Mark Star
Albuquerque,NM
Summary
Compassionate and Conscientious Registered Nurse Case Manager with strong experience advocating for social and economic well-being, support and assistance of individuals and families for in and outpatient environments.
Detail-oriented and dedicated team leader experienced in operating in high-pressure environments with a positive attitude.
Proactive and resourceful with extensive knowledge guiding diverse teams to efficiently achieve desired case outcomes and company goals.
Strong communication and management skills and committed to inspiring community service and creating a work environment that fosters culture.
Overview
16
16
years of professional experience
1
1
Certification
Work History
RN Discharge Case Manager
UNIVERSITY OF NEW MEXICO HOSPITAL
07.2022 - Current
- Coordinate all systems/services required for an organized, multidisciplinary, patient centered care team approach, and assure quality, cost-effective care for the identified patient population
- Manage the course of treatment of patients, coordinating care with physicians, nurses and other staff ensuring quality patient outcomes are achieved within established time frames and with efficient utilization of resources
- Conduct initial and ongoing assessments, initiate disease management protocols, determine and manage outcomes, ensure continuity of care through discharge planning, utilization of resources and analysis of variances
- Function as a contact person for patient, family, health care team members, community resources and employees as necessary
- Ensure adherence to Hospitals and departmental policies and procedures.
Travel Case Manager
MEMORIAL CARE MEDICAL CENTER
02.2021 - 12.2022
- Travel case manager focused on discharge planning, coordination of services, DME, and placement to promote best health outcomes in acute hospital care setting
- 20-30 cases per day.
RN Case Manager
PROVIDENCE HOSPITAL ST. JOHN
03.2022 - 05.2022
- Engage and facilitate patient care with regularly scheduled inter-disciplinary care team meetings from admission through discharge focusing goals that support patient safety in a cost effective manner to the appropriate level of care that prevent rehospitalization.
Covid Case Manager Supervisor
PAFFORD EMS
01.2022 - 03.2022
- Initiated post Covid patient’s mobile integrated health program community program reducing gaps in care
- Educated patients/caregivers to community based services that improved patient outcomes and prevented rehospitalization.
RN Case Manager Discharge Planner
OU MEDICINE
08.2020 - 01.2021
- Procure patient services utilizing cost efficient resources to coordinate discharge plan
- Closely monitors patient’s progress for changes in medical needs that could affect present and future medical treatment.
Population Case Manager
OKLAHOMA HEALTH CARE AUTHORITY
05.2019 - 08.2020
- Worked closely with high risk maternity and obstetrics patients providing educational information, introduced risk reduction care strategies, and ensured the availability of clinical resources throughout their pregnancy to assist in the overall well-being of mother and child
- Collected data from women who have tested positive for breast and cervical cancer to chart medical progress and assess changes in benefits eligibility.
Clinic Nurse
OU PHYSICIANS CARDIOVASCULAR INSTITUTE
02.2018 - 05.2019
- Collected medical data from patients and relayed pertinent health issues to physicians
- Served an integral role in making sure patient exams were safe and comfortable
- Crisis intervention.
Home Health Nurse
MY PRIVATE DUTY NURSE
01.2008 - 02.2018
- Performed medical evaluations and charted for doctors so clear pictures of health issues were accurately documented
- Worked closely with teams of physicians and family members to discuss care options and advocate for patients on the best courses of action to take to ensure a fluid transition of care.
Care Transition Coordinator
MOLINA HEALTHCARE INC.
06.2015 - 02.2016
- Oversaw the proper implementation of transitional plans for moving a patient from a medical facility to a home care setting
- Made sure that all necessary health accommodations were accounted for to minimize potential disruptions to vital health resources.
Case Management Specialist
CIGNA HEALTH CORPORATION
03.2011 - 04.2014
- Gathered sensitive medical information from patients to develop holistic care plans and devise treatment plans based on identified needs.
Nurse Supervisor
VISITING NURSE ASSOCIATION
02.2009 - 11.2010
- Worked with doctors to develop optimal treatment plans based on patient needs
- Created team schedules and assigned cases while managing upwards of 70 triage calls throughout six counties.
Education
Associate Degree in Nursing -
Tyler Junior College
Tyler, TX01.2001
Skills
- Quality Improvement
- Geriatric Care
- Patient Evaluation & Oversight
- Health Promotion
- Care Planning
- Research Utilization
- Patient and family advocacy
- Basic Life Support
- Strong Clinical judgment
- Compassion and Empathy
- Discharge Planning
Websites
Accomplishments
- Implementation - Assisted in implementation of new tracking system that resulted in improved patient care.
- Training - Trained team of staff nurses in medical office procedures to ensure consistent quality of care.
- Documentation - Ensured charting accuracy through precise documentation.
Personal Information
Title: Case Management Nurse
Certification
- Certified Case Manager
- Certified Health Care Coach 2014
- E-RYT 500
Timeline
RN Discharge Case Manager
UNIVERSITY OF NEW MEXICO HOSPITAL
07.2022 - Current
RN Case Manager
PROVIDENCE HOSPITAL ST. JOHN
03.2022 - 05.2022
Covid Case Manager Supervisor
PAFFORD EMS
01.2022 - 03.2022
Travel Case Manager
MEMORIAL CARE MEDICAL CENTER
02.2021 - 12.2022
RN Case Manager Discharge Planner
OU MEDICINE
08.2020 - 01.2021
Population Case Manager
OKLAHOMA HEALTH CARE AUTHORITY
05.2019 - 08.2020
Clinic Nurse
OU PHYSICIANS CARDIOVASCULAR INSTITUTE
02.2018 - 05.2019
Care Transition Coordinator
MOLINA HEALTHCARE INC.
06.2015 - 02.2016
Case Management Specialist
CIGNA HEALTH CORPORATION
03.2011 - 04.2014
Nurse Supervisor
VISITING NURSE ASSOCIATION
02.2009 - 11.2010
Home Health Nurse
MY PRIVATE DUTY NURSE
01.2008 - 02.2018
Associate Degree in Nursing -
Tyler Junior College