Jayne M. Sanchez-Flanagan,RN,CCM
Granger,IN
Summary
Competent Nurse Case Manager with demonstrated understanding of services, programs and resources. Forward-thinking, resourceful and dedicated professional with excellent understanding of reporting, quality assurance and training needs.
Caring and detailed orientated Nurse Case Manager with a demonstrated clinical background, excellent communication skills, attention to detail and ability to multi-task while remaining focused. Solid knowledge base, high- level critical thinking skills, and ability to apply evidence-based guidelines during the determination process. Clinical background in Hospice, Workers compensation and ability to think "outside the box" building the foundation that is needed for any position.
Currently working with Private Duty Hospice patients and families.
Overview
15
15
years of professional experience
1
1
Certification
Work History
Clinical Supervisor
University of Notre Dame
07.2020 - 06.2022
- Lead, trained and directed team- clinical & non-clinical staff
- Identification, Contact tracing and isolation CoVid 19 cases. Training Clinical and Non-Clinical staff in everchanging Clinical policies and procedures
- Utilized CDC guidelines to update University standards and regulations.
- Provided Prompt Response crisis situations with calm and professional approach to optimize support.
- Created Policies & procedures to manage Crisis intervention Major University
- 2 year Contract position
Acute Care Nurse Surveyor
Indiana State Department of Health, Northern Indiana, Home Health Care
11.2019 - 07.2020
- CMS Regulatory review of, Agencies, Hospices and Dialysis clinics following State and Federal guidelines
- Federally trained in Infection Control, Staffing regulations and compliance
- CoVid Response team with Mobile Testing Site training (Swabbing and Technology platform) and CoVid Industrial Strike Team
- Utilized critical thinking skills to assess, plan and implement evidence-based patient care.
- Due to CoVid 19 position placed on hold
Care Coordinator
Concerto Healthcare/Meridian
02.2018 - 03.2019
- Care Manager (remote position) for Medicare/Medicaid dual eligible member population with High caseload volume (175-250)
- Care management and coordination of services including complex medical care, behavioral health, pharmaceutical and DME needs and collaboration with Social Services Staff
- Electronic Medical record implementation, planning, interventions and documentation of care plan
- Provide education and assistance to patients and their family
- Highly skilled in all areas of communication, computerized records and calm critical thinking in intensified situations
- High census and acuity member population with ability to work independently from home office, as well as field visits
- Monitored, tracked, and conveyed important patient information to healthcare staff to help optimize treatment planning and care delivery.
- Built strong relationships with clients to deliver emotional support and companionship.
- Supported patient care excellence via planning and interpretation of programs.
- Completed patient assessments in accordance with current regulations and guidelines.
- Determined need for special assessment activities for complex cases, effectively handling care plans.
Weekend Triage Nurse/PRN Case Manager
Hospice At Home (Now Corewell Health)
05.2007 - 04.2018
- Hospice triage-Remote Weekend position, managed 50+ calls per day
- Collaboration and supervision of On-call team
- Clarification of physician orders, implementation and documentation of care plan
- Highly skilled in all areas of communication, computerized records, data extraction and calm critical thinking in intensified situations. EPIC training
- Collaborated with healthcare leaders and physicians to support and offer resources in performance of duties to maintain high-quality and efficient patient care.
- Educated patients and caregivers on healthcare protocols and processes.
- Analyzed patient responses to medications, therapies and variances in plans of care.
- Developed and modified patient care plans and assisted interdisciplinary team in identifying client needs and goals to determine priorities of care.
Workers Comp Case Manager
Indiana Case Management, PRN Case
10.2012 - 04.2016
- Workman’s Comp Management and Client Physician Visit Coverage as needed basis
- 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.
- Monitored clients' progress and tracked client services to provide crisis interventions.
Workers' Compensation Case Manager
Genex Services
08.2007 - 09.2009
- Work Comp Field based Case management for Northern Indiana
- Remote Position
- Review of Complex Medical cases, record review and data abstraction
- Threshold based reporting and management of up to 20 full case management files
- Management of complex work injuries
- Interaction with both employers and adjustors regarding file management and work comp claims
- Complied with established internal controls and policies.
Education
Associate Science Degree - Nursing
Florida State College
Jacksonville, FL12.1995
Skills
- Hospice, Medicare and Workers Comp Case management
- Staff Training, Development & Hiring
- Clinical Staff Management
- Chronic Disease Management
- Patient & Family Education
- Crisis Management
- Information Management, Document review & Data Abstraction
- Medical and Clinical Supervision
- HEDIS Knowledge & training
- Medicare & Medicaid Compliance
- EMR Systems
- Process & Quality Improvement
- Patient Assessments, Motivational interviewing & Care Planning
- Utilization Review & Care Management
- Managing Patient Multiple Complex Cases
- Multidisciplinary Team Collaboration
Accomplishments
Certified Case Manager
COMPACT Indiana Nursing License
Michigan Nursing License
Certification
Certified Case Manager Expiration: 2024 (2009)
State of Michigan Registered Nurse (active)
State of Indiana Registered Nurse (active)
American Heart Association Basic Life Support
Quality Improvement Coordinator Program through Florida Risk
Management Institute
Utilization Review training
Hedis Training
Affiliations
Case Management Society of America
Timeline
Clinical Supervisor
University of Notre Dame
07.2020 - 06.2022
Acute Care Nurse Surveyor
Indiana State Department of Health, Northern Indiana, Home Health Care
11.2019 - 07.2020
Care Coordinator
Concerto Healthcare/Meridian
02.2018 - 03.2019
Workers Comp Case Manager
Indiana Case Management, PRN Case
10.2012 - 04.2016
Workers' Compensation Case Manager
Genex Services
08.2007 - 09.2009
Weekend Triage Nurse/PRN Case Manager
Hospice At Home (Now Corewell Health)
05.2007 - 04.2018
Associate Science Degree - Nursing
Florida State College
Certified Case Manager Expiration: 2024 (2009)
State of Michigan Registered Nurse (active)
State of Indiana Registered Nurse (active)
American Heart Association Basic Life Support
Quality Improvement Coordinator Program through Florida Risk
Management Institute
Utilization Review training
Hedis Training
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