Accomplished Registered Nurse Case Manager with 30+ years of experience dedicated to quality care of diverse patients. Smoothly blend hands-on skills with advanced clinical background. Successful at working with all levels of healthcare providers, physicians and administrators to address patient needs.
Overview
33
33
years of professional experience
Work History
RN Case Manager
University Medical Center Hospital, UMC
Las Vegas, NV
04.2008 - Current
Determined and coordinated appropriate level of care to meet individual patient needs.
Assessed and reviewed patients for discharge and planning and integrated services for patients requiring home care, home infusion and durable medical equipment (DME).
Advocated for patients by identifying insurance coverage, communicating care preferences to practitioners and verifying interventions met patients' treatment goals.
Obtained recommendations for inpatient or outpatient level of care by discussing cases with physician advisor.
Arranged placement of new patient admissions and transfers according to clinical standards and guidelines.
Secured insurance authorizations to rehabilitation facilities or long-term care placement.
Updated and maintained discharge plan of care with physician, members of healthcare team, patients and families.
Actively participated in family and patient planning processes.
Weekend Lead Case Manager
United Healthcare
Las Vegas, NV
10.2002 - 05.2017
Collaborated with healthcare team to improve care quality, reduce costs and gauge patient progress.
Coordinated support services and optimized communication between healthcare workers and patients.
Assisted individuals with eligibility for available benefits.
Consulted with staff on resolution of complex service issues.
Workers' Compensation Case Manager
Employers Insurance Company
Las Vegas, NV
06.1999 - 04.2002
Documented patient histories, conditions, treatments, changes and responses and used critical thinking skills to assess and evaluate patient's physical, psychosocial and emotional needs.
Collaborated with physical and occupational therapists, case managers and physicians during treatment, examination and testing.
Delivered array of direct nursing care services such as cleaning and dressing wounds and coordinated discharge planning for patients with fractures, arthritis and osteoporosis.
Referred patients to specialized health resources or community agencies to furnish additional assistance.
Advocated for patient needs with interdisciplinary team and implemented outlined treatment plans.
Modified patient treatment plans as indicated by patients' responses and conditions.
Prepared medical equipment and tools to aid physician during examination and treatment of patients.
Orthopedic Registered Nurse
Summerlin Hospital and Medical Center
Las Vegas, NV
09.1997 - 11.1999
Interpreted and evaluated diagnostic tests to identify and assess patient's condition.
Responded to emergency situations with speed, expertise and level-headed approaches to provide optimal care, support and life-saving interventions.
Administered oral, IV and intra-muscular medications and monitored patient reactions.
Helped patients and families feel comfortable during challenging and stressful situations, promoting recovery and reducing compliance issues.
Assessed patient conditions, monitored behaviors and updated supervising physicians with observations and concerns.
Advocated for patient needs with interdisciplinary team and implemented outlined treatment plans.
Observed strict safety measures, including checking medication dosages before administration to patients.
Modified patient treatment plans as indicated by patients' responses and conditions.
Conducted specified laboratory tests to help detect conditions and determine diagnosis.
Home Health Nurse
Family Healthcare Services
Las Vegas, NV
03.1995 - 05.1997
Notified physicians of changes in patients' conditions.
Developed care plans, covering goals based on nursing diagnosis and incorporating therapeutic, preventive and rehabilitative nursing actions.
Utilized learned nursing skills for wound care, vital sign checking and medication assistance.
Provided home health aide care providers with training, guidance, support and supervision to achieve objectives.
Asked open-ended questions and delivered high level of attention to reliably assess patients' conditions.
Completed initial assessments of patients and family to determine and address individual home care needs.
Travel Nurse Telemetry
Cross Country Healthcare
Mobile, AL
06.1993 - 08.1995
Administered medications, tracked dosages and documented patient conditions.
Assisted in planning individual treatment programs in consultation with Charge Nurse, Director of Nursing and other staff using established knowledge and resources in planning care and patient teaching.
Responded to codes or patient crises as part of rapid-response team.
Trained other nurses on patient care and daily tasks, supporting growth and professional development.
Observed nurse administration of oral, intramuscular and IV medications to patients as prescribed, monitoring responses for adverse reactions.