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Case Manager Management

Location:
New York, NY
Posted:
February 13, 2024

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Resume:

SHIRIN TAJANI MSN, RN

** ******* *******, ***. #****, Jersey City, NJ 07310 646-***-**** ad3l0y@r.postjobfree.com PROFESSIONAL EXPERIENCE

Nurse Case Manager, Mount Sinai Health System Oct

**** – Present

Conduct PRI assessments and discharge patients without compromising the quality of outcomes.

Review admissions to identify patients where utilization review, discharge planning, and/or case management needed using standardized criteria to achieve optimal patient outcomes and appropriate reimbursement for the organization.

Assess patient's clinical, psychological, and the functional status in the collaboration with the interdisciplinary team.

Perform continued stay reviews utilizing standardized criteria to justify continued inpatient stay.

Plan/develop specific goals with the physician, interdisciplinary team on strategies to reduce re-admission rate. Per Diem Nurse Case Manager, New York Presbyterian – Weill Cornell Jan 2019 – Present

Conduct PRI assessments and discharge patients without compromising the quality of outcomes.

Review admissions to identify patients where utilization review, discharge planning, and/or case management needed using standardized criteria to achieve optimal patient outcomes and appropriate reimbursement for the organization.

Assess patient's clinical, psychological, and the functional status in the collaboration with the interdisciplinary team.

Perform continued stay reviews utilizing standardized criteria to justify continued inpatient stay.

Plan/develop specific goals with the physician, interdisciplinary team on strategies to reduce re-admission rate. Registered Nurse - Quality Improvement Specialist, NYCHSRO/MedReview Sept 2015 – Sept 2016

Audit clinics and clinical staff at NYC Medicaid sites to continuously improve their adherence to clinical guidelines and compliance with NYS DOH and CMS regulations for required time frames in the utilization review process.

Collaborate with NYC HRA to create and modify quality assurance/quality improvement measurement and audit tools to ensure continued compliance with regulatory requirements.

Collect and conduct data analysis and write quantitative and qualitative reports to identify changing trends. Per Diem Staff Registered Nurse, Passport Health Clinic Feb 2013 – Nov 2015

Evaluate patient’s needs, prioritize patient care flow and provide health treatments; document nursing care in the electronic medical records (EMR) and conduct nursing assessments based on the patient’s history and his/her physical status.

Administer vaccines recommended by the CDC to patients and educate patients on travel health and prevention. Nurse Case Manager/ Workers Compensation Case Management, Consolidated Edison Jan 2015 – Sept 2015

Communicate with employees, supervisors, human resource, and outside health professionals; assist/coordinate union employee sick absences, FMLA maternity leave, short and long term disability with Met-Life, sick pay approval and RTW.

Assist in determining whether fitness for duty exams is warranted; Perform DOT chart reviews and compose case narratives.

Review workers compensation case records and reports, collect and analyze data, and evaluates client’s medical status.

Field Supervisor/Manager of Patient Services, Registered Nurse, Alvita Care May 2014 – Dec 2014

Manage and assist in planning, organizing and overall delivery of home health care services in accordance with appropriate federal and state regulations; develop processes and strategies to enhance efficacy and quality of client care.

Supervise RNs and patient care staff providing care to patients; manage field supervision visits and compliance with client care plans, per established guidelines; implement corrective actions as needed.

Participate in referral intakes; informational calls, and client care plan development and review to ensure that clinical considerations relevant to the needs of patient populations are appropriately met. Staff Hemodialysis Nurse, DaVita, Inc. May

2013 – Dec 2013

Conduct, monitor and terminate patient's dialysis treatment; record and report symptoms or changes in patients' conditions.

Perform nursing assessments on patients through out dialysis treatment; administer medications (IV antibiotics, vaccinations, and other IV medications), fluid therapy or other appropriate treatments per physician orders and develop nursing care plans.

EDUCATION

New York University, New York, NY New York University, New York, NY Masters in Nursing Informatics - May 2019 Bachelor of Science in Nursing - May 2012 Purdue University, West Lafayette, IN

Bachelor of Science in Business Management - May 2002 LICENSURE/CERTIFICATIONS/SKILLS/ACTIVITIES

Professional Registered Nurse, licensed in New York, New Jersey, Florida, Georgia and Texas.

Certifications: NYS H/C PRI, NYS-UAS, BLS, ACLS, IV, EKG and Organ Donor Counseling.

Fluent in Hindi, Urdu, and Gujarati; Strong technical background with excellent interpersonal, leadership, critical thinking and problem solving skills.



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