Nurse Care

Teresa Black

**** ***** **** ****, *******, Virginia 23437

Tel: 757-***-****

Personal Statement

A nursing professional with 29 years experience in staff and leadership positions

Work Experience

(November 2018- Present) Magellan Health

- Senior Care Coordinator

Facilitates ongoing care coordination using a person centered approach by initiating the health risk assessment, assessing for changes in level of care and making referrals as appropriate. Participates with care transitions as warranted.

Develops ICP from health risk assessment, monitors and updates provision of services and desired goals.

Leads and participates with ICT meetings and communicates with care team disciplines as needed.

Educates member with available services and resources and assists accessing services by communicating with member according to DMAS contract and as needed.

(April 2018- October 2018) United Health Group

-Pre-service Review /PDN (April- October)

•Attends weekly clinical rounds and submits cases to MD for medical review by entering Health Service Cases in HSR.

•Enters authorizations in HSR from monthly reports by direct key or info path for PC and respite services.

•Reviews criteria for PDN cases, obtains clinical information as needed by contacting providers and submits to MD for review.

•Reviews Care Coordinator requests for PC, Respite services and submits to HCBS team.

•Reviews multiple systems for member medicaid eligibility.

•Maintains and updates multiple logs on a daily basis.

•Transcribes weekly meeting minutes for clinical rounds.

(August 2017-April 2018)

-Field Care Coordinator

•Performed assessments, planned and implemented care plans that were member centric.

•Identified and initiated referrals with interdisciplinary team for financial, psychosocial and community care needs

•Participated in case conferences, provided insight and direction to members of care team.

•Communicated with interdisciplinary team to ensure member received quality coordinated care and services in a timely manner.

(January 2016-July 2017) Humana at Home

-Telephonic Care Manager (June 2016-July 2017)

•Conducts assessments telephonically for members in Home Complex Care Program

•Coordinates community care and services by interacting with interdisciplinary team

-Care Coordinator (January- June 2016) Program closed

•Conducted monthly assessments and annual level of care reviews with Long Term services and support members. Coordinated care with CCC program.

•Initiated plan of care and tasks to ILS for authorization and continuity of care.

•Used multiple computer systems to verify medicaid eligibility.

•Participated with ICT/IDT meetings; provided insight and direction to contracted care coordinators.

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(August 2015-December 2015) Compassionate Care Hospice

Hospice Nurse prn

•Provided comfort care to clients diagnosed with a terminal or chronic illness

(June 2014-January 2016) Deerfield Correctional Facility

Staff Nurse/Infection Control, Control Quality Initiatives

•Implemented and maintained infection control log with weekly updates; reported infectious diseases to health department.

•Ensured disposal of biohazard material met department standards and guidelines.

•Administered vaccines to 900-1000 offenders; audited offender records monthly.

•Created and implemented corrective action plans with CQI report.

(October 2012-May 2014) Care Advantage Emporia, Va

Home Health Director

•Received employee of the year award for outstanding service

•Supervised nursing personnel to maintain standards of care within medicaid guidelines.

•Initiated assessments and member's plan of care according to medicaid guidelines.

•Collaborated with Department of Social Services, Community Service Boards and physicians for continuity.

•Initiated and maintained authorizations to Department of Medical Assistance Services and Department of Veteran Affairs.

(April 2011-October 2012)- Home Care Nurse Heartland Homecare and Hospice

•Case managed 25+ patients weekly from admission to discharge.

(October 2010- April 2011)- Operating Room u8888/Nurse-Southampton Memorial 7Hospital

(April 2009- October 2010)- Pre-op Staff Nurse- Bon Secours Maryview Medical Center

(June 2008-March 2009)- Home Care Nurse- Heartland Homecare and Hospice

(November 1993- March 2008)- Pre-op/OR Nurse- Lakeview Medical Center

(June 1991- October 1993)- Staff nurse- Louise Obici Memorial Hospital

Education

Diploma of Nursing – Louise Obici School Of Nursing/Paul D. Camp Community College, Main Street, Suffolk, Virginia

(September 1988 – June 1991)

References

Dr. Antoinette Adams-

Adams Comprehensive Footcare 137 Baker Street, Emporia, Virginia

Phone: 434-***-****

Selene Switzer, RN-

1144 Woods Parkway, Suffolk, Virginia 23434

Phone: 757-***-****

Susan Fritzinger, RN-

405 A 26th Street Virginia Beach, Virginia 23451

Phone: 757-***-****

Contact this candidate