Nancy Gagne
Bolton,CT
Summary
Supportive Clinical Liaison, able to anticipate patient and referral source needs and understand expectations. Committed to treating others with compassion, courtesy, fairness and respect. Adept at assessing and admitting new patients, as well as management and marketing of hospital accounts.
Organized and dependable candidate, successful at managing priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
16
16
years of professional experience
Work History
Registered Nurse Clinical Liaison
Optum
Wallingford, CT
06.2021 - 07.2022
- Conducted pre-discharge patient assessments in hospital or clinic setting when appropriate, submitting required patient care documentation and reports.
- Educated family members and caregivers on patient care instructions.
- Communicated with healthcare team members to plan, implement and enhance treatment strategies.
- Explained course of care and medication side effects to patients and caregivers in easy-to-understand terms.
- Followed all personal and health data procedures to effectively comply with HIPAA laws and prevent information breaches.
Care Manager
Emblem Health Insurance
New York, NY
09.2020 - 02.2021
- Retrospective Utilization Review -responsible for reviews of retrospective cases, determination of approval /denial or send to MD for review after compiling synopsis of situation details, with recommendation, utilizing MCG guidelines for specific criteria
- Regulatory timeframes observed and member, facility, provider communication provided
- Work from home exclusively.
Registered Nurse Case Manager
William W Backus Hospital, HHC
Norwich, CT
07.2019 - 03.2020
- Work with patients, families and caregivers to facilitate discharges to home, from acute care setting
- VNA referrals, SNF placement, palliative and hospice coordination
- Order and coordinate delivery of DME,
- O2, home infusion services, dialysis referrals, and medication orders with required auth
- Work with MD's, RNs, SW, PT, RT and ST's, arrange for appropriate transportation, follow up appointments, assist with OP and IP substance abuse placement
- EPIC documentation and referral system
- Responsible for Medicare paperwork to be signed, filed and documented.
Clinical Nurse Sales Liaison
BioScrip Infusion Services
Cromwell, CT
01.2016 - 07.2019
- Responsible for assessment and education of patients and families for home Anti-infective infusion, Enteral, TPN, PCAs and Inotrope therapy.
- Coordination of discharge and SOC with Case Managers, SW, MD's, Staff nurses, Pharmacy, Intake, VNA's, patients and their family members.
- Sales meetings and education with Case Managers, SW's and Doctors to inform of services and products available.
- Demonstrated respect, friendliness and willingness to help wherever needed
- Participated in team-building activities to enhance working relationships
Case Manager
Johnson Memorial Hospital
Stafford Springs, CT
01.2015 - 01.2016
- Planned family/staff meetings, work with all medical, professional staff team members for safe transition home, with attention to appropriate hospital LOS
- Coordinated POC with insurance companies, hospital staff, SNF, STR, VNA, Hospice, etc.
- Identified care needs of individual patients and coordinated responses based on physician advice, insurance limitations and procedural costs
- Partnered with physicians, social workers, activity therapists, nutritionists and case managers to develop and implement individualized care plans and documented patient interactions and interventions in electronic charting systems
Medical/Surgical Floor Nurse
Johnson Memorial Hospital
Stafford Springs, CT
01.2006 - 01.2015
- Med/Surg Floor Nursing-responsible for care of medical /surgical patients, IV starts, wound care, medication administration, assist Doctors with various procedures.
- Assisted families by answering questions, supplying general information and providing frequent updates on patient progress
- Connected with patients and families from variety of cultural and economic backgrounds to establish and maintain open communication for improved patient outcomes
- Communicated medical information and discharge instructions to patients and families to reduce return visits
- Administered medications and treatment to patients and monitored responses while working with healthcare teams to adjust care plans
Education
Associate's degree - Nursing
Goodwin College
05.2005
Associate Degree in Nursing - Nursing
Eastern Connecticut State University
Skills
- Sales /Service (4 years)
- Patient Care (9 years)
- Care Management (2 years)
- Home Health (4 years)
- Utilization Management (1 year)
- Medication Administration
- BLS Certification
- Building Rapport and Credibility
- Providing Information and Resources
- Patient Assessment
- Communicating with Patients and Families
- Accurate Documentation
- Gathering Information From Patients
- Calm and Effective under pressure
Timeline
Registered Nurse Clinical Liaison
Optum
06.2021 - 07.2022
Care Manager
Emblem Health Insurance
09.2020 - 02.2021
Registered Nurse Case Manager
William W Backus Hospital, HHC
07.2019 - 03.2020
Clinical Nurse Sales Liaison
BioScrip Infusion Services
01.2016 - 07.2019
Case Manager
Johnson Memorial Hospital
01.2015 - 01.2016
Medical/Surgical Floor Nurse
Johnson Memorial Hospital
01.2006 - 01.2015
Associate's degree - Nursing
Goodwin College
Associate Degree in Nursing - Nursing
Eastern Connecticut State University
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