MICHELLE L. SCHISLER
Blue Cross and Blue Shield of Illinois
Roseville,IL
1
Certification
30
years of professional experience
Extensive background in the medical field with experience as a Certified Case Manager, Care Coordinator/Manager, Director of Nursing, RN, LPN, Registered Medical Assistant, Hospital Corpsman, and Orthopedic Technician. Proven Leader with strong organization skills with demonstrated initiative to effectively prioritize daily responsibilities. Commitment to providing outstanding comfort and care to all patients through attention to details, thoroughness, advocacy, collaboration, and clear communication.
Work History
Government Programs Care Manager III
5 Years 3 Months- LTC/SLF Gov’t waiver program Care Coordinator/ Care Manager for MLTSS, MMAI, BCCHP lines of business
- Claims reviewed for accurate billing, fraud, and cost effectiveness of member’s needs.
- Transition of Care assistance from inpatient to LTC, SLF, or home to ensure all current ADL and IADL assistance needs are met, PT/OT/ST needs are met for optimal functional status.
- Maintained 96 – 100% compliance with caseload average of 150+ members.
- Maintained contact with members and families per Medicaid and Medicare contractual guidelines to ensure needs and services are being provided/ fulfilled and to monitor for health, safety, and wellness concerns.
- Assessed, monitored, documented and reported progress of patient’s health and changes in condition using excellent verbal communication, required documentation, reports and established timelines.
- Provided education to members regarding disease processes and assist members in navigating the healthcare system, coordinated care with providers, arrange delivery of durable medical equipment, and care planning activities.
- Act as an advocate for members by communicating member needs to residential facilities and providers.
- Participated in the development of SMART goal guide for SLF and LTC Care Coordinator and updating guide periodically per company needs.
- Assisted in the development of a training program for contractual staff to complete initial and annual Health Risk Assessments.
- Trainer/ Preceptor of contractual and new hire staff in field visit etiquette for completion of initial and annual Health Risk Assessments, care plan development, care plan review, and Individual Service Plans; completion of telephonic plan of care reviews, critical incident interviewing, and coordination of care.
- Assisted in streamlining the NCQA Initial HRA Process and Documentation to meet NCQA guidelines, maintain efficiency, and attain/ maintain accreditation.
- Trainer/ Preceptor of staff in use of iPad for efficiency on field visits, use of MS excel, Word, Adobe Acrobat.
- Participated in special projects for process evaluation and improvement.
Director of Nursing
9 Months- Oversaw nursing staff and overall budget for 92-bed skilled nursing facility, supply ordering and inventory.
- Reviewed and revised department policies, protocols, and procedures to meet IDPH and Joint Commission standards.
- Ensured high-quality patient care by performing rounds to observe nursing staff performance.
- Communicated with patients and their families to gather feedback, provide education, and coordinate care.
- Developed and delivered training materials on infection control, medication administration, and other safety procedures to ensure compliance with department policies.
- Monitored documentation for accuracy.
- Maintained tracking for wounds, infections, vaccinations of staff and residents, and Tuberculosis screenings of staff and residents.
- Full Time
4 Years 7 Months
- PRN LPN November 2015- July 2017, FT RN July 2017- November 2017, PRN RN November 2017- June 2020
- Medication administration record reconciliation, dressing changes and wound care, immunizations, nurse screening/ sick call, transcribing orders, and noting/verifying charts, IV fluid and medication therapy, care planning, condition evaluation/assessment.
- Assessed, monitored, documented and reported progress of patient’s health and changes in condition using excellent verbal communication, required documentation, reports and established timelines.
Director of Nursing
3 Months- Oversaw nursing staff and overall budget for 92-bed skilled nursing facility, supply ordering and inventory.
- Reviewed and revised department policies, protocols, and procedures to meet IDPH and Joint Commission standards.
- Ensured high-quality patient care by performing rounds to observe nursing staff performance.
- Communicated with patients and their families to gather feedback, provide education, and coordinate care.
- Developed and delivered training materials on infection control, medication administration, and other safety procedures to ensure compliance with department policies.
- Monitored documentation for accuracy.
- Maintained tracking for wounds, infections, vaccinations of staff and residents, and Tuberculosis screenings of staff and residents.
- Full Time
Nurse Case Manager PRN
6 Months- Collaborated with the Interdisciplinary Team to coordinate, provide and maintain continuity of care.
- Assessed, monitored, documented and reported progress of patient’s health and changes in condition using excellent verbal communication, required documentation, reports and established timelines. OASIS-D tasks included, but not limited to SOC, ROC, Recertification, discharge planning, and Discharges. Visit tasks included Medi planner setup, Wound care, Care Planning, and condition assessments.
Nurse Case Manager Full Time
8 Months- Collaborated with the Interdisciplinary Team to coordinate, provide and maintain continuity of end of life care. Assessed, monitored, documented and reported progression of disease process and patient’s condition using verbal communication, required documentation, reports and established timelines. Visit tasks included Medi planner setup, Wound care, Care Planning, and condition assessments.
