Accomplished RN Case Manager with a proven track record at Community First Health Plans, adept in chronic disease management and discharge planning. Excelled in care coordination, utilizing a multidisciplinary approach to enhance patient outcomes. Demonstrated expertise in HIPAA compliance and a strong ability to mentor staff, showcasing leadership and a commitment to excellence in patient care.
Overview
24
24
years of professional experience
Work History
RN Case Manager
Community First Health Plans
03.2023 - 01.2025
Managed complex cases involving multiple comorbidities, requiring close monitoring and coordination of various healthcare services.
Streamlined discharge planning, ensuring patients received necessary resources and support for recovery at home.
Advocated for patients with insurance companies, securing coverage for necessary treatments and medications.
RN Field Nurse
Special Kids Care
04.2004 - 08.2019
Administered medications accurately and safely, reducing medication errors and adverse reactions.
Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process, and management and lifestyle options.
Developed strong relationships with patients'' families, providing emotional support while addressing concerns or questions about care plans.
Administered medications via oral, IV, and intramuscular injections and monitored responses.
Provided direct patient care, stabilized patients, and determined next course of action.
Provided emotional support to patients during challenging times, fostering a sense of trust and rapport that contributed to better overall wellbeing.
Monitored patient reactions to drugs and carefully documented findings.
Managed complex cases of critically ill patients, ensuring optimal treatment plans were executed effectively.
Staff RN
Christus Santa Rosa Children's Hospital
08.2006 - 07.2008
Utilized critical thinking skills to make quick decisions in high-pressure situations, prioritizing patient needs and addressing emergent issues promptly.
Monitored vital signs, lab results, and other indicators to detect changes in patients'' conditions promptly.
Served as a preceptor for new nurses, sharing knowledge, expertise, and best practices to improve their skills and confidence.
Participated in unit-based quality improvement initiatives focused on enhancing patient outcomes through process improvements.
Maintained clinical competency through ongoing professional development activities such as workshops, seminars, conferences, and certifications related to nursing practice.
Coordinated discharge planning in collaboration with case managers, social workers, and other support staff for optimal continuity of care after hospitalization.
Assisted physicians during procedures by preparing equipment, monitoring patient status, and ensuring sterile environments.
Nurse
River Gardens
03.2001 - 06.2006
Performed accurate documentation of patient assessments, interventions, and outcomes in compliance with regulatory standards.
Administered medications via oral and intramuscular injections and monitored responses.
Promoted a safe and comfortable healing environment by addressing patient concerns promptly and professionally.
Mentored new nursing staff members, fostering teamwork and improving unit efficiency.
Provided emotional support to patients'' family members during critical incidents, strengthening overall trust in the healthcare team.
Created an efficient shift handover process which improved continuity of care between nursing shifts.
Performed triage on incoming patients and determined severity of injuries and illnesses.
Performed routine wound care and dressing changes on schedule.
Education
Associate of Applied Science - RN Nuring
San Antonio College
San Antonio, TX
05-2006
Certificate - LVN Nursing
St. Phillips College
San Antonio, TX
12-1999
Skills
Chronic disease management
Discharge planning
HIPAA compliance
Multidisciplinary approach
Care coordination
Utilization review
Timeline
RN Case Manager
Community First Health Plans
03.2023 - 01.2025
Staff RN
Christus Santa Rosa Children's Hospital
08.2006 - 07.2008
RN Field Nurse
Special Kids Care
04.2004 - 08.2019
Nurse
River Gardens
03.2001 - 06.2006
Associate of Applied Science - RN Nuring
San Antonio College
Certificate - LVN Nursing
St. Phillips College
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