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Case Manager Rn

Location:
Olympia, WA
Salary:
$70/hour
Posted:
November 05, 2023

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Resume:

Tracy Page

*** ******* ** #** ******** WA 360-***-**** ad0vhs@r.postjobfree.com

Objective

Dedicated registered nurse (RN) with specialty experience in medical/surgical nursing, Utilization Review, Core Measures, and case management.. Reliable and ethical healthcare provider with the ability to stay calm and intervene during crises. Experienced in facilitating groups and educational seminars for all ages, and to collaborate on multidisciplinary teams. Proven ability to build positive relationships with patients, students, family members, Staff, physicians, community, and other medical professionals.

Experience:

RN Case Manager, Capital Medical Center

1/2023-Present, RN Case Manager

Currently serving as a RN Case Manager at CMC. Job duties include: to participate in the Complex Case/LLOS meetings and Staff meetings. In charge of coordinating and providing care that is safe, timely, effective, efficient, equitable, and client centered. Focuses on discharge planning, resource management, coordination of care among team members, and transition to post acute care. Handles case assignments, assess, evaluate risk, planning, Implementation, and outcome evaluation.

RN Senior Utilization Review Nurse

11/2021-12/2022 Senior Utilization Review Nurse Lead, for Physicians of Southwest Washington

Served as a Utilization Review Nurse at PSW. Participated in the developmental process of a new position, as a delegated Humana MCC organization. Have facilitated new relationships between Hospitals, Dr offices, Case Managers, denial teams, and hospital utilization review departments. Used InterQual, and helped to develop process and procedures for IPRs, Denials, LTACH’s, IP, and SNFs. I have an extended knowledge of excel, word office, outlook, teams, EHR, PowerPoint, Remote Computer work, VPN, ADP, Concord, Jeff Net, and EZ Cap.

RN Case Manager

06/2019-11/2021 Kaiser Permanente at St Peter Hospital

As an RN case Manager it is my job to optimize patient health care outcomes while ensuring appropriate utilization of health care resources. Working closely with primary care teams, specialty care teams and medical providers. As a case manager it is my responsibility to establish a collaborative plan of care to assure adherence to the medical plan, improvement in functional status, and improved ability to self manage. Serves as a bridge between internal and external services for patients. Supports healthcare team, patient, families, and outside resources/agencies. I also was required to do my own UR reviews each day.

RN Care Coordinator

06/2017-06/2019 Providence Chehalis Family Medicine

As an RN care coordinator I assisted patients and families with care plans, teaching, disease maintenance and prevention, and an advocate for those in need. Also covered as telephonic triage nurse and clinic nurse when needed.

RN Case Manager

02/2016-6/2017 Providence Centralia Hospital Centralia WA

Helping develop the UR nursing role into a case management role at Centralia Hospital. Proficient on Epic, Trace, Cerme, and InterQual. Experience in dealing with Medicare, Molina, Coordinated Care, and Community Health Plan of WA, to name a few. Well versed on speaking with patients about their healthcare need and how it pertains to their insurance.

Registered Nurse

08/2014 – 02/2016 Providence Centralia Hospital, Centralia WA

Served as RN at Providence. Actively participated in development and implementation of individual treatment plans for patients of all ages with a broad range of diagnoses. Ensured that doctor’s orders were effectively carried out including testing, medical procedures, and consultations. Worked with Physical Therapy and Occupational Therapy to ensure surgical ortho patients were ready to transition home.

Quality Nurse Coordinator

10/2012-10/2014 Providence Centralia Hospital, Centralia WA

Currently serving as the Quality Nurse Coordinator for Providence Centralia Hospital. Lead abstractor for all inpatient and outpatient core measures and process improvement specialist. Efficient in the use of both Premier and Epic to collect/enter data, and reports regarding Quality Measures and providing support for the execution of Quality Measures at PCH. Leader of Core Measure meetings, and quality support person for code blue committee and Perinatology. Member of LEAPT sepsis and LEAPT bundle teams, and the creator of PCH abstractor tool and process for LEAPT abstraction at PCH. Facilitator when requested for various meetings, work-out sessions, and root cause analysis.

Utilization Review Nurse

10/2011-10/2012 Providence Centralia Hospital, Centralia WA

Served as a Utilization Review Nurse at Providence. Participated in the developmental process of the UR Nurse, a new position, at PCH. Facilitated new relationships between Insurance Companies, Executive Health Resources, and Healthcare Providers. Used InterQual as the foundation of growth for PCH UR. Participated in the implementation of Epic in the role of UR nurse.

Registered Nurse

07/2007 – 10/2011 Providence Centralia Hospital, Centralia WA

Served as RN at Providence. Actively participated in development and implementation of individual treatment plans for patients of all ages with a broad range of diagnoses. Ensured that doctor’s orders were effectively carried out including testing, medical procedures, and consultations.

School Nurse

8/2010- 2013 Chehalis School District, Chehalis WA

Worked as a sub for the school nurse to provide care, treatment and comfort for a student body of almost 2800 kids. Handled medication administration and documentation, child assessment, individual health care plans, emergency action plans, attended community meetings and made community contacts for the school district. Performed aids education to fifth graders and hygiene education to students.

Treatment/Medication Nurse

05/2002 – 12/2004 Riverside Nursing and Rehab, Centralia WA

My responsibilities while working as an LPN at Riverside were to pass medication, perform resident treatments, dialysis, tracheostomy care, catheter care, phlebotomy, and supervised three CNA’s while providing care for 30 residents. At the end of my employment at Riverside I was promoted to treatment nurse. My duties were to provide major and minor treatments (dressing changes, negative pressure wound therapy).

Assessed resident wound care treatments and progression with our facility treatment Doctor and to implement new changes as needed. Also acted as charge nurse and filled in on an on-call basis.

Education:

Washington State University College of Nursing, Spokane WA

05/2011

Bachelor of Science in Nursing (BSN), GPA: 3.95 (Dean’s List)

Senior Preceptor: 180 hours, Chehalis School District; School Nurse: Worked intensively with the school nurse to spark interest and participation in identifying problems and solutions. Provided a safe and therapeutic environment for children age 5-18.

Course Highlights: Nursing Ethics, Nursing Leadership, Communication, Nursing Management, in depth Pathophysiology, and Legislative processes.

Lower Columbia College, College of Nursing, Longview WA

12/2004

Associate of Science in Nursing (ASN), GPA: 3.4

Worked intensively with patients to promote their interest and participation in identifying problems and solutions, and enhance their coping skills. Provided a safe and therapeutic environment for psychiatric patients.

Course Highlights: Nursing Ethics, Nursing Leadership, Communication, Nursing Management, Pathophysiology, Labor and Delivery, Mental Health.

Centralia College, College of Nursing, Centralia WA

08/2001

Associates in Arts Degree (AA)

Licensed Practical Nurse Certificate (LPN)

Affiliations:

06/2002 - WSNA

12/2010 - Sigma Theta Tau (National Honors Society of Nursing)

03/2011 - SNOW

03/2011 - NASN

03/2011 – NOT (Not On Tobacco, American Lung Association)

05/2023 – Certified Case Manager

Skills:

Certified Case Manager

Certified School Nurse

Case Management

Discharge Planning and Teaching

Medication Administration

Assessments

Medical/Surgical Nursing

Patient Advocacy

Parent/Patient/Family Education

Change Facilitation

RCA’s

Expert in IP/OP Core Measures

Proficient in Epic as WA case management

Core measures and all tasks in quality management self taught

WSHA LEAPT

Microsoft Office

Excel Spreadsheets

EPIC

Kronos

Compass

Trace

Cerme

BLS



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