Desired Job Title
ER case managerRN Case ManagerSchool Health NurseTelemetry Staff NurseWork Type
Full TimeLocation Preference
HybridOn-SiteRemoteLocation: Chicago, IL
Open to relocation: No
Open To Work
Patricia Amaya
Chicago
Work Preference
Summary
Results-driven case manager with a strong background in patient care coordination and discharge planning. Skilled in applying InterQual and MCG guidelines to enhance decision-making, reduce length of stay, and ensure continuity of care for diverse patient populations.
Overview
10
10
years of professional experience
Work History
ER case manager
MBOS inc.
Highland Park
10.2024 - Current
- Conducted chart reviews to recommend observation or inpatient criteria, ensuring compliance with MCG guidelines.
- Proposed documentation practices to medical team, aligning with MCG guidelines for improved accuracy.
- Utilized ICD-10 codes to validate medical diagnoses and assist billing during patient admissions.
- Updated data sheets with admission recommendations to support informed decision-making.
RN Case Manager
Mt. Sinai Hospital
Chicago
10.2021 - Current
- Created discharge plans for trauma surgical and general medical patients to ensure smooth transitions and effective follow-up care.
- Optimized patient flow through comprehensive chart analysis, reducing length of stay.
- Applied InterQual criteria to differentiate observation from inpatient admissions.
- Ensured continuity of care by monitoring patient status and treatment procedures.
- Managed complex cases with empathy to enhance patient satisfaction and achieve positive health outcomes.
- Facilitated safe, cost-effective discharges by collaborating with interdisciplinary teams to streamline processes and improve patient care.
- Communicated effectively with patients from diverse cultural backgrounds.
School Health Nurse
Acero Charter Schools
Chicago
08.2018 - 05.2023
Telemetry Staff Nurse
Norwegian American Hospital
Chicago
08.2016 - 10.2021
Education
Associate of Applied Science - Nursing
City Colleges of Chicago
Chicago, IL05-2015
Skills
- Discharge planning
- Case management
- Chart analysis
- ICD-10 coding
- InterQual & MCG criteria
- Patient care coordination
Languages
Spanish
Full Professional
French
Elementary
Timeline
ER case manager
MBOS inc.
10.2024 - Current
RN Case Manager
Mt. Sinai Hospital
10.2021 - Current
School Health Nurse
Acero Charter Schools
08.2018 - 05.2023
Telemetry Staff Nurse
Norwegian American Hospital
08.2016 - 10.2021
Associate of Applied Science - Nursing
City Colleges of Chicago