Mary Stine
Ripley,WV
Summary
Accomplished Registered Nurse Case Manager with 30+ years of experience dedicated to quality care of diverse patients. Skillfully blend hands-on skills with advanced background in the case management process. Work effectively with all levels of healthcare providers, physicians and administrators to address patient needs.
Overview
31
31
years of professional experience
1
1
Certification
Work History
RN Case Manager
Charleston Area Medical Center
Charleston, WV
07.2019 - Current
- Effectively communicated with physicians regarding patient needs, performance, medications and changes.
- Completed initial assessments of patients and family to determine and address individual home care needs. ·
- Coordinated with interdisciplinary professionals to develop plans of care, administer tests and monitor patient status.
- Advocated for patients by communicating care preferences to practitioners, verifying interventions met treatment goals and identifying insurance coverage limitations.
- Responded promptly and professionally to patient questions and concerns.
- Participated in patient and family planning process, as well as provided instructions and addressed question and concerns.
- Liaised with physicians regarding patient needs, performance and changes.
RN Case Manager
HealthSmart Benefit Solutions
Charleston, WV
05.2013 - 07.2019
- Effectively communicated with physicians regarding patient needs, performance, medications and changes.
- Completed initial assessments of patients and family to determine and address individual home care needs. ·
- Advocated for patients by communicating care preferences to practitioners, verifying interventions met treatment goals and identifying insurance coverage limitations.
- Responded promptly and professionally to patient questions and concerns.
- Participated in patient and family planning process, as well as provided instructions and addressed question and concerns.
- Identified care needs of individual patients and coordinated responses based on physician advice, insurance limitations and procedural costs.
- Assessed and examined patients and documented history of current and previous conditions, diseases and injuries along with medications currently being taken.
- Created patient assessments and plans for individual home care needs.
- Examined patients and documented history of current and previous conditions, illnesses, injuries and current medications.
- Educated patients and loved ones about different treatment options and outside care approaches to reduce burden on hospital resources.
RN Case Manager
Highmark Blue Cross Blue Shield
Charleston, WV
11.2007 - 05.2013
- Effectively communicated with physicians regarding patient needs, performance, medications and changes.
- Completed initial assessments of patients and family to determine and address individual home care needs. ·
- Advocated for patients by communicating care preferences to practitioners, verifying interventions met treatment goals and identifying insurance coverage limitations.
- Responded promptly and professionally to patient questions and concerns.
- Evaluated healthcare needs, goals for treatment and available resources of each patient and connected to optimal providers and care.
- Identified care needs of individual patients and coordinated responses based on physician advice, insurance limitations and procedural costs.
- Assessed and examined patients and documented history of current and previous conditions, diseases and injuries along with medications currently being taken.
- Created patient assessments and plans for individual home care needs.
Circulating oR Nurse
Thomas Memorial Hospital
South Charleston, WV
05.2007 - 11.2007
- Maintained sterile surgical environment and secured confidential data to protect patients' health and privacy.
- Assisted families by answering questions, supplying general information and providing frequent updates on patient progress.
- Created warm, supportive atmosphere to keep patients feeling safe and comfortable immediately before and after surgery.
- Documented procedure plans, surgery notes and progress updates to facilitate communication among healthcare providers.
- Educated family members and caregivers on patient care instructions.
- Accurately documented treatment, medications and IVs administered, discharge instructions and follow-up care.
- Advocated for and strived to protect health, safety and rights of patient.
- Adhered to strict safety measures by carefully determining proper dosages before administering medications.
- Equipped patients with tools and knowledge needed for speedy and sustained recovery.
- Performed frequent checks on life support equipment and made necessary adjustments to preserve optimal patient conditions.
Utlization Review Nurse
West Virginia Medical Institute
Charleston, WV
09.2003 - 04.2007
- Evaluated medical guidelines and benefit coverage to determine appropriateness of services.
- Performed admission reviews based for medical necessity based upon insurance specification.
- Obtained authorizations from multiple insurance carriers for various levels of care.
