Case Manager Registered Nurse
Resume:
Tammy L. Turner RN, BSN
ad5mak@r.postjobfree.com
**** * **** **. ******* Ks 67002
Professional Summary
Registered Nurse with 27+ years of experience in clinical settings providing nursing care to diverse populations including utilization review, case management, supervisor of staff, Joint Commission, home health, and clinical trials.
Professional Skills
Strong Clinical Judgment
High level of autonomy
Microsoft Office & Excel proficient
Patient & Family advocacy
Adept at prioritizing & organizing
Experience
11/2019 to Present Magnificus Corporation, Lanham, MD Registered Nurse Utilization Manager
Contracted for 22d Medical Group McConnell AFB, KS. Work 40 hours a week. Assist in the design and implementation of activities to increase clinical staff involvement in and support of an active and coordinated Medical Management program. Work in coordination with Case Management, Disease Management, Referral Management and other members of the healthcare team in order to assure the seamless delivery of care. Incorporate utilization review activities using the generally accepted standards and criteria for determining medical necessity, appropriateness, and reasonableness when reviewing the quality, completeness, and adequacy of health care provided to individual patient and patient populations and subsequently with similar patient populations. Seek to reduce over utilization of Emergency Department or high-cost medical settings by identifying patients with chronic diseases that have a significant impact on healthcare outcomes and costs. Serve as a primary contact person for utilization management in a multi-service environment. Working knowledge of CPT/HCPCS/Revenue codes. Assist with Joint Commission Accreditation.
04/2016 to 09/2019 Interim Home Health, Wichita, KS RN/ADON/Case Manager/Admission Nurse
Worked 60 hours a week. Effective patient and caregiver education and health maintenance and disease management of various diseases/infections. Manage care for post-operative patients. Closely monitor acute conditions. Monitor patient reactions to drugs and document progress. Perform venipuncture; IV therapy/maintenance to include PICC lines and port-a-cath lines; wound care; indwelling, intermittent, and external catheter maintenance; tracheostomy care; G-tube care and medications via the G-tube. Perform supervisory visits of ancillary nursing support staff. Admissions of patients of all ages to home health using OASIS. OASIS reviews.
01/2015 to 03/2016 PCM TRIALS, Denver, CO Certified Mobile Research Nurse (CMRN)
Worked 20 hours per month. Trained and certified to follow Good Clinical Practice and complete trial-specific training to provide alternative-site visits for subjects enrolled in clinical trials. Provide source documentation for each visit and a variety of clinical services including assessments, injections, infusions, and blood draws.
03/2014 to 03/2016 Professional Case Management – Denver, CO RN Case Manager
Worked 40 hours per month. Perform client visits as assigned to provide skilled interventions, provide direct care, assess and evaluate health status of the assigned clients, review plan of care regularly in order to meet the needs of the client, administer prescribed medication and IV therapy, perform wound care, educate client and family regarding disease process and medications, evaluate client’s response to interventions.
02/2014 to 3/2016 Cenegenics – Tulsa, OK Contracted Mobile RN
Worked 10 hours per month. Venipuncture, maintain safe, secure, and health work environment by following standards and procedures, complying with legal regulations.
08/2013 to 03/2016 American Para Professional Systems – Wichita, KS Contracted RN Paramedical Examiner
Worked 50 hours per week. Obtain medical history, venipuncture, urine samples, vital signs, height and weight measurements, and electrocardiograms.
05/2005 to 03/2013 Endoscopic Services, P.A. – Wichita, KS RN Administrator
Worked 60 hours per week. Scheduled admission and discharges for adults, children, families, seniors, and groups with multiple co-morbidities. Developed patient care plans, including assessments, evaluations and nursing diagnoses. Ensured efficacy of treatments through monitoring of treatment regimens. Overseen and managed clinical and support staff in patient care activities while maintaining a high level of staff morale and professionalism. Assigned schedules for all staff. Assisted doctors with surgeries and non-invasive procedures. Liaised between patients, family members, and physicians to ensure patient comprehension of treatment plans. Instructed patients and family members on proper discharge care. Joint Commission Accreditation.
