Pauline McDonald BSN, RN, CCM
RN
Dayton,OH
Summary
RN, BSN, CCM professional seeking full time position. 30 years of RN experience. Four years of Medicare case management experience. Six years of TRICARE case management & authorizations experience. Excellent organizational, communication and teaching skills. Firmly committed to providing excellent patient care and promoting the best possible outcome for both patients and families. Have experience as nursing instructor, ICU, med surg, home health, hospice. Active Duty Army 1983 - 1987
Overview
30
30
years of professional experience
1
1
Certification
Work History
Telephonic Nurse Case Manager
Centene/Health Net Federal Services
Glendale , AZ
10.2022 - 06.2023
- Telephonic Nurse Case Manager working the TRICARE Contract.
- Responsible assessing needs and planning/arranging for services for special needs children for active duty military.
- Responsible for patient education. Prior auth of nursing services.
Home Health RN, CCM, Case Manager
OnPointe At Home
Phoenix , AZ
10.2021 - 07.2022
- Responsible for home visits, comprehensive patient assessments, patient education, care coordination.
- Also worked as part of the QA team responsible for document reviews and approvals.
RN, CCM, Case Manager
Humana
Phoenix , AZ
01.2018 - 09.2021
- RN, CCM, Case Manager for Medicare members.
- Assessing, documenting and coordinating care for post discharge patients.
- Worked closely with patients and providers to promote best outcomes. Patient education.
RN, CCM Case Manager
United Health - TRICARE Contract
Phoenix , Arizona
08.2013 - 01.2018
- Telephonic Nurse Case Manager for special needs family members of active duty military with complex medical needs under the ECHO Program of TRICARE.
- Coordinated/authorized nursing services & DME. Experience with MCG. Built working relationships with providers.
- Worked closely with providers and families to ensure best possible outcomes.
Nursing Instructor (didactic, Lab, Clinicals, Course Development)
Fortis College School of Nursing
Phoenix , AZ
05.2010 - 05.2011
- Curriculum development. Had very high pass rates at the state board of nursing.
- Instructor (classroom, lab and clinical).
- Able to keep students motivated and focused.
- Promoted an enthusiastic, positive and professional learning environment.
Nursing Instructor
Brookline College
Phoenix , AZ
07.2008 - 11.2009
- Classroom - Delivered lecture,
- Lab - ordered and organized lab supplies.
- Ensured proper techniques in the performance of lab skills.
- Clinical - patient assessments, proper charting. Critical thinking.
RN, Case Manager
Home Reach Hospice
Columbus , OH
11.2007 - 07.2008
- Provided care for hospice patients at home
- Patient and family education and support
- Patient assessments, coordinated services
- Medication reconciliation
- Inter-disciplinary team meetings
Staff Nurse
Zusman Hospice
Columbus , OH
12.2005 - 11.2007
- Provided comfort care to terminally ill patients in an inpatient environment.
- Emotional support to family members.
- Medication reconciliation.
- Interdisciplinary team meetings.
- Conform with Medicare Hospice guidelines.
Director of Staff Development
Glencroft Care Center
Glendale , AZ
11.2001 - 10.2002
- Designed and presented orientation program for new hires.
- Created education program to provide required in-service hours to maintain compliance with state agencies.
- Presented in-services
Nursing Instructor
Maricopa Skill Center (Maricopa Community College)
Phoenix , AZ
02.2000 - 04.2001
- Didactic, lab and clinical instructor for PN program.
- Responsible for course development.
- Kept students motivated and focused
- Promoted positive learning environment.
Registered Nurse/Staff Nurse
Banner Thunderbird Hospital - ICU
Glendale , AZ
04.1996 - 07.1999
- Staff nurse in a busy 35 bed ICU with 10 open heart rooms.
- Managed critically ill patients with a variety of conditions.
- Managed vent patients, post op CABG patients.
- Patient and family teaching
Education
Bachelor of Science - Nursing
U. of Mary Hardin Baylor
Belton, Texas06.1993
Certified Nurse Case Manager -
Commission For Case Management Certification
Phoenix, AZ11.2013
Skills
- Strong communication skills
- Excellent organizational skills
- Case management experience
- Resource finding and management
- Highly skilled educator
- Computer skills (Word, Excel, Power Point)
Certification
Ohio RN license RN.321943 expires 10/31/2025. Case Manager Certification #4214160 expires 11/30/2024.
Timeline
Telephonic Nurse Case Manager
Centene/Health Net Federal Services
10.2022 - 06.2023
Home Health RN, CCM, Case Manager
OnPointe At Home
10.2021 - 07.2022
RN, CCM, Case Manager
Humana
01.2018 - 09.2021
RN, CCM Case Manager
United Health - TRICARE Contract
08.2013 - 01.2018
Nursing Instructor (didactic, Lab, Clinicals, Course Development)
Fortis College School of Nursing
05.2010 - 05.2011
Nursing Instructor
Brookline College
07.2008 - 11.2009
RN, Case Manager
Home Reach Hospice
11.2007 - 07.2008
Staff Nurse
Zusman Hospice
12.2005 - 11.2007
Director of Staff Development
Glencroft Care Center
11.2001 - 10.2002
Nursing Instructor
Maricopa Skill Center (Maricopa Community College)
02.2000 - 04.2001
Registered Nurse/Staff Nurse
Banner Thunderbird Hospital - ICU
04.1996 - 07.1999
Bachelor of Science - Nursing
U. of Mary Hardin Baylor
Certified Nurse Case Manager -
Commission For Case Management Certification
Ohio RN license RN.321943 expires 10/31/2025. Case Manager Certification #4214160 expires 11/30/2024.
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