Talawnda Downs
Daytona Beach
Summary
Dynamic RN Case Manager with a proven track record of excelling in patient advocacy and clinical judgment. Expertly coordinated care plans, enhancing patient outcomes through effective communication and teamwork. Committed to delivering exceptional service while navigating complex healthcare needs, ensuring compliance with CMS regulations and optimizing resource utilization.
Overview
23
23
years of professional experience
Work History
RN Case Manager
Medovent Solutions
Annapolis
02.2025 - Current
- Managed patient care plans in collaboration with interdisciplinary teams.
- Facilitated communication between patients and healthcare providers for optimal care.
- Developed discharge plans that address ongoing patient needs post-treatment.
- Provided emotional support to patients and families throughout the treatment journey.
- Coordinated medical services between primary care providers, specialists, hospitals and outpatient clinics.
- Developed discharge plans for patients transitioning from acute care settings to home or alternate facilities.
- Maintained accurate documentation of patient progress in the electronic health record.
- Actively participated in multidisciplinary rounds discussing complex cases with members of the healthcare team.
- Communicated regularly with family members regarding patient care needs and progress toward goals.
RN Case Manager
AMN Healthcare
Newark
01.2024 - 12.2024
- Facilitated communication between patients and healthcare providers for optimal care.
- Reviewed clinical documentation to ensure compliance with regulatory standards.
- Developed discharge plans that address ongoing patient needs post-treatment.
- Developed discharge plans for patients transitioning from acute care settings to home or alternate facilities.
- Attended continuing education seminars relevant to case management practices.
- Advocated for patient needs with interdisciplinary team and implemented outlined treatment plans.
Travel RN Care Coordinator
AMN, Wellstar Kennestone Hospital
Marietta
01.2023 - 12.2023
- Facilitated communication among healthcare team members to enhance quality of patient care.
- Advocated for patients by communicating care preferences and verifying treatment interventions.
- Evaluated each patient's needs and connected them with suitable providers and resources.
- Managed comprehensive care from admission through discharge for optimal outcomes.
- Participated in interdisciplinary rounds, addressing discharge requirements to minimize length of stay.
- Assessed services for appropriate utilization review while maximizing DRG reimbursement.
- Coordinated patient transfers to acute or skilled facilities based on individual needs.
- Provided emotional support to families facing challenging end-of-life care choices.
- Facilitated communication between patients, families, and healthcare providers effectively.
Travel RN CM (DCP)
AMN, Rhode Island Hospital
08.2022 - 11.2022
- Facilitated patient advocacy by relaying care preferences to practitioners and verifying treatment efficacy.
- Analyzed healthcare needs of patients and coordinated connections with suitable providers.
- Managed comprehensive care for patients undergoing diverse therapies and procedures.
- Directed patient management from admission through discharge with emphasis on continuity.
- Led discharge planning efforts across various units to enhance care transitions.
- Engaged in daily interdisciplinary rounds to implement effective discharge strategies and minimize length of stay.
- Evaluated services for proper utilization review while maximizing DRG benefits.
- Utilized understanding of CMS regulations to effectively manage Medicare and Medicaid cases.
Travel RN Care Coordinator (DCP)
Lee Health
05.2022 - 08.2022
- Advocated for patients by communicating care preferences to practitioners, verifying interventions met treatment goals and identifying insurance coverage limitations.
- Evaluated healthcare needs, goals for treatment, and available resources of each patient and connected to optimal providers and care.
- Organized and managed care of patients undergoing various therapies and procedures.
- Managed care from admission to discharge.
- Responsible for discharge planning for various units
- Participate in daily rounds with Interdisciplinary teams to identify, plan, treat and implement discharge requirements to reduce length of stay
- Evaluate for appropriate Utilization Review of services and DRG maximization
- Knowledge of CMS regulatory guidelines and regulations managing Medicare/Medicaid patients.
- Coordinate transfers to acute, skilled care, Group homes , etc.
Travel RN Case Manager
MUSC Hospital
01.2022 - 04.2022
- Advocated for patients by communicating care preferences to practitioners, verifying interventions met treatment goals and identifying insurance coverage limitations.
- Evaluated healthcare needs, goals for treatment, and available resources of each patient and connected to optimal providers and care.
- Organized and managed care of patients undergoing various therapies and procedures.
- Managed care from admission to discharge.
- Responsible for discharge planning for various units
- Participate in daily rounds with Interdisciplinary teams to identify, plan, treat and implement discharge requirements to reduce length of stay
- Evaluate for appropriate Utilization Review of services and DRG maximization
- Knowledge of CMS regulatory guidelines and regulations managing Medicare/Medicaid patients.
