Medical Manager
Resume:
EMILY WALSH-CROOKSTON, RN, BSN
Westminster Maryland 21158
Cell 914-***-****
Home 443-***-****
**********@***.***
SUMMARY
RN since 1980, with supervisory, instructional, outreach, case management, and clinical experience in Community Health, Emergency, Nephrology/ Transplant, Critical Care, and Medical-Surgical care
Milliman & Robertson Guideline training
EXPERIENCE
2008 to 2016 VISISTING NURSE HOME CARE - Lawrence home Care of Westchester
670 White Plains Road Scarsdale New York 10583
. Assessed clients in a home setting History and physical Oasis evaluations and discharges
. Assessed home for safety issues
. Diabetic teaching
. wound care
.diet teaching
. medication teaching
. instructed family In learning signs and symptoms to report to medical person
. assessed need for other professional disciplines and communicated all findings to referring doctor
. feeding tube
. educated patients and families regarding Importance of health and disease
prevention
. documented daily assessments and all care and treatments
. Instructed on respiratory treatments
. Prepare family and patient for discharge
1999 to 2004 Case Manager, Community Health – VNS of New York, New York, NY
• Serve as Case Manager/liaison between homebound adult and pediatric patients and specialty providers to optimize outcomes and quality of care while containing costs/lengths of stay
• Manage up to 100 cases, using computers to create/review 485s/OASIS documentation to ensure Medicaid/Medicare compliance, and interacting with insurers to precertify services (or appeal denials, when needed)
• Coordinate multidisciplinary teams (social workers, PT/OT/ST, wound/ ostomy nurses, DME vendors, high-tech RNs, pediatric RNs) to develop/ update plans of care, review incidents, and facilitate discharge plans
• Perform QI audits on such indicators as documentation accuracy, wound/pressure ulcer incidents, and diabetes management adequacy
1997 to 1999 Case Manager, Community Health – Oxford Health Plans, New York, NY
• Served as Utilization Review/Case Manager, performing telephonic triage and concurrent review to determine medical necessity/severity of illness and applying Milliman-Robertson Guidelines to determine level of care
• Managed up to 100 cases for members in hospitals, homecare, hospice, and rehabilitation facilities, performing concurrent review from admission to discharge, including providing referrals/placement to long term care facilities as well as specialty care/community resources; monitored PRI assessments for skilled facilities
• Performed QI audits to ensure compliance with Oxford, CMS, and other insurance guidelines; referred incidents or questionable procedures to QA
1982 to 1997 Montefiore Medical Center, Bronx, NY
Transplant Coordinator (1992 to 1997)
• Served as Transplant Coordinator on a 24-hour on-call basis, with major responsibility for medically clearing living and cadavaric donors as well as recipients by contacting attendings and patients to coordinate final cross matches
• Conducted comprehensive assessment and evaluation of renal patients to determine eligibility and insurance coverage’s; provide extensive patient teaching and emotional support, including creating special teaching materials for blind and/or low comprehension readers
• Created and conducted in-services/workshops on transplant procedures,
Staff RN, Renal Transplant/ICU/Urology (1982 to 1992 )
• Served as Primary RN, caring for patients with pre- and post-transplant and rejection episodes as well as other critical medical-surgical conditions
• Assessed and admitted patients, created plans of care, and coordinated multidisciplinary to develop/update goals and provide discharge plans
EMILY WALSH-CROOKSTON, RN, BSN
EXPERIENCE cont.
• Provided or maintained ventilators, tracheostomies, monitors, IVs, central lines, isolation, and extensive patient-family teaching
• Participated in clinical research trials, requiring patient assessment, lab work collection/analysis, and maintaining statistical records; contributed to technical publication articles
1989 to 1990 Per Diem, RN, Adult/Pediatric Emergency – Our Lady of Mercy Hospital, Bronx, NY
• Triaged and stabilized pediatric and adult patients with head-neck injury, GSW/penetrating trauma, MVA/burn trauma, psychiatric/substance abuse, rape/domestic abuse, cardiac/MI, CVA/seizure, COPD/asthma, orthopedic, diabetes/renal crisis, infectious disease, and other emergent conditions
• Assisted with arrest codes, including defibrillation, titrated cardiac medications/TPA, and EKGs (monitoring CCU/ICU holding patients in ED); inserted IVs/catheters, performed phlebotomy/ transfusion, and assisted with short surgical procedures
1986 to 1989 Per Diem, RN, Cardiology – R. Potenza, MD, Bronx, NY
• Served as Office RN in a cardiology practice, performed phone/walk-in triage, obtained lab work/histories, performed EKG/stress testing, assisted with examinations and medical procedures, and provided extensive patient-family education and referrals to specialty care
1984 to 1985 Agency RN – VIP Nursing Agency, Bronx, NY
• Visited terminally ill homebound patients with all acute and chronic conditions (including high-tech/IV cases) requiring oxygen, skin integrity maintenance, palliative care, and extensive emotional support and patient/family teaching to promote self-care
1980 to 1982 Staff RN, Medical-Surgical – Misericordia Hospital-Our Lady of Mercy, Bronx, NY
• Served as Primary RN, caring for patients with cardiac, oncology, CVA, COPD, diabetes, orthopedic, neuro, and other medical-surgical conditions
EDUCATION
2000 Mercy College, Dobbs Ferry, NY
• Received BSN degree magna cum laude
06/80 Misericordia College of Nursing, Bronx, NY
• Received AAS degree in Nursing
REFERENCES
References will be furnished upon request.
