Joanna Rihm
Elgin,Il
Summary
Bilingual Polish RN with both a BSN and a BS in Business Management and Aesthetics seeks a dynamic role within a progressive organization that will allow me to combine my love of Nursing, Quality improvement with my love of Business and patient care.
Overview
19
19
years of professional experience
Work History
Medical Management Specialist I, Government Programs
BlueCross BlueShield of Illinois
09.2018 - Current
- Promotion of Quality Care by adhering to company standards
- Supporting members by measuring health outcomes against measurable member goals, and recommending necessary adjustments using Motivational Interviewing techniques
- Accountable for cost effective utilization and management of resources, while providing quality care to providers and members
- Identifying high risk members and utilizing Care Coordination, to decrease hospital readmissions for any cause
- Managed Waiver Services members with DOA and DRS eligibility
- Experience with Addictive and dysfunctional family systems, racial and ethnic minorities, Homosexuals and bisexuals, Persons with AIDS and substance abuse
- Coordination between service providers, vendors and staff to ensure quality care services for all members
- Respond in a timely manner to daily influx of written and telephonic communication from members, and providers related to benefit plan, referrals and notices
- Weekly reporting on caseload during Rounds
- Strong interpersonal and organizational skills; effective communicator with members, families, physicians and vendors
- Trained new Care Coordinators as directed by Manager
- Joined the Transition of Care Team for inpatient admissions
- Trained new care coordinators on the transition of care team
- Joined the Activation Team
- Trained new care coordinators on the Activation Team
- Acting as the Team Lead on the Activation Team
- Managing assignments and work queues for newly eligible waiver members
- Participates in the HSAG audits.
Intake Department Nurse
HartGrove Hospital
03.2016 - 01.2018
- Provide skilled and psychiatric nursing services on the PICU/Severe Adolescent and regular Adult units
- Work with multidisciplinary team of Psychiatrists, LCSW’s, LCPC’s to assess and stabilize patients and formulate a POC
- Stabilize acutely psychotic patients via various treatment regimens from de-escalation to medication protocols
- Administer medication, monitoring for side effects and efficacy
- Serve as a clinical and psychiatric resource for staff, patients and families
- Educate patients and family members regarding their psychiatric disorders and treatment plans, with focus on compliance and coping strategies; serve as a psychiatric resource for patients and families
- Experience with Addictive and dysfunctional family systems, racial and ethnic minorities, Homosexuals and bisexuals, Persons with AIDS and substance abuse.
Nurse Care Coordinator
Community Care Alliance of Illinois
08.2015 - 10.2016
- Managed mixed caseload of 220 Medicaid, Medicare and Waver Service Members
- Promotion of Quality Care by adhering to company standards
- Supporting members by measuring health outcomes against measurable member goals, and recommending necessary adjustments using Motivational Interviewing techniques
- Accountable for cost effective utilization and management of resources, while providing quality care to providers and members
- Identifying high risk members and utilizing Care Coordination, to decrease hospital readmissions for any cause
- Managed Waiver Services members with DOA and DRS eligibility
- Experience with Addictive and dysfunctional family systems, racial and ethnic minorities, Homosexuals and bisexuals, Persons with AIDS and substance abuse
- Coordination between service providers, vendors and staff to ensure quality care services for all members
- Respond in a timely manner to daily influx of written and telephonic communication from members, and providers related to benefit plan, referrals and notices
- Weekly reporting on caseload during Rounds
- Strong interpersonal and organizational skills; effective communicator with members, families, physicians and vendors
- Trained new Care Coordinators as directed by Manager
- 10-2015; CCM Review class in preparation for CCM exam, April 2016
- November, 2015 completion date ; HealthCare Risk Management and Patient Safety Certificate through University of Delaware.
Psychiatric RN, PICU (Severe Adolescent Unit) & Adult Unit
Chicago Behavioral Hospital
01.2013 - 08.2015
- Provide skilled and psychiatric nursing services on the PICU/Severe Adolescent and regular Adult units
- Work with multidisciplinary team of Psychiatrists, LCSW’s, LCPC’s to assess and stabilize patients and formulate a POC
- Stabilize acutely psychotic patients via various treatment regimens from de-escalation to medication protocols
- Administer medication, monitoring for side effects and efficacy
- Serve as a clinical and psychiatric resource for staff, patients and families
- Educate patients and family members regarding their psychiatric disorders and treatment plans, with focus on compliance and coping strategies; serve as a psychiatric resource for patients and families
- Experience with Addictive and dysfunctional family systems, racial and ethnic minorities, Homosexuals and bisexuals, Persons with AIDS and substance abuse.
