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Patient Care Customer Service

Location:
Winter Garden, FL
Salary:
75,000
Posted:
January 22, 2024

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Resume:

Carmella Lombardo

Substantial experience in healthcare with strong clinical qualifications

*** ***** **** ***** #*** - Longwood, FL 32779

ad20fo@r.postjobfree.com

Ph. 407-***-****

Forty-one years’ experience in nursing distinguished by the ability to build collaboration through excellence in communication, using excellent negotiation and relationship management skills. An ability to foster an atmosphere of excellence and quality of care. Visionary leadership style with the ability to inspire confidence in others to achieve positive outcomes. WORK EXPERIENCE

Team Manager Home Care Hospice

Vitas Healthcare Inc, Maitland FL -January 2018-September 2021

● Act as the leader of the Patient Care Team that ensures patients and families receive continuity and quality of care from admission to discharge or transfer to bereavement

● Oversees and directs Patient Care Services

● Staff Supervision and Management

● Active involvement in Quality Improvement/Regulatory Compliance

● Customer Service

● Cost containment

● Professional Development

Clinical Nurse Advisor

Humana Incorporated-Louisville KY September 2015 to Sept 2017● Coordinate access to care and assist to resolve barriers to care

● Provider and member education regarding HMP< PPO, Medicare,Medicaid MMA and Commercial Plans

● Inbound call ine intake of cases related to access to care: example include assisting in changes in primary care physician coverage for HMO Medicare, Medicaid, commercial and ACA lines of business

● Coordinating activities with Provider engagement Specialists to promote access to care for Humana members, assistance with obtaining DME, facilitating referral requests, facilitating and expediting appointment with providers and prescription refills.

● Customer Service Skills

Wellness Specialist

Magellan Complete Care of Florida - Miami, FL - June 2014 to 5/29/15 Responsibilities

● Responsible for the development and delivery disease management services to a defined population with chronic conditions to include preventive care program and initiatives which support healthy lifestyles.

● Engages with members who have targeted health condition, and works to motivate them to learn and adopt self management techniques to maintain their health and wellness. Designs and conducts group programs and workshops for members, families and support systems.

● Serves as an expert resource to other staff, providers, and community agencies.

● Contributes to reduction of inpatient and outpatient utilization through improved self

● Management of chronic health conditions.

Per Diem Home Health

● Heartfelt Home Care - Maitland, FL - August 2013 to 12/31/2014

● Responsibilities

● Case Management and providing skilled nursing care for patients referred for home care

● Skills Used Hi Tech Nursing Skills, Teaching and training for management of chronic illnesses such as Diabetes Mellitus, COPD, Heart Failure and other chronic illnesses. Director of Nursing

● Alliance A 1 Home Care and Alliance Healthcare Staffing - Orlando, FL - 2012 to Present

Per Diem RN On Call

● Cornerstone Hospice - Tavares, FL - November 2012 to January 2014

● Telephonic Triage: assisting patients and families with problem solving, symptom management, patient/family education, and assessing need for a Skilled Nursing Visit to evaluate patient’s status and to provide comfort and quality of life Medical Case Manager

The Hartford - Maitland, FL - August 2012 to May 2013

● Medical Clinical Case Manager I. Member of Long-term Disability Team. Responsibilities include initial assessment and continuing review for appropriateness of compliance with long-term disability requirements, assisting in ability and functional assessment and management, referrals for return to work if applicable.

● Communication with all members of the team.

Patient Care Manager, Triage and Flex Nurse Pool

● Hospice of the Comforter - Altamonte Springs, FL - January 2006 to June 2012

● Manage Triage staff and after hours runners to meet the urgent needs of hospice patients after hours.

● Telephonic triage of patients with life-limiting illness meeting the standards of care for hospice patients.

● Management of the Flex Pool Nurses: identify staffing needs and augment staffing for Case Managers during periods of high census and/or high acuity.

● Collaborated with other Patient Care Managers to develop staffing model for the Flex Pool.

● Other responsibilities include on-call status as Nursing Supervisor: assist triage staffs with issues and concerns that affect patient care and outcomes, decision making for significant events, triage admissions for the inpatient unit after hours, and work with the triage staff to identify problems and resolution of problems. Per Diem Nursing and Per Diem Telephonic Triage Nurse

● Hospice of the Comforter - Altamonte Springs, FL - 2005 to 2006

● Altamonte Springs, FL

● Per Diem Nursing

● Per Diem Telephonic Triage: assisting patients and families with problem solving, symptom management, patient/family education, and assessing need for a Skilled Nursing Visit to evaluate patient's status and to provide comfort and quality of life

● Clinical Patient Visits

Nurse Manager, Clinical Resource Consultant

Avant Healthcare Professionals - Winter Park, FL - 2005 to 2006

● Developed a Transition Program to assist the foreign trained nurse in transitional socially, clinically and professionally to practice in the U.S.

