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Registered Nurse Case Management

Location:
Calhoun, GA
Posted:
March 08, 2024

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Resume:

Marilyn Lynch, RN, BSN

865-***-**** ad369b@r.postjobfree.com Calhoun, GA 30701

SUMMARY

Dedicated registered nurse (RN) with specialty experience in case management and utilization review, pediatric hematology/oncology, palliative care and Hospice, and management. Developed strong leadership, fiscal management, education, and patient care skills. Proficient in Microsoft Word, Outlook, Excel as well as EMR systems Epic, Cerner, Meditech and Horizon Clinicals

SKILLS

EXPERIENCE

Self Employed-Nurse Consultant

November, 2021 to Present

Utilizing history as expert in field, prepare new nurses for NCLEX as well as preparing them for “real world nursing. Sessions on how to take nursing school education and use it to make decisions, critical thinking, motivation, bedside manner and being a patient advocate, sessions on how to deflect bullying and how to not become one, are part of the online program.

Pediatric Hospice and Palliative Registered Nurse, Methodist LeBonheur Healthcare, June 2019-February 2021

Memphis, TN

Contracted with St. Jude Children's Research Hospital's QoLa Kids program

Guided patients, loved ones and caregivers in such tasks as pain management, wound care and medication dosing.

Created and applied tailored care plans that would meet each patient's individualized needs.

Utilized effective interpersonal, writing and active listening skills to build and cultivate positive relationships with patients, caregivers and physicians. Worked with patient at his/her developmental level

Responded to emergency situations with speed, expertise and level-headed approaches to provide optimal care, support and life-saving interventions.

Assessed patient conditions, monitored behaviors and updated supervising physicians with observations and concern

Advocated for patient needs with interdisciplinary team and implemented outlined treatment plans.

Observed strict safety measures, including checking medication dosages before administration to patients.

Coordinated with healthcare team to establish, enact and evaluate patient care.

Utilized computerized Resource and Patient Management System (RPMS) and Electronic Health Record (EHR) system.

Delivered information regarding care and medications to patients and caregivers in comprehensible terminology.

Provided skilled direct nursing care to pediatric Hospice patients in home setting, often Target House or Ronald McDonald House.

Telephonic Case Management Specialist, Aetna dba American Health Holding, June 2017-June 2019

Columbus, OH (WFH)

Responsible for introducing case management to client 's families, assessing needs for patients, obtaining providers for those needs, implementing a plan of care for the patient, and authorizing certifications for medical necessity.

Frequent telephone and electronic contact with clients, providers, and patient families.

Advocated for members and families to coordinate care and navigate resources within care system.

Formal reports on patients, clinical research and patient education are important parts of my roll as Pediatric Hematology/Oncology RN

Facilitated ongoing case management services to support successful outcomes and meet stabilization goals.

Participated in case conferences with multi-disciplinary team to discuss client care planning and progression.

Constructed case notes and comprehensive reports, including data entry into portal.

Conducted assessments to obtain information for participant-centered plan of care.

Developed comprehensive client-driven care plan with short and long-term goals, monitoring effectiveness and changing as needed.

Protected patient data in alignment with HIPAA privacy protocols.

Identified strengths and opportunities for staff improvement based on audit results.

Informed and instructed patients and families of treatment options and at-home care strategies to reduce unnecessary burden on hospital resources.

Travel Registered Nurse, Cross Country Healthcare, June 2014-June 2017

Boca Raton, FL

AFLAC Hem/Onc Unit Children's Healthcare of Atlanta 12 months, Scottish Rite and Egleston

26 weeks Hem/Onc experience at Children's Hospital of the King's Daughters in Norfolk, VA.

Three months pediatric oncology experience in the Children's Cancer and Blood Disorders Clinic at Dallas Children's Medical Center,

6 months John's Hopkins All Children's Hem/Onc unit.

11 weeks Mission Children's Hospital (1 floor for all pediatrics, 4 beds were Hem/Onc)

Proficient in Epic, Cerner, Meditech and Horison Clinicals EMR.

Administered medications, tracked dosages and documented patient conditions.

Responded to codes or patient crises as part of rapid-response team.

Treated patients using pharmacological and non-pharmacological treatment modalities to address various disorders, diseases and injuries.

Collaborated with interdisciplinary personnel to create, implement and manage patient care plans suiting individual needs and preferences.

Learned and developed unique skills, specialties and practices based on site and patient needs.

Collected and documented vital signs to track current patient conditions.

Reviewed physician orders and administered therapies, treatments and medications.

Instructed patient and family to educate on optimal treatment procedures.

Reviewed physician orders and participated in medication management to optimize patient safety.

Maintained reports to provide oncoming shift with full patient status.

Communicated patient progress and issues with families, physicians and other agencies.

Coordinated in-home skilled nursing care to patients with diverse physical needs and conditions.

Coordinated care with physicians and other clinical staff to prepare for treatment, carry out interventions and enhance continuum of care.

Performed blood and blood product transfusions and intravenous infusions to address patient symptoms or underlying causes.

Instructed patients, families and caregivers on diagnoses, chronic disease management and medication self-management.

Collected lab specimens, ordering and interpreting diagnostic tests and lab results.

Liaised between patients and doctors, completing comprehensive assessments and recording medical information to achieve recovery goals.

Assessed and coordinated patient discharge planning needs with healthcare team members.

Prioritized nursing tasks and assignments and accurately reported patient status.

