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Manager Customer Service

Location:
Holly Springs, NC
Posted:
May 27, 2014

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Resume:

Dexteria Jenkins

**** ****** *****, ******* *****, NC 27107

Home: 336-***-****

acebgz@r.postjobfree.com

PROFESSIONAL SUMMARY

Obtain a challenging position that will utilize my nursing knowledge base, health coaching, adult

educational instructor, and care management skills.

LICENSES

CPR certified through American Heart Association

Registered Nurse in the State of NC

Notary Public in the State of NC

S K I L L HI G H L I G HTS

Enthusiastic caregiver Skilled in conducting physical and

Familiarity with disease management telephonic assessments

programs BAC screening/drug screen collection

Trained inpatient and outpatient care Geriatric treatment knowledge

Infection control standards Broad medical terminology knowledge

Acute and rehabilitative care Committed to compliance reporting

Mobility assistance

Gastroenteral nutrition education

Body mechanics knowledge

Specimen collection/processing

Health and wellness expertise

Medication administration expert

PROFESSIONAL EXPERIENCE

RN Care Manager CM&O –Blue Cross Blue Shield of North Carolina 10/2013 3/2014

Spectra Force Technologies Contract Winston Salem,NC

• Conducts clinical reviews of claims and clinical information to assess appropriateness for specific

formulary medications within CM&O department. Utilizes a trigger list for program referrals according

to department protocols.

• Identify potential members in need of healthcare guidance

• Promotes and coordinates the delivery of quality, cost effective health care services based on the

individual program goals per the benefit plan.

• Document outcome of assessments and demonstrates the ability to interpret and analyze clinical

information.

• Facilitates communication and information exchange among individuals involved with the care of the

member such Case Manager, Disease Management Health Coach, Medical Director and others

• Works with members, customer service, facilities and other internal and external referral sources to

assist with identification of healthcare programs designed to meet the needs of the member

.

• Maintains confidentiality of all PHI in compliance with state and federal laws.

RN Primary Care Manager Partnership for Community Care, 05/2013 to 10/10/2013

Aerotek Professional Services – Contract Greensboro NC

Delivering high quality and case management to indigent and low income patient

community.

Perform all tasks with a patient centered focus while seeking opportunities for

improvement of processes and treatments. Provided education to patients with multiple

chronic diagnoses including COPD, Diabetes and CHF

Support patients with customized patient teaching tools

Managing caseload of 40 70 patients providing primary care, case management and

medication management teaching

Coordinate with interdisciplinary team to develop care plans for patients and community

resources.

Perform utilization review of current and potential patients

RN Relief Outpatient Epic Go Live, Wake Health 04/2012 to 10/2012

Kelly Staffing Winston Salem, N C

Administered medications and assisted in diagnostic testing for HIV positive patients.

Evaluated patient care needs, prioritized treatment and maintained patient flow.

Accurately documented all elements of nursing assessment, treatments, medications,

discharge instructions and follow up care utilizing epic electronic medical record.

Tested glucose and administered injections.

Maintained patient charts and confidential files

Recorded patients' medical history, vital statistics and test results in medical records.

Field Independent Assessment Nurse, 03/2010 to 03/2011

Carolina Center of Medical Excellence Winston Salem, N C

Completed home functional assessments of disabled and geriatric Medicaid recipients

requesting personal care services.

Maintain independent schedule of 6 assessments daily

Document assessment via electronic assessment tool and submit daily for review.

Family and patient disease process and medication teaching

RN Case Manager Group Home, 06/2008 to 07/2010

Community Alternatives Winston Salem, N C

Collaborate with interdisciplinary team to develop individualized care plans for consumers

Assessed need for, ordered, and obtained appropriate lab tests.

Led medication administration training

Supervised 15 employees providing care and medication administration to consumers living in group

home.

On call 24 hours a day providing telephonic triage

Utilization review of medical records to maintain records in accordance to the Division of

Medical Assistance regulations

RN Staff Float, Forsyth Memorial Hospital 05/2006 to 10/2009

Nurse Finders Winston Salem, N C

Administered IV therapy

Monitored post op vitals, set up PCA, fluids, reviewed post op orders and orient patients to unit.

Maintained quality care systems and standards, in accordance with medical

protocols/guidelines.

Implemented new floor assignments based on evaluation of staffing requirements.

Assisted patients with healing and recovery after surgery.

Provided necessary health education training for patients.

Acted as patient advocate and implemented total patient care through a team nursing

process covering 8 10 high acuity patients per shift.

Care of patients with multiple chronic diagnoses including COPD Diabetes and Asthma.

Administered medications and assisted in diagnostic testing

Evaluated patient care needs, prioritized treatment and maintained patient flow, on

medical surgical, neurology, rehabilitation, skilled, and transitional care units.

E DUCATI O N AND TRAI NI N G

Bachelor of Science : Nursing, 2009

Winston Salem State University Winston Salem, N C, U S A

Associate of Science : Nursing, 2006

Forsyth Technical Community College Winston Salem, N C, U S A



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