Manager Management

Emily Salicdo Keeble

*** ********** *** ( Kemah, TX 77565 832-***-**** (

******@*****.***

REGIONAL NURSE ( CASE MANAGEMENT

Accomplished and knowledgeable Regional Nurse and Case Manager, with a

unique blend of nursing, coupled with ownership of a case management

contracting company. Strong Auditing, Utilization Management capabilities.

Consummate professional with unmatched expertise cultivating and nurturing

relationships with patients, direct reports, and companies across the

healthcare industry. Additional qualifications include:

( Advanced nursing and case management certifications including: RN, CCM,

CDMS, and CLCP.

> Strong Leadership Skills which include: staff hiring, training, quality

management, supervision, and patient care advocacy.

> Maintain government standards and perform audits on State policies,

procedures and guidelines

PROFESSIONAL EXPERIENCE

Sunwest Management, Inc., Kemah, TX

2007 to Present

Regional Nurse

Oversee 20 Assisted Living Communities, and ensure all are providing high-

quality resident care. Travel weekly to Texas, Louisiana, South Carolina,

and New Mexico, North Carolina, Alabama, to maintain facilities are

adhering to State requirements, guidelines and policies. Perform audits

and create action plans for correction to assure regulatory compliance.

Provide Region wide education. Assess work quality and implement, and

develop process improvements to achieve and maintain regulatory compliance.

Report directly to the Senior Vice President of Operations.

. Provide on site training at each facility to staff on systems, policies,

procedures and state regulations. Ensure staff receives proper

orientation, and training to assure the needs of the residents served,

are being meet and exceeded.

. Weekly Employee training and development calls. Review weekly health

services audits, from my direct reports.

. Conduct site visits and prepare written reports, for review and

compliance from the Administrator, RCC, and Regional Manager.

. Play a key role in the review and development of Daily Marketing Reports.

Q-Elements, San Angelo, TX

2006 to 2007

Case Manager

Provide telephonic Disease care, and case management. Encourage patient

lifestyle modifications, individualized care plans, and promote self-

management and problem solving skills. Prepare detailed monthly reports and

perform out-of-network negotiations. Offer direction to in-network

providers.

. Assist patients with a structured disease management program designed to

improve overall health, decrease absenteeism and save benefit dollars.

. Serve as a personal Wellness Coach to monitor compliance to the advised

plan and helps personalize the chosen plan to ease patient toward a

healthier lifestyle.

. Notify employers of catastrophic or chronic illnesses, and implement case

management services.

Hospice of San Angelo, San Angelo, TX 2004

to 2006

On-Call Nurse

Provided end-of-life care as a Hospice Nurse. Guided families through the

death and dying process. Assisted with pain management, wound care,

personal care and IV therapy. Remained on-call 24/7. Planned and provided

individualized skilled nursing care to enable patients to participate as

fully as possible in the activities of daily living, in both in-home and

inpatient settings. Performed admission, nursing, and HNA Supervisory visit

when scheduled. Maintained and updated patient documentation.

. Completed assessments to chronicle pain management, symptom management,

bodily functions, and levels of consciousness. Member of the

Interdisciplinary Team (IDT) that planned and performed holistic care to

patients and families.

Emily Keeble, RN

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Progressive Rehabilitation, Inc., San Angelo, TX

1993 to 2010

Nurse Case Manager/Owner

Contract services to provide medical case management and return-to-work

services to injured workers. Meet with insurance companies and attorneys

working with Workman's Compensations cases to explain services and pricing.

Collaborate with physicians, health care providers, insurance adjusters,

and attorneys to determine case facts. Monitor progress to meet legal,

medical and insurance requirements. Prepare legal medical reports. Define

and interpret medical legal language, medical procedures and

medical/hospital policies. Assured the alignment between medical

management programs, utilization review to ensure current approved medical

care is being provided to injured or ill employees.

. Successfully obtained ongoing contracts from insurance companies and

attorneys to provide medical case management and catastrophic case

management products to injured employees/ attorney's clients.

. Concurrently took on both business development and case management tasks;

frequently prepare Catastrophic Life Care Plans for company.

Kemper National Insurance, Albuquerque, NM

1997 to 2004

Senior Care Manager

Hired to perform healthcare consultations and offer technical advice,

medical information, and clarification and explaining the necessity of

medical care and treatment of an injured employee. Identified meritorious

cases, located reliable, authoritative subject matter experts.

Knowledgeable of Workers Compensation, Group Health, Liability and

Disability, and Catastrophic Life Care Planning.

. Recommended and prepared documents for review by expert advisory panels.

. Completed investigations for attorneys, physicians, and insurance

organizations, consistent with URAC, JCAHO, and CMSA standards, to

support providers, organizations and patients.

First American Homecare, Albuquerque, NM

1993 to 1999

South West Homecare, Albuquerque, NM 1988

to 1994

Nurse Case Manager

Provided total care for homebound patients with daily physical therapy,

occupational therapy, personal care, IV therapy, and wound care, allowing

them to remain in their homes with family. Also worked as a Charge Nurse

and supervised up to 8 staff.

EDUCATION, CERTIFICATIONS & AFFILIATIONS

ADS, Registered Nurse, New Mexico Junior College, Hobbs, NM-1986

Certified Life Care Planner (CLCP) ( Certified Case Manager (CCM)

Certified Disability Management Specialist (CDMS)

VOLUNTEER

Sonrisas-Volunteer 2-3 times per week to teach special needs children (ages

3-12) to ride horses and experience nature at its finest. Assist kids in

developing language, educational, and social skills. Children have a wide

range of problems from deafness, blindness, autism, abuse and social

problems. Differentiate care to meet children's individual needs. Serve as

a member of the Board of Directors to vote on issues and help implement new

policies for this non-profit program.

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