Used sterile techniques to prepare patients for procedures.

Triaged patients by phone and provided general assistance for basic and advanced needs.

Hospice Case Manager/Core Measures Manager, Covenant HealthCare, September 2000-March 2008

Knoxville, TN

Administered medication to patients according to strict schedules.

Completed administration work and paperwork for over 35 adult clients.

Collaborated with interdisciplinary team of professionals as well as patients and families to determine appropriate treatment options.

Gathered community resources and coordinated referrals to obtain services.

Provided education and support to patients' family members.

Helped patients navigate healthcare system and care options by educating on relevant subject areas and answering questions throughout treatment process.

Documented services and collected required data for evaluation.

Prepared all required treatment records and reports.

Performed psychosocial assessments and evaluations of current needs.

Communicated with relatives of patients about diagnoses and treatment programs.

Utilized computerized Resource and Patient Management System (RPMS) and Electronic Health Record (EHR) system.

Staff/Charge RN (Peds Hem/Onc & NICU), East Tennessee Children's Hospital, April 2008-October 2014

Knoxville, TN

Reviewed physician orders and administered therapies, treatments and medications.

Explained treatment procedures, medication risks, special diets and physician instructions to patients.

Reviewed physician orders and participated in medication management to optimize patient safety.

Maintained reports to provide oncoming shift with full patient status.

Collaborated with interdisciplinary healthcare professionals to create, implement and adapt individualized care plans.

Prioritized patient care assignments based on patient conditions to achieve optimal outcomes.

Instructed patients, families and caregivers on diagnoses, chronic disease management and medication self-management.

Mentored new nurses on practices and procedures to drive patient outcome goals.

Monitored and recorded patient condition, vital signs, recovery progress and medication side effects.

Administered medications, tracked dosages and documented patient conditions.

Monitored and educated nursing students and externs on proper care procedures and prioritization strategies.

Imparted medical, operational and patient care knowledge to junior nurses, supporting personal growth and enhancing professional development.

Circulated throughout multiple hospital departments to perform nursing rounds.

Developed care plans complete with effective nursing measures to improve patients' mental and physical health.

Evaluated patients to develop and update treatment plans while anticipating day-to-day needs.

Facilitated transition to home care by providing patients with continued care information and discharge instructions.

Addressed rapid response and code situations by strategically organizing and delegating tasks.

Delivered extensive training to newly hired employees and student nurses, offering insight and assistance related to emergent situations.

Advised, coached and mentored experienced and student nurses on medical issues, crisis management and appropriate nursing interventions.

Director of Nursing, Pediatric Services of America, April 1998-October 1999

Nashville, TN

Responsible for direction of pediatric home health agencies in Knoxville, Nashville and Chattanooga, TN.

Responsible for developing and approving policies, procedures and programs, ensuring conformity to state regulatory standards, and applicable JCAHO standards, development, administration and adherence to budget.

Direct supervision of 11 and managed supervisors who were responsible for greater than 250 clinical employees.

Served as CQI manager.

Served as case manager for the Chattanooga and Knoxville branches.

Annual planning and marketing.

Assessed competency of clinical staff to promote quality, continuity and safety.

Oversaw new nursing employee orientation process, including explanation of personnel policies and individual duties.

Administered executive supervision, exercising independent judgment to select proper course of action in policies and procedures.

Implemented changes needed to correct deficiencies found during government inspections.

Reviewed incident reports within 24 hours for accuracy and proper notification to family, physicians and other agencies as required by regulations.

Coordinated medical and health services in compliance with government regulations and policies set by board of trustees.

Reduced overtime of nursing staff by 10%, increasing productivity and generating positive reflection on management.

Collaborated with multi-disciplinary staff to improve overall patient care and response times.

Created and maintained facility documents and records, maintaining accuracy while managing sensitive data.

Managed operations in accordance with budget requirements.

Initiated training and education programs for supporting healthcare staff.

EDUCATION AND TRAINING

Bachelor of Science Nursing.

King University, Bristol TN January 2013.

Twelve Week Neonatal Nurse Intensive Course

University of Tennessee Health Science Center, January 1985

Methodist HospitAal School of Nursing, University of Tennessee Health Sciences, December 1984

Diploma Nursing, ctive in Student Government Active in traveling choir

ACCOMPLISHMENTS

Developed Early postpartum discharge program

Developed case management program

Initiated Pediatric Palliative Care Program

Multiple presentations at conferences and workshops on pediatrics

Negotiated with vendors, saving the company $thousands annually.

Consistently maintained high customer satisfaction ratings.

Received scholarship for studying BSN

Led team to achieve Joint Commission Accreditation with Commendation, earning recognition from upper management and financial reward.

Exceeded sales goals by an average of 20% in one year.

ADDITIONAL INFORMATION

Licensures/Certifications, 3/1985 Registered Nurse, State of Tennessee-expired 10/1992 Registered Nurse, State of Georgia-expired 12/2018 Registered Nurse, State of Mississippi American Heart Association

BLS Provider Certification in Pediatric Advanced Life Support APHON Chemotherapy and Biotherapy Provider NRP Certification-expired

Volunteer Opportunities Remote Area Medical-Pigeon Forge, TN Athletic Physicals, Sevier County, TN School System Katerpillar Kids Camp, various locations in East Tennessee offered by Covenant Hospice in Knoxville, TN Camp Ba-Yo-Ca, Townsend, TN



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