A seasoned registered nurse with experience in case management, project management, quality improvement, system upgrade, and system optimization searching for a management position. Effective communicator, comfortable collaborating with all team members. Well-versed in clinical operations, Aerial, Epic, Med Tech, HIP, HRS, and Mum systems. Knowledge about case management, systems management and policies related to healthcare information compliance.
Healthcare professional with extensive expertise in mentoring, staff training, and patient management and coordination. Recognized for effectively navigating complex healthcare systems and driving patient-centered care initiatives. Collaborates with diverse teams and adapts seamlessly to changing healthcare environments while maintaining focus on achieving optimal patient outcomes.
Overview
14
14
years of professional experience
1
1
Certification
Work History
Nurse Case Manager
HCSC
09.2019 - Current
Providing education and connecting patient with appropriate resources to optimize health outcomes, decrease complications, and re-current emergency room visits and hospital stays.
Coordinating care with physicians, providers, and other resources to make sure that members receive effective and safe care.
Providing wellness education to members
Collaborating with medical director, pharmacists, and other team members
Recognitions: Remarkable Associate Recognition on 2024-04-15.
Acting as a back team leader and clinical support to the the team.
Served as a liaison between patients and various support services such as financial assistance programs, community resources, and mental health counseling to ensure holistic care was provided.
Increased referral rates by providing excellent service and building meaningful relationships with patients and caregivers.
Collaborated with healthcare leaders and physicians to support and offer resources in performance of duties to maintain high-quality and efficient patient care.
Managed support services and fostered communication among social workers, therapists, hospital staff, and patients.
Promoted continuity of care by coordinating with healthcare providers, social workers, and family members in the development of discharge plans.
Educated patients on disease management techniques, empowering them to take control of their health and reduce complications.
Applied critical thinking skills during case reviews to identify potential risks or challenges before they escalated into larger issues.
Ensured regulatory compliance by staying current on industry best practices and maintaining meticulous documentation records.
Analyzed patient responses to medications, therapies and variances in plans of care.
Optimized resource utilization by identifying opportunities for cost containment without compromising care quality.
Gathered and recorded patient health information and data to assess, identify and manage characteristics that affect care outcome.
Facilitated smooth transitions between healthcare settings by effectively communicating pertinent information to receiving facilities or home health agencies.
Enhanced interdisciplinary team communication, ensuring timely and accurate updates on patient progress.
Collaborated with multidisciplinary teams to devise evidence-based treatment plans that improved patient satisfaction scores.
Implemented aspects of patient care under physician orders and sought clarification when needed to promote safety, quality and cost-efficient care.
Conducted thorough assessments to identify gaps in care and develop targeted interventions for improvement.
Managed caseloads efficiently, prioritizing high-risk cases while ensuring all patients received appropriate attention and support.
Developed strong relationships with patients, families, and healthcare providers, fostering trust and open communication resulting in improved satisfaction scores.
Mentored new hires, sharing knowledge and expertise to foster a supportive learning environment promoting professional growth within the nursing team.
Advocated for patient needs, addressing concerns with healthcare providers and insurance companies to ensure optimal care was received.
Offered exceptional care and support to individuals recovering from acute incidents and dealing with chronic conditions.
Sustained quality standards by performing routine medication audits and upholding internal and industry best practices.
Followed all personal and health data procedures to effectively comply with HIPAA laws and prevent information breaches.
Facilitated therapeutic communication, conflict resolution and crisis intervention by redirecting negative behaviors and helping patients regain or improve coping abilities.
Investigated and resolved issues affecting hospital operations and patient care.
Nurse Case Manager
Anthem Inc
10.2021 - 10.2023
Providing education and connecting patient with appropriate resources to optimize health outcomes, decrease complications, and re-current emergency room visits and hospital stays.
Coordinating care with physicians, providers, and other resources to make sure that members receive effective and safe care.
Providing wellness education to members
Collaborating with medical director, pharmacists, and other team members
Developed and modified patient care plans and assisted interdisciplinary team in identifying client needs and goals to determine priorities of care.
Initiated cross-discipline collaboration efforts that led to improved patient outcomes across various departments in the facility.
Reduced hospital readmissions through vigilant monitoring and prompt intervention for at-risk patients.
Evaluated clinical data trends over time, identifying areas requiring process improvements that ultimately led to better overall patient experiences.
Assisted with the implementation of new technology solutions that streamlined communication and improved the overall efficiency of care coordination.
Leveraged feedback and process improvement opportunities to create safer and healthier environment and increase patient satisfaction.
Led teams in driving successful patient outcomes by prioritizing standard of care and best practices.
Registered Nurse
Saint Joseph Medical Center
02.2014 - 09.2019
Neurology/stroke unit 2014-2015
Float Pool: 2015-2019: covering the following units: PCU, Cardiac Tele, Med Surg, Surgery, Oncology, Rehab, Psych, Dialysis
Providing direct, individualized care to stroke patients.
Application of scientific nursing principles, such as assessment, planning, intervention, implementation, and evaluation
Providing stroke education to patients and their families
Providing direct, individualized care to seizure patients and other neuro patients
Utilized critical thinking skills to prioritize nursing interventions based on patients'' acuity levels and individual needs.
Enhanced patient satisfaction by providing compassionate, holistic nursing care that addressed physical, emotional, and spiritual needs.
Prevented the spread of infections by consistently adhering to strict infection control protocols and educating patients on proper hygiene practices.
Assisted in the training and mentorship of new nursing staff members, contributing to a positive work environment and high-quality patient care.
