Tina Riffle
Summary
Accomplished Registered Nurse and Case Manager with over 24 years of experience in healthcare, notably at Charleston Area Medical Center. Expert in quality improvement, risk management, and critical thinking. Demonstrated success in enhancing patient outcomes and streamlining care coordination. Proficient in Microsoft Office and electronic communication, embodying strong multitasking abilities in fast-paced settings.
Overview
26
26
years of professional experience
1
1
Certification
Work History
Registered Nurse
Charleston Area Medical Center Health System Inc.
08.2001 - Current
- Utilized critical thinking skills to prioritize nursing interventions based on patients'' acuity levels and individual needs.
- Conducted thorough patient assessments to identify changes in condition, promptly notifying physicians and initiating appropriate interventions when necessary.
- Administered medications safely according to established guidelines while closely monitoring for side effects or adverse reactions requiring intervention.
- Enhanced patient satisfaction by providing compassionate, holistic nursing care that addressed physical, emotional, and spiritual needs.
- Collaborated with interdisciplinary teams to develop comprehensive treatment plans for complex patients with multiple comorbidities.
- Managed quality care for patients with heart failure, end-stage renal disease and coronary artery disease.
- Improved patient outcomes by implementing evidence-based nursing interventions and individualized care plans.
Case Manager,Utilization, Quality,Risk, Compliance
Webster Memorial Hospital
11.2000 - Current
- Maintained accurate documentation on all cases, ensuring compliance with regulations and confidentiality requirements.
- Conducted thorough assessments of clients'' situations, identifying issues, goals, and necessary interventions.
- Educated clients on available programs, benefits, and services, empowering them to make informed decisions about their care needs.
- Contributed to team discussions and case conferences actively, sharing insights and expertise with colleagues to optimize client support strategies.
- Collaborated with multidisciplinary teams to address client needs and formulate tailored support strategies.
Registered Nurse
Summersville Memorial Hospital
06.1999 - 11.2000
- Utilized critical thinking skills to prioritize nursing interventions based on patients'' acuity levels and individual needs.
- Conducted thorough patient assessments to identify changes in condition, promptly notifying physicians and initiating appropriate interventions when necessary.
- Collaborated with interdisciplinary teams to develop comprehensive treatment plans for complex patients with multiple comorbidities.
- Contributed to interdisciplinary team meetings by presenting relevant clinical data about patients'' progress toward reaching established goals of care.
Registered Nurse, Medical-Surgical Unit
Raleigh General Hospital
10.1998 - 08.1999
- Collaborated with interdisciplinary teams for optimal patient care, ensuring seamless communication between healthcare providers.
- Consistently maintained accurate documentation of patient assessments, interventions, and outcomes in accordance with regulatory requirements.
- Provided health education to patients and families regarding discharge instructions and plans of care.
- Demonstrated flexibility in managing multiple priorities concurrently during high-stress periods while maintaining a calm demeanor.
- Performed emergency medical procedures such as BLS, ACLS and other condition stabilizing interventions.
- Provided education on disease management strategies to empower patients in self-care activities throughout their recovery journey.
- Educated patients and family members on disease processes, treatment options, and self-care techniques.
Education
Bachelor of Science - Nursing
College of West Virginia
Beckley, WV05.1998
Skills
10 yrs Case Management
7 yrs Utilization Review
13 yrs Quality Improvement
7 yrs Provider Credentialing/Enrollment
10 yrs Risk Management
24 yrs Chart/Claim Review
Strong written,verbal & electronic communication skills
CAQH, InterQual, HEDIS experience
Ability to multitask and prioritize in fast-paced environment
Proficient in word,excel,power point, Microsoft outlook and teams
Critical thinking skills
Facilitate communication with providers and other team members
Certification
- PALS - Pediatric Advanced Life Support
- ACLS
Timeline
Registered Nurse
Charleston Area Medical Center Health System Inc.
08.2001 - Current
Case Manager,Utilization, Quality,Risk, Compliance
Webster Memorial Hospital
11.2000 - Current
Registered Nurse
Summersville Memorial Hospital
06.1999 - 11.2000
Registered Nurse, Medical-Surgical Unit
Raleigh General Hospital
10.1998 - 08.1999
Bachelor of Science - Nursing
College of West Virginia
- PALS - Pediatric Advanced Life Support
- ACLS
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