Michelle Mooney, RN CCM
Kenmore,NY
Summary
Compassionate Nurse Case Manager offering 15 years of healthcare experience working with patients and families to facilitate smooth transitions following discharge from medical facilities and self-management in the community. Committed to working collaboratively with health plan payers, inter-departmental leadership, and community partners to achieve the highest quality outcomes and patient satisfaction. Well-versed in developing individualized care plans that address medical conditions, mental health, and social determinant barriers. Committee and extra-curricular activities involve leadership development, clinical improvement, research, and teaching.
Overview
15
15
years of professional experience
1
1
Certification
Work History
Nurse Case Manager- Ambulatory Care
Erie County Medical Center Corporation, ECMCC
09.2017 - Current
- Manage multi-disciplinary care activities for a family health primary care clinic with 5,000 patients, most of whom meet AAFP risk stratification criteria of 4-6, are high utilizers, have multiple co-morbidities, and have poor social determinants of health.
- Use keen assessment, critical thinking, and creative problem-solving skills to identify potential risks or challenges that affect care, quality, over/underutilization of services, and avoidable hospital readmissions.
- Collaborate with multidisciplinary teams, community partners, and insurance payers to devise evidence-based, individualized care plans that improve patient health outcomes and self-management abilities.
- Advocate for patient needs, addressing concerns with stakeholders to ensure optimal care is received.
- Serve as a liaison between patients and various support services such as financial assistance programs, community resources, and mental health counseling to ensure holistic care is provided.
- Develop strong rapport with patients and their families by demonstrating empathy, active listening skills, and cultural sensitivity during interactions.
- Assist with population health and quality improvement initiatives (E.g., Patient Monitoring for Hypertension program, the Diabetes Protocol, and preventive health screenings.
- Effectively collects data and documents it in EMR for purposes of regulatory, organizational, and payer recording/reporting requirements.
- Contributes to the development of care management policies and protocols based on knowledge of industry best practices (Eg., Transition of Care procedures for PCMH Manual)
- Patient/caregiver education includes disease management, medication treatment adherence, psychosocial health, health maintenance strategies, and community resources.
- Clinical education includes precepting, mentoring, and providing in-service presentations to new ambulatory care nurses and care managers.
Adjunct Instructor
Trocaire College- Work Force Development
12.2022 - 06.2023
- Presented review material and concepts for RN and LPN students preparing to sit for NCLEX exam
- Created an 18-hour PN review course based on the new Next Generation test format.
Nurse Case Manager- Acute/Inpatient Care
ECMCC
12.2014 - 09.2017
- Coordinated care activities and transitions along the continuum for patients upon admission and concurrently through discharge in balance with clinical pathways, length of stay, and the patient's prognosis, needs, preferences, eligibility, and payment sources.
- Performed care management utilization using InterQual to determine payer certification at the appropriate provision of care.
- Gathered and recorded patient health information and data to assess, identify, and manage characteristics that affect care outcomes.
- Demonstrated flexibility and adaptability to move between various clinical environments (medical-surgical, critical care, medical rehabilitation, prisoner health, and outpatient surgical services (Float Case Manager)
- Managed caseloads efficiently, prioritizing high-risk cases while ensuring all patients received appropriate attention and support.
Clinical Resource Nurse (Nursing Education)
ECMCC
07.2013 - 12.2014
- Educated and coached medical-surgical nursing staff with focus on new/graduate nurses on off-shift
- Assessed learning needs and created educational presentations
- Co-developed Code Blue/Rapid Response interactive training module
- Promoted culture of safety through consistent adherence to infection control practices and regulatory standards.
- Contributed to policy development for improved nursing practice, ensuring alignment with current regulations and best-practice standards.
General Duty Nurse (RN)
ECMCC
05.2009 - 07.2013
- Promoted patient safety by conducting thorough assessments, identifying potential risks, and implementing appropriate interventions.
- Developed and modified patient care plans and assisted interdisciplinary team in identifying client needs and goals to determine priorities of care.
- Analyzed patient responses to medications, therapies, and variances in plans of care.
- Educated patients and caregivers on healthcare protocols, processes, and self-management of disease and health conditions
- Clinical practice areas included medical-surgical, telemetry, PACU, and Trauma ICU.
Education
Master of Science - Nursing Leadership And Management
Western Governors University
Salt Lake City, UT07-2025
Bachelor of Science - Nursing
Daemen University
Amherst, NY01-2013
Associate of Applied Science - Professional Registered Nurse
Niagara County Community College
Sanborn, NY05-2009
Skills
Nursing Principals and Practices
Care Coordination and Transition Management
Complex Care Planning
Population Health
Quality and Process Improvement/Patient Outcomes
Social Determinants/Health Equity
PCMH, NCQA, Value-based care
Clinical Instruction
Interdisciplinary Collaboration
Project Management
Community Relations
Leadership
Affiliations
- American Academy of Ambulatory Care Nursing (AAACN)
- Professional Nurses Association of WNY
Certification
- Certified Case Manager (CCM)
- Hospital and Community Patient Review Instrument (H/C-PRI) Assessor
- NYS DOH Screener Certification
- BLS and NYSDOH Infection Control Certifications
Awards
Nurse Hero of the Month, ECMCC, September 2021
Timeline
Adjunct Instructor
Trocaire College- Work Force Development
12.2022 - 06.2023
Nurse Case Manager- Ambulatory Care
Erie County Medical Center Corporation, ECMCC
09.2017 - Current
Nurse Case Manager- Acute/Inpatient Care
ECMCC
12.2014 - 09.2017
Clinical Resource Nurse (Nursing Education)
ECMCC
07.2013 - 12.2014
General Duty Nurse (RN)
ECMCC
05.2009 - 07.2013
- Certified Case Manager (CCM)
- Hospital and Community Patient Review Instrument (H/C-PRI) Assessor
- NYS DOH Screener Certification
- BLS and NYSDOH Infection Control Certifications
Master of Science - Nursing Leadership And Management
Western Governors University
Bachelor of Science - Nursing
Daemen University
Associate of Applied Science - Professional Registered Nurse
Niagara County Community College
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