Marion Robinson
RN
West Palm Beach,FL
Summary
Compassionate Nurse Case Manager offering over 40 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.
Skilled in creating and implementing processes to improve patient care and cultivate support teams.
Seasoned nursing professional offering proven clinical knowledge, natural interpersonal strengths and technical abilities. Knowledgeable about EMR charting, medication administration and interdisciplinary collaboration focused on optimizing patient care and support. Quality-focused and efficiency-driven leader.
Excellent reputation for resolving problems and improving customer satisfaction.
Overview
28
28
years of professional experience
1
1
Certification
Work History
Nurse Case Manager
Humana
Louisville, KY
12.2016 - 10.2020
- Educated patients and caregivers on healthcare protocols and processes.
- Developed and modified patient care plans and assisted interdisciplinary team in identifying client needs and goals to determine priorities of care.
- Managed support services and fostered communication among social workers, therapists, hospital staff and patients.
- Collaborated with healthcare leaders and physicians to support and offer resources in performance of duties to maintain high-quality and efficient patient care.
Utilization
Humana
Louisville, KY
12.2011 - 12.2016
- Evaluated medical guidelines and benefit coverage to determine appropriateness of services.
- Performed prior authorization review of services requiring notification.
- Performed admission reviews based for medical necessity based upon Millimen specification.
- Provided authorizations for various levels of care.
Admission RN
Blue Ridge Home Health Care
Morganton, NC
12.2003 - 12.2011
- Assessed new patients' care plans and administered prescribed medications and treatments.
- Displayed functional familiarity with Medicare, Medicaid and private insurance coverage protocols.
- Provided physicians and other medical personnel with patient assessment details and answered patient care-related questions.
- Coordinated patients' tests and treatments with other hospital departments.
Director of Case Management
Holy Cross
Columbus, OH
08.1992 - 12.2003
- Created care plans that addressed clinical and financial challenges, family requirements and facilitated patient quality of life.
- Leveraged case management tools and conflict management techniques to help interdisciplinary teams achieve optimal outcomes.
- Streamlined, standardized and implemented case management processes and techniques to maximize revenue cycle.
- Guided and supervised inpatient SNF programs through chart review for appropriate level of care to promote social work and case management principles.
Education
BSN - Nursing
Pace University
New York, NY08.1977
Associate Degree In Nursing - Nursing
Felician University
Lodi, NJ07.1973
Skills
- Patient Health Information Access
- Operational Standards
- Diet and Nutrition
- Medical Supply Management
- Patient and Caregiver Education
Accomplishments
- Supervised team of staff members.
- Achieved many awards by completing work considered above and beyond with accuracy and efficiency.
- Documented and resolved customer issues which led to happy customers.
- Collaborated with team of Doctors, Nurses, Social Workers, Medical Supply Staff, Pharmacy to create Quality Control and Utilization for members.
- Achieved very high reviews by completing reviews, patient care, documentation with accuracy and efficiency.
Certification
BLS
Timeline
Nurse Case Manager
Humana
12.2016 - 10.2020
Utilization
Humana
12.2011 - 12.2016
Admission RN
Blue Ridge Home Health Care
12.2003 - 12.2011
Director of Case Management
Holy Cross
08.1992 - 12.2003
BSN - Nursing
Pace University
Associate Degree In Nursing - Nursing
Felician University
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