Compassionate Registered Nurse with experience offering comprehensive patient care. Works well with diverse patient populations and fosters trusting relationships to improve outcomes. Efficiently coordinate with healthcare professionals to advance patient care.
Overview
22
22
years of professional experience
Work History
Case Manager
Centene Corporation-Ambetter Health Insurance
01.2024 - Current
Conducted thorough assessments of patients, identifying issues, goals, and necessary interventions.
Maintained accurate documentation on all cases, ensuring compliance with regulations and confidentiality requirements.
Coordinated care plans to address diverse needs of patients. Adult/Pediatric/Physical/Behavioral Health.
Coordinated with healthcare providers to ensure patients had access to necessary medical services, enhancing their overall well-being. Prior Authorization and Appeals assistance.
Chemotherapy Infusion Nurse
Shannon Medical Center-Outpatient Clinic
04.2018 - 10.2023
Administer chemotherapy treatments while monitoring patient vital signs and responses. ONCC Certified.
Educate patients on treatment plans, side effects, and self-care techniques.
Maintain accurate medical records and documentation in compliance with healthcare regulations.
Developed trusting relationships with patients over the course of their treatment journey, providing emotional support throughout the process.
Developed system to assist in orders being prepared prior to infusion appointment for timeliness.
Nurse Utilization Manager-Tricare
Sterling Medical Corporation
11.2017 - 04.2018
Led utilization review processes to ensure compliance with healthcare regulations and standards.
Collaborated with interdisciplinary teams for optimized patient treatment plans and outcomes.
Covered PCP Clinic nurses as needed. 6 month contract position.
Clinic Nurse Manager, Transitional Care Coord.
Shannon Clinic
09.2014 - 11.2017
Oversaw daily operations of clinical and office staff to ensure optimal patient care delivery.
Promoted a positive work environment by fostering teamwork, open communication, and mutual respect among staff members.
Oversaw the hiring process for new employees, selecting candidates who aligned with the practice''s mission and values.
Case management of high-risk patients in the outpatient setting to prevent inpatient readmissions.
Improved No Show Hospital Follow up Office Visit rate from 75% to 15%.
Developed and implemented comprehensive training materials for Transitional Care Mngt guidelines and readmission prevention to improve patients health.
DRG/Clinical Validation Auditor RN
Performant Financial Corp.
08.2011 - 08.2014
Conducted comprehensive Medicare and Medicaid audits ensuring compliance with regulatory standards and internal policies.
Provided detailed documentation on audit findings, facilitating swift corrective action when necessary.
Streamlined audit documentation, ensuring accurate and accessible audit trails.
Home Health RN Case Manager
Intrepid USA Home Health
02.2007 - 08.2011
Coordinated comprehensive patient assessments and care plans for diverse home health clients.
Educated patients and families on disease management, medication adherence, and home safety practices.
Monitored patient progress, adjusting care plans based on clinical evaluations and feedback.
Expedited wound healing using advanced wound care techniques such as negative pressure therapy or hydrocolloid dressings when appropriate.
Charge RN-OB/GYN-Womens Health Floor
San Angelo Community Medical Center
05.2004 - 07.2007
Supervised nursing staff to ensure optimal patient care and adherence to clinical protocols.
Conducted training sessions for new nurses on best practices and hospital policies.
Skillfully performed various clinical procedures such as IV insertion, wound dressing changes, catheterizations; ensuring optimal comfort levels for patients during these processes.