Seasoned nursing professional offering proven clinical knowledge, natural interpersonal strengths and technical abilities. Knowledgeable about EMR charting, medication reconciliation and interdisciplinary collaboration focused on optimizing patient care and support. Quality-focused and efficiency-driven leader.
Overview
20
20
years of professional experience
1
1
Certification
Work History
RN Case Manager
Sendero Health Plans
05.2021 - Current
Facilitated appropriate level of care for patients with behavioral health needs in collaboration with social workers to ensure the continuum of care was completed
Helped clients develop new coping mechanisms and techniques to drive behavior modification.
Determined and coordinated appropriate level of care to meet individual patient needs
Updated and maintained discharge plan of care with physician, members of healthcare team, patients, and families
Incorporated appropriate nursing methods to create individualized care plans
Collaborated with physicians during medical rounds, updated treatment plans and provided plan of care to patients and families
Advocated for patients by identifying insurance coverage, communicating care preferences to practitioners, and verifying interventions met patients' treatment goals
Coordinated home care, home infusion and durable medical equipment as appropriate
Sr. Service Coordinator
United Healthcare
05.2014 - 05.2021
Administered case management for members with comorbidities and rare diseases on state Medicaid plan
Served as Team Lead and Subject Matter Expert for team of service coordinators
Facilitated delivery of products and services including DME, in home caregivers, ADA home and vehicle modifications, community services, medical transportation, and dental treatments
Evaluated members by performing assessments in person, telephonically, and via telehealth
Developed and implemented member centric Care Plans
Participated in interdisciplinary teams as appropriate
Assisted team members and managers with tasks to maintain productivity and meet time frames
Continuously anticipated member's needs and provided education to member's, caregivers, and families on conditions, treatments, medications, and possible outcomes
Provided guidance navigating healthcare system and accessing medical care and Rx benefits to members and caregivers
RN Supervisor
Heights Home Health
10.2011 - 05.2014
Conducted in-home and nursing facility visits to assess patients for appropriate levels of care
Implemented in-home services and timely deliveries of DME to allow patients to remain safely in their home environments
Hired, trained, guided, and managed staff to assure they were delivering in home services to meet patients needs
Submitted timely assessments to state regulatory agency to assure patients continued to receive appropriate care
Performed-in home visits to pre-fill medication planners and provided education on medications and possible adverse reactions
Registered Nurse
Heart of the Brazos
08.2007 - 10.2011
Completed comprehensive pre-op mental and physical assessments and
obtained surgical clearance from patients physicians
Implemented pre-op procedures such as IV and monitor placement
Engaged in continuous monitoring and documenting of patients while
under anesthesia
Administered general anesthesia per physician's orders
Assisted surgeon throughout sterile surgical procedures in outpatient
and hospital surgeries
Provided continuous PACU monitoring to ensure patient was ready for
discharge and reviewed discharge instructions with families
Labor & Delivery Nurse
Providence Hospital
01.2006 - 10.2009
Completed comprehensive physical and psychosocial admission and triage assessments on high-risk and low-risk pregnant women
Provided continuous bedside care, IV medication administration, traditional as well as alternative pain management interventions to laboring patients
Received newborns from delivering physicians and implemented newborn care and resuscitation measures as appropriate
Served as surgical assisting, circulating, and PACU nurse for Caesarean section patients