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