Registered Nurse Manager
Resume:
LAZREEN THOMAS
Los Angeles, CA 90037
Cell: (754) -214-7007
Email: ********@*****.***
REGISTERED NURSE
I am Professional nurse with experience in management and staff level positions in Acute Care, Long-Term Care, Home Care/Hospice, and Health Plans. I have worked independently and collaboratively with interdisciplinary teams in caring for pediatric and adult clients. I have experience with microsoft, facets, outlook, CGX, Milliman (MCG), Kinnser, and Hospice MD.
CORE STRENGTHS:
Integrity Considerate Leader Responsible
Hard-working Dependable Reliable Organized
Independent Passionate Caring Team-player
PROFESSIONAL EXPERIENCE:
Case Manager/Supervisor, Harmony Hospice, Van Nuys CA 2/2018-5/2018 Per Diem
•Conduct evaluation and information visits to potential patients and families
•Obtain consents and election forms
•Perform initial comprehensive physical assessment and develop plan of care
•Provide education, counseling, and support to patients and families
•Engage in supervisory follow up visits with participating patients/caregivers
Preservice Review Nurse, Neighborhood Health Partner, Miramar FL 2016- 2017
•Perform utilization review and management for prospective services
•Generate authorizations/pre-certifications of inpatient and outpatient services
•Makes outreach telephone contact to providers
•Identify quality of care issues and refer to the Medical Director as needed
•Determine medical necessity by using the appropriate criteria and nursing clinical judgment to establish re-certification and authorizations
Case Manager, Humana, Miramar, FL 2008- 2016
•Engaged members to expound lasting health and wellbeing
•Collaborated with providers in reviewing actual and proposed medical care and services against established CMS Coverage Guidelines review criteria for quality
•Managed network participation, care with specialty networks, DME providers, recommended alternate community and national services for members
•Identified potentially unnecessary services and care delivery settings, and recommend alternatives if appropriate by analyzing clinical protocols
•Examined clinical programs to identify members for specific case management and/or disease management activities/ interventions by utilizing established screening criteria
•Conducted admission review, post-discharge calls and discharge planning
•Promoted members' understanding and utilization of company's services and programs
•Assessed members’ health conditions and needs, make recommendations, identifies, evaluates, solves problems with reasoning and methods, and maintain documentation
•Managed disease condition giving members guidance along the clinical continuum, and assist members to achieve positive health outcomes
Lazreen Thomas pg. 2
Charge nurse, Florida Club Care Center, N. Miami Beach, FL 2006-2008
•Provided direct and indirect cultural and age appropriate long-term care on pediatric unit with medically fragile and skilled residents
•Dealt with clients, family, visitors, governmental agencies/personnel, the public
•Made independent decisions and followed instructions
•Complied with and monitored applicable regulations, policies, and procedures
•Collaborated with interdisciplinary team in planning, implementation and evaluating care
•Admitted, transferred and discharged residents
•Managed unit independently in the absence of the manager
Nursing Supervisor, Claridge House Nursing Home, N. Miami, FL 2005-2006
•Supervised and provided direction to all staff
•Functioned as effective team leader
•Made independent decisions and coordinate all components of care
•Worked with interdisciplinary team to provide effective care
EDUCATION:
Walden University, Minneapolis, MN, Master of Science in nursing 2015
University of Phoenix, Miramar Campus, FL - Bachelor of Science in Nursing 2012
Nassau Community College, Garden City, NY- AS-Nursing 1999
LICENSES:
Registered Nurse, California 2018
Registered Nurse, Florida 2002
CERTIFICATES/AWARDS:
Star Award, Humana, for outstanding contribution to Humana’s success
Contact this candidate