Accomplished RN with a proven track record at UnityPoint Health, adept in case management and clinical judgment. Excelled in reducing hospital readmissions and streamlining discharge planning, showcasing complex problem-solving and effective communication. Demonstrates a commitment to patient-centered care, enhancing long-term health outcomes and satisfaction.
Overview
13
13
years of professional experience
Work History
RN, Utilization Management
UnityPoint Health System Services
12.2022 - Current
Performed admission reviews based for medical necessity based upon Interqual specification.
Applied critical thinking skills to assess complex medical cases and determine appropriate levels of care in accordance with industry benchmarks.
Review patient medical records to ensure healthcare services provided are appropriate and are medically necessary by assessing treatment plans, interventions and length of stay.
Monitoring patient progress during treatment to ensure the care plan remains appropriate and cost-effective, communicate with providers to adjust treatment as needed.
RN, Case Manager
UnityPoint Health - Meriter Hospital
07.2017 - 12.2022
Managed complex cases involving multiple comorbidities, requiring close monitoring and coordination of various healthcare services.
Educated patients and families on available community resources, facilitating access to necessary support services.
Served as a key liaison between patients, families, and healthcare providers, fostering open communication and trust among all parties involved in the care process.
Managed support services and fostered communication among social workers, therapists, hospital staff, and patients.
Streamlined discharge planning processes, ensuring a smoother transition for patients back to their homes or other facilities.
Mentored new nursing staff, facilitating a faster learning curve and increased overall team efficiency.
Home Health RN Case Manager
Unity Point At Home
04.2015 - 07.2017
Managed complex caseloads efficiently by prioritizing tasks, delegating responsibilities to support staff, and maintaining detailed records.
Expedited wound healing using advanced wound care techniques such as negative pressure therapy or hydrocolloid dressings when appropriate.
Reduced hospital readmissions through diligent monitoring of patients'' progress and timely interventions in-home settings.
Improved medication adherence through thorough education on drug administration, interactions, and potential side effects.
Streamlined communication with physicians, ensuring accurate documentation and prompt updates on patient conditions.
Home Health RN Case Manager
Agnesian HealthCare
06.2012 - 04.2015
Empowered patients and their families to take an active role in care decisions, fostering a sense of self-efficacy and improving long-term health outcomes.
Increased patient satisfaction by providing compassionate care, addressing concerns, and advocating for their needs.
Conducted comprehensive assessments to identify patient risks, establish baseline health status, and determine appropriate intervention strategies.
Prevented complications from chronic illnesses like diabetes or heart failure through targeted patient education initiatives tailored to individual needs.