YVROSE JEAN

• Helped patients manage acute and chronic pain.
• Educated patients on treatment options, medical needs, and non-medical options for treatments and therapy.
• Coordinated with physicians, specialists, and other medical staff to develop treatment plans for chronic conditions.
• Coordinated referrals for specialty services and additional care.
• Assessed and treated STDs in both males and females.
• Prescribed appropriate pharmacologic and non-pharmacologic treatment modalities to support health and comfort of patients.
• Provided preventive care such as well-child checks, adult physicals, and gynecological examinations.
• Performed patient physicals and compared and contrasted results with established medical records to provide proper diagnosis and facilitate appropriate treatment.
• Ordered and interpreted diagnostic tests to develop and implement treatment plans.
• Monitored patient progress and adjusted treatments accordingly.
• Educated and guided patients on disease prevention and healthy lifestyle habits to prevent Type-2 diabetes and other complications.
• Developed individualized treatment plans for patients with complex medical needs.
• Informed patients and families on disease prevention and health promotion.
• Scheduled and followed up on patient appointments, maximizing continuity of care.
• Recorded patient medical history, applicable test results, and vitals into medical records.
• Assessed patient needs, clearly communicating diagnosis and treatment plans to patients and families.

• Performed patient physicals and compared and contrasted results with established medical records to provide proper diagnosis and facilitate appropriate treatment; Maintaining a workload of 15 to 20 patients per day.
• Ordered and interpreted diagnostic tests to develop and implement treatment plans.
• Coordinated with physicians, specialists and other medical staff to develop treatment plans for chronic conditions.
• Provided preventive care such as well-child checks, adult physicals and gynecological examinations.
• Prescribed appropriate pharmacologic and non-pharmacologic treatment modalities to support health and comfort of patients.
• Teamed with physicians to provide comprehensive patient care, referrals and high-risk management strategies.

• Coordinate COVID testing of over 100 cast and crew members for television and film productions throughout Atlanta metro recording sets
• Initiate contact tracing and ensure protocol compliance of those tested positive.
• Manage testing environment to mitigate outside variables and increase accuracy.
• Contributed to quality control efforts and investigation of failed products.
• Trained and developed new testing team members and provided continuous mentoring.

• Initial screening on High-Risk members to anticipate post-discharge needs
• Medical management includes pretreatment, authorization, concurrent review, retrospective review, and member care management
• Collaborate with Hospitalists on an appropriate plan of care
• Collaborate with other disciplines and service providers in the community to facilitate a flawless discharge to home or transfers to other facilities
• Post-Acute Care follow-up - Maintain cost effectiveness while ensuring the best quality care
• Effective counseling in health maintenance and disease management
• Instruction to patients and family members on proper post-discharge care
• Provided on-call care troubleshooting after-hour needs.
• Possessed awareness of illness's social ramifications, implementing customized recovery plans to improve patient situation.
• Created customized care plans, working with hospital staff and families to assess and meet individual needs.

• Conducted Inpatients Utilization reviews using the InterQual Criteria
• Communicated utilization report to various insurance company daily for bed day's approval
• Collaborated with other disciplines and service providers in the community to facilitate a flawless discharge to home or transfer sub-acute facilities and collaborated with Physicians on appropriate care plans
• Maintain ongoing communication with payer sources.
• Coordinated and analyzed sustainable person-centered care plans involving internal and external providers.
• Coordinated referrals to specialists, hospitalizations, ER visits, ancillary testing and other enabling services for patients.

• Coordinate patient transportation to appropriate care unit
• Delivered high level of quality care to diverse populations while overseeing patient admission and triaging based on acuity and appropriate department admission.
• Provided discharge education and coordinated post-discharge care with case managers and discharge planners
• Autoimmune disorders infusion management.
• Administered IV fluids, medications and blood products through peripherally inserted central venous catheter to support long-term treatment for infections, cancer or heart and kidney problems.
• Prepared chemotherapy doses and iron infusions for patient treatments as per physicians' orders.
• Educated patient, family or caretaker about post discharge care procedures to facilitate care continuum.

• Provide end-of-life nursing care to dying patients
• Ensure patient comfort through bowel & bladder program
• Comfort measures to family members
• Coordinate with other disciplines to ensure a team approach.
• Conferred with physicians to discuss diagnoses and devise well-coordinated treatment approaches.
• Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process and management and lifestyle options.

• Responsible for assessing members' needs, assessing community and facility resources, and developing medical management plans to meet those needs
• Medical management includes pretreatment, authorization, concurrent review, retrospective review, and member care management
• Provided for ongoing monitoring and evaluation of members' needs, ensuring that services were delivered most cost-effectively through redirections to network providers or negotiations of rates for services
• Participated in the weekly extensive claim review round and assisted in the negotiation process with the provider representatives.
• Attended continuing education trainings and maintained certifications to promote more effective service delivery.

• Supervised nursing operations throughout the hospital
• Assist Physicians with after-hour issues—supervised hospital-wide procedures on weekends.
• Direct day-to-day administrative and operational functions for 350-bed facility, providing guidance and leadership to over 2000 employees across more than 3 departments.
• Spearheaded and implemented new projects to expand scope of engagement.
• Monitored and inspected staff processes to eliminate hazards posed for both residents and staff while ensuring continuous compliance with regulations.

• Researched and developed a case management style for this large MSO to manage patient care services with a focus on quality and appropriate resource utilization
• Managed enrolled members when skilled care was needed—rounded in approximately 15 skilled nursing facilities
• Duties included coordinating care while in facilities and ensuring a smooth transition for after-care follow-up—referrals to specialists and other providers as needed
• Evaluated and coordinated with managed care company members and physician's complaints; this included physician access, physician-patient relationship, and benefits issues
• Coordinated transfers and discharges
• Arranged for skilled care and long-term care placement, at home.

• Administered medications to treat patients' symptoms and address underlying disease progression.
• Operated critical care equipment to keep patients stable and promote recovery.
• Personalized bedside care and interactions based on cultural backgrounds of different patients.
• Worked with intubated and ventilated patients, monitoring and reporting on conditions to maintain stats within optimal levels.
• Protected critically ill patients from unnecessary risks by limiting visitors, using proper PPE and using strong infection control procedures.

GPA: 3.82

GPA: 3.79

GPA: 3.74