Personable and proficient Registered Nurse Case Manager with expertise in case research and healthcare regulations. Offering years of experience in practitioner and patient support, from Emergency medicine, Critical care to Case management. Dedicated in offering proven skills and patient education for full patient remote care. Detail-oriented, responsive, and proficient in routine care and emergency response. Exemplary communication skills and advocacy ability.
Overview
9
9
years of professional experience
1
1
Certification
Work History
Registered Nurse Case Manager (Remote)
Humana
500 W Main St
04.2020 - Current
Reduce Emergency and Hospitalization costs over all by 9% annually by curtailing medically unnecessary admissions, length of stay, and readmission.
Plan for successful discharge of patients with complex, chronic illnesses as well as hospice and cancer care.
Coordinate care between physicians, surgeons, rehab facilities, hospice, long-term care facilities, as well as family members, to ensure proper care and treatment upon discharge..
Managed a roster with over 500 patients in each quarter for Medicare compliance, to ensure CMS guidelines for proper reimbursement.
Utilized local resources to connect vulnerable patients with additional care
Identified health risk factors, to anticipate obstacles in care
Utilized, CGX, EPIC, HCAT charting systems.
Registered Nurse Case Manager
Aetna
Knottsville
12.2018 - 04.2020
Coordinated patient care plans with interdisciplinary teams to meet all CMS guidelines for all Medicare patients.
Assessed patient needs and developed personalized treatment strategies
Provided education and counseling on health promotion, risk reduction strategies, disease prevention and self-care techniques to patients and their families.
Assessed, planned, implemented and evaluated individualized nursing care plans for each patient.
Evaluated effectiveness of treatments provided by consulting specialists or other providers involved in a patient's care plan.
Emergency Room Registered Nurse/Charge
St Vincents Medical Center
Middleburg
05.2016 - 10.2019
Participated in training new staff on emergency room protocols and procedures for Emergency operation.
Managed emergency equipment and maintained sterile environment standards.
Collaborated with multidisciplinary teams to ensure optimal patient outcomes.
Maintained a comprehensive base of unit supplies and adequate staffing to meet expected patient demands, public health emergencies, and mass casualty incidents.
Participated in research projects related to improving the quality of emergency room services as well as a new charting system brought to our facility,
Assisted in setting up command stations at sister hospitals throughout Florida, traveling, and training new emergency room nurses on the new ONE CHART systems.at various locations.
Assisted in minor surgical procedures and provided post-operative care, ensuring optimal patient outcomes.