Mary Podunavac
LOGAN
Summary
Dynamic RN Case Manager with expertise in Medicaid with use of InterQual, adept at care coordination and clinical assessment. Proven track record in reducing hospital readmissions through effective treatment plans and empathetic patient support. Strong clinical judgment and problem-solving abilities drive optimal patient outcomes and enhance satisfaction in complex healthcare environments. Experienced with telephonic nurse case management, ensuring effective coordination and patient care. Utilizes strong communication and organizational skills to facilitate treatment plans and patient recovery. Track record of problem-solving and adapting to dynamic healthcare needs, ensuring quality outcomes.
Overview
12
12
years of professional experience
Work History
Telephonic Nurse Case Manager
Acentra Health
06.2022 - Current
- Maintained meticulous documentation of case management activities, facilitating accurate billing and compliance with regulatory requirements.
- Screened medical records and information for necessity and appropriateness and referred for physician review cases not meeting medical criteria.
- Facilitated effective communication among healthcare providers to enhance patient care coordination.
- Provided empathetic emotional support for patients facing challenging health concerns, fostering trust and open communication.
- Ensured HIPAA compliance by maintaining strict confidentiality when discussing sensitive patient information over the phone or via electronic correspondence.
- Participated in ongoing professional development opportunities to stay current on best practices within the field of nurse case management.
- Supported patients in developing effective coping strategies for managing the emotional impact of living with a chronic illness, promoting resilience and psychological wellbeing.
- Managed caseloads efficiently while prioritizing urgent cases requiring immediate intervention.
- Conducted thorough follow-up calls to assess the effectiveness of treatment plans, making adjustments as needed for optimal results.
- Provided resources and referrals for patients seeking additional support services, such as mental health counseling or nutrition counseling.
RN Case Manager
Logan Regional Medical Center
10.2015 - 06.2022
- Provided emotional support to patients coping with chronic illness or end-of-life decisions, fostering resilience during difficult times.
- Managed complex cases involving multiple comorbidities, requiring close monitoring and coordination of various healthcare services.
- Collaborated closely with physicians to develop individualized treatment plans, supporting optimal patient outcomes.
- Educated patients and families on available community resources, facilitating access to necessary support services.
- Reduced hospital readmission rates through effective case management and patient education on self-care techniques.
- Served as a key liaison between patients, families, and healthcare providers, fostering open communication and trust among all parties involved in the care process.
- Coordinated care conferences with interdisciplinary team members, ensuring all perspectives were considered in the development of comprehensive treatment plans.
- Promoted adherence to treatment plans by conducting regular follow-up calls and providing ongoing support to patients.
- Managed support services and fostered communication among social workers, therapists, hospital staff, and patients.
- Improved patient satisfaction scores by providing timely follow-ups and addressing concerns promptly.
- Streamlined discharge planning processes, ensuring a smoother transition for patients back to their homes or other facilities.
Medical Surgical Registered Nurse
Logan Regional Medical Center
06.2013 - 10.2015
- Promoted a safe environment for patients by adhering to infection control protocols, fall prevention strategies, and other safety measures.
- Prevented complications for post-operative patients through careful monitoring, early detection of issues, and prompt intervention when needed.
- Managed caseload of Number patients simultaneously by providing bedside care, treatments, IV therapy, and wound care.
- Assessed patient conditions accurately by conducting comprehensive physical assessments, interpreting diagnostic tests, and utilizing critical thinking skills.
- Assisted with wound care, dressing changes and NG tube placement to maintain stable patient conditions.
- Educated patients on self-care techniques such as wound management, medication administration, and lifestyle modifications to promote long-term wellness.
- Provided inpatient care to diverse population of adult medical and surgical patients.
- Educated patients and families on disease diagnosis, prognosis and post-operative care.
- Administered blood products and monitored vital signs to address immediate concerns.
- Effectively managed time and prioritized tasks to ensure timely administration of medications, treatments, and procedures.
- Improved patient satisfaction scores by consistently providing compassionate, empathetic, and culturally sensitive care.
- Provided emotional support for patients facing serious diagnoses or end-of-life decisions, fostering trusting relationships with both patients and their families.
- Participated in staff meetings, educational opportunities, and quality improvement initiatives to stay current on best practices within the field of medical-surgical nursing.
- Educated patients and families on medical-surgical procedures, therapeutic regimens, and pain management techniques.
- Monitored patients before, during and after surgical operations to evaluate patient care.
- Monitored and managed pain levels of post-surgical patients to reduce unnecessary opiate usage.
- Contributed to a positive work culture by serving as a mentor for new nurses and participating in shared governance initiatives within the organization.
- Administered IV medications, monitoring and documenting patient responses to address complications.
- Facilitated efficient discharge planning with case managers, social workers, therapists, physicians, and other healthcare professionals involved in the treatment plan.
Education
Associate Degree In Nursing - Nursing
Southern West Virginia Community And Technical Col
Mt.Gay WV05.2013
BBA - Accounting
Marshall University
Huntington, WV05.2001
Skills
- Clinical judgment
- Healthcare systems navigation
- Clinical assessment
- Data entry
- Care coordination
- Quality improvement
- Client communications
- Ethical practice
- Report filing
- Self-management
- Case management
- Treatment plans
- Telephonic triage
- Teamwork and collaboration
- Problem-solving
- Time management
- Problem-solving abilities
- Multitasking
- Worker supervision
Timeline
Telephonic Nurse Case Manager
Acentra Health
06.2022 - Current
RN Case Manager
Logan Regional Medical Center
10.2015 - 06.2022
Medical Surgical Registered Nurse
Logan Regional Medical Center
06.2013 - 10.2015
Associate Degree In Nursing - Nursing
Southern West Virginia Community And Technical Col
BBA - Accounting
Marshall University
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