Seasoned Registered Nurse with a proven track record, adept in chronic disease management and patient education. Excelled in reducing ED visits by enhancing health literacy and care coordination. Skilled in team collaboration and adaptability, demonstrating significant improvements in patient outcomes and cost reductions.
Overview
17
17
years of professional experience
1
1
Certification
Work History
RN CARE MANAGER
SOMATUS
Dayton, OH
09.2021 - 10.2024
RN Care Manager of the high-priority member panel in the Dayton region.
Assisting the congestive heart failure member population to increase self- and health literacy, reaching a successful goal of reducing ED visits and avoidable hospital admissions by providing education, assessing medical and social barriers, and facilitating care coordination needs.
Support and Care Management responsibilities in the development and growth of Value-Based Care models.
Tracking data for care provided to document progress and outcomes for established goals.
Conduction of comprehensive in-home, telephonic, and telehealth care management, and transition of care assessments that include medical, behavioral, pharmaceutical, and social needs of patients with CKD-ESRD and chronic conditions.
Create and implement a care plan that will address identified needs, address barriers to care, and improve overall health and well-being.
Create and implement a care plan with a goal to minimize avoidable hospital readmissions, and increase cost reductions.
Provide ongoing reassessment and follow-up to improve patient outcomes and health literacy.
Care coordination with multiple interdisciplinary team members, including the nephrologist, primary care provider, and other care team specialists.
Use of motivational interviewing to educate, support, and motivate change.
Provided education on chronic conditions such as diabetes, hypertension, COPD, and heart failure to increase self-management skills among patients.
Monitored medication compliance through the assessment of adherence rates and medication reconciliation processes.
Facilitated communication between primary care physicians and specialists regarding referrals, test results, or other clinical issues impacting patient care plans.
RN COMPLEX CASE MANAGER II (REMOTE)
ANTHEM BLUE CROSS AND BLUE SHEILD
10.2023 - 02.2024
Managing federal employee members and their families with complex condition management.
Educate and empower members by increasing self-management skills.
Assist with locating services that involve social drivers of health.
Direct community resources, and assess referral needs.
Assess for understanding of condition management and health care options.
Collaborative care plans, with ongoing follow-up until health goals are met.
Experience with the dialer system.
Use of motivational interviewing to educate, support, and motivate change.
Identified discrepancies between orders and actual care delivered, and took corrective action when needed.
Provided education on chronic conditions such as diabetes, hypertension, COPD, and heart failure to increase self-management skills among patients.
Monitored medication compliance through the assessment of adherence rates and medication reconciliation processes.
Facilitated communication between primary care physicians and specialists regarding referrals, test results, or other clinical issues impacting patient care plans.
RN CARE MANAGER
OHIO'S HOSPICE OF DAYTON
Dayton, OH
09.2019 - 09.2021
Managed care in the home setting, providing symptom management and end of life care
Utilized effective interpersonal, writing and active listening skills to build and cultivate positive relationships with patients, caregivers and physicians
Updated and developed care plans to establish goals based on patients’ nursing needs
Collaborated with physicians/multidisciplinary team members to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions
Participated in weekly IDT meetings to coordinate care and assure plan of care to meet patients' care goals
Modified patient treatment plans as indicated by patients' responses and conditions
Delivered respectful, compassionate care to each patient and family member
Trained new staff members on proper coding and documentation techniques and requirements as well as protocol specific information
REGISTERED NURSE, INPATIENT TRAUMA
PREMIER HEALTH MIAMI VALLEY HOSPITAL
Dayton, Ohio
02.2019 - 09.2019
Develop, implement, and evaluate plans of care
Assess for observable changes, report appropriately and follow nursing protocol
Conferred with physicians to discuss diagnoses and devise well-coordinated treatment approaches
Maintained HIPAA compliance
Participated in nursing simulation activities, evidence-based practice project implementation and competency development
Experience in delivery of blood products, IV fluid and IV medications
Administered medications and treatments, monitoring patients for reactions and side effects
Oversaw patient admission and discharge processes to coordinate related paperwork
Evaluated patients, recognized and addressed complications and coordinated treatment with other members of the critical care team
Advocated for patients by supporting and respecting basic rights, values and beliefs
Adhered to infection control procedures to facilitate safe, clean patient environment
Protected patients' rights and dignity by delivering care without judgment or discrimination
Demonstrated ability to work independently as well as collaboratively within a team environment
Initiated resuscitative measures to reduce disability and death from acute circulatory and respiratory emergencies
Taught patients and significant others to manage illness or injury by explaining post-treatment home care needs
ADVANCED MEDICAL SUPPORT ASSISTANT
DEPARTMENT OF VETERAN AFFAIRS
02.2017 - 02.2019
Managed 50-100 Veteran callers per shift
Appointment verification, cancellations, and medication refill request when appropriate
Triage of calls based on urgency and needs
Explanation of procedures and upcoming appointment details to increase patient participation
Provided back up support for the Suicide Prevention Hotline
Provided active listening and support for Veterans in need
Served as an advocate for patients by ensuring that their needs were met in a timely manner
Facilitated referrals between departments to ensure continuity of care for patients
LMT/PHYSICAL THERAPY DEPARTMENT COORDINATOR
OHIO INSTITUTE FOR COMPREHENSIVE PAIN MANAGEMENT
Centerville, OH
03.2008 - 02.2017
Medical massage techniques are provided for symptom management of pain
Appointment scheduling for Physical Therapy department staff
Submission of letters of medical necessity when applicable
Tracking of pending authorizations to resolve discrepancies to avoid revenue loss
Resolving payer issues
Filling of Bureau of Workman's Compensation claims
Achieved departmental goals and objectives by instituting new processes and standards for patient care
Exercised strong problem-solving abilities when faced with challenging situations or difficult customers
Managed a busy schedule while providing high quality customer service in a professional manner
Collaborated effectively with physical therapists and chiropractors to develop comprehensive treatment plans for patients
Education
ASSOCIATES OF APPLIED SCIENCE - REGISTERED NURSING
CLARK STATE COMMUNITY COLLEGE
Springfield, OH
01.2019
Skills
Adaptability
Risk Management
Team Collaboration
Meticulous
Chronic Disease Management
Patient Education and Counseling
Nursing Plan Development and Modification
Care Coordination
Innovation
Diligence
Motivation
Empathy
Educator
Hospice and Palliative Care
Promotion of Health and Disease Prevention
Team Coordination
Time Management
Metrics Driven
EMR
Certification
Ohio Board of Nursing RN.458713
NLC Licensure
BLS American Heart Association
Awards
RN Daisy Award, Miami Valley Hospital 2019
Timeline
RN COMPLEX CASE MANAGER II (REMOTE)
ANTHEM BLUE CROSS AND BLUE SHEILD
10.2023 - 02.2024
RN CARE MANAGER
SOMATUS
09.2021 - 10.2024
RN CARE MANAGER
OHIO'S HOSPICE OF DAYTON
09.2019 - 09.2021
REGISTERED NURSE, INPATIENT TRAUMA
PREMIER HEALTH MIAMI VALLEY HOSPITAL
02.2019 - 09.2019
ADVANCED MEDICAL SUPPORT ASSISTANT
DEPARTMENT OF VETERAN AFFAIRS
02.2017 - 02.2019
LMT/PHYSICAL THERAPY DEPARTMENT COORDINATOR
OHIO INSTITUTE FOR COMPREHENSIVE PAIN MANAGEMENT
03.2008 - 02.2017
ASSOCIATES OF APPLIED SCIENCE - REGISTERED NURSING