SHIRLEY A. STEVENS
Bluffton,IN
Summary
Obtain position as case management RN.
Overview
47
47
years of professional experience
1
1
Certification
Work History
RN CASE MANAGER
TRIWEST HEALTH CARE ALLIANCE
Phoenix, AZ
11.2016 - Current
- Applies knowledge of HIPAA privacy and security regulations as well as URAC accreditation standards to ensure compliance in daily practice.
- Screens Veteran needs and circumstances with predetermined program criteria to determine appropriateness for case management.
- Identifies Veterans at high-risk for significant adverse health outcomes and with high-cost, clinical and psychological factors impacting care.
- Documents the process by providing the case management enrollment information to the Veteran.
- Provides timely decision of acceptance into the case management program and completes appropriate notifications.
- Completes comprehensive case management assessments.
- Develops individualized case management care plans to assist Veterans with obtaining access to quality care in a cost-effective manner.
- Obtains necessary agreements for obtaining protected health information as needed.
- Reassesses and monitors care plans for adjustments on a monthly basis to address newly-identified needs, services, treatment, and funding options.
- Documents changes in the care plan maintained in the medical management system.
- Evaluates case management outcomes, assessing the individual Veteran's satisfaction and compliance with the care plan.
- Prepares and presents cases involving high-profile or sensitive issues to the Medical Director for review.
- Functions as an advocate for the Veteran by ensuring access to necessary care and maintaining Veteran's safety, locating specialized services outside the network by identifying providers, exploring nature of services offered, and facilitating process.
- Supports Veterans by providing VA and community resource information and internal care referrals as needed to meet care plan goals.
- Monitors and provides guidance to administrative staff for delegated activities and provides input into the performance of the administrative staff.
RN CARE COORDINATION
TRIWEST HEALTH CARE ALLIANCE
Phoenix, AZ
06.2016 - 11.2016
- Review and evaluate authorizations for coordination of services needed for Veteran’s care.
- Monitor authorizations to assure that Veteran is appointed in a timely manner & w/ correct type of provider.
- Communicate need for SARs & medical documentation w/ providers.
- Maintain open line of communication w/ Veterans, providers, VAMC staff, & TriWest staff.
RN Utilization Management Nurse Consultant
AETNA
Phoenix, AZ
01.2011 - 05.2016
- Perform & document review of acute inpatient & observation services using established criteria.
- Communicate with hospital CM or SW for safe discharge planning.
- Facilitate doctor to doctor peer reviews.
RN STAFF NURSE MEDICAL-SURGICAL
Maxim Healthcare
Phoenix, AZ
12.2010 - 01.2011
- PRN nursing coverage in skilled nursing facility.
LPN STAFF NURSE
Life Care Center of Paradise Valley
01.2009 - 09.2010
- Responsible for 5-10 CNA & 50 patients.
- Complex medical care of patients w/ multiple disease processes.
LPN STAFF NURSE
Maxim Healthcare
Phoenix, AZ
09.2008 - 12.2008
- Adult daycare, behavior unit, & county public health clinics for homeless & refugees.
- Administer medications & vaccines.
- Observe social interactions of clients.
- Conduct interviews.
LPN STAFF NURSE
St Joseph's Hospital Neuro Rehab Unit
09.2001 - 08.2008
- Patients with spinal cord & brain injuries and their co-existing medical/surgical issues.
- Preceptor for RNs and LPNs.
- TB testing Liaison for Neuro Rehab unit nursing & therapy staff.
- Infection Control Liaison.
- Liko transfer equipment trainer.
- Complex medical care of patients w/ multiple pre-existing disease processes.
- Knowledge of actions & side effects of multiple medications.
- Wound care –both simple & complex.
- WoundVACs, surgical wound care.
- PEG & GJ tubes, T-tubes, JP drains.
- Trach care.
- Colostomy, urostomy, ileostomy care.
- Decubitus ulcer prevention & care.
- Bowel & bladder care.
- ADL care & training to family & patient.
LPN -SKILLED NEEDS PATIENT IN HOME SETTING
Home Care Assisted Healthcare
Scottsdale, AZ
03.2007 - 09.2007
- Trach care.
- PEG tube care, tube feedings and meds.
- Position changes.
- Incontinent care, toileting.
- Transferring from bed to wheelchair.
- Use of Hoyer lift.
- PT/OT/Speech therapy home exercises.
LPN STAFF NURSE- TRAVELLING NURSE
Preferred Healthcare-Fort Lauderdale, FL
06.2000 - 09.2001
- Worked at St Joseph's Hospital Neuro Rehab Unit.
- Patients with spinal cord & brain injuries and their co-existing medical/surgical issues.
LVN CHARGE NURSE
Texhoma Christian Care Center
Wichita Falls, TX
01.1999 - 06.2000
- Responsible for 100-150 patients in skilled Medicare and non-skilled units.
- Complex medical care of patients w/ multiple disease processes.
LVN WOUND CARE NURSE/ CHARGE NURSE
Monterey Care Center
Wichita Falls, TX
01.1997 - 01.1999
- Responsible for 40-60 patients in skilled Medicare and non-skilled units.
- Daily wound care-simple & complex & weekly wound care reports for facility.
- Complex medical care of patients w/ multiple disease processes.
