Case Manager Customer Service
Resume:
Diane Canova
Marblehead, MA *****
**********@*****.***
Work Experience
Nurse Case Manager
WeCare 365 - Brockton, MA
January 2023 to Present
Reporting to RN Supervisor and Clinical Director, assess and conduct wellness and enrollment qualification visits monthly and bi-monthly to patients/members. Conduct mini assessments for maintenance of enrollment eligibility. Complete/update visit to MD, significant changes in condition and medication reconciliation. Conduct Mass Health MDS qualification visits annually and for initial /new business as well as significant change in condition. Compliance review and completion of health status and care plans semi annually. Attention to detail a must. Excellent communication skills and compassion required. Proficiency in Microsoft office, Teams application and Excel required. Ensure strict adherence guidelines during in person visits per Mass Health and CDC guidelines. Nurse Supervisor
Bayada/Mavencare - Beverly, MA
November 2021 to January 2023
Reporting to the Director of the Beverly State Assistance Department, conduct visits with clients, conduct supervisory visits to staff. Ensure proper Covid PPE equipment for infection control which is completed in person demonstration and instruction. Manage staff/caregivers to complete skills evaluation on a regular basis CDC mandated. Conduct PPE 2 step testing for all new staff as well as TB screening on the opposite year. Staff to demonstrate competency tests in the skills laboratory on site. Provide field support on any skills which need to be refined and properly executed. Visit post operative/hospitalized clients and re- evaluate for increase of services when necessary.
Nurse Case Manager
Senior Helpers - Danvers, MA
April 2021 to November 2021
Reporting to the DON, provide support to clients for weekly, biweekly and monthly visits. Provide clinical support to clients during visits, medication refills, coordination of MD and specialist visits as well as waiver transportation for patients. Conduct post rehab and hospitalization visits for assessment of services and provide feedback if needed to case management for increase of services. Lead Wellness Coordinator
Herrick House - Beverly, MA
October 2020 to April 2021
6 month contractual position during Covid 19: Reporting to the Residential Care Director to coordinate care and education of staff. Daily meetings with Charge Nurse for report of changes in condition of residents. Complete quarterly assessments and significant changes in status which require additional care. Discuss any changes with family. Coordinate and train staff on compliance courses mandated by Lahey.
Facilitate all Covid 19 weekly testing during pademic. Ensure staff is trained in PPE don and doff with COVID 19. Facilitate orientation of new staff. Complete EOEA assignments on excel as requested by the Director. Attend staffing meetings to discuss with management all residents and their physical/cognitive changes.
Lead Wellness Nurse
Bertram House - Swampscott, MA
August 2017 to October 2020
Bertram House of Swampscott
Assess and document monthly on all residents for State and Insurance purposes. Maintain close contact with Physicians and families with any issues and concerns arise. Ability to assess any physical and mental status changes and communicate them verbally and in documentation. Daily medication admin using LMA program. Reconcile medications with Physician’s office monthly. Participated in monthly meetings with Hospice to update and discuss plans of care for specific residents. Cultivate positive relationships with families and residents. Dermatology LPN
Massachusetts General Hospital Dermatology - Boston, MA January 2014 to April 2016
Responsibilities
Assisting In clinic with rooming and assessing of all patients. Assisting in Surgical and nonsurgical procedures including set up sterile and nonsterile fields, suturing, wound assessment, sterile pressure dressing application, medication management and teaching. Telephone triage of Nurses line for patients and strong assessment and medication knowledge required. Calling patients with their pathology results and interpreting the results into lay terms for patients as needed.
Strong interpersonal and professionalism demanded. Assist patients with phototherapy appointments and procedures as needed and requested by the Physician. Accomplishments
Knowledgeable of specific medications, cancers and applications of a variety or wound assessment and pressure dressing. Ability to remove sutures as needed. Education
Practical Nursing Certificate in Nursing
North Shore Community College - Danvers, MA
August 2012 to May 2013
Associate's degree in Business
Massasoit Community College - Brockton, MA
September 1988 to June 1990
Skills
• Medication administration
• Home health
• Nursing
• Hospital experience
• Documentation review
• Leadership
• EMR Systems
• Infection Control Training
Certifications and Licenses
LPN
LVN
AED Certification
CPR Certification
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