EMILY WALSH-CROOKSTON
26 Fannies meadow Court
Westminster Maryland 21158
Home 443-***-****
Cell 914-***-****
**********@***.***
Dear Sirs/Madams:
Please consider me for a Hospice per diem Nursing position with your organization. As my enclosed resume shows, I have worked as an RN since 1980, with supervisory, instructional, outreach, case management, and clinical experience in Community Health, Emergency, Nephrology/Transplant, Critical Care, and Medical-Surgical care. I am licensed in New York & Maryland and have Milliman & Robertson Guideline training. I also have my BSN degree, and I am proficient with computers/electronic documentation. My major accomplishments include:
- Developing excellent assessment and case management skills, auditing documentation for UR/QA purposes and to ensure HMO/regulatory and quality compliance, and coordinating multidisciplinary teams to develop/update treatment goals and provide discharge planning/referrals
- Supervising and training RNs and ancillary staff (as Charge Nurse and Preceptor), serving as patient-physician-family liaison, troubleshooting staffing and clinical problems, and creating and conducting staff in-services
- Gaining proficiency working with and documenting all medical-surgical and critical care conditions and treatments, including ventilators, monitors, IVs, wound care, diabetes management, and medications via all routes
I believe that my broad clinical and administrative experience and specialty background together with my supervision, assessment, documentation, and teaching skills make me an excellent candidate to fulfill your need for comprehensive, flexible administrative nursing services. As my references and past employers will tell you, I am skilled at prioritizing and handling multiple tasks as well as a team player who works well under pressure.
Therefore, if I meet your basic requirements for such a position, please allow me to tell you more about my background and career goals in a personal interview at your earliest convenience.
Sincerely,
Emily Crookston EMILY WALSH-CROOKSTON, RN, BSN
9403 Hannah's Miss Drive Apt. 202
Owings Mills, MD 21117
Home 410-***-**** Cell 914-***-**** / **********@************.***
Dear Sirs/Madams:
Please consider me for an Intake Coordinator/Discharge Planner position with your organization. As my enclosed resume shows, I have worked as an RN since 1980, with supervisory, instructional, outreach, case management, and clinical experience in Community Health, Emergency, Nephrology/Transplant, Critical Care, and Medical-Surgical care. I am licensed in New York & Maryland and have Milliman & Robertson Guideline training. I also have my BSN degree, and I am proficient with computers/electronic documentation. My major accomplishments include:
- Developing excellent assessment and case management skills, auditing documentation for UR/QA purposes and to ensure HMO/regulatory and quality compliance, and coordinating multidisciplinary teams to develop/update treatment goals and provide discharge planning/referrals
- Supervising and training RNs and ancillary staff (as Charge Nurse and Preceptor), serving as patient-physician-family liaison, troubleshooting staffing and clinical problems, and creating and conducting staff inservices
- Gaining proficiency working with and documenting all medical-surgical and critical care conditions and treatments, including ventilators, monitors, IVs, wound care, diabetes management, and medications via all routes
I believe that my broad clinical and administrative experience and specialty background together with my supervision, assessment, documentation, and teaching skills make me an excellent candidate to fulfill your need for comprehensive, flexible administrative nursing services. As my references and past employers will tell you, I am skilled at prioritizing and handling multiple tasks as well as a team player who works well under pressure.
Therefore, if I meet your basic requirements for such a position, please allow me to tell you more about my background and career goals in a personal interview at your earliest convenience.
Sincerely
Contact this candidate