Registered Nurse Manager
Resume:
Cindy Moore
*********@******.***
Experience:
Department of Defense US Navy October 2015 - Present
Naval Medical Center of San Diego Nurse Specialist Case Manager
Health Benefit Directorate
Case Management Department
34800 Bob Wilson Drive
San Diego, California 92134
• Assess, Evaluate, Plan, Coordinate care for pediatric patients with complex medical histories and high utilization to ensure self-management
• Coordinate team meetings and education
• Collaborate with Primary Care Manager Providers (PCM), Medical Home Port Team support staff, and Specialty Providers with both Military Treatment Facility (MTF) and Outside Civilian Providers to ensure appropriate services and care
• Promote health and wellness
• Provide Department of Defense (DOD) and Community resources to patient and/or caregivers
• Engage and motivate patients/caregivers in self- care to promote health and lifestyle changes
• Develop and maintain tracking log
• Communicate, Educate, and Empower patients in development of individualize goals
Monitor and track patients progress towards goals
Assist patients with navigation through complex medical system
Evaluate appropriateness for case management services among medically complex population
Obtain records from outside providers to improve coordination of care
Monitor and assist with discharge planning of hospitalized patients on case load
Monitor and maintain referrals
Increase communication between Primary Care Provider and outside venues
Advocate for patients and families
Document disease management intervention into electronic medical record
Saratoga Medical Center Inc September 2014- October 2015
Naval Medicine Center San Diego Nurse Behavioral Health Care Naval Branch Clinic Kearny Mesa Facilitator
8808 Balboa Ave
San Diego, California 92123
• Actively assist Integrated Health Community Initiative team (IHCI-Population Health) in the design and development of training modules for Behavioral Health Care Facilitators
• Coordinate team meetings and education
• Provide guidance and clinical insight for IHCI team
• Collaborate with Health Coach, Integrated Behavioral Health Consultant (IBHC), Primary Care Manager Providers (PCM), Medical Home Port Team support staff, and Management Team to ensure appropriate clinical and patient education to proactively optimize the patients’ health
• Promote health and wellness
• Assess, Evaluate, Plan, Coordinate care for patients with complex medical histories and high utilization
• Assess, evaluate, plan, implement, educate patients with chronic diseases with goal towards self-disease management
• Provide Department of Defense (DOD) and Community resources to patients
• Actively participate in Mental Health Quality Improvement Committee
• Engage and motivate patients in self- care to promote health and lifestyle changes
• Monitor and track patients with Depression, Anxiety, and PTSD via phone or face to face
• Maximize HEDIS measure outcomes
• Develop course material for Health Coach training
• Implement primary, secondary, and tertiary interventions for patient population
Develop and maintain tracking log
Assist patients with navigation through complex medical system
Communicate, Educate, and Empower patients in development of individualize goals
Evaluate appropriateness for case management services among medically complex population
Collaborate with Primary Care Providers, Subspecialty Providers, support staff
Obtain records from outside providers for improved coordination of care
Monitor and assist with discharge planning of hospitalized patients on case load
Monitor and maintain referrals
Increase communication between Primary Care Provider and outside venues
Advocate for patients and families
Document disease management intervention into electronic medical record
RGB Group
Naval Hospital Camp Pendleton: Internal Medicine December 2012- August 2014
200 Mercy Circle Certified Nurse Case Manager
Camp Pendleton, California 92055 Integrated Health Community
760-***-**** Initiative
Implement primary, secondary, and tertiary interventions for patient population
Assess, Evaluate, Plan, Coordinate care for patients with complex medical histories and high utilization
Assess, evaluate, plan, implement, educate patients with chronic diseases
Develop, maintain, and conduct Interdisciplinary Team Meetings
Provide and connect patients and their families to community resources
Develop and maintain tracking log
Assist with navigation through complex medical system
Communicate, Educate, and Empower patients in development of individualize goals
Evaluate appropriateness for case management services among medically complex population
Collaborate with Primary Care Providers, Subspecialty Providers, support staff
Obtain records from outside providers for improved coordination of care
Monitor and assist with discharge planning of hospitalized patients on case load
Monitor and maintain referrals
Increase communication between Primary Care Provider and outside venues
Advocate for patients and families
Document disease management intervention into electronic medical record
