Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
15
15
years of professional experience
Work History
RN Case Manager
UChealth Parkview Home Care
Pueblo, CO
08.2023 - Current
Review clinical data, including lab results, radiology reports, and vital signs, to assess the appropriateness of treatments.
Provided direct nursing care such as wound care, PICC dressing changes, wound vac, and ostomy care
Educated patients on disease prevention strategies, wellness promotion techniques, and lifestyle modifications.
Coordinated medical services between primary care providers, specialists, hospitals, and outpatient clinics.
Collaborated with physicians, nurses, and other healthcare professionals to ensure optimal patient outcomes.
Facilitated referrals to community resources for additional support services.
Assessed patient's physical, mental, and psychosocial health status to develop individualized care plans.
Conducted weekly interdisciplinary team meetings to review case management activities for assigned caseloads.
Identified high-risk cases requiring intensive monitoring or specialized interventions.
Monitored and evaluated treatment plans and interventions.
Maintained accurate documentation of patient progress in the electronic health record.
Participated in quality improvement initiatives related to case management processes.
Monitored diet, physical activity, behaviors, and other patient factors to assess conditions and adjust treatment plans.
Advocated for patient needs with the interdisciplinary team and implemented outlined treatment plans.
Medical Insurance Coordinator
CK Surgical, LLC
Pueblo, CO
06.2012 - 06.2020
Gathered complete and accurate patient information to submit to insurance companies for authorization of surgical services
Collaborated with surgeons and nurses to ensure timely processing of medically necessary documentation needed for medical procedures
Assisted in the preparation of medical reports for external parties.
Surgery Scheduler /Receptionist
Dr. Vahil
Pueblo, CO
03.2010 - 06.2012
Provided excellent customer service while working with patients and staff
Scheduled patient clinical appointments and surgeries
Verified insurance coverage and obtained pre-authorization prior to services
Resolved scheduling conflicts to maintain high-quality patient services.
Education
Expected -
Colorado State University
05.2023
Associate of Applied Science - Medical Assisting
Intellitec College
05.2009
Skills
Self-Motivation
Leadership
Care coordination
Community resources
Chronic disease management
HIPAA compliance
Clinical assessment
Patient Advocacy
Quality of Care Standards
Direct Patient Care
Work Planning and Prioritization
Medication Administration
Compassionate and Caring
Vitals Documentation
Problem-Solving
Verbal and Written Communication
Appointment Scheduling
Team Collaboration
Wound care
References
Available Upon Request
Timeline
RN Case Manager
UChealth Parkview Home Care
08.2023 - Current
Medical Insurance Coordinator
CK Surgical, LLC
06.2012 - 06.2020
Surgery Scheduler /Receptionist
Dr. Vahil
03.2010 - 06.2012
Expected -
Colorado State University
Associate of Applied Science - Medical Assisting
Intellitec College
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