Post Job Free
Sign in

Registered Nurse Case Manager

Location:
Kalamazoo, MI, 49007
Posted:
June 18, 2024

Contact this candidate

Resume:

PROFESSIONAL SUMMARY

RN CASE MANAGEMENT AND UTILIZATION REVIEW

NURSE WITH 6+ YEARS OF EXPERIENCE ACROSS

TELEMETRY,

MEDICAL – SURGICAL, ORTHOPEDIC, ICU,

PCU,PACU ONCOLOGY AND TRANSPLANT UNITS,

AS WELL AS LTC AND HOME HEALTH.

BLS, ACLS AND NIHSS CERTIFIED.

EDUCATION

BROWN MACKIE COLLEGE., OHIO

ASN RN. 2017

LICENSES

MICHIGAN

REGISTERED NURSE

OHIO - COMPACT

REGISTERED NURSE

CONTACT

PHONE:

(313) 516 - 2987

EMAIL:

***************@*****.***

DESTYNEE BRYANT – HOPKINS

ASN, RN

PROFESSIONAL EXPERIENCE

INSIGHT GLOBAL CONTRACTOR FOR CVSAETNA

Telephonic CaseManager

Feb 2024-May 2024

Contacting members telephonically. Educating on disease management. Updating Careplans,educating on the importance of managing health and reducing hospitalizations. Ensuring that members are utilizing benefits and educating on all benifits. HENRY FORD HEALTH SYSTEM DETROIT, MI USA

INPATIENT CASE MANAGER/ UTILIZATION REVIEW

JULY 2022 – PRESENT

ALLSCRIPTS CAREPORT

ENSURING THOROUGH CARE, COORDINATING WITH ALL INTERDISCIPLINARY TEAMS AND

INSURANCE ADJUSTERS FROM ADMISSION TO DISCHARGE

ARRANGING DME, HOME HEALTH SERVICES, OUTPATIENT SERVICES AND ANYTHING ELSE NEEDED FOR SAFE DISCHARGES

WORKING WITH INSURANCE COMPANIES AND OUT-PATIENT FACILITIES TO ARRANGE

PATIENT PLACEMENTS AND FOLLOW-UP APPOINTMENTS. OBTAIN PREAUTHORIZATION'S THROUGH INSURANCE COMPANY

TELEPHONIC COMMUNICATION WITH PATIENTS AND FAMILY MEMBERS TO ANSWER ANY QUESTIONS, PROVIDE RESOURCES AND COMFORT DURING TRANSITION FROM HOSPITAL TO NEXT STEPS AND PERFORM FREQUENT CASE REVIEWS, REVIEW MEDICAL RECORDS. ENSURES MEDICAL NECESSITY AND APPROPRIATENESS OF HOSPITAL ADMISSION.

INTERMITTENT TRAVEL NURSING (CONTRACT) CA, TX, CT, OH USA VARYING TRAUMA LEVELS ACUTE CARE HOSPITALS 1:3-5 RATIO JAN 2016 – PRESENT STEP DOWN, MS, TELE RN, ONCOLOGY, PACU

