Clinical Nurse Manager
Resume:
Rosette Derecho RN, BSN
***** ***** ***** ** ****, Texas 77494 630-***-**** ***********@*****.***
Objective
To seek a job where I can expand my progressive experience in delivering the best performance in the field of health care.
Experience
Grand-Aides USA Transitional Care RN Manager Current – March 2022
Managing patients’ successful transition and is accountable for implementing and evaluating comprehensive interventions for high risk medical and/or surgical patients enrolled in the program.
Supervise home visits performed by highly trained CNAs using database documentation with phone and video technology to communicate patient findings with the RN transitional care manager.
Collaborates with physicians and interprofessional health care teams to facilitate, coordinate, and maintain compassionate, efficient, quality care and achievement of patient outcomes.
HCA Houston Healthcare at Home Houston, TX Clinical Manager March 2022- October 2021
Reviews all clinicians’ documentation to ensure excellent care, quality documentation, improving outcomes, and medical necessity to ensure the provision of services and documentation required for financial reimbursement for care completed on a timely basis and in compliance with state and federal regulations.
Ensures field staff follows protocols and take necessary action to prevent the spread of infectious diseases. Processes infection control report and reviews for indication of spread of infection. Collaborates with DON to receive direction when indication of spread is indicated.
Participates in Visit Nurse On-call rotation and assumes on-call duties as assigned. Must be available 24 hours per day when scheduled to be on-call.
Encompass Home Health Houston, TX Clinical Team Leader October 2021- January 2020
Reviews electronically submitted documentation and provides feedback to clinicians regarding deficiencies or OASIS corrections to ensure the medical records reflect compliance with medical necessity, homebound status, visit utilization supported by individual patient assessment/ documentation support and discharge planning.
Review patient schedules to ensure appropriate coordination of care and ensure efficiency of clinical associates.
Coordinates case conference with clinical team ensuring quality care of patients as evidenced by supporting documentation.
Brookdale Home Health, TX Clinical Manager January 2020- December 2017
●Supervises, monitors, and ensures competencies and performance of an assigned home health care team and assuring the delivery of home health services.
●Supervises ongoing case management of all patients assuring an accurate evaluation and treatment plan and utilizing services appropriately to achieve optimal outcomes.
●Review and approve final plan of care (485) with Electronic Medical Records (EMR) system.
AMITA Health, Arlington Heights, IL RN Care Coordination Manager June 2017- July 2016
●Incorporate knowledge of palliative care options to patient and primary care physician and encourage discussions and appointments with PCP for potential referrals as evidenced by documentation in the Athena Population Health tool.
●Incorporate education on advanced care planning as evidenced by documentation in the Athena Population Health tool.
●Develop a list of members from high ED utilizers, members with high-risk diagnosis or members with high cost for health care management, referral from Tap Cloud, referral from primary care providers and referral from BCBSIL product for whom I provide care coordination.
Molina Healthcare, Oakbrook, IL Case Manager II July 2016- May 2015
●Provides case management services to members with chronic or complex conditions.
●Proactively identifies members that may qualify for potential case management services.
●Conducts assessment of member needs by collecting in-depth information from Molina’s information system, the member, member’s family/caregiver, hospital staff, physicians, and other providers.
Residential Home Healthcare, Downers Grove, IL Home Healthcare Nurse May 2015- August 2013
●Completes an initial assessment of patient and family to determine home care needs.
●Provides a complete physical assessment and history of current and previous illnesses.
●Develops a care plan which establishes goals, based on nursing diagnosis, and incorporates therapeutic, preventive, and rehabilitative nursing actions.
D & D Home Healthcare, Inc, Bolingbrook, IL Home Healthcare Nurse August 2013- January 2010
●Assessment of health and fitness of patients.
●Complete check of the health of the patient through observation of blood pressure, body temperature, patient history and symptoms.
●Providing a report of a patient to the referred doctor.
Glen Oaks Hospital, Glendale Heights, IL Clinical Nurse November 2010- June 2004
●Takes down the vital signs of the patient and checks for any irregularities in his/her condition.
●Maintains and processes patient records and updates the physician in case there are negative symptoms.
●Oversee medical records, evaluate performance of the employees and is responsible for staff recruitment, retention, and quality improvement.
Holy Family Hospital, Des Plaines, IL Clinical Nurse May 2004- August 2003
●Observe, interview, and assess patients to identify care needs.
●Monitor or evaluate medical conditions of patients in collaboration with other healthcare professionals.
●Provide direct care by performing comprehensive health assessments, developing differential diagnoses, conducting specialized tests, or prescribing medications or treatments.
●Write nursing orders and perform discharge planning for patients.
Education
Galen College of Nursing Louisville, Kentucky 2024
Bachelor of Science in Nursing
Oakton Community College Des Plaines, IL 2003
Associate of Applied Science Nursing
Skills & abilities
Administration and Management
Communication and Medication
Critical Thinking
Computers and Electronics
Can type 40 wpm.
Microsoft Word/PowerPoint/Excel
Internet Explorer
Certifications
LICENSED REGISTERED PROFESSIONAL NURSE
SAMLAND HEALTH CARE – CERTIFIED NURSE ASSISTANT
CERTIFIED OF COMPLETION – BASIC ECG INTERPRETATION
CERTIFICATE OF COMPLETION FOR PSYCHIATRIC NURSING: NEUROLOGICAL, NEUROBEHAVIORAL, COGNITIVE, BEHAVIORAL, AND EMOTIONAL ASSESSMENT AND INTERVENTIONS
References
Available upon request
Contact this candidate