Summary
Overview
Work History
Education
Skills
Multi-state license, also licensed in PA and IL
Timeline
Generic

Jessica Langele

Bay Minette,AL

Summary

Dynamic Nurse Case Manager with extensive experience at Evernorth, excelling in care coordination and patient education. Proven ability to enhance patient outcomes through effective disease management and compassionate communication. Skilled in clinical assessment and interdisciplinary collaboration, fostering trust and satisfaction among patients and families. Committed to quality improvement and regulatory compliance.

Overview

19
19
years of professional experience

Work History

Nurse Case Manager Senior Analyst

Evernorth
01.2021 - Current
  • Remote telephonic support to clients within managed care program
  • Educated patients and caregivers on healthcare protocols and processes.
  • Served as a liaison between patients and various support services such as financial assistance programs, community resources, and mental health counseling to ensure holistic care was provided.
  • Increased referral rates by providing excellent service and building meaningful relationships with patients and caregivers.
  • 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 on disease management techniques, empowering them to take control of their health and reduce complications.
  • Facilitated smooth transitions between healthcare settings by effectively communicating pertinent information to receiving facilities or home health agencies.
  • Collaborated with multidisciplinary teams to devise evidence-based treatment plans that improved patient satisfaction scores.
  • Developed strong relationships with patients, families, and healthcare providers, fostering trust and open communication resulting in improved satisfaction scores.
  • Mentored new hires, sharing knowledge and expertise to foster a supportive learning environment promoting professional growth within the nursing team.
  • Managed caseloads efficiently, prioritizing high-risk cases while ensuring all patients received appropriate attention and support.
  • Performed triage on incoming patients and determined severity of injuries and illnesses.
  • Conveyed treatment options, diagnosis information and home care techniques to patients and caregivers to continue care consistency.
  • Followed all personal and health data procedures to effectively comply with HIPAA laws and prevent information breaches.
  • Explained course of care and medication side effects to patients and caregivers in easy-to-understand terms.

Registered Nurse Clinical Manager

Amedisys
02.2017 - 01.2023
  • Review of clinician documentation daily to ensure accuracy in accordance with Medicare guidelines.
  • Conduct weekly care confeerences.
  • Field visits as needed, particiapated in rotating on call
  • Mentored new nurses, providing guidance on best practices and professional development opportunities.
  • Reduced hospital readmissions through effective case management and coordinated discharge planning.
  • Assisted in the recruitment process for new nursing staff members, interviewing candidates, checking references, and making hiring recommendations based on skills assessment results.
  • Documented treatments delivered, medications and IVs administered, discharge instructions, and follow-up care.
  • Communicated with healthcare team members to plan, implement and enhance treatment strategies.
  • Monitored patient reactions after administering medications and IV therapies.
  • Managed patients recovering from medical or surgical procedures.
  • Explained course of care and medication side effects to patients and caregivers in easy-to-understand terms.
  • Offered exceptional care and support to individuals recovering from acute incidents and dealing with chronic conditions.
  • Followed all personal and health data procedures to effectively comply with HIPAA laws and prevent information breaches.
  • Implemented care plans for patient treatment after assessing physician medical regimens.
  • Delivered high level of quality care to diverse populations while overseeing patient admission and triaging based on acuity and appropriate department admission.
  • Performed frequent checks on life support equipment and made necessary adjustments to preserve optimal patient conditions.
  • Served as a liaison between patients, families, and physicians, facilitating open communication lines and resolving conflicts when necessary.
  • Spearheaded initiatives focused on chronic disease management and prevention, resulting in increased patient engagement and improved overall health outcomes for the target population.
  • Managed nursing schedules and staffing levels, ensuring optimal coverage for all shifts without compromising patient care standards.

