Highly competent Case Manager with passion for coordinating quality care for patients. Offering 30+ years of experience in various nursing roles. Exemplary interpersonal skills and commitment to helping patients receive effective care in line with preferences and standards.
Overview
34
34
years of professional experience
Work History
Case Manager
Huntsville Hospital
Huntsville, AL
11.2016 - Current
Helped patients receive appropriate, high-quality care with reasonable results.
Partnered with physicians, social workers, activity therapists, nutritionists and case managers to develop and implement individualized care plans and documented patient interactions and interventions in electronic charting systems.
Identified care needs of individual patients and coordinated responses based on physician advice, insurance limitations and procedural costs.
Evaluated treatment plans against individual goals and healthcare standards.
Did initial assessments on all patients as they come in through the ER. Medicare, Medicare Advantage, Medicaid, Blue Cross and Commercial.
Proficient in use of Interqual, MCG and JIVA.
Worked with patient's without insurance to connect them with community resources.
RN Staff Nurse
Huntsville Hospital
Huntsville, AL
12.2005 - 11.2016
Effectively prioritized assignments, executing care based on each patient's relative condition and delegating tasks to available personnel deliver safe and efficient care.
Worked within interdisciplinary health care team to develop, implement and make adjustments to patient care plans, individualizing strategies and methods to improve health and meet recovery goals.
Updated patient charts with data such as medications to keep records current and support accurate treatments.
Conferred with physicians to discuss diagnoses and devise well-coordinated treatment approaches.
Worked in Progressive Cardiac Care, Cardiac Critical Care, Float nurse for ICU and Medical Surgical.
Performance Improvement Coordinator
Huntsville Home Health
Huntsville, AL
12.2004 - 12.2005
Assessed performance in relation to goals and made recommendations to promote continuous improvements.
Initiated training and mentoring methods to help department employees better understand improvement procedures.
Established cooperative and professional working relationships as result of being courteous, respectful and communicative.
Reviewed charts for Medicare compliance.
RN
Huntsville Hospital
Huntsville, AL
06.2003 - 12.2004
Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process and management and lifestyle options.
Trained new nurses in proper techniques, care standards, operational procedures and safety protocols.
Provided direct patient care, stabilized patients and determined next course of action.
Worked in a Level 1 Trauma ER.
RN, Critical Care
Sacred Heart Hospital
Spokane, WA
05.2002 - 06.2003
Worked with intubated and ventilated patients, monitoring and reporting on conditions to maintain stats within optimal levels.
Orchestrated quality-driven, cost-effective care in high-volume cardiovascular open heart and heart transplant unit.
Responded rapidly to critical codes to coordinate stabilization treatments and restore vital functions.
Provided exceptional care to high-acute patients needing complex care such as ventilator management, extensive wound care and rehabilitation.
RN
Various Nurse Travel Agencies
Yuba City, CA
02.2001 - 05.2002
Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process and management and lifestyle options.
Provided direct patient care, stabilized patients and determined next course of action.
Travel assignments in California, Hawaii and Washington state.
Worked on various units per the needs of the hospital.
RN
Skaggs Community Hospital
Branson, MO
06.1997 - 02.2001
Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process and management and lifestyle options.
Trained new nurses in proper techniques, care standards, operational procedures and safety protocols.
Provided direct patient care, stabilized patients and determined next course of action.
Worked in home health, med-surg, and ICU.
Home Health Charge Nurse
Texas Select Home Health Care
Mesquite, TX
02.1996 - 05.1997
Provided physical assessments, medication and chronic disease management to home health patients.
Advised and coached patients progressing from hospitals, rehab facilities and other medical organizations to at-home treatment settings.
Worked with multidisciplinary team to carry out successful treatment plans for diverse acute and chronic conditions.
Determined and addresses individual home care needs by completing detailed assessments and reviewing documentation.
Delivered after-hours care to patients based on strict role-call rotations.
Collaborated with vendors to procure medical equipment, supplies and services.
Took samples to complete diagnostic and routine assessment tests.
Collaborated with leadership to devise initiatives for improving nursing satisfaction, retention and morale.
Led teams in driving successful patient outcomes by prioritizing standard of care and best practices.
RN
Athens Regional Hospital
Athens, GA
01.1995 - 02.1996
Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process and management and lifestyle options.
Trained new nurses in proper techniques, care standards, operational procedures and safety protocols.
Provided direct patient care, stabilized patients and determined next course of action.
Worked in open-heart step-down unit.
RN
Saint Marys Hospital
03.1988 - 01.1995
Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process and management and lifestyle options.
Trained new nurses in proper techniques, care standards, operational procedures and safety protocols.
Provided direct patient care, stabilized patients and determined next course of action.
Worked as LPN and RN on surgical floor.
Care of 9-10 patients per shift.
Education
Associate of Science - Nursing
Athens Technical College
Athens, GA
06.1994
Licensed Practical Nurse - Practical Nursing
Athens Technical College
Athens, GA
06.1988
Skills
Case Needs Assessment
Service Referrals
Verbal and Written Communication
Treatment Planning
Interdisciplinary Collaboration
Case Planning
Determine Medical Necessity
Multitasking and Organization
Managing Patient Cases
Case Planning and Management
Eligibility Determinations
Medicare Regulation
Accurate Documentation
Timeline
Case Manager
Huntsville Hospital
11.2016 - Current
RN Staff Nurse
Huntsville Hospital
12.2005 - 11.2016
Performance Improvement Coordinator
Huntsville Home Health
12.2004 - 12.2005
RN
Huntsville Hospital
06.2003 - 12.2004
RN, Critical Care
Sacred Heart Hospital
05.2002 - 06.2003
RN
Various Nurse Travel Agencies
02.2001 - 05.2002
RN
Skaggs Community Hospital
06.1997 - 02.2001
Home Health Charge Nurse
Texas Select Home Health Care
02.1996 - 05.1997
RN
Athens Regional Hospital
01.1995 - 02.1996
RN
Saint Marys Hospital
03.1988 - 01.1995
Associate of Science - Nursing
Athens Technical College
Licensed Practical Nurse - Practical Nursing
Athens Technical College
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