Develop and individualize care plan with patient, family, and provider input
Southwest Medical Associates May 2008- December 2012
Gastroenterology Registered Nurse Case
2316 West Charleston Blvd Ste 280 Manager
Las Vegas, Nevada 89102
Develop tracking log for patients followed by Hepatologist (Liver Specialists-Scripps Green Hospital Solid Organ Transplant)
Ensure appropriateness of referrals to department for Hepatologist
Support Hepatologist in all aspects of patient care
Collaborate with providers and support staff
Support staff and other providers
Administer vaccinations
Coordinate care with Transplant Case Management/ Transplant Coordinators (Scripps Green Hospital) / and other department/venues
Monitor labs/referrals/and other tests ordered by Hepatologist
Review discharge instructions with patients and their families
Assess/teach/evaluate patient’s with liver disease
Southwest Medical Associates Sept. 2006-December 2012
Heart Failure Clinic/Cardiology Registered Nurse Case Manager
888 South Rancho Blvd Ste 209
Las Vegas, Nevada 89106
Educate patients on self disease management and medications
Frequent follow up phone calls to review self disease management, signs and symptoms, and compliance
Titrate medications and diuretics per protocols established by the department
Coordinate patient care with other venues [hospital, home health (including telemonitor), primary care providers]
Document disease management interventions in the electronic medical record
Initiate appropriate internal and external referrals
Review health outcomes and gather patient information for statistical data and reporting
Southwest Medical Associates February 2005- Sept 2006
Adult Medicine Registered Nurse Team
6330 West Flamingo Leader/Case Manager
Las Vegas, NV 89103
Participate and implement interdisciplinary team review of complex patients
Participate in the interview process for potential new employees
Participate in quarterly audits
Coordinate appointments, laboratory findings, and other key disease management tools for patients assigned from the disease management registry
Develop plans of care that meet the patient and provider’s goals
Implement protocols that are approved by the provider to assist the patient manage their chronic illness
Make appropriate internal and external referrals
Review health outcomes and gather patient information for statistical data and reporting
Assess and identify appropriateness of patients referred for mobile care visits
Maintain records and gather data for mobile care visits
Advocate for patients and families as needed to ensure the patients’ needs
Sierra Health Associates: Network Case Management August 2004- February 2005
2650 North Tenaya Way Registered Nurse/Nurse
Las Vegas, NV 89128 Intern
Identify and assess needs of patients/family/and caregivers to obtain positive outcomes and achievement of goals
Assess, teach, and collaborate with the patient identified with chronic illness and their provider to create treatment plans that improve health outcomes
Monitor patient outcome
Reassess and evaluate interventions to maintain health and safety of patients and their families
Precept nursing students for clinical rotation
Valley Hospital Sept2004- February 2005
620 Shadow Lane Registered Nurse/ Medical
Las Vegas, NV 89106 Surgery Unit
Assess, teach, re-evaluate and document changes in medical condition into medical record
Obtain and monitor labs and diagnostic tests for values outside of normal ranges and collaborate results to medical team
Collaborate with other team members to ensure patient needs
Educate and advocate for patients and their families
Attend to critical and life threatening needs of patients
Direct care for assigned patient’s to ensure safety, health stability, and obtain positive outcomes
Southwest Medical Associates: Gastroenterology Department May 2004-August 2004
2316 West Charleston Ste 280 Nurse Apprentice
Las Vegas, NV 89102
Shadow nurse preceptor and social worker
Participate in initiating phone calls to gather data for nurse case manager
Review assessment process under direct supervision of nurse case manager
Accompany nurse case manager on home visits and participated in the nursing process
Assist nurse case manager in the development of proper care plan
Sunrise Hospital June 2003-June 2004
3186 South Maryland Parkway Nurse Apprentice/Cardiac
Las Vegas, NV 89109 Telemetry Medical Surgery 702-***-****
Assist nursing staff to ensure the safety and well-being of patients
Direct patient care for approved skills
Monitor progress of patients under the supervision of the nursing staff
Collaborate with nursing staff and other members of the team
Education:
9/2011 to 10/2014 University of Nevada Las Vegas FNP Program
Not completed
8/2007 to 5/2011 Nevada State College RN to BSN program
1/2003-8/2004 Community College of Southern Nevada Associates Degree in Nursing
Degrees/Certificates/Licenses:
Certified Case Manager CCMC
Bachelors of Science in Nursing
BLS Certification
Registered Nurse:
• State of California
• State of New Jersey
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