Served as Risk Management Coordinator, QA Coordinator, HIPAA Coordinator, Infection Control Coordinator, and OSHA Coordinator. Etc.) Monitored fiscal budget to control operational and capital expenditures while monitoring and adjusting staffing to improve productivity. Maintained and renewed all licenses and insurance contracts pertaining to the Practice as well as credentialing of the physicians. Produced monthly reports using advanced Excel spreadsheet functions. Reviewed medical records for completeness. Developed and communicated new or revised policies to staff. Ensured the effective delivery of competent, compassionate, and efficient care by monitoring and evaluating patient care processes. Recruited and retained competent, compassionate staff while monitoring performance standards and promoting fair labor practices. Overseen private, Medicare and Medicaid billing, payroll, accounts payable, and accounts receivable and verified that proper procedures were followed. Evaluated patients' financial status and established appropriate payment plans. Performed ICD-9 coding and verification of benefits and eligibility. Negotiated insurance contracts.
01/2001 to 03/2005 Life Care Center of Andover – Andover, KS RN Case Manager/Assistant Director of Nursing/Interim Director of Nursing
Worked 50 hours per week. Managed clinical oversight for 154-bed Medicare/Joint Commission certified facility. Documented patient information obtained from interviews. Assessed patients and documented their medical histories. Evaluated patient care needs, prioritized treatment, and maintained patient flow. Negotiated contracts for private pay insurance. Trained new staff on quality control procedures. Experience with various medical conditions including Parkinson's, Dementia, Diabetes, Cancer, and Alzheimer’s. Collected blood, tissue and other laboratory specimens and prepared them for lab testing. Wound care, IV therapy, G-tube care to include tube feeding and medication administration. Tracheostomy care. Monitored unit budget to ensure financial objectives were met. MDS assessments and Medicare charting. Participated in daily interdisciplinary team meetings. Coordinated and attended weekly care plan meetings. Supervisory duties to include hiring and firing, as well as staffing. Served on risk management committee and quality assurance committee.
05/1999 to 10/2000 Maplewood Home Health – Wichita, KS Home Health RN
Worked 40 hours per week. Scheduled patient admissions and discharges. Developed patient care plans, including assessments, evaluations and nursing diagnoses, as well as discharge planning. Admitted patients using the OASIS assessment. Documented patient information obtained from interviews. Ensured efficacy of treatments through monitoring of treatment regimens. Performed venipuncture, wound care, tracheostomy care, and IV therapy. Supervisory duties. Quality assurance duties and chart review for continued need of care. Facility closed.
02/1999 to 05/1999 Wesley Medical Center – Wichita Kansas ICU Float RN
Worked 40 hours per week. Provided care for patients with life-threatening medical conditions. Handled all aspects of treatment from medication to wound care. Effectively supervised nurse assistants and non-clinical staff. Effective counseling in health maintenance and disease management. Preformed lab test and communicated results. Liaised between patients, family and physicians to ensure comprehension of treatment plants. Instructed patients and family member on proper discharge care. Efficient with hemodynamic and cardiac monitoring systems and mechanical ventilator therapy.
01/1998 to 02/1999 Douglass Home Health – Douglass, KS Home Health RN
Worked 40 hours per week. Intake, obtain health history, assessment and evaluation of treatments. Effective patient and caregiver in health maintenance and disease management. Managed care for post-operative patients through discharge, including need to change to assisted living and or a long-term care facility. Closely monitored acute conditions. Monitored patient reactions to drugs and carefully documented progress. Performed venipuncture, IV therapy, wound care, and Foley and supra-pubic catheter changes, as well as G-tube care and medications via the G-tube. Performed supervisory visits of ancillary nursing support staff.
05/1996 to 01/1998 Wesley Medical Center – Wichita, KS Coronary Intensive Care RN
Worked 40 hours per week. Served as liaison between the patient, the patient's family and supporting health care professionals. Expertise with various medical equipment to include cardiac and hemodynamic monitors, defibrillators and EKG. Evaluated laboratory results and administered medications. Assessed and monitored patients for changes and development of potential complications. Documented patients' medical histories. Performed arterial blood gasses and phlebotomy for multiple different lab tests, and at times started intravenous lines at times under stressful situations. Administrated IV medications and minimal sedation. Made rounds with the physicians as advocates for my patients. Accepted and followed through on any new physician orders. Performed straight catheterizations and well as placement of Foley indwelling catheters. Experienced with indwelling catheters, drains, chest tubes, PICC lines, central lines, managed tracheostomy patients, ventilated patients, and patients on fluid restrictions.
Education
BACHELOR OF SCIENCE IN NURSING • 2017 • TABOR COLLEGE, HILLSBORO KANSAS
ASSOCIATE OF APPLIED SCIENCE IN NURSING • 1996 • BUTLER COMMUNITY COLLEGE, EL DORADO KANSAS
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