Medical Surgical RN Full Time
9 Months- Delivered superb, timely, effective, and compassionate patient care and assessed, monitored, documented and reported progress of patient’s health and changes in condition using excellent verbal communication, required documentation, reports and established timelines.
- Daily Shift tasks included, but not limited to medication reconciliation, medication administration, dressing changes and wound care, immunizations, obtaining and transcribing orders, IV insertion with fluid and medication therapy, care planning, condition evaluation/assessment, urinary management, oxygen perfusion therapy and management.
- Charge Nurse Duties Included, but not limited to patient data entry, transfer of information from ER/ICU department, patient room assignments, supervision of assigned nursing staff to ensure completion of daily shift assignments and orientation of new personnel.
LPN Part Time/PRN
2 Months- Medication administration, Diabetic Testing and management, Wound care, Condition monitoring, Physician communication, Referrals and Follow up Appointments.
- Assessed, monitored, documented and reported progress of patient’s health and changes in condition using excellent verbal communication, required documentation, reports and established timelines.
LPN Part Time/ PRN
2 Months- Medication administration, Diabetic Testing and management, Wound care, Condition monitoring, Physician communication, Referrals and Follow up Appointments.
- Assessed, monitored, documented and reported progress of patient’s health and changes in condition using excellent verbal communication, required documentation, reports and established timelines.
Medical Assistant Part Time
1 Year 9 Months- Administrative duties including registration, new patient entry and maintenance of chart, and billing.
- Obtained vital signs and subjective information, gave injections and immunizations as ordered by the provider, basic urine testing, rapid strep testing, cultures, and mono spot tests.
Medical Assistant Full Time
5 Years 7 Months- Performed preliminary screening in preparation for appointments with healthcare providers.
- Performed laboratory duties to include venipuncture, basic urine testing, and sedimentation rate.
- Scheduled referral appointments with specialty providers and performed prior authorizations for specialty testing including X-rays, mammograms, and other tests as requested.
- Performed compliance checklist duties including inventory expirations, supply orders, biohazard disposal, and equipment testing to ensure proper working order, inventoried, tracked, and logged vaccines for IL State Vaccines for Children Program
- Performed prior authorizations for medical appointments and testing.
Hospital Corpsman
7 Years- Education and Training Officer streamlined departmental education files to ensure all staff (32 Enlisted and 17 Officers) maintained proper education and training requirements to maintain operations within the department.
- In charge of updating departmental Standard Operating Procedure Manuals and Fire Safety Manuals to comply with JHACO standards, resulting in reorganization of all subspecialty Standard Operating Procedures to provide more efficiency in clinic operations and increased organization and time management.
- Updated Orientation Packets, this created an efficient learning process for newly assigned personnel.
- Petty Officer in charge of the Intensive Care Unit (ICU)/Post Anesthesia Care Unit (PACU) aboard ship while deployed during Operation Enduring Freedom.
- Ensured daily function, infection control, and scheduling were maintained.
- In charge of training personnel in ICU/PACU procedures, basic nursing skills, and sick call procedures.
- Educated both Navy based and Marine based Corpsman in splinting, casting, and ortho assessments and procedures to ensure proper care, thereby decreasing negative outcomes and increasing likelihood of patient’s return to function.
- Streamlined shipboard processes to ensure efficiency of operations, increase organization, and maximize time management of junior personnel.
- Educated subordinate personnel in and provided patient care, assisted in surgical procedures, provided IV therapy, performed EKG’s, phlebotomy, wound care, chest tube management, and post-op recovery management.
- Prepared and maintained clinic charts and x-rays for over 1000 patients per month within the department.
- Assisted in Main Operating Room, Minor Surgeries performed in the Minor Surgery Suite, and Prepared, set up, and assisted with intraarticular joint injections done within the clinic.
- Effectively streamlined and optimized Pre-Op and Post-Op care and education, creating a minimal to zero delay care gap which resulted in overall increased patient and provider satisfaction.
- Removal and application of casts and dressings, wound care, suture removals, and assisting in surgical cases. Taught patients the fundamentals of cane, crutch, and walker usage as well as simple safety and ambulation techniques.
- Effectively streamlined and optimized workflow, charting, and preparation for the Pediatrics and OBGYN Clinics, and NICU Department which resulted in overall increased patient and provider satisfaction, effective time management, and increased productivity.
- Collateral Duties included: Sterilization of instruments used within the Orthopedics Department, maintaining internal forms, Managing and issuing of keys used within the department.
- Completed clerical duties including answering telephone calls, making, cancelling, and rescheduling appointments as well as charting and filing.
- Applied heat and ice therapy, electro stimulation therapy, Iontophoresis, ultrasound therapy, and manual manipulation therapies.
