Julie McNutt
Rising Star,TX
Summary
RN Case Manager with proven expertise in evidence-based practices and regulatory compliance. Successfully developed care plans that enhance patient outcomes through effective interdisciplinary collaboration. Strong critical thinking and problem-solving skills lead to high-quality care and reduced readmission rates for high-risk patients. Experienced in engaging with healthcare providers, physicians, and administrators to meet diverse patient needs.
Overview
13
13
years of professional experience
2
2
Certifications
Work History
PHM RN Case Manager
WellMed Medical Management
03.2023 - Current
- Applied nursing theories and principles to enhance care quality and reduce patient readmission rates.
- Utilized extensive knowledge of transitional care to assist high-risk patients with complex discharge plans.
- Collaborated with interdisciplinary teams to analyze and report on nursing data for high-risk patients.
- Coordinated with physicians to create tailored nursing care plans for assigned demographics.
- Evaluated nursing-care plan execution using critical-thinking skills to ensure goal achievement.
- Recommended changes to nursing leadership based on evaluations to support patient health and wellbeing.
- Conducted patient interviews to collect data for customized healthcare plans, facilitating referrals when needed.
- Participated in interdisciplinary meetings to review patient care and identify improvement opportunities.
Director/ RN Case Manager
Legend Hospice
Eastland, Texas
12.2021 - 03.2023
- Oversee the daily operations and activities of a clinical staff of 3, while leading team training and development activities.
- Conduct audits and compliance reviews multiple times per year, ensuring adherence to regulatory guidelines, such as Medicare and state regulations, as well as proper use of funds to remain in budget.
- Review utilization methods and perform quality assurance on case management processes.
- Monitor and update healthcare databases and medical records, ensuring appropriate service delivery, as well as accurate documentation, ICD10 codes, and chart attachments.
RN Case Manager
Alpha Omega Hospice
Brownwood, Texas
10.2019 - 12.2021
- Created and implemented over 12 patient care plans, in partnership with IDG members.
- Oversaw a 4-member clinical team and reviewed over 12 patient charts to ensure alignment of appropriate medical services.
- Provided beside care by applying evidence-based practices for symptom control, traumas, and medical treatments, maintaining patient confidentiality and always ensuring HIPAA compliance.
Manager of Clinical Practice
Kindred Hospice
, State
05.2018 - 10.2019
- Supervised clinical operations, including 10 nurses, CNA’s chaplain and social workers, by implementing effective management strategies to ensure compliance with HIPAA, Medicare, Medicaid, and OSHA regulations.
- Verified and approved patient documentation, including medications, treatments, ICD10 codes, and DME according to diagnosis.
- Conducted assessments to determine need for diagnostic services to maximize patient safety and optimize medical resource utilization, while educating staff and patients on disease process, and progression, along with medication administration.
RN Case Manager
Alpha Omega Hospice
Euless, Texas
06.2017 - 05.2018
- Reviewed and verified records and medical charts for over 12 patients, ensuring compliance to strict HIPAA confidentiality requirements and reporting guidelines within EMR systems.
- Documented patient treatment plans, care provided, and patient outcomes in accordance with regulatory requirements and guidelines.
- Coordinated care with over 5 multidisciplinary care team members and accurately documented updates in EMR systems, which resulted in improved data accuracy and reliability.
RN Case Manager
Interim Hospice
Brownwood, Texas
09.2016 - 06.2017
- Modeled excellence with patient engagement, service delivery, and compliance with strict regulations, resulting in the achievement of team performance goals and improving patient satisfaction to above the state minimum.
- Collaborated across care teams, including PCP, MD, and IDG members to deliver patient-oriented bedside care for diagnosis such as DM, CHF, COPD, dementia, and cancer.
- Communicated with patients, family members, and physicians to support patient symptom management, as well as coach new staff on care services.
RN Case Manager
Lighthouse Hospice
Eastland, Texas
10.2012 - 09.2016
- Provided patient-centered care using a calm, consultative approach, which led to recognition from coworkers, management, and patients for exceptional customer service and support with symptom management.
- Delivered bedside care and prepared patients for disease progression, working with over 15 patients with chronic diseases.
- Educated home clients on procedures and processes of hospice to ensure comfort and support, while reporting progress and updating patient records.
Education
Associate of Applied Science -
Odessa College
Skills
- Evidence-based nursing practices
- Regulatory compliance
- Discharge planning
- Quality assurance
- Electronic health records
- Interdisciplinary collaboration
- Effective communication
- Problem solving
- Critical thinking
- Time management
- Care plan development
- Data entry and ICD-10 coding
- Utilization review and HIPAA compliance
- Healthcare coordination
- Patient care and monitoring
- Triage and vital signs assessment
- Medication administration and injections
- Infection control measures
- Venipuncture techniques
- Wound care management
- Patient assessment skills
- IV therapy administration
- Medical terminology expertise
- Electronic medical records (EMR)
- Microsoft Office proficiency
Certification
Registered Nurse
References
References available upon request.
Timeline
PHM RN Case Manager
WellMed Medical Management
03.2023 - Current
Director/ RN Case Manager
Legend Hospice
12.2021 - 03.2023
RN Case Manager
Alpha Omega Hospice
10.2019 - 12.2021
Manager of Clinical Practice
Kindred Hospice
05.2018 - 10.2019
RN Case Manager
Alpha Omega Hospice
06.2017 - 05.2018
RN Case Manager
Interim Hospice
09.2016 - 06.2017
RN Case Manager
Lighthouse Hospice
10.2012 - 09.2016
Associate of Applied Science -
Odessa College