Summary
Overview
Work History
Education
Skills
Timeline
SalesAssociate

Linda Reagan

Cleveland,TN

Summary

To join a progressive leader in the medical industry and use my talents and abilities to enhance organizational growth and provide exceptional patient care. Compassionate Nurse Case Manager offering 37 years of experience working with patients and families to facilitate smooth transitions following discharge from medical facilities. Committed to working collaboratively with health plan, leadership, and department coordinators to achieve highest quality of patient satisfaction. Well-versed in developing individualized care plans and advocating patient welfare. Dedicated and compassionate Registered Nurse (RN) with progressive career history in direct patient care, triage and care coordination in fast-paced environment. Proven to remain calm under pressure and skillfully handle difficult patients and high-stress situations. Consistently developing strong relationships with patients and families through empathetic communication, respectful attitude and excellent customer service.

Overview

37
37
years of professional experience

Work History

RN Case Manager

Accent Home Health
02.2020 - Current
  • Managed support services and fostered communication among social workers, therapists, hospital staff, and patients.
  • Educated patients and caregivers on healthcare protocols and processes.
  • Analyzed patient responses to medications, therapies and variances in plans of care.
  • Developed and modified patient care plans and assisted interdisciplinary team in identifying client needs and goals to determine priorities of care.

Case Manager/ Clinical Supervisor

Tennova Home Health
03.2017 - 02.2020
  • Partnered with physicians, social workers, activity therapists, nutritionists, and case managers to develop and implement individualized care plans and documented patient interactions and interventions in electronic charting systems.
  • Identified care needs of individual patients and coordinated responses based on physician advice, insurance limitations, and procedural costs.
  • Provided evidence-based therapeutic interventions and crisis management to clients to lessen negative on physical, mental and emotional wellbeing.
  • Collaborated with an interdisciplinary team to determine timely delivery of services.

Senior Care

Humana
01.2015 - 03.2018
  • Case management of 30 clients; Implement and assess all home bound services, complete and evaluate comprehensive care plans, perform safety assessments, coordination of home and community based services
  • Clients include elderly and disabled
  • Communication and coordination required with primary physicians, area agency, Tenncare, and providers of services
  • Knowledge required of Medicaid, Tenncare, Medicare, VA regulations
  • Require strong computer and telephonic skills
  • Work from home office.

America Assistant Director of Nursing

Life Care Center of
01.2014 - 01.2015
  • Assisted the Director of Nursing in a 120 bed skilled facility with planning, organizing, directing and managing the clinical and administrative operations of the nursing department in accordance with patient needs, government regulations and internal policies ensuring the highest degree of quality care
  • Performed human resources responsibilities for the nursing department including interviewing and evaluating all levels of nursing staff
  • Trained newly hired staff and conducted inservices for caregivers and nurses
  • Evaluated individual performance of CNA's and Nurses
  • Performed direct patient care Assisted in decreasing falls, psychotropic medication use and other quality measures
  • Managed multiple programs including restorative, infection control, fall tracking and trending and assisted with admission process
  • Edan od Fiety 2

Visiting Staff Nurse

Family Home Health Care
01.2010 - 01.2014
  • Provided nursing care to individuals in a home setting
  • Maintained a caseload of 50 elderly and disabled patients with varied visit and treatment schedules.Required strong knowledge base of many areas of nursing, as well as performance skills such as IVs, wound care, respiratory care and diabetic care
  • Supervised CNA's and LPN's to evaluate competency and quality of care
  • Development if individualized plan of care
  • Performed duties of Clinical supervision for staff relief
  • Consulted with physicians, physical therapists, social workers, families and community workers regarding patient welfare and care needs
  • Proficient in Home Care Home Base and
  • OASIS documentation.

Visiting Staff Nurse

Home Care Solutions
01.2005 - 01.2010
  • Provided nursing care to individuals in a home setting
  • Required strong knowledge base of many areas of nursing, as well as performance skills such as IVs, wound care, respiratory care and diabetic care
  • Maintained a caseload of 45 elderly and disabled patients with varied visit and treatment schedules
  • Supervised CNA's and LPN's to evaluate competency and quality of care.Development if individualized plan of care
  • Consulted with physicians, physical therapists, social workers, families and community workers regarding patient welfare and care needs
  • Proficient in Home Care Home Base and OASIS documentation.