LVN CHARGE NURSE
University Park Manor
Wichita Falls, TX
01.1995 - 01.1997
- Responsible for 2-4 CNAs and for 60-75 patients in skilled Medicare unit and non-skilled units.
- Complex medical care of patients w/ multiple disease processes.
LPN CHARGE NURSE
Texhoma Christian Care Center
Wichita Falls, TX
01.1990 - 01.1995
- Responsible for 6-12 CNAs and for 75 patients.
- Complex medical care of patients w/ multiple disease processes.
US ARMY RESERVES-HONORABLE DISCHARGE
01.1989 - 01.1994
- 4 ½ years US Army Reserves as 91C (LPN) and 92Y(Supply Sergeant).
- 91C duties: Post-op recovery nurse in a MASH hospital for 3 weeks in Honduras.
- Administer meds & immunizations.
- Monitor post-op & medical patients—military & civilian.
- Assist Veterinarian Techs on a one day community service outing.
- 92Y duties: order uniforms, office supplies, requisition equipment.
US ARMY ACTIVE DUTY WITH HONORABLE DISCHARGE
Fort Stewart, GA
01.1986 - 01.1989
- MEDDAC ICU & Forward Support Battalion field hospital unit.
- Critically ill soldiers in the ICU w/ multiple disease processes/ injuries.
- Communicate w/ various departments to assure soldiers received proper care.
- Knowledge of ventilators & troubleshooting; pre & post –procedural care for endoscopies, Thoracentesis, paracentesis, lumbar punctures; Actions & side effects of multiple medications.
- Wound care: surgical wounds, PEG & GJ tubes, T-tubes, NG tubes, ET Tubes, chest tubes, Trach care.
LVN STAFF NURSE—FULL-TIME, FLOAT POOL
Wichita General Hospital
Wichita Falls, TX
01.1983 - 01.1986
- Newborn, pediatric, adult, & geriatric med-surg patients w/ exception of Labor & Delivery, OR & ER.
CNA-FLOAT POOL
Wichita General Hospital
Wichita Falls, TX
06.1980 - 12.1983
- Newborn, pediatric, adult, & geriatric med-surg patients w/ exception of Labor & Delivery, OR & ER.
CNA-HOSPITAL WARD
Wichita Falls State Hospital
Wichita Falls, TX
09.1978 - 05.1980
- Med-surg patients w/ chronic mental illnesses; patients w/ ETOH withdrawals w/ delusions, paranoia, & hallucinations; & patients w/ catatonia, manic-depression, & schizophrenia.
Education
Certified RN Case Manger -
Commission for Case Manager Certification
LPN to BSN RN program -
University of Phoenix
Phoenix, AZLicensed Vocational Nurse -
Vernon Regional Junior College
Wichita Falls, TXSkills
- Assessment
- Multitasking
- Collaboration
- Critical thinking
- Knowledge of multiple disease processes
- Knowledge of various cultural practices
- Knowledge of medications
Certification
- Certified Case Manager, 04/23/18
- RN License, Oregon, 08/02/17
- RN License, Arizona, 09/26/10
- LVN License, Texas, 12/1983
Affiliations
Member of American Nurses Association
Timeline
RN CASE MANAGER
TRIWEST HEALTH CARE ALLIANCE
11.2016 - Current
RN CARE COORDINATION
TRIWEST HEALTH CARE ALLIANCE
06.2016 - 11.2016
RN Utilization Management Nurse Consultant
AETNA
01.2011 - 05.2016
RN STAFF NURSE MEDICAL-SURGICAL
Maxim Healthcare
12.2010 - 01.2011
LPN STAFF NURSE
Life Care Center of Paradise Valley
01.2009 - 09.2010
LPN STAFF NURSE
Maxim Healthcare
09.2008 - 12.2008
LPN -SKILLED NEEDS PATIENT IN HOME SETTING
Home Care Assisted Healthcare
03.2007 - 09.2007
LPN STAFF NURSE
St Joseph's Hospital Neuro Rehab Unit
09.2001 - 08.2008
LPN STAFF NURSE- TRAVELLING NURSE
Preferred Healthcare-Fort Lauderdale, FL
06.2000 - 09.2001
LVN CHARGE NURSE
Texhoma Christian Care Center
01.1999 - 06.2000
LVN WOUND CARE NURSE/ CHARGE NURSE
Monterey Care Center
01.1997 - 01.1999
LVN CHARGE NURSE
University Park Manor
01.1995 - 01.1997
LPN CHARGE NURSE
Texhoma Christian Care Center
01.1990 - 01.1995
US ARMY RESERVES-HONORABLE DISCHARGE
01.1989 - 01.1994
US ARMY ACTIVE DUTY WITH HONORABLE DISCHARGE
01.1986 - 01.1989
LVN STAFF NURSE—FULL-TIME, FLOAT POOL
Wichita General Hospital
01.1983 - 01.1986
CNA-FLOAT POOL
Wichita General Hospital
06.1980 - 12.1983
CNA-HOSPITAL WARD
Wichita Falls State Hospital
09.1978 - 05.1980
Certified RN Case Manger -
Commission for Case Manager Certification
LPN to BSN RN program -
University of Phoenix
Licensed Vocational Nurse -
Vernon Regional Junior College