PATRICIA LEARY RN, BSN

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

MT HOLLY, NJ 08060

609-***-****

OBJECTIVE

Case Manager relocating to Orlando, Florida, seeking a position

with a hospital in either Case Management or Maternal Child Health

Department.

SUMMARY OF QUALIFICATIONS

Highly effective RN Case Manager with relevant experience providing

superior care while ensuring smooth nursing operations and regulatory

compliance. Recognized as an exceptional team member and problem solver

with expertise in quality, utilization, and risk management. Notable

success in hospital policy and procedure development. Proven in the

delivery of excellence in patient care. Good organizational skills,

attention to details, people skills, flexibility and ability to work

independently and make decisions, resourceful, management experience.

Trained on Interqual and Milliman guidelines using Allscripts/Canopy case

management computer program.

EXPERIENCE

Virtua-Memorial Hospital of Burlington County, Mt Holly, NJ

2002 - Present Inpatient RN Case Manager

Coordinates the delivery of healthcare, social services, discharge

planning to the inpatient population while balancing individually

identified patient and family, medical and psychosocial needs with

cost-effective and available resources. Manages the inpatient hospital

stay of a caseload of 30-40 patients through coordination with

physicians, social workers, nursing staff and other health

professionals. Performs 15-30 utilization reviews a day and

collaborates with the care team to formulate the discharge plan.

Implements a plan of care utilizing approved clinical guidelines to

transition and provide continuity of care for the patient to an

appropriate lower level of care in collaboration with the physician,

acute or skilled facility staff, ambulatory care team, and the patient

and or patient's representative from admission through discharge.

Determines medical necessity for admission and continued stay

according to specific criteria and regulations in accordance with the

Utilization Review Plan. Conducts daily/concurrent reviews of charts

to rectify any deviation from compliance. Educates staff, physicians

and other members of the multi-disciplinary team on documentation

compliance. Identifies consistent clinical and operational problem

areas and facilitates resolutions through participation in the

performance improvement process. Acts as liaison for the management

and communication of information with the insurance/managed care

companies of the assigned patient population.

1997-2002 Practice Manager - Center for Women (Ob/Gyn

Clinic)

1990-1997 Prenatal Case Coordinator - Center for Women

Cooper University Hospital Camden, NJ

1978-1980 Medical-Surgical Staff nurse

1980-1988 Mother Baby and Antenatal staff nurse

1988-1990 Assistant Nurse Manager Mother Baby and Antenatal Unit

1990-1993 Per Diem Nurse in Mother Baby Unit

2002-2009 Per Diem Nurse in the Transitional Nursery and Mother Baby

Unit

Our Lady of Lourdes Hospital Camden, NJ

1992-1999 Per Diem Nurse Mother Baby Unit and Newborn Nursery

1999-2009 Per Diem Nurse Intensive Care/Transitional Nursery

Healthy Homecomings-Bensalem, Pa

1997-2001 Maternal Newborn Visiting Nurse

EDUCATION

Our Lady of Lourdes School of Nursing Camden, NJ 1978

BSN, Widener University Chester, Pa 1991

CERTIFICATIONS

CPR

NRP

AWARDS

1992 Virtua Nurse of the Year for Center for Women

2004 Virtua Nurse of the Year for Case Management

MEMBERSHIPS

Case Management Society of America

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