CLAIRE HERNANDEZ BSN BSNH RN

Bayville, New Jersey

ad1q1v@r.postjobfree.com. 609-***-****. Available by email/phone/text. – RN NJ license No – 26NO09353100

PROFESSIONAL SUMMARY

BN, BSNH, RN with 35+ years of experience with strong clinical management skills in assessing the needs of high risk/acutely and chronically ill people. A highly motivated and autonomous individual. 20+ years of inpatient acute care experience including the care of ED and critical care patients and Administrative/Managerial experience. 3 years’ experience with Telephonic Case Management and Health Insurance carriers and utilization review. 5 years of community Hospice experience (4 yrs.- RNCM 1 yr. RN Per diem on call) 1 year of inpatient Hospice care. 1 year of home Health community care experience. 2 years of Nursing Educator experience. 5 years of Management/Marketing/Public Relations in an Acute Care Setting. Proficient with assessment and development of Nursing Care Plans, working knowledge of various software applications, including Microsoft word, Excel, Power Point, Outlook Email, Google. Have own home office.

KEY SKILLS

Coordinate and manage healthcare services for patients, ensuring comprehensive care delivery and effective communication among healthcare providers.

Assess patients' healthcare needs and develop personalized care plans based on their conditions and goals.

Advocate for patients' rights, preferences, and needs, and help them navigate the healthcare system.

Monitor patients' progress, adherence to treatment plans, and evaluate the effectiveness of interventions. Data collection/UR following QAPI/Milliman guidelines

Generate reports on patient progress, outcomes, and utilization of healthcare resources.

Provide patient education on medication administration, and self-care techniques.

Offer emotional support and counseling to patients and their families, addressing their concerns and fears.

Promote health and wellness by encouraging preventive measures and healthy lifestyle choices.

Provide immediate crisis management for patients/families/significant others as needed.

PROFESSIONAL EXPERIENCE

RN Case Manager Angelic Health - Toms River, NJ December 2022 to September 2023

Management of caseload of Palliative care and terminally ill patients in Assisted Living, Skilled Nursing Facilities, personal residences. Working in collaboration with Physicians, LCSWs, Case Managers, Facility staff and family members to assist in the care of clients. Maintain accurate documentation of patient assessments, care plans, and outcomes.

RN Team Manager- Bayada Home Health- Toms River NJ, April 2022 to December 2022

Manager of 4 RNs and 6 Aides. Education and Evaluations of staff. Daily and ongoing assessment of staff documentation to establish optimum development of Nursing care plans of patients and continuing follow through with care plans. Adherence to QA guidelines and compliance with CMS regulations, CHAPS accreditation requirements and CAHPS surveys.

RN Case Manager Hackensack Meridian Health - Holmdel, NJ April 2021 to March 2022

C/O patients within acute care settings such as ICU/CCU - Working in collaboration with Physicians/ ICU staff/families to commence compassionate extubation/complex medical treatment modalities for expedient end of life care for terminally ill patients with a poor prognosis. Providing acute intensive emotional support and crisis management for families and patients on an hour-by-hour basis.

RN Case Manager Serenity Hospice Care, LLC - Ocean County, New Jersey, September 2018 to April 2021

Managing a caseload of Hospice patients within Skilled Nursing facilities, ALF's/homes.

Director of Provider Relations/Admissions Acuity Specialty Hospital (Longterm Acute Care Hospital. - Atlantic City, NJ July 2013 to Sept 2018

Management of employees who performed daily clinical assessments of clinically complex patients for admission to a LTACH. Marketing/education/social media development of Hospital.

RN Case Manager Compassionate Care Hospice - now Amedisys - Cape May, NJ May 2012 to July 2013

Management and care of Hospice patients based at home, in assisted living and long-term care facilities in Atlantic, Cumberland and Cape May Counties.

RN Case Manager AtlantiCare Home Care - Atlantic City, NJ April 2011 to May 2012

Management and care of Homecare patients aged 18 to approximately 90 years old complicated wounds and extensive education on wound vacs with families, continuous IV infusions, complicated orthopedic patients.

Manager of Cardiovascular Network Development and Chest Pain Coordinator AtlantiCare Healthcare System - Atlantic City, NJ October 2005 to April 2011

AtlantiCare Cardiovascular Network Developer throughout the 65 business units, Grant writer, data collector, Cardiovascular educator.

Clinical Nurse Manager for AtlantiCare Internal Medicine Physicians AtlantiCare Health System - Atlantic City, NJ August 2004 to October 2005

Management of two internal medicine practices in Ventnor New Jersey and Egg Harbor Township, New Jersey. • Supervision of 8 staff members who assisted 4 General Practice Physicians to rotate between 2 Offices to provide care to the local community. Development and monitoring of adherence to office policies and procedures. Follow through on acute and chronic care patients. Management of medically complex patients and monitoring of non-compliant patients.

Telephonic Case Manager/Nurse Navigator AtlantiCare Health System - Hammonton, NJ to April 1999 August 2004

Telephonic Case Management of High-risk patients insured with Blue Cross and Blue Shield insurance plans PPOs/HMO product lines. UR/ Prior Authorization of healthcare benefits. UM/data collection. Rapport building with patients. Assisting patients to maintain a more holistic and healthier lifestyle. Education given on healthcare benefits/medications. Multidisciplinary collaboration and follow-up with the patients. Following QUAPI/Milliman guidelines.

Emergency Department Clinical Nurse Manager Emergency Department - Atlantic City, NJ July 1996 to April 1999

Supervising staff, ensuring staff schedules are complete, and staffing ratios are safe for patient needs. Gathering and completion of data outcomes of customer satisfaction scores and throughput in the ER. Monitoring budgetary practices. Development of policies and procedures of care and staff competencies in accordance with departmental needs and Hospital wide guidelines. Responsible for hiring, training, annual evaluations, disciplinary actions and ultimately termination of employment of staff as necessary. Addressing patient/family concerns.

Evening/Night Administrative Supervisor AtlantiCare Health System - Atlantic City, NJ October 1992 to October 1996

Management and supervision of Hospital and staff from 4pm to 8 am. Continual crisis and safety management of ongoing issues throughout the entire Hospital.

Emergency Department Staff Nurse. Emergency Department - Atlantic City, NJ January 1991 to October 1992

Care of ER patients

Evening Supervisor Newcomb Medical Center - Vineland, NJ April 1989 to October 1992

Management of Hospital and overall supervision of Staff on evenings and night shifts.

ICU/CCU Nurse Newcomb medical center - Vineland, NJ September 1989 to October 1991

Management of ICU patients as a Staff Nurse

Neuro-spinal Injury Unit. Leicester Royal Infirmary - Leicester January 1984 to December 1986

Management of neurologically impaired patients

LICENSES AND CERTIFICATIONS

Certifications and Licenses RN License May 2022 to May 2024 New Jersey RN number 26O09353100 Compact License pending. CCM - 2003

EDUCATION

Education bachelor’s degree in Natural Health Clayton College of Natural Healing - Birmingham, AL 2006 to 2010

Bachelor of Science in Adult Nursing Charles Freers School of Nursing, DeMonfort University - Leicester, UK 1980 to 1984

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