Seasoned nursing professional offering proven clinical knowledge, natural interpersonal strengths and technical abilities. Knowledgeable about EMR charting, medication administration and interdisciplinary collaboration focused on optimizing patient care and support. Quality-focused and efficiency-driven leader.
Overview
10
10
years of professional experience
3
3
years of post-secondary education
Work History
Utilization Review Registered Nurse
Commonwealth Care Alliance
Springfield, MA
10.2020 - Current
Facilitated workgroup meetings with medical personnel to find effective solutions to issues
Evaluated medical guidelines and benefit coverage to determine appropriateness of services.
Performed prior authorization review of services requiring notification.
Devise or identify solutions for irregular requests and issues.
Submitted cases for criteria failures and helped facilitate resolutions and approvals.
Clinical Manager
Holyoke VNA & Hospice Life Care
Holyoke, MA
04.2019 - 09.2020
Promoted high morale and staff retention through dynamic communication, prompt problem resolution, proactive supervisory practices and facilitation of positive work environment.
Provide ongoing case management to patients to implement appropriate treatment plan, adhere to quality models and maximize utilization of services needed to achieve optimal outcomes.
Identified nurses' and staff training needs and devised training programs to close gaps.
Implemented ongoing learning strategies such as tutorials, instructional modules and supervised hands-on sessions to help nurses and staff improve understanding of medical equipment and care best practices.
Implement new policies and educate staff on changes.
Implemented onboarding for new employees, which enabled each to effectively learn tasks and job duties.
Handled job duties for staff members which were unavailable or out of office.
Visiting Nurse Case Manager
Holyoke VNA & Hospice Life Care
Holyoke , MA
02.2018 - 04.2019
Educated patients and families regarding disease processes, interventions and lifestyle changes.
Assessed home situations of patients to recommend parameters to best meet identified needs.
Used Meditech to assess, monitor and document patient progress, symptoms and vital signs, reporting any concerns to assigned doctor.
Implemented patient-specific interventions to decrease risk of disease exacerbation.
Advocated for and strived to protect health, safety and rights of patient.
Administered different therapies and medications in line with physician orders and treatment plan.
Visiting Nurse Case Manager
Trinity Home Health
Chicopee, MA
10.2015 - 02.2018
Educated patients and families regarding disease processes, interventions and lifestyle changes.
Assessed home situations of patients to recommend parameters to best meet identified needs.
Implemented patient-specific interventions to decrease risk of disease exacerbation.
Advocated for and strived to protect health, safety and rights of patient.
Visiting Nurse Case Manager
Capuano Care
East Longmeadow, MA
08.2012 - 09.2015
Assessed home situations of patients to recommend parameters to best meet identified needs.
Educated patients and families regarding disease processes, interventions and lifestyle changes.
Implemented patient-specific interventions to decrease risk of disease exacerbation.
Advocated for and strived to protect health, safety and rights of patient.