Summary
Overview
Work History
Education
Skills
Accomplishments
Certification
Timeline
Generic

Neydi Rieken

Bowling Green,KY

Summary

Experienced RN Case Manager with background in providing high-quality patient care and effective case management. Strengths include strong decision-making skills, efficient coordination of care plans, and effective communication with multidisciplinary teams. Previous work has demonstrated significant impact on improving patient outcomes through the development and implementation of comprehensive care strategies.

Overview

13
13
years of professional experience
1
1
Certification

Work History

RN Case Manager Work Compensation

Genex insurance
Wayne, PA
07.2017 - Current
  • Educated patients on disease prevention strategies, wellness promotion techniques and lifestyle modifications.
  • Collaborated with physicians, nurses, and other healthcare professionals to ensure optimal patient outcomes.
  • Provided emotional support and counseling to patients dealing with chronic illness or end-of-life issues.
  • Reviewed clinical data including lab results, radiology reports and vital signs to assess appropriateness of treatments.
  • Coordinated medical services between primary care providers, specialists, hospitals and outpatient clinics.
  • Ensured compliance with regulatory standards concerning utilization review, ethical decision making and legal aspects of case management practice.
  • Assessed patient's physical, mental, and psychosocial health status to develop individualized care plans.

RN Case Manager Work Compensation

Zurich American Insurance
Schaumburg, IL
06.2014 - 06.2017
  • Identified high-risk cases requiring intensive monitoring or specialized interventions.
  • Monitored and evaluated effectiveness of treatment plans and interventions.
  • Collaborated with physicians, nurses, and other healthcare professionals to ensure optimal patient outcomes.
  • Provided emotional support and counseling to patients dealing with chronic illness or end-of-life issues.
  • Communicated regularly with family members regarding patient care needs and progress toward goals.
  • Facilitated transitions between levels of care through effective coordination of resources within a managed care environment.
  • Coordinated medical services between primary care providers, specialists, hospitals and outpatient clinics.

RN Case Manger Worker's Compensation

Zenith Insurance
Woodland Hills, CA
03.2011 - 06.2014
  • Assessed patient health and developed individualized care plans accordingly.
  • Maintained accurate documentation of patient records in accordance with HIPAA regulations.
  • Advised family members on the best course of action for their loved ones' healthcare needs.
  • Managed complex cases involving multiple diagnoses or treatments.
  • Created, implemented and evaluated patient care plans with medical team.
  • Evaluated patients, recognized and addressed complications and coordinated treatment with other members of critical care team.

Education

Bachelor of Science - Nursing

University of Phoenix
Pasadena, CA
10-2009

Skills

  • Insurance knowledge
  • Palliative Care
  • Discharge Planning
  • Medication Management
  • Chronic Disease Management
  • Utilization review
  • Case Management
  • Nursing Consultation

Accomplishments

  • 100% quality on files.

Certification

  • CCM-Case Management Certificate.
  • Kentucky License
  • California License

Timeline

RN Case Manager Work Compensation

Genex insurance
07.2017 - Current

RN Case Manager Work Compensation

Zurich American Insurance
06.2014 - 06.2017

RN Case Manger Worker's Compensation

Zenith Insurance
03.2011 - 06.2014

Bachelor of Science - Nursing

University of Phoenix

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Neydi Rieken