Jan M. Sudwischer

• Able to handle multiple referrals with different requirements and workflows
• Receive daily referral, research the referral on department Excel data sets and multiple company information platforms
• Uses data to determine viability of referral from a clinical standpoint and in accordance department guidelines
• Attempts to contact member and enroll into the program
• If enrolled, CM uses multiple sources to find resources to help member with identified problems and helps identify possible future issues
• Follows member per department guidelines for up to 90 days
• Identifies member, through research, to determine need for additional levels of attention, i.e
• Present member to entire department, doctors, pharmacy, management and other case managers for additional feedback for managing the member
• If member identified as needing additional level of attention, create presentation of the member requiring deep thorough research to present full picture of concern with member to full department
• Identifies occurrences of member or provider fraud, presents findings to department wide meeting
• Communicates with Pharmacy Special Investigations Department regarding referrals to the program
• Tracks and follows members to completion of workflow and/or end of member needs
• Volunteers for special projects internal and external to department

*Created workflow manual 2 weeks after beginning the RIO CM position

*Was the SME (subject matter expert) on the new and innovative pilot program under the RIO umbrella, named ADT, and worked closely with the IT and business side of the program, to evaluate the workflow for ease, understandability, and for comprehensive management of members

*Recognized for a positive attitude and contribution to the project by a Stellar Award, monetary bonus and a raise

*Created and presented 3 PowerPoint presentations, two on medical topics and one Diversity and Inclusion

*Volunteered and led team producing first RIO newsletter recognized by Stellar award from Department Manager

*Aids in training new RIO CMs

*Requested change to workflow leading to more positive program closures

• Manage cases by visiting and assessing patients then communicating their needs and documenting findings
• Assess and admit new patients
• Discharge patients that have extended prognosis
• Recertify patients for continued service

• Charge Nurse of the Wellness Center serving 400+ student population (16-24 yo)
• Filled in for the Wellness Manager, as needed, making decisions for the unit and the students
• Supervisor of three LVNs
• Performed and supervised the new student check in process, includes blood draw, TB testing, height/weight and vital signs, hearing test and vision test, physical by MD
• Assessed students’ current and ongoing needs
• Worked with MD and Psychologist to manage student’s physical and behavioral health needs
• Reviewed and approve applicants for admission to Job Corps
• Determined the need for a student to be put on medical leave and the requirements to return to Job Corps
• Managed of Chronic Care Plans
• Coordinated the TVFC Vaccine Program
• Audited charts for missing information

• Evaluated potential patients for admission to the unit and determine needed level of care
• Admitted patients by completing sign in paperwork, performing a thorough assessment, document belongings, document prior to admission medications, create Nursing treatment plan, and complete computer admission, orient patient to unit and other patients
• Assessed and supported clients in their recovery process utilizing nursing process to identify, implement and evaluate treatment strategies and outcomes that effectively address needs and achieve efficacious outcomes
• Functioned within a collaborative, multidisciplinary, client centered framework to develop and implement new policies and procedures for the program
• Primary care, assessment and evaluation of Eating Disorder patients’ physical and emotional standing daily and alert team to any acute situations
• Contributed to successful department Joint Commission accreditation, being 1 of 2 representatives to interact with inspectors
• Monitor and support patients during meals, snacks and bathroom breaks
• Lead Nursing groups on mindfulness, self-guided affirmations, journaling, and Sounds of Recovery
• Met with team to discuss needed documentation for insurance coverage

• Effectively supervised and led a total of 5 employees, 1 LVN, 4 MHTs on topics such as task assignment, conflict resolution and assuring company standards were applied to patient care
• Trained new RN staff
• Evaluated and admitted patients, performed MMSE for baseline reading
• Interviewed patients
• Organized and led one nursing group daily in subjects related to physical and emotional health
• Assessed patients daily, if needed lab or medication orders were obtained and entered
• Monitored the efficacy of treatment regimes
• Developed patient care plans from assessments, evaluations and nursing diagnosis
• Served on facility’s Board of Nursing

• Admitted, assessed, treatment plan followed and visit documented
• Performed duties of an ER nurse