Accomplished Registered Nurse Case Manager with 21+ years of experience dedicated to quality care of diverse patients. Skillfully blend hands-on skills with advanced background in both clinical and insurance settings. Work effectively with all levels of healthcare providers, physicians and administrators to address patient needs.
Overview
23
23
years of professional experience
Work History
Registered Nurse Case Manager
Anthem, Inc. Federal Health Products And Services
Richmond, VA
03.2019 - Current
Coordinated rehabilitative and preventive nursing processes and procedures.
Responded promptly and professionally to patient questions and concerns.
Authored initial assessments of patients and family to develop plans for individual home care needs.
Liaised with physicians regarding patient needs, performance and changes.
Updated patient charts with data such as medications to keep records current and support accurate treatments.
Evaluated healthcare needs, goals for treatment and available resources of each patient and connected to optimal providers and care.
Provided review of Flexible Benefits options and documented authorizations in AUMI/ACMP and FEP Direct
Educated patients and loved ones about different treatment options and outside care approaches to reduce burden on hospital resources.
Conducted regular re-evaluations to address changes in needs and conditions, introducing revisions to care plans.
Participated in patient and family planning process, as well as provided instructions and addressed question and concerns.
Identified care needs of individual patients and coordinated responses based on physician advice, insurance limitations and procedural costs.
Home Health Registered Nurse Case Manager
Southeastern Home Health Services
Mechanicsville, VA
10.2016 - 03.2019
Advised and coached patients progressing from hospitals, rehab facilities and other medical organizations to at-home treatment settings.
Provided physical assessments, medication and chronic disease management to home health patients.
Provided all daily living tasks to enhance quality of life for elderly patients.
Introduced changes to patient care plans based on regular evaluations and patient changes.
Registered Nurse, Endoscopy
Mitchell Endoscopy Center
Richmond, VA
10.2008 - 10.2016
Managed care from admission to discharge.
Administered medications via oral, IV and intramuscular injections and monitored responses.
Provided direct patient care, stabilized patients and determined next course of action.
Orchestrated quality-driven, cost-effective care in high-volume trauma center setting.
Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
Secured controlled narcotics and distributed medication on schedule to meet patient needs and minimize misuse opportunities.
Trained new nurses in proper techniques, care standards, operational procedures and safety protocols.
Kept optimal supply levels in treatment rooms, triage and other areas to meet typical patient loads.
Led successful team comprised of RNs, LPNs and ancillary staff.
Monitored patient condition by interpreting and tracking EKG readings, identifying irregular telemetry readings and updating team members on changes in stability or acuity.
Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process and management and lifestyle options.
Audited charts and reviewed clinical documents to verify accuracy.
Registered Nurse, Endoscopy
Henrico Doctor's Hospital Forest
Richmond, VA
03.2007 - 10.2008
Managed care from admission to discharge.
Administered medications via oral, IV and intramuscular injections and monitored responses.
Provided direct patient care, stabilized patients and determined next course of action.
Orchestrated quality-driven, cost-effective care in high-volume trauma center setting.
Registered Nurse, NICU
Henrico Doctor's Hospital Forest
Richmond, VA
06.2005 - 03.2007
Managed care from admission to discharge.
Administered medications via oral, IV and intramuscular injections and monitored responses.
Provided direct patient care, stabilized patients and determined next course of action.
Conferred with physicians to discuss diagnoses and devise well-coordinated treatment approaches.
Trained new nurses in proper techniques, care standards, operational procedures and safety protocols.
Provided exceptional care to high-acute patients needing complex care such as ventilator management, extensive wound care and rehabilitation.
Contributed substantially to successful department JCAHO accreditation by consistently operating to highest standards of care.
Registered Nurse, Medical-Surgical
Bon Secours Memorial Regional Medical Center
Mechanicsville, VA
06.2004 - 06.2005
Administered medications via oral, IV and intramuscular injections and monitored responses.
Provided direct patient care, stabilized patients and determined next course of action.
Managed care from admission to discharge.
Implemented medication and IV administration, catheter insertion and airway management.
LPN
Bon Secours Memorial Regional Medical Center
Mechanicsville, VA
08.1999 - 06.2004
Cared for wounds, provided treatments and assisted with procedures.
Managed patient care through closely monitoring respiration, blood pressure and blood glucose levels.
Monitored, tracked and conveyed important patient information to healthcare staff to help optimize treatment planning and care delivery.
Assisted with admissions, appointments, transfers and discharges.