Vanessa D. Campbell
Dorchester,MA
Summary
Certified Nurse Care Manger: Reliable, Ethical Nurse Care Manager. Highly proficient in coordinating, care planning, discharge planning and transitional care. Organized, detailed oriented, proactive with excellent communications skills. Seeking Remote Care Manger position.
Overview
23
23
years of professional experience
Work History
Senior RN Care Manager
Tufts Health Plan Medicare Preferred
01.2021 - Current
- Educated members, families and caregivers on diagnosis and prognosis, treatment options, disease process, and management and lifestyle options.
- Evaluated healthcare needs, goals for treatment, and available resources of each member and connected to optimal providers and care.
- Onboarded and supported new employees with training, guidance, mentoring and resources required to achieve objectives.
- Provide ongoing support and create training programs to address skill gaps.
RN Care Manager
Tufts Health Plan Medicare Preferred
01.2014 - 01.2021
- Perform comprehensive assessments of member’s health and psychosocial needs, including health literacy, knowledge deficits and develops member centric care plan collaboratively with the member, caregiver and their healthcare team to meet targeted goals
- Educate the member, family/authorized representative and caregiver on the disease process and medication management
- Facilitate and coordinate communication between the care manager and the member’s care team with use of motivational interviewing to support and empower the member to motivate change and take an active role in self-managing their health
- Provides community and internal resources and referrals as needed such as; Elder Services, Dementia Care Consultant, Pharmacy, Behavioral Health/Social Services
- Maintain professional growth and development through self-directed learning activities
- Maintain knowledge of and complies with all relevant laws, regulations and policies , procedures and standards.
Pre-Certification Registered Nurse Care Manager
Tufts Health Plan Medicare Preferred
01.2013 - 01.2014
Pre-Certification Registered Nurse
Medix Staffing Solutions
01.2012 - 01.2013
- Based at Tufts Health Plan, managed a daily case load of requests for coverage as defined within the TMP Medical Necessity Guidelines
- Perform timely completion of cases by adhering to time frames and regulations set forth by Medicare Regulations
- Assisted the team in preparing the unit for the Medicare audit conducted this year.
Registered Nurse
Art of Care
01.2011 - 01.2012
- Home health care nurse providing clinical care within the patients’ residences
- Responsible for the documentation plan of care using the OASIS form for Medicare reimbursement
- Supervised home health aids and provided guidance when needed
- Designed, implemented, and evaluated the plan of care for the patients
- Developed positive rapport with patients
- Educated patients, performed assessments and worked closely with their physicians on medication management
- Preceptor for six registered nurses.
Registered Nurse
AT Home VNA
01.2010 - 01.2011
- Home health care nurse providing clinical care within the patients’ residences
- Responsible for the documentation plan of care using the OASIS form for Medicare reimbursement
- Supervised home health aids and provided guidance when needed
- Designed, implemented, and evaluated the plan of care for the patients
- Developed positive rapport with patients
- Educated patients, performed assessments and worked closely with their physicians on medication management.
Pharmacy Technician
CVS Pharmacy
01.2007 - 01.2010
- Fast paced retail pharmacy
- Assisted in fulfilling high volume of prescription orders
- Interacted directly with staff pharmacists and insurance companies.
Peoplesoft Trainer
Keane, Inc
01.2004 - 01.2007
- Created training manual and conducted training sessions for company collections software.
Accounts Receivable Specialist
01.2001 - 01.2004
Education
Associates of Science - Nursing
Bunker Hill Community College
Boston, MASkills
- CORE COMPETENCIES AND SKILLS:
- Workflow process and procedures
- Knowledge of current Medicare health regulations
- Very effective demonstration and leadership qualities
- Computer skills:
- MS Word, Outlook, Excel, Medhok, Peoplesoft
- Outstanding interpersonal and communication skills
- Oversees provisions for discharge from facilities including follow-up appointments, home health, social services, transportation, etc, in order to maintain continuity of care
- Demonstrates a thorough understanding of the cost consequences resulting from Care Management decisions through utilization of reports and systems such as days of admission and high risk reports
Additional Information
- LICENSURE/CERTIFICATION: , Registered Nurse-Massachusetts (2010) Certified Care Manager (2019)
- HONORS: , Phi Theta Kappa International Honor Society, member Leadership Award, Peoplesoft ACITIVITIES Volunteer, Treasurer ACTAIDCIS (2010-Present) Class Representative, Bunker Hill Community College (2008-2010)
Timeline
Senior RN Care Manager
Tufts Health Plan Medicare Preferred
01.2021 - Current
RN Care Manager
Tufts Health Plan Medicare Preferred
01.2014 - 01.2021
Pre-Certification Registered Nurse Care Manager
Tufts Health Plan Medicare Preferred
01.2013 - 01.2014
Pre-Certification Registered Nurse
Medix Staffing Solutions
01.2012 - 01.2013
Registered Nurse
Art of Care
01.2011 - 01.2012
Registered Nurse
AT Home VNA
01.2010 - 01.2011
Pharmacy Technician
CVS Pharmacy
01.2007 - 01.2010
Peoplesoft Trainer
Keane, Inc
01.2004 - 01.2007
Accounts Receivable Specialist
01.2001 - 01.2004
Associates of Science - Nursing
Bunker Hill Community College
Similar Profiles
Brianna CollinsBrianna Collins
Enrollment Coordinator at Tufts Health PlanEnrollment Coordinator at Tufts Health Plan
Katia ToussaintKatia Toussaint
Senior Customer Service Representative at Tufts Health PlanSenior Customer Service Representative at Tufts Health Plan
Brittany BarrenBrittany Barren
Member Service Representative at Providence Medicare Advantage Health PlanMember Service Representative at Providence Medicare Advantage Health Plan