Compassionate Nurse experienced in coordination of care. Hardworking and dedicated to achieving desired case outcomes. Offers excellent problem-solving, conflict resolution and communication abilities.
Overview
10
10
years of professional experience
Work History
Case Manager II
Encompass Health Rehabilitation Hospital
03.2023 - Current
Oversee the effective coordination of services including referrals to continuing care providers, home health, ordering of
DME, to ensure safe discharge to community
Facilitates the communication between treatment team, patient and caregivers to support informed decision making, identification of barriers and to work to decrease or eliminate barriers
Apply knowledge of regulatory standards, patient outcomes and financial goals to promote effective utilization of hospital days and services
Ensure accuracy of discharge and payor related documentation including payor requirements and recertification needs.
Developed comprehensive discharge plans to transition clients to appropriate service providers in community.
RN Case Manager
AdventHealth Hospice Care
01.2021 - Current
Provide direct nursing care and comprehensive assessment to hospice patients in various care settings
Effectively manage plan of care, serving as coordinator for interdisciplinary team for assigned case load
Communicate patient needs to physician to manage symptomatic condition changes and medication needs
Manage and order resources including medication, supplies and durable medical equipment per patient needs
Educate and provide support to family caregivers on end stage disease processes, safety and symptom management
Compete all required charting and relevant documentation in electronic medical record database
Timely, effective communication with hospice team, patient caregivers and facilities staff.
Nurse Care Manager I
Centene Corporation
04.2020 - 01.2021
Assessment of Medicaid- managed care population's health status and resource utilization
Recognize and incorporate identified HEDIS measures to eliminate gaps in member's care
Facilitate member access to medical and behavioral community-based services
Develop Individualized care plan to promote desired health outcomes
Identify and report risk management and quality concerns to promote high-quality, cost-effective care outcomes
Provide telephonic health education to members and caregivers to meet the full psychosocial needs of the member
Participate in weekly integrated care team meetings to coordinate services with providers.
Staff Nurse
AMITA Mercy Medical Center
09.2013 - 04.2020
Establish nursing treatment plan incorporating nursing assessment data, medical and psychiatric histories
Contribute to the multidisciplinary team by identifying problems unique to the individual patient to develop,implement and evaluate care plans
Provide direct quality care through therapeutic interventions and crisis management for patient specific medical andbehavioral health needs
Educate patients and family members on safety, diagnosis, medications and discharge instructions
Evaluate patient response to interventions effectiveness and progress towards treatment goals
Maintain safe and therapeutic milieu through communication and interventions to reduce falls in high-risk population
Served on Nurse Practice council to advocate for behavioral health program needs
Served as preceptor for role transition students to facilitate student meets clinical objectives by supervising clinicalhospital experience and evaluating student performance.