Highly-motivated employee with desire to take on new challenges. Strong worth ethic, adaptability and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
9
9
years of professional experience
Work History
TRANSITIONAL CARE COORDINATOR
AETNA BETTER HEALTH OF VA
Norfolk, VA
01.2019 - 09.2021
Collaborated with community agencies to coordinate resources for transitioning patients into their home environment.
Collaborated with multi-disciplinary staff to improve overall patient care and response times.
Maintained communication and transparency with governing boards, department heads and medical staff.
Facilitated communication between hospital staff, primary care physicians, and other healthcare professionals involved in the transition process.
Provided counsel and emotional support to family members throughout transition process.
Identified barriers that impede successful transitions from one level of care to another.
NURSE CASE MANAGER
BON-SECOUR
Norfolk, VA
10.2018 - 10.2019
Facilitated the transition of care from post hospitalization, ER discharges and skilled nursing facilities back into the home.
Assessed patient conditions, monitored behaviors and updated supervising physicians with observations and concerns.
Coordinated with healthcare team to establish, enact and evaluate patient care plans.
Maintained strict patient data procedures to comply with HIPAA laws and prevent information breaches.
Utilized computerized Resource and Patient Management System (RPMS) and Electronic Health Record (EHR) system.
Referred patients to specialized health resources or community agencies to furnish additional assistance.
Provided education to patients and their families on disease management, medications and other treatments.
Participated in interdisciplinary team meetings to coordinate care for complex cases.
NURSE CASE MANAGER
OPTIMA HEALTH
Virginia Beach, VA
02.2016 - 08.2018
Case Management experience working with the Addiction and Recovery program with emphasis on the opioid crises.
Responsible for the provision of comprehensive care plans and coordination of services for the above patients.
Collaborated with the healthcare team, patient and caregiver to manage care and transitions within the continuum of care.
Helped patients and families feel comfortable during challenging and stressful situations, promoting recovery and reducing compliance issues.
Maintained accurate documentation of all case management activities in accordance with regulatory standards.
ASSISTANT DIRECTOR OF NURSING
CONTINUUM PEDIATRIC NURSING
Chesapeake, VA
04.2012 - 02.2016
Performed initial assessments of all patients to determine if they met admission criteria.
Developed initial and ongoing plans of care and revised as necessary based on patients' needs.
Performed on site supervisory and teaching visits for evaluation of staff.
Reviewed documentation to ensure compliance with regulations.
Communicated with physicians and referral sources regarding patients' condition and needs.
Initiated appropriate preventative and rehabilitative nursing procedures.
Assessed competency of clinical staff to promote quality, continuity and safety.
Monitored development, implementation and updates of individualized care plans.
Oversaw explanation of personnel policies and job descriptions as part of nursing employee orientation process.
Evaluated staff performance and prepared accurate reports detailing findings.
SENIOR MANAGER, NETWORK CONTRACTING at Aetna, a CVS Health Company (First Health Network)SENIOR MANAGER, NETWORK CONTRACTING at Aetna, a CVS Health Company (First Health Network)
Project Manager, Program Design and Strategy at CVS Health / Aetna / Coventry Health CareProject Manager, Program Design and Strategy at CVS Health / Aetna / Coventry Health Care