Janis Carnevale
Stockton
Summary
Dedicated and experienced Case Manager eager to leverage knowledge from over 30 years of expertise in the healthcare industry. Proactive and resourceful with a passion for navigating challenges. Committed to making meaningful contributions and advancing organizational goals.
Overview
34
34
years of professional experience
1
1
Certification
Work History
Case Manager
Penn Medicine Princeton Medical Center
01.2014 - Current
- Review patient medical records to ensure that the care provided is appropriate, necessary, and cost-effective, by assessing whether treatments and procedures align with evidence-based guidelines and insurance coverage.
- Coordinate with healthcare providers and insurance companies to optimize resource utilization, avoid unnecessary delays, and improve quality of care.
- Provide patient and family education on available resources and follow-up care post-discharge.
- Coordinate individualized discharge plans to manage safe transition back into community and home environments for a diverse patient population.
- Maintain detailed records of patient progress, documentation of services and case notes.
- Participate in multidisciplinary rounds to optimize patient flow and improve outcomes in the acute care setting.
Princeton Home Care Hospital Liaison
Penn Medicine Princeton Medical Center
01.2012 - 01.2014
- Communicated with case mangers and other members of the interdisciplinary team to complete seamless transitions back into the community.
- Advocated for patients and families to ensure interventions were appropriate for the patient's preferences.
- Cultivated positive relationships with case managers and providers to deliver timely and cost-effective services to mutual patients.
Care Management Coordinator
Visiting Nurse Association of Mercer County
01.2007 - 01.2012
- Monitored and approved individualized care plans and level of care reassessments.
- Provided leadership, guidance, and support to staff members to ensure competency and compliance with processes, standards, and regulations.
- Developed and implemented quality management improvement strategies to ensure compliance with state and federal policies and services for the Medicaid waiver programs.
Case Manager
Visiting Nurse Association of Mercer County
01.1992 - 01.2007
- Partnered with physicians, social workers, therapists, nutritionists to develop and implement individualized care plans.
- Developed and implemented comprehensive case management plans to address client needs and goals.
- Coordinated services with other agencies, community-based organizations, and healthcare professionals to provide useful benefits to clients.
Utilization Review Nurse
Helene Fuld Medical Center
01.1991 - 01.1995
- Reviewed patient medical records to ensure that the care provided was appropriate, necessary, and cost-effective, by assessing whether treatments and procedures align with evidence-based guidelines and insurance coverage.
- Coordinated with healthcare providers, patients, and insurance companies to optimize resource utilization, avoid unnecessary delays, and improve quality of care.
Education
Bachelor of Science - Nursing
The College of New Jersey
Ewing, NJ01.1986
Skills
- Patient support
- Utilization review
- Discharge planning
- Teamwork
- Care coordination
- Problem-solving abilities
- Multitasking Abilities
- Clinical documentation
- Task prioritization
- Medicare
- Healthcare regulations
- Compliance procedures
Certification
- Certified Case Manager (CCM), Current
Timeline
Case Manager
Penn Medicine Princeton Medical Center
01.2014 - Current
Princeton Home Care Hospital Liaison
Penn Medicine Princeton Medical Center
01.2012 - 01.2014
Care Management Coordinator
Visiting Nurse Association of Mercer County
01.2007 - 01.2012
Case Manager
Visiting Nurse Association of Mercer County
01.1992 - 01.2007
Utilization Review Nurse
Helene Fuld Medical Center
01.1991 - 01.1995
- Certified Case Manager (CCM), Current
Bachelor of Science - Nursing
The College of New Jersey
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