Summary
Overview
Work History
Education
Skills
Timeline
Generic

Jessica Henderson

Albuquerque,NM

Summary

Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals. Patient-oriented Nurse 20 years of diverse experience in direct patient care, staff supervision and department operations. Skilled at multitasking and prioritizing patient needs and daily assignments. Offering expertise within Concurrent Review for Inpatient, NICU, Prior Authorization, and Post Acute Care

Overview

18
18
years of professional experience

Work History

Concurrent Review Nur

Western Sky Community /Centene
10.2018 - Current
  • Improved patient outcomes by conducting thorough concurrent reviews and recommending appropriate care plans.
  • Reduced hospital readmission rates with timely assessments and effective discharge planning.
  • Identified opportunities for improvement within the case management department, contributing to overall operational efficiency gains.
  • Streamlined the utilization review process for more efficient case management and improved resource allocation.

LTSS/NFLOC Review Nurse

Molina Healthcare
02.2018 - 10.2018

Reviewed Case Management assessments for NFLOC and PCS, allocated appropriate caregiver hours per assessment of needs.


Worked with Long term Care facilities to ensure residents/members received appropriate level of care.


Reviewed MAR/TAR sent in by LTC facility for NFLOC needs

Case Manager

Molina Healthcare
05.2014 - 02.2018
  • Achieved positive client outcomes by developing and implementing comprehensive case management plans.
  • Enhanced communication between clients and providers through consistent follow-ups and progress updates.
  • Coordinated essential services for clients, resulting in improved overall well-being and selfsufficiency.
  • Collaborated with multidisciplinary teams to address client needs and formulate tailored support strategies.
  • Conducted thorough assessments of clients'' situations, identifying issues, goals, and necessary interventions.
  • Maintained accurate documentation on all cases, ensuring compliance with regulations and confidentiality requirements.
  • Educated clients on available programs, benefits, and services, empowering them to make informed decisions about their care needs.
  • Monitored ongoing cases closely, adjusting case management strategies as needed based on evolving circumstances or new information.
  • Participated in regular professional development opportunities to stay current on best practices within the field of case management.
  • Fostered open lines of communication with clients'' families and support networks, involving them in the case management process as appropriate.
  • Contributed to team discussions and case conferences actively, sharing insights and expertise with colleagues to optimize client support strategies.

Assistant Director of Operations

Albuquerque Heights Healthcare
10.2013 - 05.2014
  • Improved patient care by implementing evidence-based nursing practices and protocols.
  • Enhanced staff performance through regular training sessions and professional development opportunities.
  • Developed comprehensive care plans for patients, ensuring optimal health outcomes and patient satisfaction.
  • Collaborated with interdisciplinary teams to develop efficient care strategies tailored to individual patient needs.
  • Mentored new nurses in clinical practice and procedures, fostering a supportive learning environment.
  • Implemented infection control measures, reducing hospital-acquired infections significantly over time.
  • Assisted in developing policies and procedures for safe medication administration, minimizing errors within the department.
  • Promoted a culture of teamwork by encouraging open communication among staff members and facilitating collaboration across departments.
  • Participated in management team meetings to discuss resident status, census changes, and resident complaints or concerns.

Resident Care Manager

Wesley Homes Healthcare
04.2006 - 05.2013
  • Enhanced patient care quality by implementing new protocols and collaborating with interdisciplinary teams.
  • Improved resident satisfaction by addressing concerns promptly and ensuring proper communication between staff and families.
  • Streamlined care coordination for residents, effectively managing their individual needs and preferences.
  • Ensured regulatory compliance by conducting regular audits of care plans and documentation.
  • Developed comprehensive resident assessments to identify needs, establish goals, and create personalized care plans.
  • Mentored nursing staff in best practices for geriatric care, contributing to increased staff retention rates and improved overall team performance.
  • Actively participated in quality assurance activities, identifying areas for improvement and implementing corrective actions as needed.
  • Contributed to high-quality standards by establishing a thorough knowledge base on all aspects related to geriatric care.
  • Ensured timely completion of required documentation through effective time management skills.

Education

Bachelor of Arts - Psychology

Adams State University
Alamosa, CO
05.2005

Practical Nurse - Nursing

Trinidad State Junior College
Trinidad, CO
08.2003

Skills

  • Healthcare regulations
  • Utilization review
  • Clinical assessment
  • Quality Improvement
  • Medicare knowledge
  • Medicaid knowledge
  • HIPAA Compliance
  • Nursing Documentation
  • Managed Care

Timeline

Concurrent Review Nur

Western Sky Community /Centene
10.2018 - Current

LTSS/NFLOC Review Nurse

Molina Healthcare
02.2018 - 10.2018

Case Manager

Molina Healthcare
05.2014 - 02.2018

Assistant Director of Operations

Albuquerque Heights Healthcare
10.2013 - 05.2014

Resident Care Manager

Wesley Homes Healthcare
04.2006 - 05.2013

Bachelor of Arts - Psychology

Adams State University

Practical Nurse - Nursing

Trinidad State Junior College
Jessica Henderson