Manager Nurse
Resume:
PATRICIA LEARY RN, BSN
MT HOLLY, NJ 08060
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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