Resourceful in completing projects; ability to multitask effectively
Outstanding interpersonal and communication skills
Constantly recognized as an excellent patient advocate; making patients/members and families concern a priority
Recognized for developing and maintaining a great rapport with patients/members, co-workers, and staff of all levels
Overview
23
23
years of professional experience
Work History
RN Care Coordinator
Next Level Health Partners
07.2017 - Current
Company Overview: (Managed Care Organization)
Provide coordination of care and services to members who require moderate and high use of extensive resources.
Conduct comprehensive health risk screenings and assessments of member’s health care needs.
Provide consultations and problem solving to appropriate Behavioral Health Specialists.
Help members regain optimum health or improve functional capability by using a person-centered model targeting increased access to care.
Complete, arrange and request waiver services for the following waiver types: Aging, PD, and TBI.
Complete home visits to arrange, organize and initiate appropriate services (e.g., homemaker, Emergency Home Response, Personal Assistant, Home Modifications and Meals on Wheels).
Provide biweekly ICT-ICM presentations to discuss members changes/improvements in condition and careplan goals and progress.
Provide educational material to team members during quarterly LTSS team meetings. (e.g., medication reconciliation, safety while in the field).
Assist with new hires as a preceptor.
Participate in group assignments.
Complete 2 day and 15-day initial home visits.
Complete 90 day and annual waiver visits with appropriate members.
Maintain careplan compliance with members.
Update careplans and service plans appropriately and efficiently every 30-90 days.
(Managed Care Organization)
RN Case Management
Molina Health Care
11.2016 - 07.2017
Company Overview: (Managed Care Organization)
HRA completion, Health prevention/education, Hospital Coordination of care, assist with waiver services, identifies, assesses and manages member per established criteria, conducts face to face home visits, work independently and handle multiple projects.
Provide coordination of care and services to members who require moderate and high use of extensive resources.
Conduct comprehensive health risk screenings and assessments of member’s health care needs.
(Managed Care Organization)
Nurse Care Coordinator (ICP Medicaid population)
Community Care Alliance of Illinois
03.2015 - 07.2016
Company Overview: (Managed Care Organization)
Coordinates continuity of care with external healthcare organizations and facilities including creating referrals for appropriate services.
Assists members through the healthcare system by acting as an advocate and navigator.
Conducts comprehensive health risk screenings, creates care plan, and implements intervention for optimal health outcomes for members.
Participates on team(s) for data collection, health outcomes reporting, clinical audits, and programmatic evaluation.
Participates in team meetings and quality improvement initiatives.
Documentation completed in an accurate and timely manner within McKesson Care Management System.
Supports member self-management of disease and behavior modification interventions.
Coordinates continuity of care with members and families following hospital admission, discharge, ER visits and when necessary.
Promotes clear communication amongst interdisciplinary care team by ensuring awareness regarding member care plans.
Manages high risk care, including management of members with multiple co-morbidities or high risk readmission to a hospital setting.
Evaluate clinical care, utilization of resources, and development of new clinical tools, forms, and procedures.
(Managed Care Organization)
Registered Nurse
Windmill Nursing Pavilion
11.2011 - 03.2015
Provide nursing care for the geriatric client utilizing the nursing process.
Participation in change of shift reports and medical rounds encouraging client participation in the planning.
Supervise CNAs and LPN’s, assign daily tasks and patients, and manage the workload of the unit appropriately.
Act as Client Advocate, provide teaching to the client and family, collaborating with all members of the healthcare team, and making social service referrals as needed.
Arrange and Follow-up with clinic appointments.
Documentation of care, complete appropriate admission and discharge process and Medicare charting and developing appropriate care plans.
Provide Education on Disease Process, Recovery and use of Special Equipment.
Administer Acute Care Medications including Respiratory Treatments.
Assignment and Preparation of rooms for new admissions to the facility.
Obtain Lab Specimens and Communication of Critical Lab Values to the Physician.
Ongoing collection and organization of data during assessments, therapeutic communication with the client and his/her family, review of the clients medical record, monitoring clients’ vital signs, hemodynamics, and labs as ordered by the physician.
Identification of new Health Problems or a change in status of clients through Nursing Assessments, and timely notification to the physician for orders.
Completing Physicians’ Orders and Safely Administering Oral and IV Medications including Antibiotics, and Fluids and Electrolytes.
Certified Nursing Assistant
Windmill Nursing Pavilion
02.2002 - 10.2011
Assisting nursing home residents with activities of daily living (e.g, dressing, toileting, bathing, eating, brushing teeth, washing clothes, etc).
Following RN/LPN orders for assisting care to resident.
Charting and reporting any skin, appetite, and behavior changes.
Escort residents to clinic/hospital appointments.
Assisting in proper ambulation techniques and proper body mechanics.
Assist nurses with plans of care for the residents.
Report any abnormalities during Medicare meetings.
Education
Bachelor of Science - Nursing, Psychology
Chicago State University
Chicago, IL
01.2011
High School Diploma -
Thornridge High School
Dolton, IL
01.2003
Skills
Calculation and Administration of Intravenous Medications
AS 400
Medical Terminology
Computer Literacy
Microsoft Word
PowerPoint
Care and Management of the Client with a Central Line
PICC Line
Care and Management of the Client with Congestive Heart Failure
Care and Management of the Client with Urinary Tract Infections
Care and Management and Initiation of the Client on Isolation Precautions
Care and Management of the Client with Surgical Wounds
Wound Care Management
Care and Management of the Client on Supplemental Oxygen Therapy