Case Manager Patient Care
Resume:
Lawrence G. Novello
+1-773-***-**** ************@*****.*** Chicago, IL 60656
WORK EXPERIENCE
Waiver Audit, Total Med Staffing Agency
July 2019 - October 2019
Utilization Review (Concurrent)
Case Manager, Mercy Hospital and Medical Center
September 2016 - March 2018
-Performed primary evaluation assessment skill visits, revaluations, resumption of care and discharges when appropriate.
-Initiate plan of care and care plan in accordance to patient’s disease process.
-Coordinate other services or disciplines needed for patient.
-In the case management role, my primary function is to develop a safe discharge plan for patients from the inpatient setting.
-RN Case Manager dealing with mostly acute hospitaized patients from simple non complicated wounds to patients with many different comorbidities such as obesity, COPD, CHF, DM, Afib and recent surgeries, with an emphasis on cardiac care Utilization specialist, CCAI
November 2015 - May 2016
• Analyzed data to identify trends and patterns that informed decision-making processes.
• Conducted utilization review to ensure efficient and effective use of resources.
• Adhered to policies and procedures to maintain compliance with regulatory standards.
• Analyzed patient records to identify areas for improvement in care delivery.
• Reviewed medical necessity of services to optimize patient outcomes. Prior authorization RN, - County Care
May 2014 - November 2015
• Advocated for patients to ensure their voices were heard and concerns were addressed.
• Reviewed extensive medical records to gather essential information for patient care.
• Verified insurance coverage details to facilitate smooth billing processes.
• Managed utilization of resources to optimize patient care outcomes.
• Documented clinical information accurately and concisely for regulatory compliance.
• Ensured medical necessity criteria were met for treatment authorization. EICU NURSE, Presence Health
May 2012 - February 2014
-Receive report, head to toe assessment, coordinate patient care, and educate patients and caregivers.
-Provide emotional care support to patient and family.
-Assess and monitor cardiac adult and paediatric patients, administer prescribed medications; start IV’s; inserted Foley Catheters; draw blood from PICC Lines and Medi-ports/central lines and other advanced equipment to keep the patint safe.
-Care for patients with G-tubes; Trachs, wound vacs, etc.; admit and discharge along with planning and teaching on disease management and transition of care.
Skills Used ACLS, CCRN, BLS, MSN
Assessment of critical care patient's and appropriate intervention Electronic ICU Staff RN, Holy Family Medical Center May 2008 - July 2012
Monitor ICU patient's and staff so pt can receive the best care coordinated schedules for the admissions team, screened phone calls for the admissions supervisor, put together new patient charts, did data entry of patients demographics and current medications, sent off and received faxed material to appropriate personnel and dispersed new patient information to team members. During my time with this company, I became more appreciative of the compassion that is shown to those who are facing the end of life. It was at this time that I realized I wanted to make a real difference in the lives of those who are sick and need someone who cares. This is what drove me to become a nurse. Accomplishments
Prevented many patient arrest
Skills Used MSN, CCRN, ACLS, BLS Computer skills
SICU Clinical Educator, Resurrection Medicl Center August 2001 - May 2008
Responsibilities
Orient new staff to SICU
Educate staff to new trend, techniques, and meds
Accomplishments MSN, CCRN, ACLS, BLS
Taught many nursing classes on various topics
Skills Used--Teaching, Organization- Priority setting, Time management, Leadership SICU Staff RN, Resurrection Medical Center
November 1993 - May 2001
Direct patient care of SICU and open-heart patient's Accomplishments ACLS, CCRN. BLS
Skills Used- Skills Used--Teaching, Organization- Priority setting, Time management, Leadership EDUCATION
Loyola University of Chicago
1997-2001
MSN, Nursing
Loyola University of Chicago
1988-1993
BSN, Nursing
SKILLS
ACLS, Acute (Medicine), Basic Life Support, BSN, Case Management, Chronic Obstructive Pulmonary Disease, Clinic, Comorbidity, Critical Care, Data Entry, Faxing, G Tube, Hospital, Hospital Discharges, ICU, Inpatient, Interventional, IV, LTAC, MED, MS Office, Obesity, Patient Care, Phlebotomy, PICC, Prior Authorization, Registered Nurse, SNF, Surgery, Utilization Management
CERTIFICATION AND LICENSES
BLS for Healthcare Providers
CCRN . BLS
Registered Nurse
Registered Nurse (RN)
RN
RN or LPC
State of Illinoise Nursing License
Valid Driver's License
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