Highly competent Registered Nurse Case Manager with a passion for coordinating quality care for patients. Offering 12 years of experience in acute and long-term care, leadership, and case management nursing roles. Exemplary interpersonal skills and commitment to helping clients receive efficient and effective care that is in line with company preferences and standards.
Overview
12
12
years of professional experience
1
1
Certification
Work History
Registered Nurse Care Manager
Baylor Scott & White Quality Alliance
Dallas, TX
03.2023 - Current
Assesses plans, implements, documents, coordinates, monitors, evaluates and updates the plan of care by partnering with all members of the health care team to provide evidenced based care.
Establishes patient care management plans, interventions, treatment goals and self-management goals.
Assesses the health care, educational and psychosocial needs of the patient and family.
Assists patients with self-management through education, visits and telephonic engagement; encourages and helps patient adherence to their care plans.
Researches, evaluates and recommends resources to meet medical and non-medical needs of patients and families. Partners, refers and communicates across all programs to ensure appropriate coordination of services.
Researches and takes an effective role in identifying problems and possible solutions in the coordination of care to resolve most appropriate setting.
Acts as liaison to hospital, long-term care, specialists and home health representatives.
Registered Nurse Care Manager
Baylor Scott & White Medical Center Centennial
Frisco, TX
04.2022 - 03.2023
Assessed plans, implemented, documented, coordinated, monitored, evaluated and updated the plan of care by collaborating with all members of the health care team to provide evidenced based care.
Established patient care management plans, interventions, treatment goals and self-management goals.
Assessed the health care, educational and psychosocial needs of the patient and family.
Assisted patients with self-management through education, visits, and telephonic engagement; encouraged and supported patient adherence to their care plans.
Researched, evaluated and recommended resources to meet medical and non-medical needs of patients and families.
Collaborated, referred, and communicated across all programs to ensure appropriate coordination of services.
Researched and took an active role in identifying problems and possible solutions in the coordination of care to determine most appropriate setting.
Acted as liaison to hospital, long-term care, specialists, and home health representatives.
Registered Nurse Case Manager
UnitedHealthcare
Richardson, TX
04.2019 - 04.2022
Made outbound calls to assess members' current health status
Identified gaps or barriers in treatment plans
Provided patient education to assist with self-management
Interacted with Medical Directors on challenging cases
Coordinated care and services for members as needed (home health, DME, community resources, etc.)
Educated members on disease processes and medications
Encouraged members to make healthy lifestyle changes
Utilized specific criteria to determine if patients were in the correct hospital setting
Made "welcome home" calls to ensure that discharged members received the necessary services and resources
Documented and tracked findings
Director of Nursing
Country Meadows Retirement Communities
Mechanicsburg, PA
12.2017 - 03.2019
Oversaw the facility with the goal of providing a safe, homelike environment where residents achieve and maintain their highest level of wellness and function
Utilized sound management and leadership principles to maintain motivated and stable staff
Managed residents’ health and wellness through regular monitoring and communication with the care team
Supervised all nurses, medication associates, and assistant director of nursing
Interviewed, hired, oriented, coached, counselled, and supported nurses, medication associates, and certified nursing assistants
Ensured adequate staffing based on state regulations, annual budgets, and clinical and program needs
Worked in close relationship with the Executive Director, marketers, program managers, and wellness team to assess residents’ needs and place them in the appropriate level of care
Trained and monitored the unlicensed medication associates
Protected resident and coworker safety by recognizing, reporting and taking immediate action to minimize risk of accident/injury
Observed for resident abuse/neglect and reported incidents according to state laws and company policy
Developed interventions that comply with company and pharmacy policies/procedures and state and federal agency rules and regulations
Participated in MAR reviews, monthly dashboard reports, quality and performance improvement initiatives, and updating resident care plans
Created clinical job descriptions, skills checklists, and training plans
Registered Nurse
Geisinger Holy Spirit Hospital
Camp Hill, PA
04.2014 - 12.2017
Assessed plans, organized, performed and evaluated nursing activities to meet the needs of the patient
Promoted adaptive responses of patient/family to achieve highest level of patient care, promoted safety, and maximized patient satisfaction
Coordinated patient care and exhibited compassionate care during patient-nurse interactions
Ensured the very best patient/family experience by optimizing all interactions
Fostered a positive work environment through mutual support and cooperation and adhered to all policies and standards
Participated in Charge Nurse role and as mentor to train new hires
Implemented EPIC electronic health record by acting as a “Super User” and being a member of the workgroup
Member of various groups throughout the organization, such as diabetic committee, mentor program for new hires and nurse interns, and Nursing Grand Rounds
“Floated” to other units within the facility based on staffing needs