JAN HAMILTON RN, CCM ad3g3h@r.postjobfree.com

**** ****** ***** *** *******, Texas 78248 830-***-****

OBJECTIVE CASE MANAGEMENT

MEDICAL CARE/ PATIENT EDUCATION/ DISEASE MANAGEMENT

QUALIFICATIONS

·Assertive, Confident and Goal-Oriented Health-Care professional who commands more thatn a quarter-century of diverse and increasingly responsible experience as a Registered Nurse in twenty one states

·Possesses a Passion for Patient Care, Seeking out Opportunities to Educate and Inform

·Professionals and the public in medicine while promoting patient care

·Has Built Exemplary Relationships in the Medical Field with experience in pharmaceutical sales, including tenures with Roche Laboratories, Merck and Co. and Glaxo

·Employed Patience and Understanding in Working with people, recognizing Effective Communications and Relationship Management are the cornerstones of any Profession Success.

OVERVIEW OF BUSINESS DEVELOPMENT SKILLS

Resource Management Strategic Planning Organization Negotiations

Marketing Promotions Direct Sales Client Relations

Research and Development Public Speaking Data Management Scheduling

SUPPLEMENTARY STAFF DEVELOPMENT APTITUDE

Team Leadership Teaching and Training Interviewing Employee Relation

Communications Coaching/Consulting Problem Solving

EDUCATION BACHELOR OF SCIENCE IN EDUCATION TEXAS TECH UNIVERSITY

DIPLOMA IN NURSING METHODIST HOSPITAL

Supplementary Areas of Study included-Biology and Chemistry

PATIENT CARE EXPERIENCE

CONVIVA CARE SOLUTIONS FIELD CARE MANAGER NURSE 2 APRIL 2018 to PRESENT

Responsible for the Collaboration with other Health Care Givers in Reviewing Actual and Proposed Medical Care and Services against established CMS Coverage Guidelines. Works with Skilled Nursing Facilities to assure the Right Level of Care at the time of facility discharge. Responsible for Utilization Management, Inpatient Care management coordination, gathering clinical information to assure the member is at the right level of care at the right time. Coverage is the San Antonio and Outlying areas.

UNITED HEALTH CARE

OPTUM FIELD CARE CASE MANAGER November 2014 to April 2018

Responsible for clinical and medical management activities across the continuum of care (assessing, planning, implementing, coordinating, monitoring and evaluating). Responsible for visiting with members in the hospital to prepare them for the transition home. Provided health education, coaching and treatment decision support. Position was based at North Central Baptist and St. Lukes Baptist in San Antonio Texas

CARE IMPROVEMENT PLUS CARE MANAGER 2010 to November 2014

Rely on Exemplary Relationship Management, Communications, and Patient Care Skills to identify needs of the patient population and implement case/ disease management interventions in a telephonic environment for this Medicare Advantage Special Needs Plan.

Served as a Key Contact/ Subject Matter Expert for Enrolled Participants, their Physicians, and Caregivers to Ensure Quality of Coordinated Care Arrangements. Services include Development and Implementation of Post- Hospital Discharge Planning, Including Transitions into Varying Levels of Home Health Care Provisions as well as Identification of Community Resources. Acted as a Preceptor for New Colleagues.

HEALTHWAYS (SAN ANTONIO) 2008 -2010

Patient Care Provider

Provided Information and Motivation to program participants seeking to improve their health and subsequently, reduced costs of care for employer, health care plan provider and government agencies. Conducted extensive telephone interviews to identify opportunities for lifestyle modifications: worked with patients on a recurring basis to monitor and reassess goals, activities, guiding them toward eventual program success.

ADDITIONAL TENURES Clinical Nurse Consultant, LIFEMASTERS SUPPORTED SELFCARE (SAN Antonio) 2006-2008

Nurse Liaison TRIUMPH HEALTHCARE (Houston)

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