Sandra Curphy
Port St Lucie,FL
Summary
Looking to transition to a remote position to utilize my strengths, experience and expertise. I am a
compassionate Nurse Case Manager offering 20+ years of experience working with patients and families to facilitate smooth transitions following discharge from medical facilities. Committed to working collaboratively with health plan, leadership and department coordinators to achieve highest quality of patient satisfaction. Well-versed in developing individualized care plans and advocating patient welfare. Extensive knowledge of Medicare & Managed care guidelines to facilitate appropriate referrals and transitions of care to not only provide patient satisfaction but appropriate use of resources.
Overview
23
23
years of professional experience
1
1
Certification
Work History
RN Case Manager
HCA Florida- St. Lucie Hospital
10.2017 - Current
- Coordinate and advocate all aspects of care of clients ensuring proper utilization of services and resources.
- Utilizing INTER QUAL criteria and CMS guidelines to ensure that clients are admitted and transitioned to the appropriate level of care.
- Discharge planning, working with the care team to propel clients safely and efficiently through their episode of care.
- Coordination of post acute care needs. Ensuring safe discharge plans for clients utilizing care partners for in home services and post acute rehabilitation.
- Followed all personal and health data procedures to effectively comply with HIPAA laws and prevent information breaches.
Nurse Liaison
HCR ManorCare
10.2005 - 10.2017
- Completed patient assessments for appropriate level of care. Utilized CMS guidelines and InterQual criteria to ensure compliance.
- Education of patient & families on post acute care and collaborated w/ nursing, discharge planners and physicians to facilitate transfer to post acute care.
- Extensive work w/ hospital teams to become a participant in their ACO w/ emphasis on decreasing acute care length of stay, readmissions and cost of care while providing patient w/ appropriate levels of care.
- Community educator on post acute care options, Medicare/Managed care benefits and healthy lifestyles in forms of in-services, presentations and health fairs.
RN Case Manager
Trinty Medical Center
10.2000 - 10.2005
- Hospital Case Manager responsible for utilization review and discharge planning.
- Staff champion and trainer for Millimen Guidelines for Utilization Review.
- Provided education for patients and families on options for post acute care including home health, post acute rehab and community resources.
Education
Bachelor of Science - BSN
Western Governors University
Salt Lake City, UT08.2017
Associate of Applied Science - Nursing
Scott Community College
Bettendorf, IA12.1987
Skills
- Care Planning- excellent assessment skills for patient needs and extensive knowledge in post acute services to transition patients
- Electronic Recordkeeping- proficient in numerous systems ie; Midas, Meditech, HPF, NaviHealth, CarePort and Epic
- Autonomous, able to multitask, detail oriented, responsible & reliable to met deadlines
- Superior work ethic, highly competent and compassionate
Certification
Florida State Registered Nurse License (multi-state Registered Nurse) RN 9467880. Expiration 4/30/2025
Accredited Case Manager- AC2121489
04/25/2022
Timeline
RN Case Manager
HCA Florida- St. Lucie Hospital
10.2017 - Current
Nurse Liaison
HCR ManorCare
10.2005 - 10.2017
RN Case Manager
Trinty Medical Center
10.2000 - 10.2005
Bachelor of Science - BSN
Western Governors University
Associate of Applied Science - Nursing
Scott Community College
Florida State Registered Nurse License (multi-state Registered Nurse) RN 9467880. Expiration 4/30/2025
Accredited Case Manager- AC2121489
04/25/2022
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