EPIC PYXIS OMNICELL CERNER

ACUTE PATIENT CARE INCLUDING WOUND CARE, BLOOD TRANSFUSIONS, IV THERAPIES,

VENTILATORS, AND TELEMETRY READING

FLOAT POOL AND CHARGE RN EXPERIENCE

EMPLOYED BY PROLINK STAFFING AND PROMEDICA

DMC SINAI GRACE HOSPITAL (PRN) DETROIT, MI USA

TRAUMA LEVEL 3 TEACHING 301 BED ACUTE CARE 1:6 RATIO MAY 2016 – PRESENT STEP-DOWN, PCU, MS, TELE RN

CERNER OMNICELL POWERCHART

ACUTE PATIENT CARE INCLUDING WOULD CARE, BLOOD TRANSFUSIONS, WORKING WITH

VENTILATORS, IV THERAPIES, MEDICATION ADMINISTRATION AND TELEMETRY READING

CHARGE RN AND UNIT MANGER EXPERIENCE

UTILIZATION REVIEW/CASE MANAGER RN DEC 2018- NOV 2022 CERNER POWERCHART ECIN

CONDUCT ASSESSMENTS TO DETERMINE CLIENTS’ NEEDS AND DEVELOP COMPREHENSIVE CARE PLANS

ADVOCATE FOR EACH CLIENT TO ENSURE THEY ARE RECEIVING ALL NECESSARY SERVICES

AND RESOURCES

MAINTAIN UP-TO-DATE AND ACCURATE DOCUMENTATION OF ALL CLIENT CARE PLANS

AND CARE PLANS, OBTAIN PREAUTHORIZATION'S THROUGH INSURANCE COMPANY.

PARTICIPATE IN QUALITY IMPROVEMENTS INITIATIVES TO ENHANCE CLIENT CARE AND

SAFETY AND REVIEW AND PERFORM FREQUENT CASE REVIEWS, REVIEW MEDICAL RECORDS. ENSURES MEDICAL NECESSITY AND APPROPRIATENESS OF HOSPITAL ADMISSION. BEAUMONT DEARBORN (CONTRACT) DEARBORN, MI USA

RN CASE MANAGER MARCH 2021 – JUNE 2021

ALLSCRIPTS CAREPORT

CONFIRMED ALL INTERDISCIPLINARY TEAMS WERE WORKING TOGETHER FOR BEST

PATIENT OUTCOMES

PROVIDED ANY RESOURCES NEEDED FOR SAFE DISCHARGES

WORKED WITH INSURANCE COMPANIES AND OUT-PATIENT FACILITIES TO ARRANGE

PATIENT PLACEMENTS.

MANAGED CARE TRANSITIONS TO ENSURE ANY GAPS WERE IDENTIFIED AND MITIGATED

EMPLOYED BY APN HEALTHCARE.

BLUE CROSS BLUE SHIELD MICHIGAN DETROIT, MI, USA

TELEPHONIC/ UTILIZATION MANAGEMENT RN AUG 2017 MARCH 2021 PRIORITIZED EFFECTIVENESS OF TREATMENTS AND COSTS FOR ALL PATIENTS BY WORKING WITH INSURANCE COMPANIES FROM ADMISSION TO DISCHARGE. EDUCATED PATIENTS AND THEIR FAMILIES ON MANAGING CHRONIC AND ACUTE ILLNESSES, COMMUNITY RESOURCES, AND WHEN TO RETURN TO THE HOSPITAL IF NEEDED.

ENSURED SAFE PATIENT DISCHARGES BY ANSWERING ALL QUESTIONS, SETTING FOLLOW-UP APPOINTMENTS, STRESSING THE IMPORTANCE OF RETURNING FOR ALL

APPOINTMENTS, AND MEDICATION COMPLIANCE.

BROADSPIRE WORKMAN’S COMPENSATION DETROIT, MI USA

CASE MANAGER RN AUG 2019 – MARCH 2021

FACILITATED APPOINTMENTS AS NEEDED FOR PATIENTS, ENCOURAGING ATTENDANCE TO

ALL APPOINTMENTS

ADVOCATED FOR PATIENTS BY ATTENDING APPOINTMENTS WITH THEM IF NEEDED CONFIRMED PATIENTS WERE RECEIVING PROPER REHABILITATION TO RETURN TO WORK

COORDINATED WITH PHYSICIANS, NURSES, AND INSURANCE ADJUSTERS TO ASSURE

PROPER PATIENT CARE

CLASSIC/HENRY FORD HEALTH SYSTEM MI, USA

1:1 RATIO

HOME HEALTH RN MARCH 2017 – MAY

2021

OASIS

PROVIDED HOLISTIC PATIENT CARE IN THE COMFORT OF THEIR OWN HOMES RESPONSIBLE FOR ASSESSING PATIENTS, DELIVERING WOUND CARE, IV INFUSIONS, MEDICATION ADMINISTRATION AND EDUCATION

DEVELOPED NURSE-PATIENT THERAPEUTIC RELATIONSHIPS TO ALLOW EXCELLENT CARE



Contact this candidate