Linda Horton
nursing
Lugoff,SC
Summary
Accomplished RN Case Manager with a proven track record at Blue Cross and Blue Shield SC, specializing in chronic disease management and compassionate care. Leveraged a multidisciplinary approach to reduce hospital readmission rates and enhance patient outcomes through effective care coordination and critical thinking. Skilled in HIPAA compliance and community resource education, consistently achieving quality improvement in complex case management. Patient-oriented Nurse with 30 years of diverse experience in direct patient care, staff supervision and department operations. Skilled at multitasking and prioritizing patient needs and daily assignments. Offering expertise with Maternity specialty. Seasoned nursing professional offering proven clinical knowledge, natural interpersonal strengths and technical abilities. Knowledgeable about EMR charting, medication administration and interdisciplinary collaboration focused on optimizing patient care and support. Quality-focused and efficiency-driven leader. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals. Hardworking and passionate job seeker with strong organizational skills eager to secure entry-level doctor office position. Ready to help team achieve company goals. To seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills.
Overview
31
31
years of professional experience
Work History
RN Case Manager
Blue Cross and Blue Shield SC
03.1995 - 11.2010
- Provided emotional support to patients coping with chronic illness or end-of-life decisions, fostering resilience during difficult times.
- Managed complex cases involving multiple comorbidities, requiring close monitoring and coordination of various healthcare services.
- Collaborated closely with physicians to develop individualized treatment plans, supporting optimal patient outcomes.
- Educated patients and families on available community resources, facilitating access to necessary support services.
- Enhanced patient care by developing comprehensive care plans and coordinating with interdisciplinary healthcare teams.
- Reduced hospital readmission rates through effective case management and patient education on self-care techniques.
- Served as a key liaison between patients, families, and healthcare providers, fostering open communication and trust among all parties involved in the care process.
- Coordinated care conferences with interdisciplinary team members, ensuring all perspectives were considered in the development of comprehensive treatment plans.
- Promoted adherence to treatment plans by conducting regular follow-up visits and providing ongoing support to patients.
- Managed support services and fostered communication among social workers, therapists, hospital staff, and patients.
LPN Case Manager
Blue Cross and Blue Shield SC
04.1993 - 03.1995
- Promoted preventive health measures with extensive patient education on disease management and self-care techniques.
- Served as a liaison between patients, families, and healthcare providers to ensure clear communication and prevent potential misunderstandings.
- Participated in ongoing professional development opportunities to stay current on best practices within the field of nursing case management.
- Collaborated with insurance companies to secure authorization for necessary treatments or medications without compromising patient care.
- Improved patient outcomes by developing and implementing individualized care plans for each case.
- Mentored new hires within the department, sharing knowledge and experiences for their professional growth and success in the role of LPN Case Manager.
- Assisted physicians in determining optimal treatment plans based on thorough assessments of patients'' needs and conditions.
- Consistently met documentation requirements while maintaining confidentiality according to HIPAA regulations and organizational policies.
- Monitored quality indicators within the scope of practice to identify areas for improvement in patient care delivery processes.
- Managed complex cases involving multiple comorbidities, ensuring proper care coordination for improved health outcomes.
LPN Admissions Nurse
Blue Cross Blue Sheild SC
06.1990 - 03.1992
- Utilized time management skills to prioritize tasks effectively, allowing for efficient completion of daily responsibilities.
- Maintained accurate documentation of all relevant clinical data, ensuring compliance with regulatory standards.
- Implemented infection control measures, ensuring a clean and safe environment for patients and staff.
- Assisted with admissions, appointments, transfers, and discharges.
- Managed patient care through closely monitoring respiration, blood pressure, and blood glucose levels.
- Adhered to treatment plan instructions when administering medications and treatments to patients.
- Improved patient outcomes by providing high-quality nursing care and closely monitoring vital signs.
LPN Office Nurse
Blue Cross Blue Sheild SC
07.1987 - 04.1990
- Improved patient experience by providing compassionate and attentive nursing services in a busy office setting.
- Assisted in maintaining a clean and organized office environment by performing housekeeping tasks such as disposing of biohazardous waste, sanitizing exam rooms, and restocking supplies as needed.
