Professional healthcare manager prepared for expert Nurse Case Management.. Strong focus on team collaboration and patient care. Focus on accurate documentation. Reliable in adapting to changing needs and achieving results. Skilled in care coordination, medical assessment, and patient advocacy, with compassionate and patient-centered approach valued in healthcare.
Overview
5
5
years of professional experience
1
1
Certification
Work History
Nurse Case Manager
National Account Total Health Total You Anthem
02.2022 - Current
Primary nurse contact for care/medical management follow up with appropriate guidance and coordinates internal and external resources to meet identified needs. Conducts assessments to identify individual needs and a specific care management plan to address objectives and goals as identified during assessment. Interfaces with Medical Directors and Physician Advisors on the development of care management treatment plans.
Program development of post acute services for case management service continuum 11 years
Case study development for patient with ongoing changing needs. 5+ years
Value Based data metrics and implementation of statistics for effective throughput for efficient client care 4+ yrs
Community outreach and facilitation 20+ years
Non-profit organization development 25+ years
Nursing bedside ICU preceptor and tenure 20+ years
Microsoft office suite of products - EMR documentation/implementation
Director
Meridian Visiting Physicians
Indianapolis, IN
03.2021 - 08.2021
Management of patient care coordination for nurse staff members, education data implementation staff as well as payroll, budget, metrics and statistics and resources for statewide client base. Care plan development data management and physician chart review.
Developed education program and office solution program for care coordination staff.
Regional Integrated Care Manager 2020-2021 ASC/Eagle Creek, Indianapolis IN
Point of contact for combined charges/medicaid management, initiating community resources, navigating insurance issues/social services.
Developed education metrics and formulae with appropriate guidance and treatment plan in place.
Point of contact ACC team related to readmission and acute care prevention formulae parameters for safe discharge home.
Clinical Acute Rehab/Trauma Liaison 2007-2020 The Rehab Hospital of Indiana LLC Indianapolis IN
Built extensive marketing base for trauma physician group through Indianapolis and central Indiana.
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Built case management review process for trauma department.
Clinical Nurse Liaison 2004-2007 Select Specialty Hospital LLC Beech Grove IN
Nurse Consultant 2002-2004 PRN Pharmaceutical, C, Indianapolis IN
Cultivated relationships with external partners to expand referral networks and improve patient access.
Clinical Manager 2000-2002 Community Hospital, Indianapolis IN
Created staff and physician alliance to improve working relationships.
Oversaw recruitment, training, and performance management of clinical staff to optimize workforce effectiveness.
Developed mentorship and clinical cross training program for LPN and RN.
Critical Care Staff Nurse 1986-2000 St. Francis Hospital Beech Grove IN
Responsible for caring for surgical medical neuro and cardiac emergencies therapies include ventilator/trach patients with sepsis requiring invasive monitoring procedures set up with internists pulmonologists cardiologists urologists neurosurgeon & preceptor for new RNs and charge nurses in ICU. Clinically certified as an IV nurse instructor.
Analyzed data trends to identify areas for improvement in patient outcomes and service delivery.
Education
A.S.N. -
Vincennes University
Skills
Case evaluation and chart review
Clinical assessment
Care coordination with integrated services
Data case review with medical director weekly
Quality improvement
Team collaboration
Technology proficiency
Certification
Indiana RN License New York and Illinois RN License