Michelle Giles
FLORENCE,MT
Summary
Driven RN Field Case Manager from Genex LLC with a proven track record in developing comprehensive patient care plans and achieving significant cost savings. Expert in clinical judgment and compassionate patient advocacy. Excelled in recruiting specialized physicians, enhancing patient education, and leading health promotion initiatives. Reduced emergency room budget by 35% at Roundup Memorial Healthcare, demonstrating exceptional leadership and healthcare billing acumen. To seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills.
Overview
29
29
years of professional experience
1
1
Certification
Work History
RN Field Case Manager
Genex LLC
11.2016 - Current
- Collaborated with interdisciplinary teams for comprehensive patient care plans, resulting in better health outcomes.
- Marketing to adjusters, attorneys and physcians
- Marketed as highly sought after registered nurse
- Recruitment of specialized physicians for multistate independent medical exams
- Cost savings analyis
- Managed extremely high case load
- Comprehensive Care planning
- Training of new hires
- Comprehenisive MotPatient Education
- Worked with diverse populations
- Motivational speaking to reduce time loss and facilitate injured workers timely return to work
- Address comorbid conditions
- Apply evidence based research and best practice for each diagnosis
- Comprehensive medication review and management
- Excellent communication skills
- Time management and organizational skills
Trauma Coordinator
Roundup Memorial Healthcare
07.2015 - 11.2016
- Supervised and managed daily activities of clinical team consisting of [Number] physicians, nurses, and support staff.
- Coordinated, monitored, assigned, and documented patient and clinical care activities.
- Implemented new policies and educated staff on changes.
- Developed and adjusted work schedules for staff.
- Worked with Montana Trauma Systems and obtained Trauma Designation within 6 months of position
- Chaired Trauma Commitee and included all parties within trauma system including EMS
- Assisited with policy for billing revenue for Trauma Activation
- Collaborated with higer lever receiving facilities to ensure safe transfers to higher level of care
Emergency Room Manager
Roundup Memorial Healthcare
07.2014 - 11.2016
- Delivered patient care through assessment to facilitate optimum patient care.
- Assigned patients to appropriate treatment area based upon observations, vital signs and brief history.
- Evaluated patients presented to emergency room upon arrival.
- Supervised RNs, PCAs and non-licensed nursing personnel.
- Created policies and procedure guidelines
- Worked with EMS systems for smooth tranistions of care
- Obtained Advanced EMT license to faciliate field to hospital transitions
- Organized Community Health Fair
- Reduced emergency room budget by 35%
- Worked closley with medical director to ensure patient saftey standards met
- Increased revenue and paitent satisfaction
- Interim Chief Nursing Officer
ICU Nurse
St. Vincent Healthcare - Billings Montana
07.2009 - 07.2015
- Delivered age-appropriate medical care for adult, adolescent, and geriatric ICU patients.
- Explained health care issues and ramifications to patients and families to promote informed medical care choices.
- Monitored patients' respiratory status and ventilator operation and made adjustments to promote stabilization.
- Observed patients' vital signs and administered physician-prescribed medications and treatments.
- Trained staff with implementation of EPIC electronic medical record
- Chaired Faith Based Nursing commitee and worked with hospital Chaplin
- Native American Cultural training
- Floated to ER for Trauma Activations
- Trained and mentored flight nurses
- Floated to pediatric ICU ( I was the only nurse credentialed to do so in the facility)
- Obtained CCRN certification
ICU Nurse
Fisher Titus Medical Center
12.2000 - 07.2009
- Delivered age-appropriate medical care for adult, adolescent, and geriatric ICU patients.
- Explained health care issues and ramifications to patients and families to promote informed medical care choices.
- Monitored patients' respiratory status and ventilator operation and made adjustments to promote stabilization.
- Observed patients' vital signs and administered physician-prescribed medications and treatments.
- Staff education and training
- Interim shift supervisor
- Assisted with implementation of electronic medical record
Home Health LPN
Fisher Titus Medical Center
09.1995 - 11.2000
- Administered different therapies and medications in line with physician orders and treatment plan.
- Determined and addresses individual home care needs by completing detailed assessments and reviewing documentation.
- Advised and coached patients progressing from hospitals, rehab facilities, and other medical organizations to at-home treatment settings.
- Worked with multidisciplinary team to carry out successful treatment plans for diverse acute and chronic conditions.
- Obtained ADN while working full time
Education
MSN Leadership And Healthcare Systems Management
Excelsior College
Albany, NYBachelor of Science - Nursing
Excelsior College
Albany, NY11.2000
Skills
- Clinical judgment
- Quality Improvement
- Health Promotion
- Compassion and Empathy
- Geriatric Care
- Pediatric Advanced Life Support
- Basic Life Support
- Community health
- Discharge Planning
- Case Management
- Chart updating
- ADL Assistance
- Emergency Response
- Wound Care
- Precepting
- Patient Management
- Vaccine administration
- Data Collection
- Medical assessment
- Healthcare billing
- Health screening
- Nursing staff leadership
- Critical Care
- Lab result interpretation
- Diabetes management
- Chronic Disease Management
- OSHA safety expert
- Insurance plan expert
- BAC screening/drug screen collection
- HIPAA Education
- Chest pain management
- Direct Patient Care
- Community advocate
- Emergency Procedures
- Patient education and counseling
- Medical office administration
- Medisoft
- Health and wellness expertise
- Call triaging
- Shared governance
- Home Health Care
- Coordinating referrals
- EMR Systems
- Treatment Planning
- Indirect Patient Care
- Emotional Intelligence
- Advanced Cardiac Life Support (ACLS) certification
- Patient Relations
- EMR / EHR
- Relationship Building
Certification
- PALS - Pediatric Advanced Life Support
- Certified Case Manager
Timeline
RN Field Case Manager
Genex LLC
11.2016 - Current
Trauma Coordinator
Roundup Memorial Healthcare
07.2015 - 11.2016
Emergency Room Manager
Roundup Memorial Healthcare
07.2014 - 11.2016
ICU Nurse
St. Vincent Healthcare - Billings Montana
07.2009 - 07.2015
ICU Nurse
Fisher Titus Medical Center
12.2000 - 07.2009
Home Health LPN
Fisher Titus Medical Center
09.1995 - 11.2000
MSN Leadership And Healthcare Systems Management
Excelsior College
Bachelor of Science - Nursing
Excelsior College