Skillfully managed challenging patient situations using de-escalation techniques, crisis intervention strategies, and therapeutic communication skills.
Promoted a culture of safety within the healthcare facility by participating in quality improvement initiatives, identifying potential hazards, and advocating for best practices in nursing care delivery.
Participated in ongoing professional development opportunities to stay current on best practices in nursing care and emerging trends in healthcare delivery.
Facilitated patient transitions between different levels of care, ensuring continuity of services and minimizing disruptions in treatment plans.
Demonstrated expertise in wound management techniques resulting in accelerated healing times for patients with complex wounds or pressure injuries.
Performed triage on incoming patients and determined severity of injuries and illnesses.
Conducted ongoing monitoring and evaluations of behaviors and conditions, and updated clinical supervisors with current information.
Offered exceptional care and support to individuals recovering from acute incidents and dealing with chronic conditions.
Registered Nurse
Fresenius Medical Center
10.2012 - 02.2014
Providing of direct, individualized dialysis treatments to hospitalized patients
Application of scientific nursing principles, such as assessment, planning, intervention, implementation, and evaluation
Collaboration with interdisciplinary team members to ensure quality patient care delivery
Monitoring dialysis treatments from start to finish
Cannulation of accesses, medication administration and performing blood transfusions
Teaching patients and patients' families about diet maintenance and proper access care
Completion of required orientation
Following OSHA guidelines
Conducted thorough patient assessments to identify changes in condition, promptly notifying physicians and initiating appropriate interventions when necessary.
Collaborated with interdisciplinary teams to develop comprehensive treatment plans for complex patients with multiple comorbidities.
Served as a preceptor for nursing students during their clinical rotations, providing valuable real-world experience and guidance to foster professional growth.
Improved patient outcomes by implementing evidence-based nursing interventions and individualized care plans.
Used first-hand knowledge and clinical expertise to advocate for patients under care and enacted prescribed treatment strategies.
Led teams in driving successful patient outcomes by prioritizing standard of care and best practices.
Offered exceptional care and support to individuals recovering from acute incidents and dealing with chronic conditions.
Registered Nurse
Passages Hospice
10.2011 - 10.2012
Application of scientific nursing principles, such as assessment, planning, intervention, implementation, and evaluation
Delivering end-of-life care
Providing hands on nursing care around the clock
Pain and symptom management
Providing support for patients and their families
Ordering supplies and necessary equipment to care for patients at home
Enhanced patient satisfaction by providing compassionate, holistic nursing care that addressed physical, emotional, and spiritual needs.
Assisted in the training and mentorship of new nursing staff members, contributing to a positive work environment and high-quality patient care.
Collaborated with interdisciplinary teams to develop comprehensive treatment plans for complex patients with multiple comorbidities.
Served as a preceptor for nursing students during their clinical rotations, providing valuable real-world experience and guidance to foster professional growth.
Improved patient outcomes by implementing evidence-based nursing interventions and individualized care plans.
Promoted a culture of safety within the healthcare facility by participating in quality improvement initiatives, identifying potential hazards, and advocating for best practices in nursing care delivery.
Provided support for patients'' families during difficult medical decisions or end-of-life care, serving as a liaison between the healthcare team and loved ones.
Advised patients and caregivers of proper wound management, discharge plan objectives, safe medication use, and disease management.
Facilitated patient transitions between different levels of care, ensuring continuity of services and minimizing disruptions in treatment plans.
Contributed to interdisciplinary team meetings by presenting relevant clinical data about patients'' progress toward reaching established goals of care.
Implemented evidence-based fall prevention strategies, resulting in a significant decrease in patient falls within the unit.
Collaborated with interdisciplinary teams to develop comprehensive care plans for complex cases.
Collaborated with leadership to devise initiatives for improving nursing satisfaction, retention and morale.
Education
Master of Science - Nursing Informatics
Western Governors University
Salt Lake City, UT
05.2024
Bachelor of Science - Nursing
Loyola University
Chicago, IL
01-2014
Skills
Operating Systems: Windows 31 – Windows 10
Microsoft: PowerPoint, Word, Excel, Outlook, Visio, SharePoint, Teams, Jabber, One Note
Specialty: Med Tech, Epic, Aerial, Aerial 20, HRS, HIP, Mums
Medication monitoring
Clinical assessment
Care coordination
Policy adherence
Technology proficiency
Care plan adjustment
Disease management
HIPAA compliance
Community resources
Patient care and education
Medication management
Healthcare regulations
Discharge planning
Utilization review
Chronic disease management
Teamwork
Teamwork and collaboration
Problem-solving
Adaptability and flexibility
Creative problem solving
Decision-making
Active listening
Patient and family advocacy
Team building
Safety protocols
Delegation and motivation
Task prioritization
Self motivation
Health promotion
Interpersonal communication
Training staff
Group and individual instruction
Intake and discharge
Certification
RN License at the following states: AL, AZ, AK, CT, DE, FL, GE, HI, ID, IL, IN, KY, LA, MN, MT, NE, NV, NH, NM, , ND, OH, OK, RI, TN, TX, UT, VT, VA, WV, WI, WY.
Case Manager Certification: effective 2024-12-07 to 2029-11-30
Affiliations
Member - NCNA Council on Nursing Informatics
Member - American Nurses Association
Steering Committee Member - Alliance of Nursing Informatics (ANI)
Program Support Specialist/ Caregiver Support Program at Department of Veterans Affairs ViSN 12Program Support Specialist/ Caregiver Support Program at Department of Veterans Affairs ViSN 12