Adept at enhancing patient outcomes and compliance, my tenure at Optum showcased my proficiency in clinical judgment and compassionate patient communication. Leveraging healthcare software expertise and a results-driven approach, I significantly improved call center efficiency and patient satisfaction. My ability to manage high-stress situations and prioritize urgent care exemplifies my strong clinical knowledge and empathetic patient care.
Overview
19
19
years of professional experience
1
1
Certification
Work History
Call Center Nurse
Optum
Remote
01.2020 - Current
Increased patient compliance with treatment plans by offering clear instructions, addressing concerns, and explaining rationales for prescribed medications.
Enhanced call center efficiency by collaborating with fellow nurses to address high call volumes and prioritize urgent cases.
Optimized resource utilization by triaging incoming calls based on urgency levels, enabling prioritization of emergency situations requiring immediate attention.
Managed high-stress situations calmly while providing empathetic support to distressed callers seeking immediate medical guidance or crisis intervention assistance.
Demonstrated strong critical thinking abilities when assessing patient symptoms remotely over the phone using evidence-based clinical decision tools.
Maintained patient confidentiality and protected sensitive information by adhering to HIPAA regulations in all interactions.
Prevented unnecessary emergency room visits by offering appropriate home care advice or directing patients to alternative care settings such as urgent care clinics.
Facilitated communication between patients and their healthcare providers, resulting in streamlined care coordination and improved health outcomes.
Improved patient satisfaction by providing timely and accurate medical advice through phone consultations.
Utilized electronic health record systems proficiently for efficient documentation of patient encounters and seamless information exchange among healthcare professionals.
Relayed triage information and facilitated communication between provider and patient concerning patient disposition.
Obtained case history and gathered triage information to determine appropriate avenue for care.
Scheduled appointments for patients not requiring emergency services but needing examination from provider and consulting directly with provider.
Suggested appropriate disposition to acting physicians based on assessment.
Occupational Health Nurse
Workcare
Remote
10.2016 - 05.2019
Reduced workplace injuries by conducting thorough risk assessments and recommending appropriate safety measures.
Liaised between employees with health concerns and supervisors, maintaining medical confidentiality to communicate work status and coordinate return to work accommodations.
Registered Nurse Case Manager
Community Care Partners of Greater Mecklenburg
Charlotte, NC
01.2006 - 03.2013
Evaluated patient progress and adjusted care plans accordingly, ensuring continuity of care across all healthcare settings.
Collaborated with physicians and other healthcare providers to ensure appropriate resource utilization for complex cases.
Provided education and support to patients and families, empowering them to make informed decisions regarding their healthcare needs.
Conducted comprehensive assessments of patients'' physical, emotional, and social needs in order to develop individualized care plans that facilitated optimal health outcomes.
Enhanced interdisciplinary team communication through regular case conferences, promoting effective collaboration for optimal patient care.
Responded promptly and professionally to patient questions and concerns.
Advocated for patients by communicating care preferences to practitioners, verifying interventions met treatment goals and identifying insurance coverage limitations.
Education
Bachelor Of Science In Nursing - Nursing
Winston-Salem State University
Winston-Salem, NC
12.1998
Skills
HIPAA Compliance
Patient Safety
Clinical judgment
Patient confidentiality
Assessment skills
Health Promotion
Care Planning
Follow-up care
Ethical Practice
Healthcare software expertise
Nursing process
Strong clinical knowledge
Patient Communication
Clinical assessment
Symptom Assessment
Patient Instruction
Appointment Scheduling
Patient Advocacy
Healthcare regulations
Medication Refills
Resource Utilization
Physician Collaboration
Patient Interviews
Needs Assessment
Outbound Patient Calls
Incident Follow Up
Lab Results Reporting
Health Incident Triage
Home care recommendations
Initial Injury Intake
Patient rapport building
Telephone consultations
Evidence-based Protocols
Teamwork and Collaboration
Problem-Solving
Medication and IV administration
Time Management
Attention to Detail
Problem-solving abilities
Multitasking
Compassionate and Caring
Multitasking Abilities
Basic Life Support
Reliability
Excellent Communication
Critical Thinking
Strong Clinical Judgment
Organizational Skills
Active Listening
Effective Communication
Adaptability and Flexibility
Decision-Making
Dementia Care
Patient and family advocacy
Patient Care Assessment
Patient Education
Monitoring Vital Signs
Electronic Health Records
Clinical Documentation
Physical Assessment
Clear Patient Communication
Microsoft Office
Pain Management
Medication Administration
Self Motivation
Patient Condition Monitoring
Infection Control
Accurate Documentation
Interpersonal Skills
Analytical Thinking
Care Coordination
Documentation
Goal Setting
Geriatric Care
Professionalism
Interpersonal Communication
Collecting vitals
First Aid
Certification
Certified case manager from 2016- Present.
Registered Nurse License (RN) - NC State Board of Nursing.
NC Driver's License
Commission For Case Manager Certification- 12/2016