Medical Manager

LAURA MCLOUGHLIN

**** ******** *** *****, **********, Washington 98388

706-***-**** ****************@*****.***

CLINICAL CASE MANAGER REGISTERED NURSE

Passionate, results-oriented Clinical Case Manager with more than 5 years experience in

medical case management field and strong background in military nursing, focusing on clinical

research and procedures. Responsible for overseeing healthcare of wounded soldiers, and

ensuring patients and families are assisted throughout medical process. Welcomes challenges and

managerial responsibilities, and demonstrates ability to overcome stress and high pressure to

perform tasks with optimum efficiency.

CORE COMPETENCIES

Case Management ~ Behavioral Health ~ Team Collaboration ~ Analytical & Critical Thinking

Secret Clearance ~ Communication ~ Risk Management ~ Ethical Standards ~ Patient Advocacy

Healthcare Delivery ~ Care Coordination ~ Assessment & Evaluation ~ Therapy & Rehabilitation

PROFESSIONAL EXPERIENCE

Humana at Home, Steilacoom WA

Registered Nurse Care Manager 2014

Telephonically manages complex medical cases for over 200 Medicare members. Guides

members and their families toward and facilitate interaction with resources appropriate for the

care and wellbeing of members.

• Complete physical, psychological, emotional and environmental assessments, for the purpose

of providing appropriate, timely interventions to ensure provision of optimal care.

• Works Collaboratively with other members of the Humana At Home Interdisciplinary team-to

include; Humana At Home Care Managers-Social Services, Field Care Managers and

Community Health Educators.

• Understand clinical program design, implementation, and management, monitoring and

reporting.

Northwest Physician’s Network, Tacoma WA

Nurse Case Manager 2014

Managed complex medical cases telephonically to include Medicare and Medicaid members.

Collaborated with community resources to provide assistance with social-economical issues and

with primary care provider to ensure medical compliance.

• Constructed and updated plan of care to meet individualized goals to restore members to

optimum health.

• Performed assessments upon discharge from hospital, new member assessments, and periodic

assessments to assure member’s condition has improved or not changed.

Booz Allen Hamilton (formerly Red Gate Group), Joint Base Lewis-McChord, Washington

1st Special Forces Group (A) Nurse Case Manager 2013 – Present

Managed cases and assisted with behavioral health needs for over 2,000 soldiers and dependents.

Collaborated with healthcare providers to classify beneficiaries with long-term healthcare needs.

Identified and evaluated resources to promote client wellness and autonomy, and advocated for

clients through communication and education.

• Facilitated, communicated, and developed individual treatment plans and delivery of

efficient, cost-effective medical services.

• Reported directly to Group Surgeon to address concerns and to devise solutions to

outstanding issues.

• Responsible for counseling and supporting patients and their families by educating on disease

processes, rehabilitative needs, and health management.

• Constructed and implemented plans to restore patients to optimum psychosocial and health

adjustment, and to assist in living within capabilities and limits of disabilities.

• Frequently collaborated with professionals in medical industry such as primary care

physicians, healthcare administrators, nurses, behavioral health specialist, social workers, and

other case managers.

Madigan Healthcare System – Department of Defense, Joint Base Lewis-McChord,

Washington

Soldier Care Coordination Nurse Case Manager 2010 – 2013

Identified resources and services to achieve client wellness and autonomy. Partnered with

numerous advocates and professionals in the healthcare field to develop, facilitate, communicate,

and coordinate individual treatment plans for patients.

• Provided counseling and assistance to patients and their families, keeping them informed on

disease processes, rehabilitation, and health management.

• Orchestrated service programs to restore patients to optimal psychosocial and health

adjustment, and to assist in living within capabilities and physical boundaries.

• Coordinated care and assessed health of 8,000 patients to meet access to care standards

during Soldier Readiness Process to deploy or redeploy within two-month period; determined

whether soldiers were medically deployable or not depending on a range of medical

conditions.

• Received “Excellence” rating during 2012 – 2013 performance evaluation after

demonstrating ability to endure stress and succeed under pressure, relentless dedication to all

cases, and high moral purpose and integrity; recognized as one of the top case managers and a

highly valued member of the Population Health Management Division, exhibiting willingness

to take on extra challenges and responsibilities.

