Rebecca Bolton
Amelia,VA
Summary
Dedicated and compassionate Registered Nurse with extensive experience in case management and a strong background in public health. Skilled in providing high-quality patient care, coordinating healthcare services, and advocating for patient needs. Proficient in time management and prioritization to ensure efficient delivery of care. Seeking to leverage my expertise and passion for case management to make a meaningful impact in a dynamic healthcare environment.
Overview
12
12
years of professional experience
Work History
Case Manager
Molina Healthcare
04.2021 - Current
- Case Manager for Emerging High-Risk Population with Molina Healthcare Medicaid and DSNP.
- Contributed to team discussions and case conferences actively, sharing insights and expertise with colleagues to optimize client support strategies.
- Manage caseload of 400 or more members
- Health risk assessments are completed in a timely fashion and in their entirety according to Medicaid and Medicare standards for Medicaid and DSNP members.
- Referrals are made to internal and external resources to ensure members healthcare needs are being met to include physical health and mental health
- Precepted multiple new hires
- Maintain audit scores of 100% consecutively
- Assisted in development and implementation of job aids
- Assist members in claims and prior authorizations
- Actively participated in Change management by successful transfer from Magellan Health to Molina Health Care after acquisition.
- Assisted clients in setting achievable goals while providing ongoing encouragement and support throughout the process of reaching those objectives.
- Facilitated interdisciplinary care team meetings.
- Improved client satisfaction by efficiently addressing concerns or grievances in a timely manner.
- Assist in transitions from one setting to another including higher acuity to lower
- Educated clients on available programs, benefits, and services, empowering them to make informed decisions about their care needs.
- Participated in regular professional development opportunities to stay current on best practices within the field of case management.
- Fostered open lines of communication with clients'' families and support networks, involving them in the case management process as appropriate.
Public Health Nurse Senior
Amelia County Health Dept.
11.2017 - 04.2021
- Charge nurse for all nursing programs in Amelia County
- Deliver high quality and compassionate care to indigent and low-income patient community
- Train and mentor new RNs on best practices, health department policies, and standards of care
- Serve as Low Income car seat distribution program coordinator for the Piedmont Health District
- Maintain adequate clinic and vaccine supplies to meet expected patient demands
- Educate patients about health condition information and management, answer questions, provide informational materials and provide referrals as needed
- Administer immunizations throughout the lifespan-infant, childhood, adolescent, adult, and foreign travel
- Utilize VISS to locate immunization records for patients
- Case manage abnormal pap caseload, elevated blood lead level caseload, LTBI pts, TB pts, animal exposure/bite reports
- Conduct home visits or phone interviews in collaboration with local social services to complete (LTSS) long-term services and support screenings (UAI) within established time frames
- Screenings are submitted electronically through the Virginia Medicaid Portal
- Work closely with surrounding offices/organizations within Amelia County
- Serve as back up for Piedmont Health Districts Epidemiologist utilizing VEDSS (Virginia Electronic Disease Surveillance System)
- Trained in COVID-19 case investigations, contact tracing and COVID-19 vaccine administration
- Manage and conduct Moderna Vaccine Clinics.
Public Health Nurse Senior
Cumberland County Health Dept.
03.2017 - 11.2017
- Charge nurse for all nursing programs in Amelia County
- Deliver high quality and compassionate care to indigent and low-income patient community
- Maintain adequate clinic and vaccine supplies to meet expected patient demands
- Educate patients about health condition information and management, answer questions, provide informational materials and provide referrals as needed
- Administer immunizations throughout the lifespan-infant, childhood, adolescent, adult, and foreign travel
- Utilize VISS to locate immunization records for patients
- Case manage abnormal pap caseload, elevated blood lead level caseload, LTBI pts, TB pts, animal exposure/bite reports
- Conduct home visits or in collaboration with local social services to complete (LTSS) long-term services and support screenings (UAI) within established time frames
- Screenings are submitted electronically through the Virginia Medicaid Portal
- Work closely with surrounding offices/organizations within Cumberland County
- Serve as back up for Piedmont Health Districts Epidemiologist.
Public Health Nurse
Float for Piedmont Health District
02.2013 - 03.2017
- Deliver high quality and compassionate care to indigent and low-income patient community
- Educate patients about health condition information and management, answer questions and provide informational materials
- (LTSS) long-term services and support screenings (UAI).
RN Shift Supervisor
Amelia Nursing and Rehabilitation Center
01.2012 - 02.2013
- Ensured that each patient received a superior level of compassionate nursing care
- Applied tailored care plans that would meet each patient’s individualized needs
- Medication administration
- Wound care
- End of life care
- Provide effective communication to family members regarding care of residents
- Utilized effective interpersonal, writing, and active listening skills to build and cultivate positive relationships with patients, caregivers, and physicians
- Supervised LPNs and CNAs.
Education
RN-BSN -
Capella University
04.2014
Diploma in Nursing -
Southside Regional Medical Center School of Nursing
Petersburg, VA01.2011
Skills
- Community Health
- Team Player
- Case Management
- Patient Education
- Disease Prevention and Management
- Population Health
- Transitions of care
- Strong organizational skills
- EMR / EHR
- Chronic Disease Management
- Positive Attitude
- Written and verbal communication
License
Registered Nurse- Virginia- expiration: 10/31/2024
Timeline
Case Manager
Molina Healthcare
04.2021 - Current
Public Health Nurse Senior
Amelia County Health Dept.
11.2017 - 04.2021
Public Health Nurse Senior
Cumberland County Health Dept.
03.2017 - 11.2017
Public Health Nurse
Float for Piedmont Health District
02.2013 - 03.2017
RN Shift Supervisor
Amelia Nursing and Rehabilitation Center
01.2012 - 02.2013
RN-BSN -
Capella University
Diploma in Nursing -
Southside Regional Medical Center School of Nursing
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