Case Manager Med Surg

Angela Nolan

*** ****** **. ******** ** ***** - 423-***-**** – *********@*****.***

Executive Summary

Accomplishments

• Work well in a high-pressure environment

• Well-organized and efficient

• Skilled with computer systems and software

• Skilled at organizing complex projects, defining project priorities. And delegating tasks.

• Self-motivated and assertive

• Quickly learn procedures and methods

• Proven record of working within a budget

• Particular areas of expertise include MDS Coordinator, ADON, Clinical Manager, Hospice Case Manager, Med-Surg/Oncology nurse and Palliative nursing.

• Major strengths in planning, problem solving and communication.

• Exercise initiative, achievement, and independent judgement

• Excellent communication, interpersonal and organizational skills

• Dependable- can work without supervision.

• Demonstrated effective leadership skills.

• Demonstrated accuracy, attention to detail and ability to work well in team environment.

Experience Transition of Care Nurse

BCBST

December 2023 – present

• Engage and impact members with an extended inpatient stay who have complex diagnosis and care needs with their transition to a lower level of care by explaining and assisting with use of benefits, coordination of care between multiple providers, and network steerage.

• Work closely as a team, with all other THM case management teams, utilization management, pharmacy, medical directors, and groups to ensure member centric care.

• Assist with management of TOC subspecialties air ambulance and single case agreements.

• Assist coworkers with new processes and sharing education or tips via our team chat and by presentations

Case Review Manager

BCBST

2 Angela Nolan

148 Rogers Dr. Whitwell TN 37397 – 423-***-**** – *********@*****.*** April 2018-December 2023

• Review inpatient and concurrent claims for Med Advantage

• Time management

• Working with team and able to work independently.

• Meets goals set by supervisors.

• Proficient working in CareAdvance, Facets

• Excellent communication skills with providers

• Organized

NHC Sequatchie

2020 to present

- Wound care nurse on the weekends

RN Clinical Manager

Amedisys Hospice

April 2017-2020

• Manage a team of case managers and CNA’s.

• review charts for appropriate diagnosis for admission

• review orders

• Run IDT meetings with team members.

• Review charts to determine recertification.

• Initiate referrals to complete patients care and contractual eligibility.

• Communicate with the Medical Director when medical judgment is required.

• Comprehensive for retrospective chart review certifications and appeals.

• Provides documentation to support determination as necessary to complete review.

• Trained /mentored new employees.

RN Case Manager

RN Oncology Med-Surge

CHI Memorial Hospital

November 2017- 2018

Hospice of Chattanooga,

2007 – 2017

• Provided and arranged for training/instruction of auxiliary personnel and students

• Maintain accurate, detailed reports and records

• Monitored, recorded and reported symptoms and changes in patients conditions

• Recorded patients medical information and vital signs 3 Angela Nolan

148 Rogers Dr. Whitwell TN 37397 – 423-***-**** – *********@*****.***

• Consulted and coordinated with health care team members to assess, plan, implement and evaluate patient care plans

• Assessed the needs of individuals home and work environment to identify potential health and safety problems

• Modified patient treatment plans as indicated by patients responses and conditions

• Observed nurses and visited patients to ensure that proper nursing care was provided

• Administered local, inhalation, intravenous and other anesthetics

• Worked with individuals, groups and families to plan and implement programs designed to improve the overall health of communities

• Ordered interpreted and evaluated diagnostic tests to identify and assess patients conditions

• Recommended drugs, medical devices and other forms of treatment such as physical therapy, inhalation therapy, and related therapeutic procedures

RN

Southern Medical Center Winchester TN

2013-2015

Med Surg worked PRN

RN

Grandview Medical Center, Jasper TN

2004 – 2009

Worked in the ICU, Med-surg Floor and ER. Did fill in interim ER manager for North Valley ER

RN/LPN

Rivermont Nursing Home (South Pittsburg)

1993-2004

Started as an LPN as Charge nurse then obtain my RN license Was MDS coordinator/PAE’s for room and board

ADON

Education RN associate degree of May 2004

LPN diploma August 1993

Chattanooga State Technical Community College

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