BSN RN with a collective background in Med/Surg, Cardiac Critical Care, Telephonic Insurance care management, Home Health/Hospice Case Management and administrative leadership. I am seeking a position with your company to utilize my background to better serve the community of your members.
Overview
10
10
years of professional experience
1
1
Certification
Work History
Registered Nurse Case Manager, Hospice
Hospice Of The Hills
01.2018 - Current
Collaboration with physician for eligibility and hospice appropriateness
Informational visit with patients and families to educate on Hospice philosophy and goals of comfort care. Review diagnosis, prognosis, disease process and management of care
Admission process with emphasis on education and plan of care
Scheduling/Management of patient weekly visits
Recertification visits to determine and document continued appropriateness for hospice service
Manage all aspects of care from admission to discharge/death
Administered medications and treatments per doctor orders to patients and monitored responses with updating of care plans
Update patient charts with data such as medications and treatments to keep records current and support accurate treatments
Advocate for patients by communicating care preferences to practitioners, verifying interventions and met treatment goals
Secure controlled narcotics and distribute medication on schedule to meet patient needs and minimize misuse opportunities
Triage patients over phone. On call availability to patients after 430 pm and 24hrs on weekends for emergency calls
Strong communication skills
Compassionate and professional bed side manner
Provide supervision to aides and updating plan of care
Document aide supervisory visits every 2 weeks
Work in Hospice House when needed
Registered Nurse, Case Manager
STG International (Mountain Home VA Clinic)
07.2016 - 10.2017
Case Management roster of 1100 plus veteran clinic patients
Communication with multiple internal and external providers including Veterans Administration System to establish care plans and goals. Worked closely with veteran on care plan, interventions and goals related to individual needs
Reviewed, authorized per provider and ordered medications in accordance with established guidelines
Collaborated with care team members in areas of pharmacy and behavioral health to influence appropriate patient care
Triaged and prioritized walk in patients for medical provider based on presenting symptoms
Registered Nurse, Case Manager
Baxter Regional Home Health
07.2015 - 07.2016
Provided individualized skilled nursing care in home environment for Medicaid, Medicare and private insurance patients
Performed patient health assessment which included evaluation of physical, mental and environmental health status and provided nursing care plan interventions and goals based on assessment needs
Coordinated health care services provided by ancillary team members including CNA, MSW and other appropriate indicated therapies
Improved patients understanding of disease process through strong patient education
Competently recorded patients assessment and condition using EMR and reported and changes to medical provider
Developed patient discharge care plan
Humana, Remote Telephonic RN Care Manager
Humana
12.2013 - 02.2015
Independent remote work environment with emphasis on time management, organizational skills and team member communication using Desk Top Tools, Microsoft Outlook, Weekly IDT meetings and Company Intranet
Proactive telephonic outreach to eligible Humana members and engaged participation in Humana At Home Complex Care Management Program related to chronic disease management of Diabetes, HTN, COPD, Cancer and CAD
Achieved required % of mandatory daily care plan calls and evaluated for deviations from goals and objectives which would result in escalating need for intervention and education
Skillful communication with medical providers and behavioral health to assist, guide and overcome barriers to meeting goals and objectives
Exemplified strong knowledge of clinical guidelines, standards of care management plans, policies, procedures and regulatory standards to ensure appropriate application of benefits