Margaret R King
Carlsbad,NM
Summary
Dynamic and dedicated RN with extensive experience at Molina Healthcare of New Mexico, excelling in care coordination and client advocacy. Proven ability to develop personalized care plans and engage in interdisciplinary collaboration. Skilled in Microsoft Office and committed to enhancing patient outcomes through effective communication and quality assurance initiatives.
Overview
43
43
years of professional experience
1
1
Certification
Work History
Case Manager (RN) - REMOTE
Molina Healthcare of New Mexico
Albuquerque, NM
07.2015 - Current
- Assessment of assigned members with special attention to creation of personalized care plan incorporating meeting special needs for location of services related to their care, including, but not limited to assessment for long term support services, finding PCP or Specialist as needed; and community resources
- Participated in regular team meetings and in-house training sessions to boost group effectiveness.
- Advocated for clients by obtaining information regarding treatment options and clinical status.
- Advocated on behalf of clients to secure necessary services and support.
Care Review Clinician (RN)
Molina Healthcare of New Mexico
07.2015 - Current
- Work responsibilities include review of authorizations submitted by Primary Care Providers/Specialists/inpatient and outpatient facilities for services; attending ongoing training; participation in daily meetings
Quality Assurance Assistant
Lakeview Christian Home Health and Hospice
10.2013 - 06.2015
- Creation of 485 in accordance with Medicare/Medicaid guidelines for the assessment of assigned patients (for doctor's orders for home health care), as well as other responsibilities as assigned to ensure delivery of quality care.
Case Manager (RN)
Golden Services Home Health and Hospice
Carlsbad, NM
01.2010 - 10.2013
- Previous experience as Case Manager (RN) for home health and hospice
- Monitored client progress through regular follow-up contacts for assessment of clients' needs.
Various Roles
Hospital, Home Health Agencies, Dialysis untis
Chicago, IL
07.1982 - 06.2010
- Previous experience: Medical/Surgical Nursing, Intensive Care, Ambulatory Care, Hemodialysis/Peritoneal Dialysis, and Home Health at various agencies
- Maintained updated knowledge through continuing education and advanced training.
- Promoted high customer satisfaction by resolving problems with knowledgeable and friendly service.
Education
Bachelor of Science - Nursing
Elmhurst College (now Elmhurst University)
Elmhurst06-1985
Skills
- Microsoft Office Applications
- Care coordination (Clinical Care Advance)
- Microsoft Word
- Excel
- TEAMS
- HIPAA compliance
- Committe involvement - development of policies related to care of members; employee engagement committee
- Presentation of inservice for Diabetes
- Presentation of members at Interdisciplinary Care Team Rounds
Affiliations
- Certification Case Manager RN
- Rotary Club of Carlsbad, NM
- American Lung Association of Metropolitan Chicago, Volunteered as RN for Camp ACTION (Asthmatic Children Tuning in on Nature)
Certification
- Primary Licensure, Illinois, 07/01/82, present
- RN Licensure, New Mexico, 06/01/10, present
- RN Licensure, Texas, present
- RN Licensure, Wisconsin, lapsed
References
Available upon request
Volunteer Experience
- Girl Scout Leader, Community
- Bereavement committee volunteer, Church activities within community
- Former choir member, Community
- Former catechist for 5-6 year olds, Illinois, 1998
Awards
Who's Who in American Nursing
Accomplishments
- Maintenance of Certification for Case Management with Case Management Society of America
Languages
English
Professional
References
References available upon request.
Timeline
Case Manager (RN) - REMOTE
Molina Healthcare of New Mexico
07.2015 - Current
Care Review Clinician (RN)
Molina Healthcare of New Mexico
07.2015 - Current
Quality Assurance Assistant
Lakeview Christian Home Health and Hospice
10.2013 - 06.2015
Case Manager (RN)
Golden Services Home Health and Hospice
01.2010 - 10.2013
Various Roles
Hospital, Home Health Agencies, Dialysis untis
07.1982 - 06.2010
Bachelor of Science - Nursing
Elmhurst College (now Elmhurst University)
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