Case Manager Management

OLAYEMI OLANIKE REBECCA

+1-548-***-**** ad1fai@r.postjobfree.com

Transferable Skills

• A dedicated RN graduate with 10+ years of experience both (Industry, Hospital, Homecare and HMO) in delivering high quality care with good communication skills

• Strong analytical, organization, and decision-making skills and ability to work within team environment.

• Ability to work under pressure with less or no supervision.

• Excellent interpersonal skills

• Ability to learn fast, work and produce positive solution towards frantic problem.

• Ability to demonstrate and provide necessary skills in administering holistic Nursing care.

Trainings & Certifications

• Occupational Health and Safety Certificate [2016]

• Healthcare Quality Management for Health Maintenance Organization [2018].

• Effective Customer Relationship Management and Call center Optimization [2019].

• Effective Claims Management Under The new Normal for HMOs [2020]

• DKT Reproductiva Health Academy [2021]

• Healthcare Quality Management for HMOs [2021]

• Medical Audit and Healthcare Provider Profiling [2021]

• Mental Health Awareness(2023)

WORK EXPERIENCES

Mediplan Healthcare Limited, Lagos Nigeria

Executive Officer – Provider Admin/ Case Officer Sept 2022- till Date

• Coordinate and provide care that is safe, timely, effective, efficient, equitable, and client-centered

• Handle case assignments, draft service plans, review case progress and determine case closure

• Administration of medication and treatment regime with the use of standardized nursing process, documentation and record keeping.

• Help patients make informed decisions by acting as their advocate regarding their clinical status and treatment options

• Develop effective working relations and coordination with the medical team throughout the entire case management process

• Case Management & coordination with social services, health and governmental agencies

• Good Record keeping and analysis of cases information, to produce complete & accurate statistical reports

• Promote quality and cost-effective interventions and outcomes

• Adhere to professional standards as outlined by protocols, rules and regulations and not limited to,

• Developing policies, processes and procedures for case management.

• Working with hospital admin/billing officer in applying medical knowledge and skills in improving experience of HMO clients.

AIICO Multishield Limited, Lagos Nigeria

Executive Officer – Provider Liaison Sept 2017 - August 2022

• Relationship management between the health care providers and the clients

• Developing policies, processes and procedures for case management.

• Working with hospital admin/billing officer in applying medical knowledge and skills in improving experience of HMO clients.

• Preparing annual providers education for updates on HMO policies.

• Liaise with HMOs to obtain authorization.

• Maintain complete and accurate documentation of patient`s encounters.

• Prompt incidence reporting and management of patient’s grievances.

• Liaise with other medical and non-medical staff to ensure quality care is given to patients.

• Maintain confidentiality and impartiality in dealing with patients and colleagues alike.

• Comply with the use of policies/adherence to quality standards and clinical practice guidelines.

Alpha Nursing Agency, Lagos Nigeria

Geriatrics/ Homecare Nurse Sept 2015-August 2017

• Nursing and healthcare provision to patients

Slava Yeditepe Construction Company, Oshogbo Nigeria Head Nurse, Company Clinic Nov 2013 - July 2014

• Nursing and emergency healthcare provision to company employees EDUCATION

BSc Nursing---University of Cape Coast Ngleshi Amanfro, Ghana…..In View BSc Nursing Université des Sciences Appliqué et management, republique du bénin, Porto- Novo. (USAM) 2009-2013

REFERENCES

• Available on Request

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