Hi, I’m
JULIE WHITFIELD
Certified Nurse Case Manager
Hernando,MS
Summary
Talented Case Manager with 26 years of experience, adept at handling high caseloads without sacrificing quality of care. Operates in high-pressure environments while recommending best resources and courses of action to benefit patient needs and return each to optimal quality of life. Hardworking and dedicated to achieving desired case outcomes. Offers excellent problem-solving, conflict resolution and communication abilities.
Overview
26
years of professional experience
1
Certification
Work History
Carlisle and Associates
Certified Nurse Case Manager
11.2019 - 06.2022
Job overview
- Responsible for assessment, implementation and evaluation of injured individuals involved in the medical case management process
- Managed the Prescription Review service by communicating with physicians to help facilitate medication alternatives for cost effectiveness
- Has managed Prescription Review cost containment in excess of $5,000,000
- Reduced care costs without sacrificing quality through service coordination and multidisciplinary collaboration.
- Ensured appropriate and cost-effective healthcare services to facilitate the injured worker's return to optimal level of work and functioning
- Worked with the interdisciplinary teams to develop an overall treatment plan that ensures cost containment
- Helped patients receive appropriate, high-quality care with reasonable results.
- Partnered with physicians, social workers, activity therapists, nutritionists and case managers to develop and implement individualized care plans and documented patient interactions and interventions in electronic charting systems.
- Managed caseload of 35-40 injured workers to ensure timely return to work.
- Increased referral rates by providing excellent service and building meaningful relationships with patients and caregivers.
Restore Rehabilitation
Certified Nurse Case Manager
01.2018 - 11.2019
Job overview
- Responsible for assessment, implementation and evaluation of injured individuals involved in the medical process
- Liaised between patients, carriers, attorneys, employers and physicians to ensure comprehension of treatment plans
- Ensured efficacy of treatments through monitoring of treatment regimens
- Ensured appropriate and cost-effective healthcare services to facilitate the injured worker's return to optimal level of work and functioning
- Provided education to patient regarding the injury and proposed treatment plan
- Worked with the interdisciplinary teams to develop an overall treatment plan that ensured cost containment
- Worked with employers to accommodate any necessary job modifications that may be necessary to facilitate a timely return to work
- Prepared detailed evaluation reports per account guidelines
Wright Rehabilitation Services
Certified Nurse Case Manager
02.2014 - 01.2018
Job overview
- Responsible for assessment, implementation and evaluation of injured individuals involved in the medical case management process
- Liaised between patients, carriers, attorneys, employers and physicians to ensure efficacy of treatment plan
- Ensured appropriate and cost-effective healthcare services to facilitate the injured worker's return to optimal level of work and functioning
- Collaborated with employers to accommodate any work restrictions to minimize lost time
- Prepared detailed evaluation reports per account guidelines
- Helped patients receive appropriate, high-quality care with reasonable results.
Methodist Senior Services
Admissions Coordinator
04.2011 - 01.2014
Job overview
- Managed the admissions and capacity for 140-bed short-term rehabilitation/long-term care campus
- Developed and implemented an effective referral system with local and surrounding hospitals to generate quality referrals
- Processed large volume of referrals on daily basis for appropriateness to comply with Medicare/Medicaid guidelines
- Communication with Medicare daily to determine resident eligibility
- Handled managed care cases by networking with various insurance companies to negotiate and finalize admission
- Responsible for marketing ventures at health fairs, job fairs, and varied conferences
- Confirmed all insurance benefits met standards of admissions as dictated by policy.
Tri-Lakes Medical Center
Staff Labor and Delivery Nurse
03.2009 - 12.2009
Job overview
- Evaluated the gravid female for pre-term labor, labor, pregnancy-induced hypertension, and premature rupture of membranes
- Managed total care for high-risk and laboring patients Administered routine IV therapy and Pitocin for induction of labor
- Implemented appropriate interventions by reading and interpreting fetal heart monitor strip readings
- Assisted physician during delivery, examination and surgical procedures by anticipating needs, encouraging patient and attending to baby after birth.
- Responded to emergency situations such as pre-eclampsia, early labor and fetal distress.
- Supported physicians in both planned and emergency Cesarean section procedures.
- Aided with induction of labor for women suffering from complications such as preeclampsia.
Baptist Memorial Hospital, DeSoto
Staff Labor and Delivery Nurse
02.2008 - 01.2009
Job overview
- Evaluated the gravid female for pre-term labor, labor, pregnancy-induced hypertension, and premature rupture of membranes
- Managed total care for high-risk and laboring patients Administered routine IV therapy and Pitocin for induction of labor
- Implemented appropriate interventions by reading and interpreting fetal heart monitor strip readings
- Assisted physician during delivery, examination and surgical procedures by anticipating needs, encouraging patient and attending to baby after birth.
- Responded to emergency situations such as pre-eclampsia, early labor and fetal distress.
- Leveraged computerized documentation systems to monitor, record and communicate patient condition.
- Administered epidural and patient controlled analgesia to block pain from labor contractions and during birth.
- Accurately documented treatment, medications and IVs administered, discharge instructions and follow-up care.
Baptist Memorial Hospital
Staff Labor and Delivery Nurse
10.2005 - 05.2006
Job overview
- Evaluated the gravid female for pre-term labor, labor, pregnancy-induced hypertension, and premature rupture of membranes
- Managed total care for high-risk and laboring patients Administered routine IV therapy and Pitocin for induction of labor
- Implemented appropriate interventions by reading and interpreting fetal heart monitor strip readings
- Assisted physician during delivery, examination and surgical procedures by anticipating needs, encouraging patient and attending to baby after birth.
- Coordinated care of low and high-risk laboring women of childbearing age and immediate stabilization of newborn following delivery.
Education
Northeast Mississippi Community College
Skills
- Strong clinical judgment
- High level of autonomy
- Detail-oriented
- Reducing Costs
- Patient Intervention
- Utilization Criteria
- Patient Management
- Medical Records Management
- Telephone Etiquette
- Verbal and Written Communication
Certification
Registered Nurse, 1996 Certified Case Manager, 2014
Timeline
Certified Nurse Case Manager
Carlisle and Associates
11.2019 - 06.2022
Certified Nurse Case Manager
Restore Rehabilitation
01.2018 - 11.2019
Certified Nurse Case Manager
Wright Rehabilitation Services
02.2014 - 01.2018
Admissions Coordinator
Methodist Senior Services
04.2011 - 01.2014
Staff Labor and Delivery Nurse
Tri-Lakes Medical Center
03.2009 - 12.2009
Staff Labor and Delivery Nurse
Baptist Memorial Hospital, DeSoto
02.2008 - 01.2009
Staff Labor and Delivery Nurse
Baptist Memorial Hospital
10.2005 - 05.2006