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Registered Nurse Care Manager

Location:
Highland, IN, 46322
Salary:
80,000 - 85,000
Posted:
October 30, 2023

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Resume:

Kimberly Garza

Illinois Registered Nurse

Highland, IN 46322

ad0qbf@r.postjobfree.com

+1-219-***-****

Illinois Registered Nurse seeking a rewarding position to apply my diverse experience and root-cause analysis approach to attain positive, pro-active results in an environment that promotes on-going education/training.

Authorized to work in the US for any employer

Work Experience

Care Manager I - Telephonic/Remote R.N. Care Manager Centene Corporation (via AltaStaff) - Burr Ridge, IL August 2021 to Present

· Perform care management duties to assess, plan and coordinate all aspects of medical and supporting services across the continuum of care to promote quality, cost effective care. Develop, assess and adjust, as necessary the care plan and promote desired outcome. Assess the Member’s current health status, resource utilization, past and present treatment plan and services, prognosis, short and long term goals, treatment and provider options. Actively participate in integrated team care management rounds. Identify related risk management quality concerns and report these scenarios to the appropriate resources. Enter and maintain assessments, authorizations, and pertinent clinical information into various medical management systems.

Internal Marketing Auditor HCBS & LTC Humana / Cook County Waivers Independent Living Systems - Oak Brook, IL

April 2019 to October 2019

· Audit and Remediation process of Care Coordinators assigned to waiver Members

· Provide feedback/plan of correction to management.

· Provide remediation feedback and assist Field Care Coordinators in Remediation process Registered Nurse

Private Duty Nurse - Hammond, IN

July 2016 to March 2019

· Provide direct 1:1 assistance to client while including family members and teaching on blood sugar, vital signs and medication monitoring.

Director of Nursing- ICF/DD

Park Lawn Center - Alsip, IL

August 2014 to March 2016

· Direct oversight of nursing department, including administrative duties.

· Ensured adherence to State/Federal regulations and facility policies and procedures, created and revised relevant protocols.

DON, MDS Coordinator

Lake County Nursing and Rehabilitation - East Chicago, IN December 2011 to June 2012

· Oversight of nursing department, IDPH survey process, Initiation and follow-up with reportables. QA/ QI. MDS Coordinator and care planning.

Independent Contractor/Direct Care Provider

Retro Home Health Corp. - Indianapolis, IN

April 2009 to May 2011

· Knowledge and maintenance in compliance with IN. 460- IAC Section 6 codes for providing direct care to individuals served. Developed High Risk plans, detailed methodology for achieving Individualized Support Plan, objectives and strategies specific to individual. Assistant Director of Nursing and Interim Director of Nursing Golden Living Centers- Fountainview Place - Portage, IN August 2008 to February 2009

· Acting director over nursing department of approximately 75-100 employees Staff RN-skilled Unit.

St. Anthony - Crown Point, IN

July 2007 to March 2008

· Administration and evaluation of medications and treatments per Physician orders. Admit and discharge patients.

Spine Practice Liaison/Office RN

Orthopedic Specialists of NWI for Dr. Dwight Tyndall, MD - Munster, IN February 2005 to September 2006

· Marketing and set up of practice expansion. Order and distribute supplies. Responsible for maintaining surgical and clinic schedule. Liaison for Physicians, patients, hospital and hardware distributor/pharmaceutical representatives Staff RN- Skilled Unit and Memory Care Unit Float

The Care Center at Hartsfield Village - Munster, IN July 2001 to April 2005

· Administer medications and treatments per MD orders Documentation per protocol

Staff RN- Adolescent Psychiatric Locked Unit

St. Margaret Mercy - Dyer, IN

March 1997 to December 1997

• Facilitated admissions process, administration and evaluation of psychotropic medications, behavior/ mood/affect outcome observations with applicable documentation. Participant in the Inter-disciplinary Team and Group Therapy processes. provide direct 1:1 assistance to client while including family members and teaching on blood sugar, vital signs and medication mon itoring. Education

Associate of Science in Nursing

Indiana University NW - Gary, IN

1994 to 1996

Nursing pre-requisites, Minors

Calumet College of St. Joseph - Whiting, IN

1991 to 1994

Certificate of Completion

Aristotle College of Medical and Dental Assisting - Hammond, IN 1990

Skills

• Medical management

• MDS

• Care plans

• Patient monitoring

• Motivational interviewing

• Case management

• Dementia care

• Behavioral therapy

• Medication administration

Certifications and Licenses

RN

BLS Certification



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