Summary
Overview
Work History
Education
Skills
Timeline
Generic

Robert Joy, RN, CM

Cheektowaga,NY

Summary

A proven leader effective at uniting and guiding coordinated care; achieving member care goals, improving satisfaction and supporting wide-spread healthcare system improvements. Experienced nursing professional bringing demonstrated clinical expertise, leadership skills and technical knowledge. Proficient in updating care plans, monitoring medications/reconciliation, patient adherence, and working with multidisciplinary teams to optimize care. Quality-driven and efficient with strong interpersonal abilities.

New York State Board Certified Registered Nurse with over 3 years of experience in case management and clinical nursing/management.

Overview

6
6
years of professional experience

Work History

Telephonic Nurse Case Manager

Optum/UnitedHealth Group
Cheektowaga, NY
02.2021 - Current
  • Served as a liaison between patients/members and families and healthcare providers.
  • Maintained detailed case notes in the electronic health record system.
  • Interpreted laboratory results and imaging studies for assigned patients.
  • Conducted comprehensive assessments of patient's medical history and needs.
  • Facilitated timely authorizations for requested services.
  • Developed relationships with community resources to ensure appropriate referrals are made.
  • Identified opportunities for cost savings through utilization management strategies.
  • Assessed patient eligibility for insurance coverage and benefits.
  • Provided telephonic health coaching and education to patients.
  • Consulted with pharmacists regarding drug interactions or side effects when necessary.
  • Provided telephone triage services by responding to callers' inquiries regarding their health concerns.
  • Developed care plans in collaboration with physicians and other healthcare providers.
  • Reviewed referrals from primary care physicians or other sources for appropriateness of service levels based upon clinical criteria.
  • Counseled patients on self-management techniques such as medication adherence and symptom management.
  • Coordinated services between primary care physician, specialists, ancillary providers and community resources.
  • Performed follow up calls to assess patient satisfaction with care received.
  • Assisted with coordination of transitions of care across settings including discharge planning activities. This has been the main focus of my current position with Optum; Transitional Care Management.
  • Educated members on various disease processes, treatments, medications, lifestyle modifications.
  • Participated in interdisciplinary team meetings related to individual cases.
  • Monitored patient/member progress, identified barriers, and intervened as needed.
  • Guided clients in development of skills and strategies for dealing with individual problems.
  • Educated clients on options to assist in making informed decisions.
  • Resolved customer inquiries, questions and concerns to consistently offer quality service and meet performance benchmarks.

RN NYS Lic# 818493

WNY Medical , PC - Dermatology
Cheektowaga, NY
11.2018 - Current
  • 3+ years of Dermatology Clinical experience/Hospital Rotations and practice management
  • 1st assist for all dermatology surgeries
  • Ongoing updates to providers regarding patient test results and assists in developing effective care plans.
  • Close collaboration with multiple providers and their patients to ensure patient compliance resulting in quality care.
  • Administers biologic and subcutaneous injections to patients as prescribed, monitoring response/efficacy.
  • Treat patients suffering from chronic and acute medical conditions and create proper referrals for these patients.
  • Trained new RN hires and medical assistants to meet patient service goals, champion standards of care and improve patient overall satisfaction.
  • Assisted patients with wound care and recovery after surgery, closely monitoring, answering questions and educating clients about continued care strategies.
  • Improved individualized patient outcomes and quality of care by determining and suggesting changes to protocol.

Education

Associate Degree in Nursing - Nursing

SUNY Erie N. Campus
Williamsville, NY
05.2021

Skills

  • Safe administration of vaccinations/injestions
  • Create/Scribe accurate charting for providers
  • Review Signed providers' charts to ensure accuracy
  • Review pathology log for accuracy/errors
  • HIPPA compliant
  • Healthcare technology general knowledge
  • Nursing process (ADPIE)
  • Diagnostic tools experience
  • Customized patient education and counseling
  • Direct (Office Visit) and Indirect (Tele-Med) Patient Care
  • Staff Development and Precepting
  • 3 yrs use of Multi-screen tower to ease info sharing
  • Proficient in Medical Terminology
  • Discharge Planning
  • Insurance knowledge
  • Quality Improvement
  • Chronic Disease Management
  • Healthcare regulations
  • Medication Management
  • Care Coordination
  • Surgical Assistance
  • Infection Control
  • Nursing Process
  • Documentation
  • Nursing Consultation
  • Direct Patient Care
  • Equipment Sterilization
  • Student Precepting
  • Vitals monitoring
  • Patient Examination
  • Wound Care
  • Patient Condition Monitoring
  • Treatment Preparation
  • Case Management
  • Rehabilitation Assistance
  • Medical Recordkeeping
  • Medication administration
  • Interpersonal Skills
  • Delegation and Motivation
  • Critical Thinking
  • Procedure Room Preparation
  • Attention to Detail

Medent experience*

ICUE experience*

Gender Dysphoria Subject Matter Expert*

Timeline

Telephonic Nurse Case Manager

Optum/UnitedHealth Group
02.2021 - Current

RN NYS Lic# 818493

WNY Medical , PC - Dermatology
11.2018 - Current

Associate Degree in Nursing - Nursing

SUNY Erie N. Campus

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Robert Joy, RN, CM