Melvis Kimbeng Tambi
North Oaks,USA
Summary
Experienced with patient care coordination and case management. Utilizes communication and organizational skills to ensure comprehensive care plans. Track record of patient advocacy and efficient resource utilization.
Overview
20
20
years of professional experience
1
1
Certification
Work History
RN Case Manager
BlueCross BlueShield MN
12.2020 - Current
- Receive referral and/or reach–out to members and leverage clinical knowledge, using motivational interviewing, and behavioral modification techniques.
- Conducts comprehensive clinical assessments; captures, analyzes, synthesizes, and prioritizes member needs and opportunities.
- Collaborates and communicates with member, family, or designated representative on a plan of care that produces positive clinical results and promotes high-quality effective outcomes.
- Identifies relevant BCBSMN and community resources and facilitates warm program and network referrals.
- Monitors and evaluates plan of care over time.
- Ensures member data is detailed according to BCBSMN application protocol and regulatory standards.
- Collaborates and coordinates with team members to facilitate day to day functions and improve the overall operation of the department.
- Engage providers telephonically in reviewing and understanding treatment plans, including alignment with benefits and medical reimbursement policies to facilitate optimal treatment plans, care coordination, and transition of care between settings.
Staff RN: 2L Intermittent staff RN
VA MEDICAL CENTER
03.2017 - 08.2021
- Patient population includes CABG, orthopedic, Urology, and various general surgeries.
- Participate daily in care team meetings regarding client care with physicians, social workers, case managers and charge nurse.
- Implement plan of care for new admits, evaluate and revise plan of care on a daily basis based on patient progress.
- Communicate between multiple departments to collaborate patient care. Provide education to patient and families.
Telehealth case manager
VA MEDICAL CENTER
10.2013 - 12.2016
- Provide nursing management for a panel of patients enrolled in the telehealth program for diabetes, COPD, heart failure, chronic kidney disease and hypertension.
- Provide follow-up care to patients by telephone, and televideo interactions, with transmissions from their homes.
- Set, evaluate, and update clinical care goals, short term, in collaboration with patients, providers, health care team members, and family members.
- Educate patients on medication management, disease processes and lifestyle management of chronic disease.
- Screen, implement, utilize, and monitor effectiveness of chronic disease management protocols/algorithms for Diabetes, Hypertension, congestive Heart Failure, Hyperlipidemia, and Depression.
- Work with of an interdisciplinary team consisting of MD’s, NP’s , and Psychologists, pharmacist, social workers and dietician.
- Create and update templates used in CPRS for telehealth
- Evaluate practice of self and others using professional standards relevant statutes and regulations, taking actions to improve performance
- Supervisor: Sara Otterness P: 612-467-3265
Staff RN: CLC Intermittent Float Pool
VA MEDICAL CENTER
08.2012 - 07.2013
- Perform multiple med/surg skills including, wound care management, drain care, interpretation of EKD, insertion and care of urinary drainage devices, ostomy care, and chest tube management.
- Implement plan of care for new admits, evaluate and revise plan of care based on patient progress.
- Communicate between multiple departments to collaborate patient care. Provide education to patient and families.
Staff RN: Trauma Specialty Care Unit
NORTH MEMORIAL MEDICAL CENTER
06.2009 - 05.2013
- Patient population cared for includes multi-trauma, abdominal trauma, gunshot wounds, traumatic brain injuries, spinal cord injuries, fractures, and amputations, reconstructive and plastic surgical.
- Communicate between multiple departments to collaborate patient care. Provide education to patient and families.
- Coordinate patient care to ensure timely discharge to rehabilitation facilities.
- Educated and mentored nursing students from various nursing schools. I have also served as a preceptor for new hires and float staff
Staff RN/ Unit Shift Coordinator: Women’s Care Unit
NORTH MEMORIAL MEDICAL CENTER
01.2006 - 06.2009
- Patient population includes medical/surgical and gynecological conditions.
- Unit shift coordinator duties included conducting staff performance reviews, charge nurse on all assigned shifts, resource to new employees and float nurses.
- Initiated and led a hand washing campaign to increase compliance, and improve patient safety.
- Managed projects related to clinical practice to improve evidence based practice.
- Introduce new nursing research to staff RNs regarding best practice measures.
- Review and update policies and procedures.
- Organize safe nurse to patient staffing ratio.
Education
Masters of Arts - Nursing Education
BETHEL UNIVERSITY
St Paul, Minnesota01.2011
Bachelors of Science - Nursing
MINNESOTA STATE UNIVERSITY
Mankato, Minnesota01.2005
Skills
- Certified case manager
- Chronic disease management
- Healthcare coordination expertise
- Chronic disease telehealth management
- Expertise in electronic health records management
Certification
- Registered Nurse License Minnesota, # R172486-4 , Active
- Certified Case manager (CCM) # 4262421 , Active
Affiliations
- Nursing Honors Society Chi-at-Large Chapter
- Clinical Practice Women’s and children’s department 2007-2008
- Champion of Hand hygiene initiatives 2008
Timeline
RN Case Manager
BlueCross BlueShield MN
12.2020 - Current
Staff RN: 2L Intermittent staff RN
VA MEDICAL CENTER
03.2017 - 08.2021
Telehealth case manager
VA MEDICAL CENTER
10.2013 - 12.2016
Staff RN: CLC Intermittent Float Pool
VA MEDICAL CENTER
08.2012 - 07.2013
Staff RN: Trauma Specialty Care Unit
NORTH MEMORIAL MEDICAL CENTER
06.2009 - 05.2013
Staff RN/ Unit Shift Coordinator: Women’s Care Unit
NORTH MEMORIAL MEDICAL CENTER
01.2006 - 06.2009
Bachelors of Science - Nursing
MINNESOTA STATE UNIVERSITY
Masters of Arts - Nursing Education
BETHEL UNIVERSITY
Similar Profiles
Dana LandmanDana Landman
BlueCross BlueShield Behavioral Health Case Manager at BlueCross BlueShield of MNBlueCross BlueShield Behavioral Health Case Manager at BlueCross BlueShield of MN
JAMIE WILSONJAMIE WILSON
Benefit Files Analyst II (BlueChoice Operations) at BlueCross BlueShield of SCBenefit Files Analyst II (BlueChoice Operations) at BlueCross BlueShield of SC
Lacie PennyLacie Penny
Senior Medical Reviewer at BlueCross BlueShield of SCSenior Medical Reviewer at BlueCross BlueShield of SC
Julia Kate GraneJulia Kate Grane
Singer-Songwriter at Independent ArtistSinger-Songwriter at Independent Artist
ANZHELA HOVHANNISYANANZHELA HOVHANNISYAN
Manager at Royal TintManager at Royal Tint