- Coordinate transfers to acute, skilled care, Group homes , etc.
Travel RN Case Manager
UCI Medical Center
05.2021 - 12.2021
- Advocated for patients by communicating care preferences to practitioners, verifying interventions met treatment goals and identifying insurance coverage limitations.
- Evaluated healthcare needs, goals for treatment, and available resources of each patient and connected to optimal providers and care.
- Organized and managed care of patients undergoing various therapies and procedures.
- Managed care from admission to discharge.
- Responsible for discharge planning for various units
- Participate in daily rounds with Interdisciplinary teams to identify, plan, treat and implement discharge requirements to reduce length of stay
- Evaluate for appropriate Utilization Review of services and DRG maximization
- Knowledge of CMS regulatory guidelines and regulations managing Medicare/Medicaid patients.
- Coordinate transfers to acute, skilled care, Group homes , etc.
Travel RN Case Manager
ORMC
12.2020 - 05.2021
- Advocated for patients by communicating care preferences to practitioners, verifying interventions met treatment goals and identifying insurance coverage limitations.
- Evaluated healthcare needs, goals for treatment, and available resources of each patient and connected to optimal providers and care.
- Organized and managed care of patients undergoing various therapies and procedures.
- Managed care from admission to discharge.
- Responsible for discharge planning for various units
- Participate in daily rounds with Interdisciplinary teams to identify, plan, treat and implement discharge requirements to reduce length of stay
- Evaluate for appropriate Utilization Review of services and DRG maximization
- Knowledge of CMS regulatory guidelines and regulations managing Medicare/Medicaid patients.
- Coordinate transfers to acute, skilled care, Group homes , etc.
Travel RN, Utilization Nurse Reviewer
Cognizant Technology Solutions, CTS
11.2019 - 08.2020
- Advocated for patients by communicating care preferences to practitioners, verifying interventions met treatment goals and identifying insurance coverage limitations.
- Evaluated healthcare needs, goals for treatment, and available resources of each patient and connected to optimal providers and care.
- Organized and managed care of patients undergoing various therapies and procedures.
- Managed care from admission to discharge.
- Responsible for discharge planning for various units
- Participate in daily rounds with Interdisciplinary teams to identify, plan, treat and implement discharge requirements to reduce length of stay
- Evaluate for appropriate Utilization Review of services and DRG maximization
- Knowledge of CMS regulatory guidelines and regulations managing Medicare/Medicaid patients.
- Coordinate transfers to acute, skilled care, Group homes , etc.
Travel RN Case Manager
UF Shands Hospital
01.2019 - 05.2019
- Advocated for patients by communicating care preferences to practitioners, verifying interventions met treatment goals and identifying insurance coverage limitations.
- Evaluated healthcare needs, goals for treatment, and available resources of each patient and connected to optimal providers and care.
- Organized and managed care of patients undergoing various therapies and procedures.
- Managed care from admission to discharge.
- Responsible for discharge planning for various units
- Participate in daily rounds with Interdisciplinary teams to identify, plan, treat and implement discharge requirements to reduce length of stay
- Evaluate for appropriate Utilization Review of services and DRG maximization
- Knowledge of CMS regulatory guidelines and regulations managing Medicare/Medicaid patients.
- Coordinate transfers to acute, skilled care, Group homes , etc.
- Perform UM, collaborates with patients, families, payers, and the multidisciplinary health care team.
- Monitors patient care through review of the patient records
RN Case Manager
Moffitt Cancer Center
09.2015 - 01.2019
- Use Interqual for UM and monitors patient care through review of the patient record
- Collaborate with patients/families, payers and the multidisciplinary teams
- Advocated for patients by communicating care preferences to practitioners, verifying interventions met treatment goals and identifying insurance coverage limitations.
- Evaluated healthcare needs, goals for treatment, and available resources of each patient and connected to optimal providers and care.
- Organized and managed care of patients undergoing various therapies and procedures.
- Managed care from admission to discharge.
- Responsible for discharge planning for various units
- Participate in daily rounds with Interdisciplinary teams to identify, plan, treat and implement discharge requirements to reduce length of stay
- Evaluate for appropriate Utilization Review of services and DRG maximization
- Knowledge of CMS regulatory guidelines and regulations managing Medicare/Medicaid patients.
- Coordinate transfers to acute, skilled care, Group homes , etc.
RN Case Manager
HCA Brandon Regional Hospital
08.2013 - 08.2015
- Advocated for patients by communicating care preferences to practitioners, verifying interventions met treatment goals and identifying insurance coverage limitations.
