CAROLYN S. BURNS-FRAZIER, R.N.

**** ****** ****

New Windsor, Maryland, 21776

240-***-****

acoyke@r.postjobfree.com

WORK EXPERIENCE:

American Mobile Healthcare

California Pacific Medical Center Davies Campus: San Francisco, California.

Travel Nurse Assignment February 2015 to present. 13 Week Assignment

Nurse Case Manager

As Nurse Case Manager I was responsible to Coordinate and monitor patient's individualized plan of care

which included discharge planning and utilization management. I conducted initial assessments for

admissions and document findings in all patients’ records assigned to my interdisciplinary team. Duties

also included utilization review on assigned patients to identify appropriateness of continued stay and

resource utilization based on established criteria. As Nurse Case Manager I acted as a liaison between in-

patient facility and referral facilities or agencies and provided case management to patients referred. This

may have included pre-admission through referral of patients to community resources to meet post

hospital needs such as coordinating transfer of patients to appropriate facilities; and maintaining and

providing required documentation.

I managed the patient’s care from admission to discharge as outlined in the Utilization Review Plan of the

hospital. I reported results of the Utilization Review Activities to appropriate persons and managed the

patients care from admission to discharge as outlined in the Utilization Review Plan of the hospital. I

collaborated with management of coders and other managers to analyze utilization trends within the

hospital.

American Mobile Healthcare

Kaiser Hospital San Francisco, California

Travel Nurse Assignment November 2014 – February 2015 13 week Assignment

Nurse Case Manager

As Nurse Case Manager I was responsible to plan, develop, assess and evaluate care provided to Kaiser

members. This was accomplished by collaborating with physicians, other members of the

multidisciplinary health care team and patient and or family in the development, implementation and

documentation of appropriate, individualized plans of care to ensure continuity, quality and appropriate

resource use. I was responsible for recommending alternative levels of care and to ensure compliance

with federal, state and local requirements. Among the Nurse tasks I assessed high risk patients in need of

post-hospital care planning. I developed and coordinated the implementation of a discharge plan to meet

patient's identified needs and communicated the plan to physicians, patient, family and or caregivers, staff

and appropriate community agencies.

Additionally I participated in Utilization Review by reviewing, monitoring, evaluating and coordinating

the patient's hospital stay to assure that all appropriate and essential services were delivered timely and

efficiently. I participated in the “Bed Huddles” and provided follow through on recommendations

congruent with the patient's needs. I worked with an assigned Discharge Planner to coordinate the

interdisciplinary approach to providing continuity of care, including Utilization management, Transfer

coordination, Discharge planning, and obtaining all authorizations/approvals as needed for outside

services for patients and when appropriate, their families. As a Nurse Case Manager with a role in

Utilization Review, I conducted daily clinical reviews for utilization/quality management activities based

on guidelines/standards for patients in a variety of settings which included outpatient, emergency room,

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CAROLYN S. BURNS-FRAZIER, R.N.

inpatient and non-KFH facilities.

As Nurse Case Manager I acted as a liaison between in-patient facility and referral facilities or agencies

and provided case management to patients referred. This may have included pre-admission through

referral of patients to community resources to meet post hospital needs such as coordinating transfer of

patients to appropriate facilities; and maintaining and providing required documentation.

In accomplishing these tasks I was responsible to adhere to internal and external regulatory and

accreditation requirements and compliance guidelines including but not limited to: TJC, DHS, HCFA,

CMS, DMHC, NCQA and DOL. I coordinated and educated members of the healthcare team concerning

their roles and responsibilities in the discharge planning process and appropriate use of resources.

This included providing patients with education to assist with their discharge and help them cope with

psychological problems related to acute and chronic illnesses. Per established protocols, I was responsible

to report any incidence of unusual occurrences related to quality, risk and or patient safety which may be

identified during case review or other activities. In doing so, I reviewed, provided analysis and identified

utilization patterns and trends, problems or inappropriate utilization of resources and participated in the

collection and analysis of data for special studies, projects, planning, or for routine utilization monitoring

activities. As Nurse Case Manager I also coordinated, participated and or facilitated care planning rounds

and patient family conferences as needed

Holy Cross Hospital

June 2010 to December 31 2013

Case Management Department Perm June 2010 to December 2013 - (Per Diem December

2013 – Present)

Utilization Review of patients from various units, i.e. CIC/CCU/High Risk Pregnancy/Joint & Spine.

