Dedicated RN Case Manager with a strong focus on chronic disease management and care coordination. Proven ability to implement evidence-based practices and enhance patient outcomes.
Overview
11
11
years of professional experience
Work History
RN Case Manager
Molina Healthcare
01.2024 - Current
Coordinated patient care plans with multidisciplinary teams to enhance health outcomes.
Assessed patient needs and developed individualized care strategies for effective management.
Implemented evidence-based practices to improve quality of care and compliance with standards.
Monitored patient progress through regular follow-ups and adjusted care plans as necessary.
Assesses member for Medical Necessity for Waiver services.
Managed complex cases involving multiple comorbidities, requiring close monitoring and coordination of various healthcare services.
RN Floor Nurse
CHI St Lukes
01.2023 - 01.2024
Administered medications and treatments as prescribed, ensuring patient safety and care compliance.
Monitored patient vitals and reported changes to healthcare team for timely interventions.
Collaborated with interdisciplinary teams to develop and implement individualized care plans.
Educated patients and families on health management, promoting understanding of treatment protocols
Utilized electronic health records (EHR) systems for accurate documentation of patient information and treatment plans.
Improved patient mobility by implementing individualized rehabilitation plans and monitoring progress.
RN Case Manager
Molina Healthcare
01.2022 - 01.2023
Educated patients and families on treatment options, ensuring informed decision-making and adherence.
Facilitated communication between providers, patients, and families to streamline care processes.
Analyzed data to identify trends in patient health outcomes, driving continuous improvement initiatives.
Mentored junior staff on case management protocols and best practices for optimal service delivery.
Established Medical Necessity for Medicaid Waiver program
Disease Management Nurse
Cigna Healthsprings
06.2020 - 01.2022
Led care coordination efforts to optimize patient health outcomes and resource utilization.
Developed and implemented disease management programs tailored to individual patient needs.
Mentored nursing staff on best practices in chronic disease management and patient engagement strategies.
Analyzed patient data to identify trends and improve intervention strategies for chronic conditions.
Collaborated with multidisciplinary teams to enhance treatment plans and ensure comprehensive care delivery.
Assisted with referrals to specialist
Implemented a successful telehealth program allowing remote monitoring of high-risk patients leading to reduced emergency room visits.
Demonstrated expertise in multiple therapeutic areas including diabetes, hypertension, heart failure, asthma, and COPD management.
LVN Case Manager
Cigna Healthsprings
09.2014 - 01.2019
Coordinated comprehensive care plans for diverse patient populations to ensure optimal health outcomes.
Evaluated patient needs and developed tailored interventions to enhance quality of care.
Collaborated with multidisciplinary teams to streamline communication and improve service delivery.
Monitored patient progress, adjusting care strategies based on ongoing assessments and feedback.