TONYA MCGREW
Edmond
Summary
Compassionate registered nurse recognized for exceptional productivity and efficient task execution. Specialized in patient education, care planning, and case coordination. Strong communication and problem-solving skills contribute to optimal patient outcomes and effective healthcare delivery.
Overview
19
19
years of professional experience
1
1
Certification
Work History
RN Case Manager
Integris Baptist Medical Center
Oklahoma City
12.2020 - Current
- Coordinated care for complex patients across inpatient, outpatient, and home health settings to streamline transitions and enhance patient outcomes.
- Developed comprehensive discharge plans to facilitate seamless continuity of care post-hospitalization, addressing patient needs and reducing readmission risks.
- Conducted concurrent medical necessity reviews utilizing InterQual and MCG criteria to ensure appropriate resource allocation and patient care standards.
Care Transitions Specialist
Option Care Home Infusion
Oklahoma City
03.2019 - 09.2019
- Instructed patients on home care practices to improve treatment effectiveness and self-management.
- Coordinated insurance verification for infusion-related treatments and medications, facilitating timely access to care.
- Oversaw infusion therapy protocols, ensuring adherence to safety standards for patient well-being.
RN Case Manager
Humana
Oklahoma City
03.2016 - 04.2018
- Collaborated with patients and providers to secure medication approvals and clarify insurance coverage, enhancing access to necessary treatments.
- Utilized motivational interviewing techniques to empower patients and families in self-management of health.
- Conducted telephonic assessments to gather medical and social data, facilitating development of patient-centered action plans.
Hospice Registered Nurse Case Manager
Faith Hospice
Edmond
09.2014 - 03.2015
- Delivered direct patient care for hospice patients, assessing health needs and implementing tailored nursing care plans.
- Coordinated with interdisciplinary team (IDT) staff to develop and implement individualized care plans.
- Ensured compliance with healthcare regulations by maintaining accurate medical records.
Director of Healthcare
Autumn Leaves Memory Care
Tulsa
10.2013 - 03.2014
- Oversaw nursing staff to ensure compliance with regulatory standards, enhancing patient care quality.
- Managed recruitment, training, and performance evaluations to build a skilled and effective team.
- Facilitated monthly care conferences with families to discuss residents' progress and align on care strategies.
- Administered medications and maintained electronic medication administration records.
Clinical Director
Quality Life Hospice
Oklahoma City
01.2011 - 03.2012
- Oversaw direct and indirect patient services of clinical personnel, ensuring quality care delivery.
- Managed case responsibilities, providing direct care for hospice patients to meet individualized needs.
- Developed policies and procedures to enhance home health agency operations.
- Maintained clinical records ensuring compliance with regulatory standards.
- Administered private duty services, coordinating staffing, scheduling, and billing to optimize service delivery.
Home Health RN Case Manager
21st Century Home Health Agency
Edmond
10.2008 - 01.2011
- Developed and coordinated home health care plans for 35-40 patients, ensuring tailored care delivery as Case Manager.
- Assessed homebound patients, managing recertifications, resumptions of care, and admissions to enhance continuity of home health services.
- Performed triage duties for over 400 patients, prioritizing care needs to optimize patient outcomes.
Cardiac Registered Nurse
Integris Baptist Hospital
Oklahoma City
01.2007 - 01.2009
- Monitored vital signs and assessed patient conditions to proactively manage cardiac health.
- Administered medications and treatments according to physician orders in high-pressure environments.
- Educated patients and families on cardiac care and recovery strategies to enhance understanding and compliance.
- Collaborated with multidisciplinary teams to develop and implement comprehensive care plans tailored to individual patient needs.
Education
Bachelor of Science - Nursing
University of Texas at Arlington
Associate of Science - Nursing
Oklahoma State University
Skills
- Care coordination and quality improvement
- Interdisciplinary collaboration
- HIPAA compliance
- Utilization and medical necessity review
Certification
- • Registered Nurse, Oklahoma, Multi-state, 11/30/26
• Certified Case Manager, 05/31/31
• BLS, American Heart Association, 12/31/27
Credentials
- Registered Nurse
- Certified Case Manager
Timeline
RN Case Manager
Integris Baptist Medical Center
12.2020 - Current
Care Transitions Specialist
Option Care Home Infusion
03.2019 - 09.2019
RN Case Manager
Humana
03.2016 - 04.2018
Hospice Registered Nurse Case Manager
Faith Hospice
09.2014 - 03.2015
Director of Healthcare
Autumn Leaves Memory Care
10.2013 - 03.2014
Clinical Director
Quality Life Hospice
01.2011 - 03.2012
Home Health RN Case Manager
21st Century Home Health Agency
10.2008 - 01.2011
Cardiac Registered Nurse
Integris Baptist Hospital
01.2007 - 01.2009
Bachelor of Science - Nursing
University of Texas at Arlington
Associate of Science - Nursing
Oklahoma State University