Proven Case Manager at Aetna, a CVS Health, with a track record of enhancing patient outcomes through effective case management and interdisciplinary collaboration. Skilled in problem-solving and relationship building, I improved care plans and patient satisfaction. Demonstrated professionalism and reliability across healthcare settings, significantly impacting client advocacy and team dynamics.
Overview
25
25
years of professional experience
Work History
Case Manager
Aetna, a CVS Health
10.2013 - 09.2024
Maintained accurate documentation on all cases, ensuring compliance with regulations and confidentiality requirements.
Managed complex cases involving multiple comorbidities, requiring close monitoring and coordination of various healthcare services.
Improved patient outcomes by developing and implementing comprehensive care plans tailored to individual health needs.
Conducted thorough assessments of clients' situations, identifying issues, goals, and necessary interventions.
Monitored ongoing cases closely, adjusting case management strategies as needed based on evolving circumstances or new information.
Educated clients on available programs, benefits, and services, empowering them to make informed decisions about their care needs.
Developed and implemented comprehensive case management plans to address client needs and goals.
Assisted clients in setting achievable goals while providing ongoing encouragement and support throughout the process of reaching those objectives.
RN Pharmaceutical Support
Merck Pharmaceuticals
02.2013 - 10.2013
Enhanced patient satisfaction through effective communication, empathy, and timely response to their needs.
Collaborated with interdisciplinary teams for comprehensive patient care plans, resulting in better health outcomes.
Monitored patient reactions to drugs and carefully documented findings.
Explained course of care and medication side effects to patients and caregivers in easy-to-understand terms.
Equipped providers with knowledge of vaccination stability with proper storage environment and acceptable viability outside of normal storage.
RN, Medical-Surgical
Holy Redeemer Hospital and Medical Center
06.1999 - 08.2012
Prioritized critical thinking skills in assessing patient conditions, leading to timely interventions that prevented complications or deterioration of health status.
Enhanced patient satisfaction by providing compassionate and attentive care to a diverse population of patients.
Utilized critical thinking skills to recognize early signs of complications, allowing for timely interventions and preventing adverse outcomes.
Contributed to a positive work environment through effective communication and collaboration with colleagues and supervisors.
Conducted comprehensive patient assessments, identifying pertinent data that informed care plan development and intervention implementation.
Demonstrated adaptability when reassigned to different units or working with diverse populations while maintaining high levels of quality care provision.
Ensured continuity of care during transfer or discharge by communicating relevant patient information to the appropriate healthcare providers or facilities.
Provided emotional support and education to patients and their families during difficult medical situations, fostering a sense of trust and promoting positive relationships.
Assisted physicians during bedside procedures, ensuring proper equipment was available, promoting patient safety, and enhancing overall clinical outcomes.
Collaborated with interdisciplinary team members to develop and implement individualized care plans for optimal patient outcomes.
Served as a preceptor for new graduate nurses, facilitating their transition into professional practice and fostering clinical competence.
Administered medications and treatment to patients and monitored responses.
Monitored patient vital signs to perform thorough condition assessments.
Educated family members and caregivers on patient care instructions.
Explained course of care and medication side effects to patients and caregivers in easy-to-understand terms.
Promoted patient and family comfort during challenging recoveries to enhance healing and eliminate non-compliance problems.
Education
Bachelor of Science - Nursing
Gwynedd Mercy University
Gwynedd Valley, PA
05.1998
Skills
Problem-Solving
Case Management
Case Documentation
Organization and Multitasking
Relationship Building
Positive Attitude
Client Advocacy
Interdisciplinary Collaboration
Patient Assessments
Team Collaboration
Professionalism
Reliability
Timeline
Case Manager
Aetna, a CVS Health
10.2013 - 09.2024
RN Pharmaceutical Support
Merck Pharmaceuticals
02.2013 - 10.2013
RN, Medical-Surgical
Holy Redeemer Hospital and Medical Center
06.1999 - 08.2012
Bachelor of Science - Nursing
Gwynedd Mercy University
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