Post Job Free

Resume

Sign in

Case Manager

Location:
Livonia, MI
Posted:
January 22, 2024

Contact this candidate

Resume:

Jacquata Clark

Livonia, MI *****

ad20l7@r.postjobfree.com

+1-734-***-****

• To ensure loving, nurturing, courteous care, and safety to each of my patients at all times. I will also use the knowledge and skills that I have obtained to be a healthcare professional. Authorized to work in the US for any employer

Work Experience

UM Nurse Consultant(Remote)

CVS/AETNA- Contract Position

October 2022 to April 2023

Duties include: Utilizing Medcompass EMR to perform review of emergent/urgent and continued stay requests for appropriate care and setting, following guidelines and policies, and approve services or forward requests to the appropriate Medical Director with recommendations for other determinations. Complete medical necessity and level of care reviews for requested services using clinical judgment and refer to Medical Directors for review depending on case findings. Enter and maintain pertinent clinical information in various medical management systems. Serve as a subject matter expert for questions or issues for other Concurrent Review Nurses and Prior Authorization Nurses. Promote the quality and cost effectiveness of medical care by applying clinical acumen and the appropriate application of policies and guidelines to emergent/urgent and continued stay reviews. RN Case Manager- Remote

Centene Corporation - Detroit, MI

November 2020 to October 2022

Duties include: working as a Case Manager for health insurance company to complete telephonic screening assessments for members to ensures needs and proper services are being fulfilled. Provide hedis measures to the members and follow up to see if hedis measures were completed. Also provided community resources needed for the member. Follow member through hospital admissions to discharge planning. Assist members with discharge from hospital and provide them with education on how to avoid re-admissions to the hospital. Assist with medication reconciliation and making sure that follow up appointments are arranged.

RN Case Manager

Beaumont Home Health and Hospice - Troy, MI

September 2019 to January 2021

I provide and oversee the care of multiple patients from admission to discharge. I also coordinate with other disciplines to ensure my patients receive any therapy and social services, as needed. Provide skilled nursing care in the patient’s home. Completed hospice admissions and death visits. Provided care to patients with terminally ill conditions and maintained comfort to facilitate peaceful end of life. RN Manager

State of Michigan-Walter P. Reuther Psychiatric Hospital - Westland, MI May 2013 to September 2019

Duties: My current position is Registered Nurse Manager and I currently work with adult geriatric psychiatric patients at a long-term inpatient facility. I assess patients daily for psychotic symptoms and monitor the effectiveness of their psychiatric medications. I collaborate with the treatment team regarding the needs of the patients and utilizes the steps of nursing process for each individual patient. RN

Detroit Receiving Hospital - Detroit, MI

August 2011 to May 2013

Duties: Worked on a Surgical Intensive Care Unit caring for traumatic patients who have been involved in car accidents, victims of gunshot wounds, assault victims, patients with brain and spinal injuries, and caring for those who need special care after surgery and close monitoring. RN

Harper Hospital - Detroit, MI

February 2009 to August 2011

Duties: Worked on an Acute Care Telemetry unit monitoring of patients with cardiac monitors, providing safe and efficient care to all my patients. Administer medications (oral and IV), blood administration, careful monitoring of labs and vital signs, patient assessments, working together as a team with staff, accurate documentation, notify physicians regarding abnormalities with patients, delegating of tasks per protocol to assigned staff, and effective communicating with peers and family members. RN

Woodward Hills Nursing Center - Bloomfield Hills, MI December 2008 to February 2009

Duties include: Work on Sub-acute unit providing care and safety to each of my patients, administering medications, hanging of IV fluids and IV antibiotics, monitor vital signs, bedside care, dressing changes, and assessments and documentation. Notify physicians with abnormalities and follow ups regarding patients.

LPN

Woodward Hills Nursing Center - Bloomfield Hills, MI December 2007 to December 2008

Duties include: patient assessments, administer medications, monitoring of patients, notify physicians with abnormalities and follow ups, minor dressing changes, and bedside care. LPN

Providence Hospital - Southfield, MI

January 2007 to July 2007

Duties included: insertion of foley catheters using aseptic technique, hang IV fluids and IV antibiotics, assessments and documentation, dressing changes, monitor labs, call doctors with any abnormalities, and administer medications.

Nurse Technician

Providence Hospital - Southfield, MI

June 2006 to December 2006

Duties: Work under supervision of a Registered Nurse providing bedside care, treatment, and clinical documentation for patients on a medical-surgical floor. Perform complete assessments, minor dressing changes, phlebotomy discontinue foley catheters and IVs. Facilitate admissions, discharges, and transfers.

Certified Nursing Assistant

Heartland Healthcare Center-Dorvin - Livonia, MI

June 2002 to July 2005

Duties included: Assist residents with activities of daily living such as bathing, toileting, dressing, feeding, and transferring patients from bed to wheelchair, bed making, shaving, and nail care. Education

BSN

South University Online

October 2018

Associate in Nursing

Davenport University

December 2008

Diploma in Practical Nursing

Davenport University

August 2006

Nursing Licenses

RN

Skills

• Nursing

• Aseptic Technique

• ICU Experience

• Nurse Management

• Basic IV

• Medication administration

• Acute care

• Critical care experience

• Foley catheter

• Triage

• Hospice care

• Hospital Experience

• EMR Systems

• Vital Signs

• Experience Administering Injections

• Phlebotomy

• Case Management

• Behavioral Health

• Patient Care

• Caregiving

Certifications and Licenses

CPR

BLS for Healthcare Providers

CPI



Contact this candidate