Private Duty Nurse (Multi-Need Classroom)
Leyden High School
09.2014 - 05.2015
- Transferring students out of wheelchair for: Physical Therapy, In/Out of pt stander, Range of motion exercises on floor mat, daily toileting and changing
- Feeding, Monitoring newly implanted Baclofen Pump site as well as monitoring signs and symptoms of pump failure
- Administration of emergency medication as needed (Diastat, Oral Baclofen)
Adjunct Faculty Instructor CNA Program
Harper College
08.2014 - 11.2014
- Primary responsibilities of this position include: working with young adults from 16-24 in the clinical / lab setting, to prepare them for employment in the Medical field and preparing students to pass the CNA examination.
Mental Health RN
Total Nursing Network
12.2013 - 11.2014
- Facilities: Chicago Behavioral Hospital, Scott Nolan Maryville Behavioral Health Hospital Young Adult Unit, Girls Unit, Boys Unit, DHH Unit
Hospice RN
Seasons Hospice
06.2013 - 02.2014
- Assess patients and devise treatment methods designed to reduce pain and discomfort
- Coordinate care efforts amongst volunteers and home care aides
- Initiate communication with attending physicians
- Supervise and document patient observation.
Wound RN
Wound and Rehab Home Health Care
01.2013 - 06.2013
PCT I, Telemetry Monitor Technician, Unit Secretary - ICU /CVICU/TCU
Alexian Brothers Medical Center
01.2008 - 01.2013
- Monitor patients heart rhythms and advise doctors or nurses of abnormalities
- Patient Care Technician and a Unit Secretary for the float department
- Float to ER, Step Down, Tele, and currently ICU and CVICU
- Prioritizing patient care due to critical situations on the unit
- Organizing tasks and delegating them to other team members
- Precepting new orientates to the unit
- Creating the best customer service experience for the patients, family and staff
- Setting up IV poles, prime lines with fluids, drawing blood from A-Lines for labs
- EKG monitoring and measuring strips, assisting with chest tube removals, intubation and intubations, monitoring hourly I&O's, vitals, blood sugars
- Entering Stat orders or any other physician orders into the system.
Human Resources Generalist
Private Home Care Unlimited, Inc
01.2006 - 01.2008
- Recruited to perform wide-ranging management duties with strong emphasis on employee recruitment, training and development
- Successfully manage and train 150 + Employee
- Maintain compliance with state and federal government regulations
- Checking candidate references and scheduling and interviewing potential candidates
- Preparing and maintaining candidate and employee files
- Processing new hires
- Collecting data for various HR reports
- Recommend new approaches, policies, and procedures to effect continual improvements in efficiency of department and services performed.
Education
The American Association of Aesthetic Medicine and Surgery Certification -
Beverly Hills, California03.2018
Bachelor of Science - Chamberlain College of Nursing
Addison, IL10.2012
Bachelor of Business in Management - National-Louis University
Lisle, IL05.2000
Skills
- Train the Trainer Workshop Certificate
- ACLS
- CRRT Certification
- CPR and First Aid Certified
- Telemetry Certified
- PCT I trained
- American Heart Association
- BLS 5824
- DCFS
- Aesthetics (Botulinum Toxin, Dermal Fillers and Chemical Peels)
- Microsoft Access
- Excel
- PowerPoint knowledge
Personal Information
Title: RN, BSN
Timeline
Medical Management Specialist I, Government Programs
BlueCross BlueShield of Illinois
09.2018 - Current
Intake Department Nurse
HartGrove Hospital
03.2016 - 01.2018
Nurse Care Coordinator
Community Care Alliance of Illinois
08.2015 - 10.2016
Private Duty Nurse (Multi-Need Classroom)
Leyden High School
09.2014 - 05.2015
Adjunct Faculty Instructor CNA Program
Harper College
08.2014 - 11.2014
Mental Health RN
Total Nursing Network
12.2013 - 11.2014
Hospice RN
Seasons Hospice
06.2013 - 02.2014
Psychiatric RN, PICU (Severe Adolescent Unit) & Adult Unit
Chicago Behavioral Hospital
01.2013 - 08.2015
Wound RN
Wound and Rehab Home Health Care
01.2013 - 06.2013
PCT I, Telemetry Monitor Technician, Unit Secretary - ICU /CVICU/TCU
Alexian Brothers Medical Center
01.2008 - 01.2013
Human Resources Generalist
Private Home Care Unlimited, Inc
01.2006 - 01.2008