Experienced Registered Nurse at United Health Group-Optum, specializing in case management for chronic kidney disease and dialysis patients. Proficient in ICD-10 and adept with charting systems including Athena, eClinicalWorks, and AHLTA. Successfully managed caseloads of up to 160 members, demonstrating strong time management and adaptability skills. Known for fostering teamwork and providing thorough patient education, resulting in enhanced health management and improved patient outcomes.
Overview
11
11
years of professional experience
Work History
Registered Nurse Case Manager
Optum, UnitedHealth Group
10.2021 - Current
Manage caseload of anywhere from 120-160 members with complex medical conditions
Make "welcome home" calls to ensure that discharged members receive necessary services and resources promptly and effectively.
Provide comprehensive patient education to empower individuals in managing their health independently.
Identify potential gaps or barriers in treatment plans and work proactively to address them.
Coordinate holistic care for members, facilitating necessary services such as home health care and durable medical equipment (DME).
Educate members on disease processes and advocate for healthy lifestyle changes to enhance their overall well-being.
Conduct outbound calls to assess members' current health status and ensure continuity of care.
Collaborate closely with Medical Directors on complex or challenging cases to achieve optimal patient outcomes.
Document and meticulously track all interactions, findings, and actions taken to maintain thorough patient records.
Provide essential resources and support to meet patient care needs effectively, fostering patient-centered approach.
Interact with members and their families as chronic kidney case management specialist, providing supportive network throughout their healthcare journey.
Implement extensive patient education and support program aimed at empowering members to achieve and sustain healthier lifestyle, thereby mitigating future medical costs.
Proactively identify and support members with dialysis and transplant needs early in their treatment process.
Assist members in navigating Medicare eligibility and enrollment processes specifically tailored to dialysis treatments.
Guide members towards in-network healthcare facilities to ensure they receive high-quality and cost-effective care.
Dialysis RN Floater/Charge Nurse
US Renal Care
01.2020 - 06.2022
Floated to various clinics in the DFW and able to adapt to clinic settings with diverse patients and their disease processes.
Assisted other staff in the performance of their duties in accordance with policies and as allowed by state regulations.
Obtained vital signs and evaluated data.
Administered medications and intravenous solutions.
Home Dialysis Registered Nurse
Freedom At Home Diaylsis
08.2020 - 09.2021
Responsible for knowing how to operate the RO machine, bleaching, stringing lines, trouble shooting dialysis machine.
Responsible for knowledge and skilled experience on assessment and cannulation of patient's access or catheter care.
Responsible for patient assessment on an ongoing basis.
Maintain accurate, detailed reports, records, and filling out water book.
Monitor, record, and report symptoms or changes in patients' conditions.
Responsible for medication and vaccine administration.
Consult and coordinate with healthcare team members to assess, plan, implement, and evaluate patient care plans.
Instruct individuals, families, or other groups on topics such as health education and disease prevention.
Conduct specified laboratory tests.
Maintain ongoing communication with the interdisciplinary team.
Dialysis Staff Nurse
American Renal Associates
04.2018 - 01.2019
Ensured compliance with standards of care outlined in clinic policies.
Provided hemodialysis treatments for patients in the chronic and acute stages of renal failure.
Performed all technical aspects of dialysis procedures.
Monitored and evaluated patient responses to treatments and applied appropriate adjustments as per protocol or as prescribed by physician.
Prepared and administer medications.
Inspect and monitor vascular access.
Collected specimens for lab requirements.
Accurate documentation
Closely monitored patients' condition; recorded changes on status; executed immediate and appropriate action; and informed physician for further consultation.
Nurse Educator-Home Visitor
New Parent Support Program-AFSC
06.2016 - 07.2017
Assesses developmental milestones and referral procedures for indicators of special needs or developmental delays.
Promotes developmentally appropriate parenting skills and disciplinary techniques, and parent and child communication skills.
Develops relationships with local community and military installation officials and organizations that can maximize program effectiveness, and utilize community resources to military family members adjusting to new military base.
Utilizes methods for screening for, assessing, and addressing protective and risk factors associated with child abuse and neglect using a strengths-based Family centered developmental approach.
Dialysis Charge Nurse
DSI Sooner Dialysis/US Renal Care
09.2014 - 08.2016
Assessment of patient, cannulation, setting machine parameters as well as starting and tearing down of machines.
Stocking supplies, monitoring patients' vitals every 30 minutes, water checks, drawing heparin, good nursing judgments were used daily.
Skills Used Organization, understanding, patient education, vital monitoring of patients, understanding machine and water operation and being able to fix issues that may arise during treatment mechanically, physically or emotionally and to serve patients in the best possible manner.
In charge of administering vaccines such as hepatitis b, flu, pneumonia, tb, and organizing a binder for vaccine hx and scheduled vaccines.
Dialysis Registered Nurse/Charge Nurse
Fresenius Medical Care NA
07.2013 - 09.2014
Oversaw dialysis technicians in all aspects of patient care; monitored compliance/adequacy of treatments; consulted with physician on prescription/plan changes.
Assisted physicians in all aspects of patient care, including medication administration, patient
Utilized clinical expertise and critical nursing judgment to establish a therapeutic relationship with patients and families through effective communication and mutual goal setting.
Ensured compliance with standards of care outlined in clinic policies.
Educated patients regarding their conditions and possible treatment options.
Provided hemodialysis treatments for patients in the chronic and acute stages of renal failure.
Performed all technical aspects of dialysis procedures.
Monitored and evaluated patient responses to treatments and applied appropriate adjustments as per protocol or as prescribed by physician.
Provided patient education on nutritional and fluid requirements; access management, as well as the importance of compliance to treatment regimens.
Performed duties of a charge nurse for the facility in addition to providing regular patient care.
Prepared and administer medications.
Inspect and monitor vascular access.
Collected specimens for lab requirements.
Accurate documentation
Closely monitored patients' condition; recorded changes on status; executed immediate and appropriate action; and informed physician for further consultation.
In charge of diabetic foot checks, documentation, and education to patients in-center.
Education
Master of Science - Masters of Science in Nursing-FNP
Purdue University Global
Online
11.2019
Bachelor of Science - Bachelors of Science in Nursing
Oklahoma Panhandle State University
Goodwell, OK
05.2015
Associate of Science - Associate of Science in Nursing-RN
Western Oklahoma State College
Altus, OK
05.2011
Skills
Task Prioritization
Patient Education
Time management abilities and Multitasking
Problem-Solving and Organizational Skills
Utilization review
Case Management
EMR / EHR
Quality Improvement
Chronic Disease Management
Discharge Planning
Referral/Care Coordination
Knowledge of ICD-10 coding
Medicare/Medicaid experience
Timeline
Registered Nurse Case Manager
Optum, UnitedHealth Group
10.2021 - Current
Home Dialysis Registered Nurse
Freedom At Home Diaylsis
08.2020 - 09.2021
Dialysis RN Floater/Charge Nurse
US Renal Care
01.2020 - 06.2022
Dialysis Staff Nurse
American Renal Associates
04.2018 - 01.2019
Nurse Educator-Home Visitor
New Parent Support Program-AFSC
06.2016 - 07.2017
Dialysis Charge Nurse
DSI Sooner Dialysis/US Renal Care
09.2014 - 08.2016
Dialysis Registered Nurse/Charge Nurse
Fresenius Medical Care NA
07.2013 - 09.2014
Master of Science - Masters of Science in Nursing-FNP
Purdue University Global
Bachelor of Science - Bachelors of Science in Nursing
Oklahoma Panhandle State University
Associate of Science - Associate of Science in Nursing-RN