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Registered Nurse Medical

Location:
Chamblee, GA
Posted:
July 09, 2020

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Resume:

Michele Walker, RN, BSN

609-***-**** adegl4@r.postjobfree.com

Professional Summary: Registered Nurse with 12 + years’ experience providing quality care as an exceptional team leader to a wide variety of patients and proven to deliver excellence in coordinating services in medical care management.

Professional Work History

The William Breman Jewish Home, Atlanta GA RN Supervisor April 2020- May 2020 Assumes the administrative authority, responsibility and accountability of performing the assigned duties of the RN Supervisor. Reviews daily assignment schedule to assure each individual staff member and position listed is on duty, assigned to appropriate work assignments and scheduled duty hours, as well as the supervisory staff assigned for each tour of duty; review all call-ins for shift and succeeding shifts. Replace absent personnel if possible by off-duty staff first, then present on-duty staff. Complete shift management rounds to observe staff in the performance of their duties to determine if Resident’s nursing care, therapy, safety and shelter needs are being met in a manner consistent with facility policy and regulatory intent. Demonstrates good rapport and cooperative working relationship with all members of own department, responding to co-workers with concern and cooperation. Communicates with the medical staff, nursing service, and other department supervisors.

Centene, Newark NJ (Remote) Long Term Services and Support Reviewer, April 2020- Present Reviews initial and annual assessments for the Managed Long Term Support and Services program prior to state submission, checking for congruency and accuracy of assessments. Reviews patient clinical documentation to ensure compliancy state and federal regulations relating to medical necessity and case documentation. Coordinates with the Medical Director for Reviews complex cases that require additional home care and benefits.

Wellcare Health Plans, Newark NJ (Remote) Utilization Review Nurse, May 2018- April 2020 Reviews initial and annual assessments for the Managed Long Term Support and Services program prior to state submission, checking for congruency and accuracy of assessments. Reviews patient clinical documentation to ensure compliancy state and federal regulations relating to medical necessity and case documentation. Coordinates with the Medical Director for Reviews complex cases that require additional home care and benefits.

Senior Care Manager, March 2017-May 2018 Senior Care Manager handled all incoming State Complaints as the Company Liaison for Wellcare of New Jersey. Managed a case load of member’s that required annual assessments, completed a quarterly plan of care with updates and daily phone calls for urgent medical coordination needs.

Care Manager, August 2014- March 2017

Performed at a significant role in taking leadership by training new staff:

Assisted with implementation of new and expanding healthcare new management initiatives.

Performed telephonic and/or field assessments for member’s identified with complex needs. Demonstrates the ability to lead and motivate an outstanding healthcare team by example.

United Health Care, Iselin, NJ (Field) Nurse Field Care Manager, February 2012-June 2014 MLTSS Nurse Case Manager, June-August 2014 Facilitated an onsite assessment in the member’s home and /or facilities to assess medical needs completed a comprehensive assessment, including NJ Choice and Personal Care Tools Created and implemented the individualized care plan. Coordinated and assisted with authorization of services for Personal Care, Medical Day Care and Durable Medical Equipment. Managed a Case load of Complex members: Aged, Blind, Disabled, Pediatric, Developmentally Delayed, and HIV/AIDS.

Ingersoll Rand (Addecco/ ATI), Trenton, NJ

Occupational Health Nurse (Manufacturing)

March 2013-August 2018

Responded to all medical emergencies in the plant and to employees presenting with occupational injuries and illnesses; treat injuries.

Determined the level of care and appropriate referral.

Administered Urine Drug Screen and Breath Alcohol Testing.

Initiated the first report of onsite injuries and filed claim.

Somerset Medical Center- Somerset, NJ Registered Nurse, (Per-diem) November 2010-March 2012 Administrated Pre-employment health screenings. Liaison with Emergency Department and off site workers compensation Providers of care regarding treatment/ follow –up care for injuries and illness reports, Administered Return to Work evaluations including appropriate referrals, notifications and denials. Achieved high staff morale and retention through effective communication, prompt problem solving and facilitating a proactive work environment.

Fresenius Medical Care, March 2010- November 2010 RN Team Leader/Supervisor-Hamilton, NJ

Administered Hemodialysis and medication treatment to patients with chronic kidney failure.

Responds to and provides nursing care within the RN scope of practice to all medical emergencies on site.

Supervised Licensed Practical Nurses and Certified Medical Assistants.

Take Care Health Systems (Per-diem) April 2008-February 2012 Occupational Health Nurse- New York, NY

Strong leader as the nurse on site for a corporate business of 1200 employees, contractors and visitors.

Provided acute and emergency care on-site and disease management.

Lead quarterly wellness lunch and learn activities; educating employees about most common chronic health diseases. Organized and Implemented and annual wellness events and blood drives collaborating with the American Red Cross. Blood pressure s, blood glucose, Cholesterol screenings, BMI evaluation, and individual consult and coordinating follow care with PCP if applicable. Performed ordered lab tests and communicated results to the employee and PCP.

Trenton Psychiatric Hospital September 2007- April 2008

Registered Nurse – Trenton NJ

Administered Medications to residents

Provided medical care for resident

Documentation of resident’s ongoing status and participation in group.

EDUCATION AND CERTIFICATIONS Bachelor of Science in Nursing 2013 Thomas Edison State University, Trenton NJ Diploma in Nursing 2007 St. Francis School of Nursing, Trenton, NJ Associates Degree in Science 2007 Mercer County Community College, West Windsor NJ RN Nursing License: State of Georgia RN 263013 – Active State of New Jersey Active 26NR13354700 - Active State of Pennsylvania Active RN603472- INACTIVE



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