Jillian Kuhl, BSN, RN
McGregor,TX
Summary
Compassionate and driven Nurse Case Manager offering over 12 years of experience working with patients and families to facilitate smooth transitions following discharge from medical facilities, including experience in direct patient care and remote case management. Committed to working collaboratively with health plan, leadership and department coordinators to achieve highest quality of patient satisfaction. Well-versed in developing individualized care plans and advocating patient welfare. Organized and successful at managing multiple priorities with a positive attitude, with a willingness to take on added responsibilities to meet team goals.
Overview
14
14
years of professional experience
Work History
Nurse Case Manager / Personal Health Nurse
Conifer Health Solutions
01.2018 - Current
- Remote care manager for a multifaceted value based care company meeting high demands for member engagement into a personal health management program.
- Effectively communicate with physicians, facilities, pharmacies, and medical supply companies to ensure appropriate services are provided in the most cost effective setting.
- Utilize the case management process to assist members in navigating the complex care continuum, coordinate services, develop and adjust care plans to meet mutually agreed upon goals, and realize cost savings opportunities for the client.
- Achieve optimal outcomes by educating, managing care, and coordinating resources to reduce unnecessary utilization and increase the patient's self-management.
- Implement a holistic approach to assess members and guide them in reaching positive outcomes.
- Assist with training and oversight of fellow team members that includes one on one training, chart review, education and support, as well as company wide education in partnership with the Quality Assurance Department.
- Sought out opportunities to engage in monthly reporting needs to support account ROI goals.
- Consistently meets and exceeds all performance metrics and goals to maintain status as a top performer.
- Identified opportunity to streamline Medication Reconciliation process and collaborated with internal stakeholders with plans to roll out a process improvement to improve adherence to NCQA standards.
Charge Nurse, Emergency Department
Baylor Scott And White Medical Center
10.2014 - 01.2018
- Promoted to one of three highly competitive charge nurse positions after one year of employment, working shifts as both charge nurse and staff nurse.
- Regularly communicated and coordinated with executive level administrators to identify unit areas of inadequacy and implement agreed upon changes in procedures and practices to close gaps and improve policies.
- Managed patient flow in a high volume, Level II Trauma Emergency Department.
- Coordinated nursing care on unit through staff assignments, assisting and rounding with physicians, monitoring patient orders and communicating with ancillary departments.
- Supervised and managed daily scheduling, tasking and administration.
- Directed patient care activities, guided and trained RNs, nurse techs and other ancillary staff.
Registered Nurse, Emergency Department
Baylor Scott And White Medical Center
10.2013 - 01.2018
- Advocated for patients by communicating care preferences to practitioners, verifying interventions met treatment goals and identifying insurance coverage limitations.
- Organized and managed an extensive variety of patient needs, ranging from chronic to acute illness, minor injury to major traumas and mass casualty events.
- Provided didactic and clinical training to orient new nurses and potential student nurses to achieve training outcomes.
Preoperative Nurse
Humble Surgical Hospital
10.2012 - 03.2013
- Prepared patients for surgical procedures, while provide a calm and informative environment in the holding area.
- Ensured all preoperative data is collected including medical history, physical assessment, and consent for procedures.
Registered Nurse, ICU
Providence Health Center
05.2011 - 06.2012
- Advocated for patients by communicating care preferences to practitioners, verifying interventions met treatment goals and discussing diagnoses to devise well-coordinated treatment approaches.
- Advised patients and caregivers of proper wound management, discharge plan objectives, safe medication use and disease management.
- Provide direct care effectively and efficiently to a range of critically ill patients, with varied and complex needs.
Education
Bachelor of Science - Nursing
Texas Tech University HSC
Lubbock, TX05.2017
Associate of Science - Nursing
McLennan Community College
Waco, TX12.2010
Skills
- Multidisciplinary Care Coordination
- Care Management
- Population Health Data Analysis
- Holistic Assessment
- Medical Record Auditing and Assessments
- Treatment Care Plans
- Evidence Based Decision Making
- Clinical Reviews
- ROI Strategies
- Treatment Evaluation
- Preventive Healthcare
- Patient Education
Licenses + Achievements
Registered Nurse (RN)
Texas Compact License
Expires 05/31/2025
Trauma Nurse Core Course (TNCC) Certified
Expires 11/30/2026
Bill Aston Award Recipient
2nd place team member
October 2016
LEADERSHIP
Eager to take on additional tasks.
BCBS Referral Partner.
Caremark Partner.
Monthly team cost savings reporting.
PHN training and support.
Company wide nurse education.
Remote team bonding coordination.
Process improvement and implementation.
REFERENCES
LaJuana Jones, DNP, RN, NEA-BC
Baylor Scott and White Medical Center
Chief Nursing Officer
W: 254-202-9456
C: 254-744-1381
Jessica Lewis, BSN, RN, CCM
Manager of Population Health
Conifer Health Solutions
W: 410-919-0793
Miranda Johnson, BSN, RN, CCM
Care Management Team Manager
WellMed Medical Management
C: 903-388-9348
Timeline
Nurse Case Manager / Personal Health Nurse
Conifer Health Solutions
01.2018 - Current
Charge Nurse, Emergency Department
Baylor Scott And White Medical Center
10.2014 - 01.2018
Registered Nurse, Emergency Department
Baylor Scott And White Medical Center
10.2013 - 01.2018
Preoperative Nurse
Humble Surgical Hospital
10.2012 - 03.2013
Registered Nurse, ICU
Providence Health Center
05.2011 - 06.2012
Bachelor of Science - Nursing
Texas Tech University HSC
Associate of Science - Nursing
McLennan Community College
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