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Case Manager Registered Nurse

Location:
Baltimore, MD
Posted:
February 13, 2024

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Resume:

Cynthia McKnight-Taylor

**** ****** **. *********, **. 21215 Cell: 443-***-****

ad3ltt@r.postjobfree.com

Registered Nurse Position

OBJECTIVE: A career in the nursing field in which my military leadership role and nursing experience, education, commitment, compassion, and highly developed interpersonal relationships will aid as a basis to enhance the overall quality of care I provide in a customer focused environment.

SUMMARY OF QUALIFICATIONS:

*Extremely energetic and focused, flexible and adaptable to change, with strong multi- tasking and organizational skills.*Self-directed professional nurse with excellent interpersonal communication-based skills.*Detail oriented, outgoing personality, compassionate and caring of others.*Strong team player and leader, positive outlook on life, hardworking and willing to put in the time and effort necessary to succeed.*Not afraid to go the extra mile to get the job done correctly and in a timely manner.

EDUCATION & CERTIFICATIONS:

CPR 2023

RN Delegating Nurse/Case Manager 2013

DDA, Baltimore, Maryland

RN Delegating Nurse/ Case Manager 2013

American Red Cross, Baltimore, Maryland

Bachelor of Science in Nursing Degree, 3.256 GPA 2008-2011 Coppin State University, Baltimore, Maryland

Pre-Nursing- General Studies Program, 3.765 GPA 2005-2008 Baltimore City Community College, Baltimore, Maryland Certificate in Medical Laboratory Technology 1992

US Army, Ft. Sam Houston, Texas

High School Diploma 1992

Sumter High School, Sumter, South Carolina

WORK HISTORY:

Registered Nurse Case Manager (40hrs/week) 2021-2023 Clinical Associates, Pikesville, Maryland

Patient Care Coordinator (40hrs/week) 2017-2021

Kaiser Permanente, Glen Burnie, Maryland

Complex Case Manager (40hrs/week) 2015-2017

Johns Hopkins HealthCare, Baltimore, Maryland

Utilization Review/Case Manager (40hrs/week) 2014-2015 Jai Medical MCO, Baltimore, Maryland

Registered Nurse Case Manager (40hrs/week) 2014

AbsoluteCARE, Baltimore, Maryland

Dialysis Registered Nurse (40hrs/week) 2014

Davita Dialysis, Baltimore, Maryland

Delegating Nurse/Case Manager (40hrs/week) 2013

Emerge Inc, Columbia, Maryland

Registered Nurse (40hrs/week) 2011-2013

University of Maryland Medical Center, Baltimore, Maryland Maintenance Operations Support Clerk (40hrs/week) 1997-2008 United States Postal Service, Baltimore, Maryland

United States Army (40hrs/week) 1992-1995

115th Field Hospital, Ft. Polk, Louisiana

HONORS & AWARDS:

Cum Laude 2011

Coppin State University

Clinical Award 2011

Coppin State University

Mary Mahoney Nursing Honor Society 2010

Coppin State University

National Dean’s List 2008

Baltimore City Community College

Phi Theta Kappa Award 2008

Baltimore City Community College

Phi Theta Kappa National Honor Society 2007

Baltimore City Community College

Honorable Discharge from United States Army 2000

National Defense Service Medal 1994

Fort Polk, Louisiana

Army Service Ribbon 1995

Fort Polk, Louisiana

CLINICAL /PROFESSIONAL EXPERIENCES:

Registered Nurse Case Manager: *Developed/ implemented/guided individualized plans of care with goals. *Drove patient care plan through assuring daily plan was executed. *Provided face-to-face/telephonic Case Management ensuring quality, quantity, timeliness and effectiveness of services provided. *Coordinated care/services for those who experienced a critical event/diagnosis that required extensive use of resources. *Performed comprehensive assessment of mbr’s condition, determined availability of benefits/resources. *Helped ensure patients were meeting clinical goals like Hedis measures. *Helped mbrs improve health and functional capability while lowering unnecessary medical utilization. *Helped mbrs prepare for upcoming appointments while keeping them well informed of expectations. *Followed patients through the whole care continuum including helping navigate different transitions of care.

