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Registered Nurse Manager

Location:
Denver, CO
Posted:
October 09, 2012

Contact this candidate

Resume:

Joanne Greenwold-Gup

Email: aboyqo@r.postjobfree.com

Address: 1241

City: Denver

State: CO

Zip: 80218

Country: USA

Phone: 303-***-****

Skill Level: Experienced

Salary Range: 50

Primary Skills/Experience:

See Resume

Educational Background:

See Resume

Job History / Details:

Joanne Greenwold-Gup

1241 Lafayette Street

Denver, Colorado 80218

303-***-****

aboyqo@r.postjobfree.com

Experience

Anthem, Blue Cross of California, Blue Cross/Blue Shield of Colorado/Nevada July 1, 2007 to Present

Senior Nurse Case Manager

Provided telephonic case management for patients with complex or chronic care needs in order to help with the coordination of healthcare benefits and services. Use of the nursing process to assess for membersa needs, identify barriers to care, then develop and implement appropriate plan of care with input from both the member and caregiver(s). Facilitate transition of care by collaborating with the member/caregiver(s)/members of care team

Sandra Jones, Wellpoint, 866-***-****

Wellpoint/Anthem (BlueCross Federal Employee Program), September, 2006 to July 1, 2007

Senior Nurse Case Manager

Provided case management for patients (Blue Cross of California, Federal Employee Program) with complex or chronic care needs in order to help with the coordination of healthcare benefits and services. Educate member on their disease process and medications to prevent readmissions. Facilitate transition of care .

Pamela Day, Wellpoint ph, 866-***-****

Colorado Access, May, 2002 to September, 2006

Nurse Care Coordinator

Performed utilization reviews both telephonic and onsite involving procedure authorization, discharge planning to home health, rehab or skilled nursing facilities. Performed case management for complex pediatric cases requiring coordination of medical and psychiatric treatments and benefits, and complex adult sickle cell cases that involved the coodination of their complex medical needs. . Working knowledge of Medicaid, Medicare and CHP+.

Colorado Access, 10065 E. Harvard Ave, Denver, CO 80231, 720/744-5100.

Sloanas Lake Managed Care, October, 2001 to April 1, 2002

Nurse Case Manager

Performed telephonic case management for individuals who had Colorado PIP automobile insurance by co-ordinating their care with healthcare providers, carriers and attorneys. Provided co-ordination of each clientas care on a case-by-case basis to facilitate individualized treatment that was medically necessary, medically reasonable and related to the motor vehicle accident in question.

Sloanas Lake Managed Care, 6501 S. Fidlers Green Circle, Englewood, CO 80111, 303/691-2200.

McKesson HBOC, August, 1998 to October, 2001

Nurse Care Coordinator

Performed telephonic Utilization Management for Arkansas Blue Cross/Blue Shield. Participated in updating InterQual 2000 and 2001.

Human Resources, 339 Interlocken Parkway, Broomfield, CO 80021. 303/466-9500.

Olsten Kimberly Quality Care, July, 1996 to August, 1998

Registered Nurse

Olsten Kimberly is a temp agency; therefore worked a number of jobs during the two years employed by them. Examples:

Lucent Technologies: Worked in Employee Clinic where did clinical nursing for new hires, sickness/illness, Workers Comp; Case Management of Workers Comp and Sickness/Disability cases; ran clinic for 6 mos while supervisor out on disability leave.

Home Health. Pediatric nursing, long term assignments with children with long term disabilities.

1660 South Albion St, Suite 220, Denver, CO 80222. 303/758-2710.

Nursefinders, August, 1994 to January, 1997

Registered Nurse

Nursefinders is a temp agency; therefore worked a number of jobs during the time employed by them.

Examples:

Gilliam and Mt View Youth Services Centers. Psychiatric nursing both in hospital and for Jefferson County Mental Health Clinics. Infectious Disease Nurse at Fitzsimmons Army Medical Center (co-coordinated study of HIV/AID patients).Provided pediatric nursing for both in hospital and home health patients.

201 Steele St, 1-D, Denver, CO 80206. 303/722-7777.

Childrenas Hospital, June, 1992 to May, 1994

Floor Nurse

Step-down/Burn Unit. Float to PICU/Special Care Nursery/general pediatrics. Duties included case management, teaching., and discharge planning.

Human Resources. 1056 E. 19th Avenue, Denver, CO 80218. 303/861-8888.

St. Francis Hospital, March, 1989 to May, 1992.

Floor Nurse

Pediatric nurse: general pediatrics unit with floats to PICU/nurseries. Duties included case management, teaching. and discharge planning

Human Resources, 6161 South Yale, Tulsa, Oklahoma 74136. 918/494-2200.

Between jobs: Owned and operated a medical supply company in Tulsa, Oklahoma. January, 1988 to January, 1991.

Shadow Mountain Institute (Century Health Care), May, 1984 to May, 1988.

Supervisor when worked night shift

Treatment Team leader when worked afternoon shift

Psychiatric nurse for varied population. Duties included head of treatment team; when worked nights, supervisor for entire hospital (103 beds); also included case management/individual & group therapy/teaching.

Shadow Mountain Institute, 6262 South Sheridan Road, Tulsa, OK 74133. 918/250-9651.

Worked in home health doing both adult and pediatrics from 1989 to 1992 for various home health agencies.

Booker T. Washington High School, September, 1983 to June, 1984.

Voluntary School Nurse

Assisted school nurse. Developed and gave series of talks on asthma, exercise, sex education.

Booker T Washington High School, Tulsa, Oklahoma.

Dr. Lawrence G. Leichtman, January, 1983 to August, 1983.

Pediatric office nurse.

Assisted new doctor in starting office, developed and gave talks on well babies and asthma, and developed information cards on medications and disease processes.

Education

University of Tulsa, Tulsa, Oklahoma. Bachelor of Nursing Science.

University of Cincinnati, Cincinnati, Ohio. Master of Arts.

University of Cincinnati, Cincinnati, Ohio. Bachelor of Arts.

Additional

Certified Case Manager

Nursing Licenses

Colorado. No. 98894.

California. No. 701840

Nevada. No. 60899

Oklahoma. No. 39493



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