Organized dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals. Experienced with excellent patient care, leadership, and management skills.
Overview
16
16
years of professional experience
1
1
Certification
Work History
Concurrent Review Nurse II
Centene Healthcare
08.2018 - Current
Communicate with healthcare team members to plan, implement and enhance treatment strategies.
Followed all personal and health data procedures to effectively comply with HIPAA laws and prevent information breaches.
Performed triage on incoming patients and determined severity of injuries and illnesses.
Advocated for and strived to protect health, safety and rights of patients.
Communicated with healthcare team members to plan, implement and enhance treatment strategies.
Case Manager
Olympia Group-LLC Westland Nursing and Rehab Center
04.2016 - 08.2018
Provide Case Management services to assigned clients
Facilitate the collection and submission of all required documentation for the authorization of extended patient care, medications, therapy services, and other services that the patient may require
Obtain prior authorizations, continued authorizations, and notification for all new managed care patients
Create a balance between individual needs with efficient cost and utilization of resources while promoting quality outcomes
Assist with the discharge planning and any equipment the patient may need at home to help promote a successful outcome.
Helped patients receive appropriate, high-quality care with reasonable results.
Managed support services and fostered communication among social workers, therapists, hospital staff and patients.
Director of Clinical Sub
Olympia Group LLC
03.2015 - 04.2016
Ensure that our patients receive great customer service and quality care
Overseen the Subacute Rehabilitation Units at six buildings.
Responsible for ensuring all policies and procedures are implemented and carried out throughout the company
Continuously look for ways to improve all areas provided to the patients
Work with the Administrators, DON’s, and Unit managers to meet all needs
Interacted effectively with clinical staff and patients by using active listening and interpersonal skills
Developed, implemented, revised and evaluated policies and procedures.
Monitored, analyzed and corrected staff performance and worked with nurse manager to raise standards of practice.
Worked with nurse manager to develop nursing staff through education, evaluation, performance management and competency improvement.
Restorative Nurse
Camelot Nursing Home
07.2014 - 03.2015
Responsible for interventions to promote the patient’s ability to maintain optimal function to be able to live as independently and safely as possible
Monitor monthly weights
Monthly documentation
Monitor restorative CNA’s - monitor splint or brace placement
Monitor residents frequently
Unit Manager
Olympia Group LLC, Regency Healthcare Taylor
07.2007 - 07.2014
Direct day-to-day administrative and operational functions for 61-bed facility, providing guidance and leadership to over 23 employees across more than 2 departments
Liaison between patients, nurses, and physicians to address problems requiring immediate or long-term resolution
Oversee direct patient care requirements within the nursing rehabilitation program
Responsible for monthly changeover, chart audits, making sure documentation is completed in a timely manner for nurses and CNA’s, making sure the unit runs properly
Train and supervise personnel in all areas of patient care and daily procedures.
Handled complaints from patients and families and immediately took steps for quick resolution and to prevent reoccurrence.
Promoted patient independence by establishing patient care goals and taught and counseled patients, friends, and family about medications and self-care skills.
Coordinated nursing with other services to promote continuity of total regimen of care..
Education
Associate Degree In Nursing -
Hondros College of Nursing
Westerville, OH
Skills
Patient Care Oversight
Specialized Healthcare Referrals
Medication Review
Healthcare Personnel Supervision
Nursing Staff Management
Staff Education
Certification
Ohio Board of Nursing Compact RN license
Timeline
Concurrent Review Nurse II
Centene Healthcare
08.2018 - Current
Case Manager
Olympia Group-LLC Westland Nursing and Rehab Center
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