Diagnosis Outpatient Nurse Coordinator

Pine Ridge Behavioral Health
01.2004 - 01.2005
  • Coordinate the Dual-Diagnosis Partial Hospitalization and Intensive Outpatient utilization management
  • In charge of medication education for all patients
  • Responsible for taking off orders, visits and nursing documentation
  • Facilitated the mental health support group for the hospital
  • Participated in weekly treatment meetings with physicians, Nursing staff and social workers
  • Provided patients with discharge planning and community resources.

Director of Case Management

Cleveland Community Hospital
01.2003 - 01.2004
  • Development planning, coordinating and administration if Utilization Review, Discharge
  • Planning, Social Services and Resource Management
  • Daily review of medical records to determine appropriateness and medial necessity of admission, continued hospital stay and use of ancillary services
  • Staff supervision and program development.

Utilization Review Coordinator

Pine Ridge Behavioral Health Center
01.2002 - 01.2003
  • Performed precertification and concurrent review of inpatient psychiatric hospital care
  • Appeals of all denied insurance claims Chart reviews for appropriateness of care
  • Attended treatment meetings.

Disability Case Manager

Unum Provident/Genex Services
01.2000 - 01.2002
  • Adjudication of short-term, long-term and worker's compensation claims for payment of benefits
  • Worked with Human Resource representatives to formulate return to work plans for employees and major corporations
  • Reviewed FMLA claims.

Visiting Staff Nurse

Home Health Care of East Tennessee
01.1997 - 01.2000
  • Provided nursing care to individuals in a home setting
  • Maintained a caseload of 50 elderly and disabled patients with varied visit and treatment schedules.Required strong knowledge base of many areas of nursing, as well as performance skills such as IVs, wound care, respiratory care and diabetic care
  • Supervised CNA's and LPN's to evaluate competency and quality of care
  • Development if individualized plan of care
  • Performed duties of Clinical supervision for staff relief
  • Consulted with physicians, physical therapists, social workers, families and community workers.

Home Health Nurse Coordinator

Columbia/Superior Home Care
01.1990 - 01.1997
  • Provided skilled nursing care to individuals in a home setting
  • Member of Wound Care Team
  • Performed LPN and CNA supervisory visits to evaluate competency and quality of care.

RN Med/Surg Charge Nurse

Bradley Memorial Hospital
01.1987 - 01.1990
  • Provided direct patient care to med/surg and oncology patients including administration andmonitoring of chemotherapy
  • Staff supervision
  • Development of plan of care based on the patient needs including nursing, physician and family interaction.

Education

Associate - Registered Nursing

Cleveland State Community College
1987

Skills

  • Healthcare Regulations
  • Medication Management
  • Chronic Disease Management
  • Care Coordination
  • Utilization Review
  • Clinical Assessment
  • Discharge Planning
  • Care Planning
  • Electronic Recordkeeping

Timeline

RN Case Manager

Accent Home Health
02.2020 - Current

Case Manager/ Clinical Supervisor

Tennova Home Health
03.2017 - 02.2020

Senior Care

Humana
01.2015 - 03.2018

America Assistant Director of Nursing

Life Care Center of
01.2014 - 01.2015

Visiting Staff Nurse

Family Home Health Care
01.2010 - 01.2014

Visiting Staff Nurse

Home Care Solutions
01.2005 - 01.2010

Diagnosis Outpatient Nurse Coordinator

Pine Ridge Behavioral Health
01.2004 - 01.2005

Director of Case Management

Cleveland Community Hospital
01.2003 - 01.2004

Utilization Review Coordinator

Pine Ridge Behavioral Health Center
01.2002 - 01.2003

Disability Case Manager

Unum Provident/Genex Services
01.2000 - 01.2002

Visiting Staff Nurse

Home Health Care of East Tennessee
01.1997 - 01.2000

Home Health Nurse Coordinator

Columbia/Superior Home Care
01.1990 - 01.1997

RN Med/Surg Charge Nurse

Bradley Memorial Hospital
01.1987 - 01.1990

Associate - Registered Nursing

Cleveland State Community College
Linda Reagan