- Supervised and maintained all utilization review documentation through Computer platform.
- Supported or performed clinical appeals for hospital stays or SNF stays.
- Submitted cases to the medical directors for review due to criteria failures and helped facilitate resolutions and approvals.
- Advocated for and strived to protect health, safety and rights of patient.
- Followed all personal and health data procedures to effectively comply with HIPAA laws and prevent information breaches.
- Participated in evidence-based practice project implementation, nursing competency development and nursing simulation activities.
Scrub Nurse
Charleston Area Medical Center-Women And Childrens
Charleston, WV
10.1994 - 09.2003
- Maintained up-to-date knowledge on emerging and updated surgical procedures to select correct instruments for specific surgeries.
- Provided direct support to surgical team during procedures by [Action].
- Observed surgeon's body language, movements and demeanor during operations to anticipate needs.
- Administered medications as prescribed and checked for contradictions or potential complications.
- Prepared OR by ensuring it met asepsis standards, as well as setting out, organizing and counting tools and equipment for each procedure.
- Educated family members and caregivers on patient care instructions.
- Evaluated patient histories, complaints and current symptoms.
- Followed all personal and health data procedures to effectively comply with HIPAA laws and prevent information breaches.
Cardiovascular ICU RN
Charleston Area Medical Center Memorial
Charleston, WV
05.1991 - 10.1994
- Coordinated with healthcare staff from various disciplines to devise, carry out and manage personalized care plans to benefit patient health and recovery.
- Assessed and managed various patient treatments for numerous patient diagnoses from sepsis to acute respiratory distress.
- Oversaw various aspects of telemetry by administering PA catheters and arterials, vasoactive drugs, titration, thrombolytic therapy, dysrhythmia interpretation and chest tubes.
- Evaluated patient histories, complaints and current symptoms.
- Conducted patient assessments, recorded vitals and analyzed records and charts to define care requirements.
- Trained and coached new employees on protocols and best practices to promote ideal patient outcomes.
- Guided and educated patients and caregivers on diagnoses, disease management, preventive measures, medication use and self-care to foster consistency in care administration.
- Provided targeted care and treatment to open heart surgery patients.
- Quickly learned new skills and applied them to daily tasks, improving efficiency and productivity.
- Carried out day-day-day duties accurately and efficiently.
- Worked flexible hours; night, weekend, and holiday shifts.
- Performed duties in accordance with applicable standards, policies and regulatory guidelines to promote safe working environment.
Education
Bachelor of Science - Nursing
West Virginia University
Morgantown, WV12.2022
Bachelor of Science - Nursing
University of Phoenix
Tempe, AZAssociate of Science - Nursing
West Virginia Institute of Technology
Montgomery WV05.1991
Skills
- Clear Patient Communication
- Immunizations and Vaccinations
- Medical Recordkeeping
- Hospice Education
- Compassionate and Caring
- Preventive Healthcare
- Disease Processes
- Patient Care Assessment
- Medication Side Effect Knowledge
- Pulmonary Conditions
Accomplishments
I have been a certified case manager ( CCMC) for 11 years.
Certification
- Certified Case Manager
Timeline
RN Case Manager
Charleston Area Medical Center
07.2019 - Current
RN Case Manager
HealthSmart Benefit Solutions
05.2013 - 07.2019
RN Case Manager
Highmark Blue Cross Blue Shield
11.2007 - 05.2013
Circulating oR Nurse
Thomas Memorial Hospital
05.2007 - 11.2007
Utlization Review Nurse
West Virginia Medical Institute
09.2003 - 04.2007
Scrub Nurse
Charleston Area Medical Center-Women And Childrens
10.1994 - 09.2003
Cardiovascular ICU RN
Charleston Area Medical Center Memorial
05.1991 - 10.1994
Bachelor of Science - Nursing
West Virginia University
Bachelor of Science - Nursing
University of Phoenix
Associate of Science - Nursing
West Virginia Institute of Technology
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