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Registered Nurse Case Manager

Location:
Ankeny, IA
Salary:
$75,000
Posted:
November 04, 2023

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Resume:

SHERIL BOGENRIEF

**** ** ****** ***** *****

Ankeny, Iowa 50023

515-***-****

ad0uuj@r.postjobfree.com

EDUCATION:

Colorado Technical University

Master of Business with Healthcare Management Focus, 2014

Bachelor of Science in Nursing, 2012

Des Moines Area Community College

Associate degree in nursing (Registered Nurse), 1989

Licensed Practical Nurse, 1979

SKILLS:

Management:

oHighly skilled career professional with over 40 years of practical experience in varied environments throughout the healthcare industry.

oHave worked as case manager in home health, managed a physician office, worked in both the acute and long-term care settings.

Communication:

oExcellent communication skills with all members of the interdisciplinary team.

oExcellent documentation skills

oProficient in the use of Microsoft Word, Excel, Power Point, and various scheduling programs

Leadership:

o Chair for AnimeIowa Convention, annual Anime Convention held in Coralville, IA in July of each year (2015 to present)

Operations Team Lead, Venues Project lead

Coordinate the operations of the event, sign contracts for the venue, write policies for the event, maintain the health and safety of all attending the event

o Program Chair World Fantasy Convention 2023 Kansas City, MO.

Development and implementation of the Program for professional writers/editors/artist conference

Communication with all program participants regarding schedules, co-panelists, guests of honor and staff

Ensuring that all program events happen as planned and the event is successful

o Guest of Honor Liaison Head for CHICON 8, World Science Fiction Convention held in Chicago, Illinois

Provide leadership for the Guest of Honor Liaison team to facilitate the special guests of the convention had their needs met- getting to panels on time, ensuring that the guests got meals, etc.

Coordinated securing transportation to and from the event with the organization’s treasurer and per the requests of the special guests

Division Head Washington, DC 2021 World Science Fiction Convention

Provide leadership for the Events Division for this approximately 3000-person event that happened in December of 2021

Facilitation of inter-divisional communication, fiscal responsibility to remain within budget, planning set up and execution of the major events of the convention.

Co-Events Division Head San Jose 2018 World Science Fiction Convention.

Provide leadership for the Events Division for this approximately 5000-person event that happened in August of 2018

Facilitation of inter-divisional communication, fiscal responsibility to remain within budget, planning set up and execution of the major events of the convention.

Past Club Secretary for the Des Moines Science Fiction Society, a 501(c) (7), organization.

The group promotes literacy, the arts, scientific research, and other topics.

Department Head for the local annual conference sponsored by the group.

Duties include coordination of volunteers, facilitating programming items, and recording the minutes of the bimonthly meetings, use of Microsoft Word, Excel, and Power Point.

EXPERIENCE:

11/21 to ANTHEM, INC.

10/20/23 RN NURSE MEDICAL MANAGEMENT/COMPLEX DISCHARGE COORDINATOR

·RN utilization management/complex discharge planning position with Anthem, Kentucky Commercial

·Review of clinical information for approval/referral to PCR/denial of services for members in Kentucky, maintaining HIPAA compliance

·Coordination with providers to obtain needed missing clinical data

·Use of EMR, Microsoft Word, Excel

06/21 to JUDGE TECHNICAL STAFFING

11/21 RN UM Nurse I Contract Position

·Contract position with Anthem, Kentucky Commercial

·Review of clinical information for approval/referral to PCR/denial of services for members in Kentucky, maintaining HIPAA compliance

·Coordination with providers to obtain needed missing clinical data

·Use of EMR, Microsoft Word, Excel

09/17 to WESLEYLIFE AT HOME

04/21 RN Intake Patient Coordinator/RN Admissions Nurse

·Started as admissions nurse, completing 2-3 Start of Care assessments, Resumption of Care Assessments per day for the first two years of employment.

·The past year and one half have been reviewing referrals for appropriate documentation, skilled need for home health services and approving or denying the referral and assist in facilitation to another provider if needed. Reviewed an average of 8-25 referrals per day.

·Medical Chart Review as part of the Continuous Quality Improvement Process

·Education of staff, clients, and their families

·After hours call, visits, support of clients and families in emergency situations

·Use of EMR, Microsoft Word, Excel, scheduling programs.

09/16 to IMMANUEL PATHWAYS

09/17 In home services Manager

·Built up the In-Home Services team from no RNs to a team of 4 RN’s and 6 Home Health Aides for approximately 90 participants in the PACE program.

·Pre-enrollment assessments, RN visits, Supervision of Home Health Aides, communication with the interdisciplinary team to develop comprehensive plans of care.

·Medical Chart Review as part of the Continuous Quality Improvement Process

·Education of staff, participants, and their families

·After hours call, visits, support of clients and families in emergency situations

·Use of EMR, Microsoft Word, Excel, scheduling programs.

10/13 to SPIRIT HOME HEALTH CARE

09/16 Patient care manager/RN Case Manager

·Managed case load of 20-35 Medicare, Medicaid, and Private Insurance clients.

