and active listening to collect and document responses to complete the assessment.

Weekend Package-Acute Care Case Manager

Unity Point/Allen Memorial Hospital
10.2017 - 03.2019
  • Enhanced patient satisfaction through consistent communication and collaboration with healthcare team members, patients, and their families.
  • Educated patients and families on disease process, treatment options, and available community resources to empower informed decision making.
  • Advocated for patient needs during interdisciplinary meetings to ensure optimal care delivery tailored to individual preferences.
  • Facilitated timely discharges by coordinating appropriate post-acute care services for patients.
  • Reduced hospital readmissions by closely monitoring patients'' progress and adjusting care plans as needed.

Palliative Care Nurse

Unity Point/Allen Memorial Hospital
06.2015 - 10.2017


  • Worked closely with providers/physicians, social workers to provide a team approach for our patients and families
  • Conducted family meetings to discuss goals of care, facilitating collaborative decision-making processes among all involved parties.
  • Served as a liaison between patients, families, and healthcare providers to ensure clear communication and optimal care coordination.
  • Advocated for patient autonomy in decision-making regarding treatment options and end-of-life care planning.
  • Provided emotional support to patients and families, fostering a sense of trust and open communication.

Education

Bachelor of Science in Nursing -

Allen College
Waterloo, IA

Associate Degree in Nursing -

Hawkeye Community College
Waterloo, IA

Network Administration -

Hamilton College
Cedar Falls, IA

Skills

Case management

Problem-solving

Decision-making

Documentation and reporting

Clinical assessment

Utilization review

Chronic disease management

Palliative care

Care coordination

Licenses

Iowa Compact Nursing License

New York Nursing License

Michigan Nursing License

California Nursing License


Certified Nurse Case Manager- CCM 

Timeline

Case Manager

Included Health
01.2022 - Current

Contracted Immunization Nurse

CVS Pharmacy
10.2021 - 02.2022

Outpatient Utilization Management Nurse

Anthem/Amerigroup
05.2021 - 10.2021

Transition Coordinator

Care Initiatives Hospice
05.2019 - 05.2021

Level of Care Assessor

United Health Care
02.2018 - 05.2019

Weekend Package-Acute Care Case Manager

Unity Point/Allen Memorial Hospital
10.2017 - 03.2019

Palliative Care Nurse

Unity Point/Allen Memorial Hospital
06.2015 - 10.2017

PRN-Occupational On-Site Nurse

Unity Point at Work/John Deere
06.2012 - 03.2022

Bachelor of Science in Nursing -

Allen College

Associate Degree in Nursing -

Hawkeye Community College

Network Administration -

Hamilton College

Similar Profiles

CREATE PROFILE
JAIME FREDERICK