Microsoft, Word, Power Point, Excel
Kimberly Guriel
Greenville,PA
Summary
Gifted Case Manager with proven skills in working with RNs in Case Management settings to offer top-notch patient care and support. Vigilant, systematic and focused on delivering cost-effective, high-quality medical care. Certified in Case Management. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
13
13
years of professional experience
1
1
Certification
Work History
Home Health RN Case Manager
Allegheny Health Network
Warrendale, PA
12.2023 - Current
- Quickly responded to situations impacting safety and security to unit, actualizing crisis prevention interventions to control and de-escalate situations.
- Recorded details regarding therapies to keep patient charts updated.
- Delivered after-hours care to patients based on strict role-call rotations.
- Implemented care plans for patient treatment after assessing physician medical regimens.
- Prevented complications from chronic illnesses like diabetes or heart failure through targeted patient education initiatives tailored to individual needs.
- Explained course of care and medication side effects to patients and caregivers in easy-to-understand terms.
- Assessed patients' health status and developed individualized care plans to suit needs.
- Educated patients and families on disease processes, medications and treatments.
- Enhanced patient outcomes by developing personalized care plans and coordinating interdisciplinary team collaboration.
- Promoted safe living environment for patients by conducting thorough home safety evaluations and recommending necessary modifications or equipment upgrades.
- Managed approximately 45 incoming calls, emails and faxes per day from customers.
- Promoted safe living environment for patients by conducting thorough home safety evaluations and recommending necessary modifications or equipment upgrades.
Professional Care Manager, Supervisor
UPMC Health Plan
Pittsburgh, PA
08.2016 - 12.2023
- Conducted regular audits of case files to ensure accuracy and completeness of documentation.
- Implemented data-driven strategies to continuously improve effectiveness of care management initiatives.
- Monitored and inspected staff processes to eliminate hazards posed for both residents and staff while ensuring continuous compliance with regulations.
- Managed staffing schedules efficiently, ensuring adequate coverage for all shifts without compromising quality or continuity of care provision.
- Provided guidance on complex cases, assisting Care Managers in making informed decisions regarding client support services.
- Participated in team meetings and trainings to stay updated on best practices and new developments in care management.
- Developed and implemented training programs for care staff to enhance skills and knowledge.
- Recruited, hired and trained all staff, providing direct supervision, ongoing staff development and continuing education to employees.
- Championed new initiatives aimed at enhancing overall quality of care provided, leading to improved satisfaction scores among both patients and staff.
- Managed approximately 45 incoming calls, emails and faxes per day from customers.
- Maintained network of community resources to provide most comprehensive support services possible to clients.
Senior Professional Care Manager
UPMC Health Plan
Pittsburgh, PA
08.2011 - 12.2016
- Participated in interdisciplinary case conferences fostering teamwork collaboration sharing best practice insights to optimize patient care outcomes.
- Streamlined care coordination processes, resulting in timely referrals and access to appropriate resources.
- Developed strong rapport with patients and families through empathetic listening and compassionate communication techniques.
- Liaised with other healthcare professionals to develop comprehensive patient care plans and provide highest quality of care.
- Educated clients and families on community resources, treatment options and health care services to better manage conditions.
- Provided crisis intervention services when necessary by assessing risk levels promptly addressing safety concerns collaboratively with treatment team.
- Assessed clients and developed plans to meet needs.
- Assisted clients with daily living needs to maintain self-esteem and general wellness.
- Discussed medical histories with patients in effort to provide most effective medical advice.
- Managed approximately 45 incoming calls, emails and faxes per day from customers.
- Managed complex caseloads, ensuring timely assessment, intervention, and documentation for optimal care outcomes.
Education
Associate of Science - Registered Nurse
05.2007
Skills
- Chronic Disease Management
- Community Program Referrals
- Critical Thinking
- Care Plan Adherence
- Healthcare Personnel Supervision
- Intake and discharge
- Attention to Detail
- Training staff
- Strong Communication Skills
- Case management software proficiency
- Microsoft Office
- HIPAA Compliance Understanding
- Strong Clinical Judgment
- Accurate Documentation
- Preventive health
Certification
- Certified Case Manager, Commission of Case Management - 2013-2028
- Licensed Registered Nurse - 2007 - Pennsylvania and Ohio.
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Software
Various EHR's
Timeline
Home Health RN Case Manager - Allegheny Health Network
12.2023 - Current
Professional Care Manager, Supervisor - UPMC Health Plan
08.2016 - 12.2023
Senior Professional Care Manager - UPMC Health Plan
08.2011 - 12.2016
Sharon Regional School Of Nursing - Associate of Science, Registered Nurse