- Supported new employees during orientation periods by serving as a knowledgeable resource on office policies, procedures, documentation requirements.
- Coordinated referrals to specialists when necessary, ensuring seamless transitions of care for patients within the healthcare system.
- Served as a liaison between patients and healthcare providers, facilitating clear communication regarding treatment plans and expectations.
LPN Field Nurse
Kershaw County Mem Hospital
05.1980 - 08.1987
- Administered medications safely and effectively, preventing adverse reactions or complications.
- Maintained accurate documentation of patient assessments and treatments, ensuring compliance with regulatory standards.
- Educated patients and families on healthcare management strategies, promoting self-care and wellbeing.
- Dispensed and administered patients' medications following care plans and physician's orders.
- Delivered emotional support to patients facing challenging diagnoses or difficult treatments, fostering resilience during recovery processes.
- Coordinated with physicians to implement prescribed treatment plans, ensuring consistency in patient care delivery.
- Managed complex wound care for improved healing rates and reduced infection risk.
- Provided exceptional patient care by meeting physical, psychological, and overall care requirements to support daily living needs and independence.
- Improved patient outcomes by providing high-quality nursing care and timely interventions.
- Assessed patients by observing and recording vital signs, gathering specimens and reviewing lab test results.
- Completed thorough assessments to identify changes in patients'' condition, implementing appropriate interventions as needed.
Education
Associate of Science - RN Nursing
Regency School of Nursing NY
New York, NY02.1995
Skills
- Chronic Disease Management
- Discharge Planning
- HIPAA Compliance
- Multidisciplinary Approach
- Care Coordination
- Home care management
- Utilization review
- Case Evaluation
- Clinical assessment
- Community Resources
- Medication Management
- Quality Improvement
- Healthcare regulations
- Case Management
- Compassionate and Caring
- Critical Thinking
- Patient Health Information Access
- Case Conferences
- Case Management Activities
- Accurate Documentation
- Insurance Authorizations
- Multidisciplinary Collaboration
- Home Healthcare
- Medical Admissions
- Caregiver and Family Support
- Community Healthcare Programming
- Healthcare Program Planning
- Nursing Performance Assessment
- Healthcare Personnel Supervision
- Medical Supply Management
- Pulmonary Hypertension
- Alternative Treatments
- Treatment Recommendations
- Specialized Healthcare Referrals
- Manage Cases
- Clear Patient Communication
- Patient Care Assessment
- Treatment Plan Modification
Reading traveling and scrapbooking
I also worked for two different doctors offices as nurse, office manager, scheduler, and patient accounts over 5 years . Podiatrist Dr. Ianuzzi and Pediatric Associates Dr Joseph and Dr Kalutz...Had a short 6 month stent at a Providence Nursing home . Did all this on weekends .
I read all types of books, military deltas being my favorite. I have traveled extensively around the world and continue to do so..Scrapbooking and organizing are my love and have been doing this for 35 yrs
Additional Information
I love organizing, customer service,love talking with patients determining their needs, office work and am a team player.im not looking to do a nursing position at this time I am more looking for office work, receptionist,scheduler,billing,coding and other office positions. I learn fast, Im eager to work, healthy, ready to bring what I have into the office setting...and learn a thing or two from my coworkers. I'm eager to start as soon as possible
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Certification
- Licensed Practical Nurse, Registered Nurse 1981-1995
Accomplishments
- Documented and resolved [high risk maternity patients] which led to positive endings.
- Achieved [positive outcomes] through effectively helping with home monitoring.
- Documented and resolved complications which led to healthy deliveries
- Achieved good outcomes by completing good case management with accuracy and efficiency.
Timeline
RN Case Manager
Blue Cross and Blue Shield SC
03.1995 - 11.2010
LPN Case Manager
Blue Cross and Blue Shield SC
04.1993 - 03.1995
LPN Admissions Nurse
Blue Cross Blue Sheild SC
06.1990 - 03.1992
LPN Office Nurse
Blue Cross Blue Sheild SC
07.1987 - 04.1990
LPN Field Nurse
Kershaw County Mem Hospital
05.1980 - 08.1987
Associate of Science - RN Nursing
Regency School of Nursing NY
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