- Performed sick call (acute care) duties to evaluate and treat minor illnesses of Naval Personnel.
- EMT-certified and provided EMT transports as well as responding to emergent situations.
- While assigned to the Admin Services Department, reviewed and wrote all command instructions in accordance with Naval Medical Instructions to ensure proper guidance for command personnel.
- Leadership/Management (E-4)
- Orthopedic Technician (E-4)
- Physical Therapy Technician (E-1 to E-3)
- General Duty Corpsman (E-1 to E-4)
Education
Bachelor of Science - Nursing
Associate Degree - Nursing
- Medic to LPN Program
- Undergraduate Studies
Skills
Case Management. Health Risk Assessments
Service Planning
Care Planning
Care planning
Case assessments
Clinical documentation
Service coordination
Medication reviews
Medical chart documentation
Patient education
Workflow coordination
Program management
Policy adherence
Quality improvement
Resource utilization
ADL support
Referral management
Technology proficiency
Care quality assessments
Discharge planning
Long-term care coordination
Care oversight
Care transitions
Healthcare
Client assessment
Outcome assessment
HIPAA guidelines
Critical thinking
Records management
Patient education and counseling
Patient advocacy
Patient care assessment
Multidisciplinary team collaboration
Training and mentoring
Medicare compliance
Performance metrics
Patient safety
Process improvement
Patient relations
Process implementation
Clinical quality program standards
Risk management
Utilization management
Accreditation coordination
Nursing operations management
Health information systems
Problem-solving
Case management
Time management
Case documentation
Organization and multitasking
Documentation and reporting
Relationship building
Decision-making
Positive attitude
Email and telephone etiquette
Care coordination
Documentation proficiency
Emotional awareness
MS office
Referral coordination
Interdisciplinary collaboration
Home visits and inspections
Patient assessment
Needs assessment
Intervention plans
Medical records management
Quality assurance controls
Chronic disease management
EMR / EHR
Stakeholder collaboration
Multitasking and organization
Clear communication
Team collaboration
HIPAA compliance
Verbal and written communication
Client relationship management
Ethical judgment
Risk assessment
Client empowerment
Vulnerable population awareness
Empathy and compassion
Written and verbal communication
Attention to detail
Multitasking Abilities
Teamwork and collaboration
Client needs assessments
Certification
Certified Case Manager Certificate # 4276106 Current Expires May 31, 2031, Registered Professional Nurse, IL LIC# 041.155689- Current, Expires May 2028, Registered Professional Nurse, IA LIC# 152728- Current, Expires September 2028, Certificate of Completion: Employability Skills Academy, Carl Sandburg College (May 2017), Workplace Ethics, Teamwork/Problem Solving, Communication, Listening, Business Etiquette, Presenting Yourself, Customer Service, Time Management, Resume/Interview/Digital Dirt, Licensed Practical Nurse, IL LIC# 043.120924- Expired Jan 2018, Medical Assistant, American Registry of Medical Assistants, Westfield MA. LIC# 164805- Expired, BLS, Current Expired 09/2021, Military Training for ACLS, PHTLS, BLS, and EMT, Pearl Harbor HI & San Diego CA- Expired, Hospital Corpsman “A” School, Great Lakes IL, USN Boot Camp, Great Lakes IL
ADDITIONAL WORK EXPERIENCE
- Bartender, The Silver Fox, Bushnell IL (2005—2009)
- Bartender, Crossroads Bar and Grill, St. Augustine, IL (2005—2009)
- Cashier, Taco Bell, Macomb IL (1995-1997)
Timeline
Government Programs Care Manager III
Blue Cross and Blue Shield of Illinois
07.2021 - CurrentRead More
Director of Nursing
Mercer Manor Rehabilitation
05.2020 - 02.2021Read More
Director of Nursing
Countryview Care Center
12.2019 - 03.2020Read More
Nurse Case Manager PRN
Cottage Home Health
04.2019 - 10.2019Read More
Nurse Case Manager Full Time
Beacon of Hope Hospice
08.2018 - 04.2019Read More
Medical Surgical RN Full Time
Galesburg Cottage Hospital
11.2017 - 08.2018Read More
Henry Hill Correctional Center
11.2015 - 06.2020Read More
LPN Part Time/PRN
Prairie City Rehab and Healthcare
09.2015 - 11.2015Read More
LPN Part Time/ PRN
Country View Care Center
07.2015 - 09.2015Read More
Medical Assistant Part Time
MDH Convenient Care
03.2013 - 12.2014Read More
Medical Assistant Full Time
Bushnell Family Practice
05.2009 - 12.2014Read More
Hospital Corpsman
United States Navy
01.1997 - 01.2004Read More
Carl Sandburg College
from Undergraduate Studies
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Carl Sandburg College
from Medic to LPN Program
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Carl Sandburg College
Associate Degree from Nursing
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Western Governors University
Bachelor of Science from Nursing
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