Registered Nurse Case Manager

Gentiva
08.2008 - 02.2017
  • Evaluated patient progress and adjusted care plans accordingly, ensuring continuity of care across all healthcare settings.
  • Provided education and support to patients and families, empowering them to make informed decisions regarding their healthcare needs.
  • Collaborated with physicians and other healthcare providers to ensure appropriate resource utilization for complex cases.
  • Improved patient outcomes by consistently providing comprehensive assessments and developing tailored care plans.
  • Evaluated healthcare needs, goals for treatment, and available resources of each patient and connected to optimal providers and care.
  • Streamlined care coordination processes to reduce hospital readmissions and emergency department visits.
  • Participated in on-call rotations to deliver after-hours care.
  • Authored initial assessments of patients and family to develop plans for individual home care needs.
  • Conducted comprehensive assessments of patients'' physical, emotional, and social needs in order to develop individualized care plans that facilitated optimal health outcomes.
  • Enhanced interdisciplinary team communication through regular case conferences, promoting effective collaboration for optimal patient care.
  • Advocated for patients by communicating care preferences to practitioners, verifying interventions met treatment goals and identifying insurance coverage limitations.
  • Responded promptly and professionally to patient questions and concerns.
  • Effectively communicated with physicians regarding patient needs, performance, medications and changes.
  • Participated in ongoing professional development opportunities focused on refining case management skills in alignment with industry bestpractices.
  • Authored clinical notes and updates to be reviewed by patient's primary physician.
  • Participated in patient and family planning process, as well as provided instructions and addressed question and concerns.
  • Administered medications and treatments as prescribed by physicians.
  • Completed initial assessments of patients and family to determine and address individual home care needs. ·
  • Developed professional relationships with community partners to enhance available support services for patients transitioning from acute care settings.
  • Implemented evidence-based nursing interventions, contributing to improved quality of care and patient satisfaction scores.
  • Coordinated with interdisciplinary professionals to develop plans of care, administer tests and monitor patient status.
  • Assessed and examined patients and documented history of current and previous conditions, diseases and injuries along with medications currently being taken.
  • Examined patients and documented history of current and previous conditions, illnesses, injuries, and current medications.
  • Performed evaluations on consistent basis to address changes in patient needs, conditions and medications, altering care plans when required.
  • Conducted regular audits of clinical records to identify areas for improvement in documentation accuracy and compliance with regulatory standards.

Licensed Practical Nurse

Gentiva
05.2006 - 08.2008
  • Improved patient outcomes by administering medications, monitoring vital signs, and documenting relevant information.
  • Cared for wounds, provided treatments, and assisted with procedures.
  • Assisted with admissions, appointments, transfers, and discharges.
  • Collaborated with interdisciplinary healthcare teams to ensure continuous quality improvement in patient care delivery.
  • Documented accurate and complete patient information to address patient problems and expected outcomes.
  • Facilitated efficient communication between patients, families, and healthcare providers to promote continuity of care across settings.
  • Obtained patient vital signs and input/output measurements from inpatients.
  • Performed routine evaluations of each patient's status, needs, and preferences.
  • Adapted quickly to changing patient needs, adjusting care plans accordingly to ensure optimal outcomes in diverse clinical scenarios.
  • Comforted and counseled patients and families throughout care process.
  • Monitored, tracked, and conveyed important patient information to healthcare staff to help optimize treatment planning and care delivery.
  • Evaluated patients to identify and address wounds, behavioral concerns, and medically relevant symptoms.
  • Gathered lab specimens, ordered testing, and interpreted results to diagnose patients.
  • Used aseptic techniques to provide sterilized wound care and dressing applications.
  • Maintained a safe and therapeutic environment for patients through effective risk assessment and crisis intervention strategies.
  • Delivered updates in patient status to charge nurse, recording changes in medical records.

Education

Associate of Applied Science - Nursing

Faulkner State Community College
Bay Minette, AL

Skills

  • Medication monitoring
  • Case evaluation
  • Clinical assessment
  • Care coordination
  • Care planning
  • Quality improvement
  • Patient counseling
  • Electronic recordkeeping
  • Case management
  • Policy adherence
  • Technology proficiency
  • Interdisciplinary collaboration
  • Regulatory compliance
  • Community resource referrals
  • Disease management
  • Utilization reviews
  • RN case management
  • Patient care and education
  • Medication management
  • Palliative care
  • Discharge planning
  • Utilization review
  • Chronic disease management
  • Teamwork and collaboration
  • Medication and IV administration
  • Time management
  • Attention to detail
  • Problem-solving abilities
  • Multitasking
  • Compassionate and caring
  • Reliability
  • Excellent communication
  • Critical thinking
  • Strong clinical judgment
  • Direct patient care
  • CPR certification
  • Organizational skills
  • Team collaboration
  • Active listening
  • Effective communication
  • Adaptability and flexibility
  • Wound care
  • Intravenous therapy
  • Task prioritization
  • Self motivation
  • Delegation and motivation
  • Training staff
  • Group and individual instruction

Multi-state license, also licensed in PA and IL

Obtained MSL, IL and PA licensure to support clients in covered markets

Timeline

Nurse Case Manager Senior Analyst

Evernorth
01.2021 - Current

Registered Nurse Clinical Manager

Amedisys
02.2017 - 01.2023

Registered Nurse Case Manager

Gentiva
08.2008 - 02.2017

Licensed Practical Nurse

Gentiva
05.2006 - 08.2008

Associate of Applied Science - Nursing

Faulkner State Community College

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Jessica Langele