Summary
Overview
Work History
Education
Skills
Certification
Affiliations
Timeline
Generic

Lola Russell

Boynton Beach

Summary

Highly trained healthcare professional with 29+ years of experience. Skilled practitioner in patient care, developing, and implementing plan of care, educating family on procedures, and monitoring outcomes, instructing, and supervising HHA/ CNA.

Overview

11
11
years of professional experience
1
1
Certification

Work History

Transitional Case Manager

MorseLife Health System
03.2023 - Current
  • Follow up daily communicating with hospital CM on MorseLife hospitalized patients, obtain detailed clinical status, & records, communicate to MorseLife clinical team at the end of each day. Communicate with hospital interdisciplinary team. Identify barriers to discharge, collaborate with CM to resolve issues & expedite discharge. Provide network choices & authorization as appropriate.

Case Manager

HCA, JFK Medical Center
11.2020 - 01.2023
  • Collaborates with the patient, family, physician, interdisciplinary team, and payer representative to assess, plan, implement, coordinate, monitor and evaluate options and services to promote optimal patient outcomes. Refer Patient/family to community resources, care coordination and facilitation of patient progression.

Home Care RN (Per Diem)

Pinnacle HC
10.2019 - 01.2022
  • Perform face-to-face assessment of patient in their homes; perform wound care, & IV infusion. Reconcile medication, collaborate with Primary care Physician regarding changes, instruct as need. Develop care plan, and administer appropriate services, serve as on-call supervisor as need.

Case Manager

Bethesda Hospital/Baptist Health FL
02.2019 - 01.2020
  • Perform comprehensive discharge planning duties; collaborates with the patient, family, physician, interdisciplinary team, and payer representative to assess, plan, implement, coordinate, monitor and evaluate options and services to promote optimal patient outcomes. Refer Patient/family to community resources, care coordination and facilitation of patient progression. Educate patient/family/significant other regarding post acute care including managed care implications, implement discharge plans according to patient/family choice.

Care Manager/Utilization Manager

ArchCare Community Life
09.2017 - 02.2019
  • Maintain telephonic communication with members and caregivers to ensure smooth delivery of care. Collaborate with interdisciplinary team to ensure appropriate care; educate patient and caregivers/family regarding disease processes, health management, and refer to community resources as need. Facilitates communication between payers, review agencies and healthcare team, Identify delays in treatment or inappropriate utilization and serves as a resource, Coordinates communication with physicians, Identify opportunities for expedited appeals and collaborates resolve payer issues and ensures, maintains effective communication with Revenue Cycle Departments. Collection, and analyzing of variances and solutions in POC, use concurrent, and or retrospective data to drive plan & member’s changes positively impacting outcome.

CARE MANAGER

Village Care Max-Managed Long Term Care
03.2014 - 01.2017
  • Assessed patient treatment needs and recommended appropriate interventions to multidisciplinary care team. Delivered care and services to maximize activities of daily living; work with primary care practitioners to implement specific disease management protocols; coordinated discharge planning and transition from hospital to home care, educate members on health and safety issues.

Education

Bachelor of Science - Nursing

Chamberlain College of Nursing
Downers Grove, IL

Associates in Nursing - undefined

Borough of Manhattan Community College/City University of New York

Skills

  • OASIS documentation
  • UAS evaluation tool
  • Experienced in document creation using Microsoft Word
  • Proficient in Microsoft Outlook
  • Experienced with WordPerfect 61 software
  • Suncoast operations
  • Canopy management
  • Experience with Allscripts
  • Experience with Adobe software
  • Experience with Mediture systems
  • Experience with KanTime software

Certification

  • New York State Nursing License Florida State
  • Nursing License PRI/Screen Certification
  • BLS Certification

Affiliations

  • American Nurses Association
  • Florida Nurses Association

Timeline

Transitional Case Manager

MorseLife Health System
03.2023 - Current

Case Manager

HCA, JFK Medical Center
11.2020 - 01.2023

Home Care RN (Per Diem)

Pinnacle HC
10.2019 - 01.2022

Case Manager

Bethesda Hospital/Baptist Health FL
02.2019 - 01.2020

Care Manager/Utilization Manager

ArchCare Community Life
09.2017 - 02.2019

CARE MANAGER

Village Care Max-Managed Long Term Care
03.2014 - 01.2017

Associates in Nursing - undefined

Borough of Manhattan Community College/City University of New York

Bachelor of Science - Nursing

Chamberlain College of Nursing
Lola Russell