·Ongoing observation, assessment and education of patients and families, developed plans of care and communicated with physicians, families and ancillary services, medication setup, visits according to plan of care, accurate documentation according to company and Medicare guidelines.

·Medical Chart Review as part of the Continuous Quality Improvement Process

·After hours call, visits, support of clients and families in emergency situations

·Use of EMR, Microsoft Word, Excel, scheduling programs.

05/12 to INTREPID USA

10/13 RN Case Manager

·Managed case load of 20-35 Medicare and Private Insurance clients.

·Ongoing observation, assessment and education of patients and families, developed plans of care and communicated with physicians, families and ancillary services, medication setup, visits according to plan of care, accurate documentation according to company and Medicare guidelines.

·After hours call, visits, support of clients and families in emergency situations

01/11 to AMEDISYS HOME HEALTH

04/12 RN Case Manager/Clinical Supervisor

·Served as Clinical Supervisor for the field staff.

·Reviewed all charting, Oasis documents, and orders for accuracy, and coding needs, writing, and processing physician orders for clinicians in the field, completing 485, education of staff re: equipment, procedures, communicating with administrator, physicians, ancillary staff, families, and outside agencies to ensure best care possible for the clients receiving services.

·Managed case load of 15-20 Medicare and Private Insurance clients.

·Ongoing observation, assessment and education of patients and families, developed plans of care and communicated with physicians, families and ancillary services, medication setup, visits according to plan of care, accurate documentation according to company and Medicare guidelines.

·Chart review as part of the quality improvement process.

·After hours call, visits, support of clients and families in emergency situations

·Use of Microsoft Word, Excel, Point of Care, Microsoft Outlook, Citrix-AMS, Clinical Manager Dashboard

2010 OUTCOMES HEALTH INFORMATION SYSTEMS

RN Field Reviewer

·Completed chart reviews as requested for provider compliance with insurance company standards.

·Use of online scheduling and performance tracking on weekly basis.

·Contract position lasting 4 months (completion of the HEDIS project

2009 to MAXIM STAFFING SOLUTIONS

2010 RN staff nurse

·Staff relief in home care, long term care and acute care settings.

·Insurance assessments as requested by multiple clients for Long Term Care insurance policies.

2007 to NURSE FORCE, INC.

2009 RN Case Manager

·Managed Case load of 15-30 Medicare, Medicaid, and Private Pay clients of all ages.

·Ongoing assessments and development and implementation of plans of care, medication setup, visits according to plan of care, client and family education, staff supervision, communication with the interdisciplinary team, accurate documentation, skills check for new employees.

·Chart review as part of the quality improvement process.

·After hours call, staffing, support for clients and staff in emergency situations, use of Microsoft Word, Excel

2006 HEARTLAND VASCULAR MEDICINE AND SURGERY

RN Office Manager

·New office setup, hired staff, patient assessment, blood draws, office procedures, HIPAA compliance, setup of outreach clinics, patient education, schedule surgeries, communicate with physicians, billing company and insurance companies.

·Medical-Legal consulting as requested by physician.

·Evaluation of medical records for consistency of care across the continuum of care, formulating opinions regarding inconsistencies and documentation of my findings.

·Conferring with legal counsel involved in the litigation process.

·Proficient with Microsoft Word, Excel, Scheduling programs

2006-2007 NURSE FORCE

2000-2004 RN Staff Nurse

Daily Care of Client with ALS

Staff Relief in Long Term Care Facilities and Acute Care Facilities

Home Care of Adult and Pediatric Clients

2004 to GENESIS SENIOR LIVING CENTER

2005 RN/MDS Coordinator/ADON

·Completion of MDS and submitted to state repository for all clients in facility according to standards required, care conferences with families and ancillary departments, chart review for accuracy and completeness as part of the quality improvement process.

·Scheduling of staff for facility, education of staff

·After hours call

1994 to UNIVERSITY NURSING AND REHAB

2000 RN/staff nurse/MDS Coordinator

·Staff nurse on Skilled unit of facility, communication with physicians and families, administration of medications and treatments, patient, staff and family education, documentation of all aspects of patient care.

·Completion of MDS and submitted to state repository for all clients in facility according to standards required, care conferences with families and ancillary departments, chart review for accuracy and completeness as part of the quality improvement process.

1989 to 1994 IOWA LUTHERAN HOSPITAL

RN Staff Nurse

Staff nurse on Med/Surg unit (Tele; Urology). Comunication with physicians and families, administration of medications and treatments, patient, staff and family education, documentation of all aspects of patient care.

BLS instructor for the hospital

1984 to LUTHER PARK HEALTH CENTER

1989 LPN/Staff Nurse

·Staff nurse on Skilled and Intermediate care units of facility, communication with physicians and families, administration of medications and treatments, patient, staff and family education, documentation of all aspects of patient care.

·Response to after hours emergency calls in the Independent apartments connected to the health care facility

1979 to DES MOINES GENERAL HOSPITAL

1984 LPN/Staff Nurse

·Staff nurse on the ortho/oncology/tele unit, communication with physicians and families, administration of medications and treatments, patient, staff and family education, documentation of all aspects of patient care.



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