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Case Manager Health Care

Location:
Norfolk, VA, 23551
Salary:
Negotiable
Posted:
December 05, 2023

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Resume:

Sybil Mathias

**** ******* ****, **********, ** *3320

Home: 757-***-**** Cellular: 757-***-****

ad1o9y@r.postjobfree.com

Professional Objective:

To utilize my skills as an: educator, advocate, administrator, researcher and consultant Fortis College Norfolk RN Nursing Faculty February 2019-August 2019

· Planning and teaching curriculum for undergraduate courses

· Lecture on a number of topics including community health care and pharmacology

· Assign homework

· Oversee students’ lab and clinical work

· Serve as a mentor on academic and career issues

· Promote discussions among student

Aveanna June 2018- to present

· Administers medication, treatments, dressings and other nursing services according to physician’s orders and patient conditions.

· Observes, evaluates and records symptoms

· Applies independent emergency measure to counteracts developments

· Directs patient in good health habits

· Maintains equipment and supplies

Amerigroup: Case Manager Disease Management Dec 2006 - July 2017

· Coordinated the overall interdisciplinary plan of care for a patient in a disease management program, from admission to discharge.

· Acted as a liaison between patient/family, employer and healthcare personnel to ensure necessary care is provided promptly and effectively.

· Responsibilities included but are not limited to documenting case progress, identifying health risks, and reporting the findings of the case study at appropriate intervals. HarborPoint Medical Rehabilitation Center -ADON Dec 2001-April 2005 Conducted new employee orientation and coordinates competency completion. Ensured for or delivers annual mandatory and continuous education for staff using internal or external resources according to state and federal regulations and company policy. Taught certain in-house courses, such as the NA training program, special care unit training, etc. Coordinated employee health program (immunizations, flu shots, physical exams, etc.) Monitored and ensures current licensure and certifications of facility staff. Maintained employee education, training and health files. Assisted in the screening and hiring of nursing staff. Completed required forms and documents in accordance with company policy and state and/or federal regulations.

Performed other duties as assigned.

Maryview Nursing Care Center - SDC February 1997 - April 2005 Conducted new employee orientation and coordinates competency completion. Ensured for or delivers annual mandatory and continuous education for staff using internal or external resources according to state and federal regulations and company policy. Taught certain in-house courses, such as the NA training program, special care unit training, etc. Coordinated employee health program (immunizations, flu shots, physical exams, etc.) Monitored and ensures current licensure and certifications of facility staff. Maintained employee education, training and health files. May assist in the screening and hiring of nursing staff. Completed required forms and documents in accordance with company policy and state and/or federal regulations.

Performed other duties as assigned.

At Home Care Director of Personal care December 1995 - August 1997 Sentara Personnel Services November 1995 - November 1996 Coordinated internal and external resources to meet identified needs. Monitored and evaluated effectiveness of the care management plan and modifies as necessary. Responsible for performing telephonic clinical assessments for the identification, evaluation, coordination and management of member's needs, including physical health, behavioral health, social services and long term services and supports.

Identified members for high risk complications and coordinates care in conjunction with the member and the health care team.

Managed members with chronic illnesses, co-morbidities, and/or disabilities, to insure cost effective and efficient utilization of health benefits. Obtained a thorough and accurate member history to develop an individual care plan. Established short and long term goals in collaboration with the member, caregivers, family, natural supports, physicians; identifies members that would benefit from an alternative level of care or other waiver programs.

The RN has overall responsibility to develop the care plan for services for the member and ensured the member's access to those services.

Assisted with the implementation of member care plans by facilitating authorizations/referrals for utilization of services, as appropriate, within benefits structure or through extra-contractual arrangements, as permissible.

Interfaced with Medical Directors, Physician Advisors and/or Inter-Disciplinary Teams on the development of care management treatment plans.

Also assist in problem solving with providers, claims or service issues. St Mary’s Hospital / Catholic Medical Center Case Manager LTSS January 1990 - September 1995 Hospital of The Holy Family /Catholic Medical Center _ Med Surg Unit December 1982 - December 1989 Education

State University of New York, Health Science Center at Brooklyn MSN - Adult Continuity of Care

Long Island University - Brooklyn Campus

BSN

Harlem Hospital School of Nursing

R.N. Diploma



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