- Evaluated healthcare needs, goals for treatment, and available resources of each patient and connected to optimal providers and care.
- Organized and managed care of patients undergoing various therapies and procedures.
- Managed care from admission to discharge.
- Responsible for discharge planning for various units
- Participate in daily rounds with Interdisciplinary teams to identify, plan, treat and implement discharge requirements to reduce length of stay
- Evaluate for appropriate Utilization Review of services and DRG maximization
- Knowledge of CMS regulatory guidelines and regulations managing Medicare/Medicaid patients.
- Coordinate transfers to acute, skilled care, Group homes , etc.
RN Care Coordination
Tampa General Hospital
02.2008 - 07.2011
- Advocated for patients by communicating care preferences to practitioners, verifying interventions met treatment goals and identifying insurance coverage limitations.
- Evaluated healthcare needs, goals for treatment, and available resources of each patient and connected to optimal providers and care.
- Organized and managed care of patients undergoing various therapies and procedures.
- Managed care from admission to discharge.
- Responsible for discharge planning for various units
- Participate in daily rounds with Interdisciplinary teams to identify, plan, treat and implement discharge requirements to reduce length of stay
- Evaluate for appropriate Utilization Review of services and DRG maximization
- Knowledge of CMS regulatory guidelines and regulations managing Medicare/Medicaid patients.
- Coordinate transfers to acute, skilled care, Group homes , etc.
Home Health RN Case Manager
Senior Home Care
11.2006 - 02.2008
- Educated family members and caregivers on patient care instructions.
- Educated patients and families on disease processes, medications and treatments.
- Perform initial patient assessment: devise and implement care plans base on assessment
- Coordinated with other healthcare team members to support patient needs.
- Introduced changes to patient care plans based on regular evaluations and patient changes.
- Provided exceptional care to high-acute patients needing complex care
- Administered medications and treatments as prescribed by physicians
RN Charge Nurse
Baycare Health Systems, St. Joseph Hospital
09.2002 - 11.2004
- Strengthened unit care standards and policies with focus on patient safety and dignity.
- Implemented quality patient care techniques to align with safety, health, and organizational regulations.
- Performed patient assessments and adjusted care plans accordingly.
- Cared for patients' wounds and changed dressings.
- Administered medications and treatment to patients and monitored responses while working with healthcare teams to adjust care plans.
- Supervised patient admissions and discharges from hospital to home care, rehabilitative facility, or self-care.
- Administered medications and treatments to patients as ordered by physician, maintaining accountability for accurate narcotic count at end of each shift.
Education
MBA - Health Care Administration/Business Administration
South University
Savannah, GA01.2020
Bachelor of Science - Nursing
South University
Savannah, GA01.2010
Associate of Science - Nursing
Hillsborough Community College
Tampa, FLSkills
- Clinical judgment
- Precepting
- Deadline management
- Patient advocacy
- Dependability
- Resourcefulness
- Motivation and diligence
- Team collaboration
- Quick learning
- Communication proficiency
- Time management
- Autonomy in practice
- Conflict resolution strategies
- Effective delegation
- Critical thinking
Timeline
RN Case Manager
Medovent Solutions
02.2025 - Current
RN Case Manager
AMN Healthcare
01.2024 - 12.2024
Travel RN Care Coordinator
AMN, Wellstar Kennestone Hospital
01.2023 - 12.2023
Travel RN CM (DCP)
AMN, Rhode Island Hospital
08.2022 - 11.2022
Travel RN Care Coordinator (DCP)
Lee Health
05.2022 - 08.2022
Travel RN Case Manager
MUSC Hospital
01.2022 - 04.2022
Travel RN Case Manager
UCI Medical Center
05.2021 - 12.2021
Travel RN Case Manager
ORMC
12.2020 - 05.2021
Travel RN, Utilization Nurse Reviewer
Cognizant Technology Solutions, CTS
11.2019 - 08.2020
Travel RN Case Manager
UF Shands Hospital
01.2019 - 05.2019
RN Case Manager
Moffitt Cancer Center
09.2015 - 01.2019
RN Case Manager
HCA Brandon Regional Hospital
08.2013 - 08.2015
RN Care Coordination
Tampa General Hospital
02.2008 - 07.2011
Home Health RN Case Manager
Senior Home Care
11.2006 - 02.2008
RN Charge Nurse
Baycare Health Systems, St. Joseph Hospital
09.2002 - 11.2004
MBA - Health Care Administration/Business Administration
South University
Bachelor of Science - Nursing
South University
Associate of Science - Nursing
Hillsborough Community College