Perform patient assessments of current living conditions and medical histories. I performed assessments

for discharge to include investigation of financial needs of patients which included Medicaid and

Medicare guidelines. I assessed the needs of patients for equipment necessary to sustain or improve their

condition and in cases where it was required, ordering of DME/equipment upon discharge with various

vendors.

I provided communication and alliance with Skilled Nursing Facilities. I was a liaison for patient

admissions. I performed Verification of Admission documents and assessed Insurance coverage for

discharge planning needs. When necessary, I obtained authorization for Skilled Nursing Facilities, Acute

Care Facilities, Long Term Care Facilities and group homes. I arranged for Ambulance Transport of

patients upon discharge. I collaborated with physicians and other practitioners to facilitate accurate

designations, Levels of Care, Care Coordination and Discharge Planning. Collaborated with

PT/OT/Speech for patient’s appropriate discharge placement. Performed Level of Care Assessments,

Observation status and Denial Reviews. I am Proficient in InterQual Software, Midas Software, and

Power Chart Software/Cerner Software. Among other duties, I collaborated with and referred to EHR’s

Clinical Support Team for Physician or Practitioner 2 nd Level Reviews. I was tasked with Preceptoring

New Case Manager’s within the Department. I participated in State and Local Case Management

Associations and provided feedback to the Case Management Department Supervisor and Staff.

University Maryland Medical Center

June 2008 to December 2008

Staff Nurse, Emergency Department

Performed stabilization and continuous monitoring of critically ill patients which included patients who

were maintained on ventilators, transvenous/cutaneous pacemakers, and IV cannulation. I possess

excellent assessment and treatment skills. I performed with accuracy in Drug Administration in Acute and

Critical Care Patients. I performed Patient Teaching. I preceptored new graduate nurses and oriented

established nurses to the Hospital/facility. Participated in evidence based practice. Due to my adept

critical management skills and my ability to adapt I was successful in rotating in different areas and on a

variety of cases throughout the emergency room where I assumed various roles as needed and assigned.

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CAROLYN S. BURNS-FRAZIER, R.N.

Carroll Hospital Center

September 2007- April 2008

Clinical Mentor/Educator

Emergency Department

AS a Nurse Educator I was responsible for coordination and for orientation for all new associates in the

Emergency Department, IV Therapy, and Transporters. Educator for Baltimore Metropolitan Area

Consortium on Pediatric Emergencies. Part of the Education Team for Hospital Orientation for all hospital

associates. Participate in teaching Basic Rhythm, IV therapy, Splinting, Initial Hazmat, Preceptor, and any

other miscellaneous classes needed for staff development. Develop competencies for ED staff, IV

Therapy and Transporters. Participate in hospital wide meetings to represent Emergency Department in

Behavioral Health, Pharmacy, Pain Management, Nurse Practice Review, Emergent Response Team,

Recruitment and Retention and Education Council. Coordinate continuing education for emergency

department.

American Mobile Healthcare Traveling Nurse November 2014 – Present

Progressive Nursing Staffers, ER/ICU Traveling Nurse. December 2006-Sept. 2007

Holy Cross Hospital, Assistant Nurse Manager, SICU/NCCU July 2006-December 2008

Holy Cross Hospital, ER/ICU Staff Nurse July 2003-July 2006

Doctors Community Hospital, ER/ICU Staff Nurse July 2000-July 2003

Greater Southeast Community Hospital, ER/ICU Staff Nurse February 1998 – June 2000

D.C. General Hospital, ER/ICU Staff Nurse September 1995-July 2000

* Certified: CPR, ACLS, PALS, TNCC and IV Therapy

* Education: Candidate for graduation from Columbia Union College.

** References available upon request

Contact this candidate