Providence St. Peter’s Hospital, Lacey, Washington

Progressive Care Unit Nurse 2010

Tasked with handling care of patients requiring continuous telemetry monitoring due to cardiac

issues or related surgery. Duties included changing dressings and administering medication and

blood products, monitoring changes in patient conditions, collecting lab samples, and performing,

reporting, and charting daily and admission assessments.

• Supervised admissions and discharges of patients, including confirming complete medical

histories, current medications, and reconciliations of medications.

• Ensured completion of checklist for pre-operative orders.

• Educated patients and family on operative procedures, disease processes, medications, and

discharge orders.

Eisenhower Army Medical Center – Department of Defense, Fort Gordon, Georgia

Nurse Case Manager - Warrior in Transition Unit (GS 11-5) 2008 – 2010

Managed care of soldiers with complex medical needs transferred to Warrior Transition Unit.

Responsible for analyzing and identifying problems associated with delivering healthcare to

mobilization and demobilization soldiers. Consulted with multidisciplinary team members to

assess, plan, coordinate, and evaluate all healthcare needs and options.

• Utilized effective, innovative communication methods to guide soldiers through complex

medical processes to remain in the military; implemented medical board process to assist

soldiers with transitions back to civilian life.

• Conducted weekly visits to gather documentation and to establish monthly care plan;

organized medical appointments for patients on and off post by utilizing expertise in CHCS

program and AHLTA.

• Instructed soldiers and families on disease processes and usage of medications; partnered

with military cadre to ensure comfort of soldiers and families.

Charlie Norwood VA Hospital, Augusta, Georgia

Registered Nurse – Active Duty Rehabilitation Department 2008

Administered medications and vaccinations, initiated intravenous catheters, charted daily and

admission assessments, and performed safety checks for restraints. Dressed wounds, assisted

patients undergoing physical and occupational therapy, and guided them through daily living

activities such as bathing, feeding, ambulating, and memory retention.

• Verified physician orders, passed medication orders, and determined completion of pass

orders.

• Partnered with Army Case Manager to guarantee patients adhered to medical appointments

and procedures.

• Arranged transportation for patients and consulted with military cadre to address concerns

regarding family and medical issues.

• Supervised LPNs and health technicians, and oversaw interdisciplinary team’s delivery of

high standard of care by participating in weekly meetings and daily discussions with

members.

Doctors Hospital, Augusta, Georgia

Registered Nurse – Burn Overflow Department 2007

Governed administration of medications and blood products to patients; instituted intravenous

catheters and collected urine, blood, and wound specimens for lab research. Conducted daily

dressing changes and assessments for wounds and burns, and charted daily notes and safety

checks on restraints. Completed checklist to clarify adherence of admission and operative

procedure requirements.

• Informed patients and family members on burn and wound care and medication application;

managed LPNs and multi-skilled techs during assessment of patients.

United States Army Reserves, Fort Sam Houston, Texas

Medical Specialist 1992 – 2005

Aided as medical specialist in active reserve and individual reserve; duties included administering

first aid and emergency care in the field and facilitating triage and transportation of patients.

Performed tasks in clinical settings such as assisting doctors with exams, pre-screening patients,

collecting specimens, annotating medical charts, and applying immunizations.

• Instructed two EMT-Basic courses to reservists and achieved 90 percent pass rate.

ADDITIONAL PROFESSIONAL EXPERIENCE

Madigan Army Medical Center, Fort Lewis, Washington

Medical Support Assistant – Department of Surgery, Podiatry Clinic

2003 – 2004

Family Foot Care, Puyallup, Washington

Receptionist 2003

MPRI, Inc., San Antonio, Texas

Recruiter Assistant 2001 – 2002

Dement Properties, San Antonio, Texas

Property Manager 1997 – 2001

United States Army, Germany

Medical Specialist 1990 – 1992

PROFESSIONAL AFFILIATIONS

Member, Wounded Warrior Project

EDUCATION

Chronic Care Professional Program, 2012

Health Sciences Institute, St. Petersburg, Florida

Army Nurse Case Management Introductory and Intermediate Course, 2009

PRIME Education, Inc., Tamarac, Florida

Bachelor of Science in Nursing, 2007

Austin Peay State University, Clarksville, Tennessee

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