*Worked with patients, member's family, and providers to help reduce preventable ER visits and hospitalizations. *Worked with mbrs very closely to address different clinical gaps in care and alleviated non-clinical social barriers to care. *Collaborated with the Hospitalist to assess the appropriate level of care for mbrs. *Coordinated with physicians, other health care professionals and hospital systems in order to provide direct and indirect care management services.

*Provided intensive care coordination for chronic and acutely ill patients in both a primary care environment as well as in a hospital setting. *Provided prompt, clinically appropriate discharge planning beginning at time of admission. *Provided variance management by identifying delays in throughput, escalated to correct delays, recorded delays to identify patterns and trends to help ward off future delays.

Utilization Review: *Evaluated clinical information submitted against plan review criteria/benefit guidelines. *Utilized clinical information to determine if criteria for medical necessity and benefit guidelines were met. *Performed pre-certification/authorization, concurrent and retrospective reviews utilizing InterQual/Milliman criteria. *Utilized professional judgment/critical thinking to determine if additional clinical was needed for approval/denial; followed through with obtaining more information prior to decision making. *Referred all cases not meeting InterQual criteria to Medical Director for further review and final approval/denial of services rendered/requested.

*Engaged in quality audits/chart audits and reviewed medical records for either complex high-cost utilizers or cases with quality-of-care concerns. Dialysis Registered Nurse: *Provided care to patients with ESRD by overseeing their treatment from start to finish. *Educated patients and their loved ones on their disease process and what dialysis entails. *Administered the correct medications to patients as ordered by the nephrologists. *Evaluated patients’ reactions to the dialysis treatment itself as well as reactions to medications. *Assessed patients before, during and after their scheduled treatment.

*Calibrated all machines to assure they were ready for the tasks at hand. *Maintained the correct refrigerator temperatures for medications. *Checked each patient’s order sheet/machine settings daily assuring the technicians were taking off the correct amount of fluid and running the patient on the correct bath. *Reviewed patient’s lab work, home medication list and activities and letting the doctors know of any pertinent changes in the patients’ conditions. *Performed initial intakes on patients newly accepted to the center. *Responded to emergency situations in the clinic setting. *Supported the entire care team by answering questions and having teachable moments with staff. *Maintained/verified the purity of water in the purification system used to make the dialysate. *Connected/disconnected patients to/from the dialysis machines. Delegating Nurse/Case Manager: *Community Health experience managing mbrs with developmental, physical/mental health disabilities. *Provided education to staff/mbrs on disease processes to assist with self- management. *Performed 45 day/prn assessments to monitor mbr’s health/wellbeing. *Created/ updated care plans for mbrs under my care. * Performed assessments for potential mbr admissions. *Assisted with the teaching/ evaluation of the Certified Medication Technician Class for new employees. *Identified and resolved gaps/ barriers in treatment plans. *Taught in-services for continuing staff education. *Participated with the multidisciplinary team meetings. *Communicated with physicians/pharmacy staff to help resolve discrepancies in the care of the mbr. *Advocated on mbrs behaves to make sure all their health needs were met and in a timely manner.

Clinical: *Provided nursing leadership to other team members while providing both direct and indirect care for an assigned group of patients. *Participated in the care of patients within a wide spectrum of surgical specialties (Surgical Oncology, Emergency, GYN Oncology, Urology, Vascular, Transplant, Bariatric, Plastics, Minimally Invasive and Orthopedics). *Performed blood transfusions, bladder scans and initiated IV therapies. *Cared for central lines, wound vacs, various drains, urinary catheters, NG/PEG tubes, trach care and performed various surgical/wound dressing changes. *Performed admissions, transfers, transitional care, referred patients/family to appropriate resources and discharge coordination. *Educated patients and family members on post op procedures and expectations. *Performed peer-to-peer interviews and served as a shadow nurse for prospective new hires. *Served on Clinical Practice, Nursing Leadership and Falls Committees.

COMMUNITY SERVICE:

Time Organization Mental Health Services: (2009-present) Volunteer services/time to clients by purchasing/ cooking food for events, grocery shopping for clients, cooking holiday meals for those in need, and providing food/ toiletries for those who require them from time to time.



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