● Role includes clinical resource for nurses, provides guidance and direction for continuing education, problem solving.

● Functions in the role of a liaison, advocates for nurses, assists both the nurse and the client hospital with any resolving any issues, concerns or problems that may arise. Case Manager

Hospice of the Comforter - Altamonte Springs, FL - 2002 to 2005

● Management of End of Life care.

● Manage caseload of 10-16 patients in their homes

● Coordination of care within an interdisciplinary team. Clinical Educational Specialist

● LifeMasters - San Francisco, CA - 2000 to 2002

● Disease Management: Patient population Congestive Heart Failure, Medicaid population Central Florida.

● Responsible for primary education and training of patients diagnosed with CHF to promote healthy lifestyles and limit and/or prevent further illness, symptoms and complications.

● Provided education and training in home settings and classroom situations.

● Use of laptop and computer skills necessary to document patient updates. Patient Care Coordinator

● Option Care Incorporated - Miami, FL - 1999 to 2000

● Disease Management: Patient population Congestive Heart Failure.

● Responsible for primary education and training of patients diagnosed with CHF to promote healthy lifestyles and limit and/or prevent further illness, symptoms and complications.

● Telephone management, education of patients, families and caregivers.

● Telephone management of patients based on their risk factors, evaluate compliance with the CHF

● Management program and assist in prevention of complications arising from CHF.

● Telephone triage for management of symptoms and evaluation of need for home visit by Cardiac Nurse in the presence of positive symptoms. Nurse Manager, Intensive Care Unit

Mercy Hospital - Miami, FL - 1997 to 1999

● 24 hour accountability for the planning, staffing, organizing, directing, managing and evaluating the care of the adult patient in accordance with hospital, state, federal and JCAHO standards and objectives.

● Responsibilities included: Human, Fiscal and Material Resource Management, Strategic Planning and Quality

● Improvement activities for the ICU.

Charge Nurse, Interim Nurse Manager

Mercy Hospital - Miami, FL - 1994 to 1997

● Maintained shift responsibility for the coordination, delegation and completion of patient care for the ICU and designated patients, under the direction of the Nurse Manager, Clinical Director of Critical Care, and Administrative Nursing Supervisor.

● Maintained select management functions and clinical accountability and responsibility for the ICU in the absence of the Nurse Manager.

● Functioned in the role of a professional Registered Nurse formulating the nursing diagnosis from assessment data.

● Accountable for planning, implementing and delegating patient care as well as evaluating the nursing process.

Staff Nurse, Preceptor ICU, Interim Charge Nurse and Nurse Manager Mercy Hospital - Miami, FL - 1984 to 1994

● Maintained shift responsibility for the coordination, delegation and completion of patient care for the ICU and designated patients, under the direction of the Nurse Manager, Clinical Director of Critical Care, Administrative Nursing Supervisor.

● Maintained select management functions and clinical accountability and responsibility for the ICU in the absence of the Nurse Manager.

● Functioned in the role of a professional Registered Nurse formulating the nursing diagnosis from assessment data.

● Accountable for planning, implementing and delegating patient care as well as evaluating the nursing process.

● Preceptor for new graduate nurses entering the ICU

● Preceptor for assisting in training nurses in the recovery of post cardiac patients and patients on LV Assist Devices, IABP.

● Assisted Clinical Specialist and Clinical Educator in developing components of the Critical Care Course, Open Heart Training Course and IABP Training Course. Participated in classroom and clinical education and training. Staff Nurse IV Therapist

Mercy Hospital - Miami, FL - 1982 to 1984

Medical Surgical Nursing, Staff Relief Contract

Medical Recruiters of America - Fort Lauderdale, FL - 1982 to 1982 Medical Surgical Nursing, Staff Relief Contract

Humana Travel Nurses - Louisville, KY - 1981 to 1982 Staff Nurse, Preceptor, Charge Nurse Medical/PCU

Dover General Hospital - Dover, NJ - 1978 to 1981

EDUCATION

Master of Science in Nursing Blended

University of Phoenix, Loyola University New Orleans 2010 to Present

Master of Science in Nursing

University of Phoenix 2009-

Bachelor of Science in Nursing

University of Phoenix

2005 to 2008

Certificate in Management

Florida International University - Miami, FL

1997 to 1998

Diploma

Orange Memorial Hospital School of Nursing - Orange, NJ 1975 to 1978

Montclair State University - Upper Montclair, NJ

1975 to 1977

SKILLS

Microsoft Office Suite

AWARDS

Sigma Theta Tau

June 2010

National Nursing Honor Society

GROUPS

CMSA-March 2013 to Present

The National Association of Disease Management & Wellness Professionals-November 2014 to present

ANA/FNA-2008-present



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