RN Integrated Case Manager (medical/behavioral health)
Resume:
Resume for RN Case Management Position
Ella Robbins, RN, CCM
Myrtle Beach, SC 29579
**************@*****.***
RN Integrated Case Manager II
Select Health - North Charleston, SC
October 2014 to Present
Managing a case load of members with multiple chronic disease conditions as well as high behavioral health care needs.
Telephonically use Motivational Interviewing techniques to assist Medicaid members to achieve their optimal level of health.
Identifies members' medical, behavioral, and social needs and barriers to care.
Contact members with gaps in preventive health care services and assist them to schedule screening or diagnostic tests with their providers.
Presenting complex members for review to interdisciplinary team.
Facilitating and coordinating members' medical and mental health care while assuring quality and cost-effective resources.
Conducting new member initial assessments for enrollment into Integrated Case Management Program or Clinical Pathway.
Developing Individualized Care Plans that are periodically reviewed and updated.
Engaging members to assess, plan and establish individual care goals.
Teaching chronic disease self-management (COPD, CAD, HTN, Diabetes, HIV, Sickle Cell, Arthritis, Cancer, and Asthma), etc.
Performing medication reviews/reconciliations during transitions of care.
Connecting members to services and waivers that promote community living to help delay or avoid nursing facility placement.
Utilizing a patient registry to identify high risk patients who would benefit from case management.
Coordinating with social service agencies (e.g., local departments of health, and community based organizations) in referring members to state, local and/or other community resources.
Utilizing up-to-date technology for documentation (e.g., MS Office including Outlook, Word, and Excel) in electronic medical records.
Screening and monitoring of physical, mental, and pain status, as well as risk for falls.
Completing appropriate medical and mental health assessments including PHQ9/depression screen.
Conduct outreach to members who would benefit from enrollment in Case Management.
RN Case Manager (Rural Health)
Salem Veterans Administration Medical Center - Salem, Virginia
April 2012 – October 2014
Worked with Primary Care Providers to provide effective disease and chronic care management for Veterans.
Performed initial intake assessments/screenings for new Veteran enrollments into the VA system.
Conducted suicidal/homicidal screenings.
Provided telephonic community healthcare coordination.
Exercised judgment within defined practices and procedures to determine appropriate medical and/or mental health care.
Collaborated with other health care providers in reviewing actual and proposed medical care and services.
Documented nursing care and patient response to care.
Observed patients for medication side effects.
Provided proactive patient/family education based on identified needs.
Recommended services available utilizing care alternatives within the community.
Triaged/resolved patient care problems and developed care goals.
Composed and presented health education classes to our Veterans and general population via power point presentations.
Organized and scheduled community health events.
Built daily rapport with Non-VA community providers/community resources.
Placed orders and referrals into the electronic medical record.
RN Case Manager
Jennings Bryan Dorn Veterans Administration Medical Center - Columbia, SC
May 2008 to September 2012
40 hrs. /week Travel Assignment)
Conducted initial nursing intake assessments and developed comprehensive individualized care plans.
Documented nursing care and patient response to care in the electronic medical records.
Organized and managed Non-VA mental health care in the community.
Initiated and maintained extensive list of community providers/resources.
Monitored high risk behaviors and provided telephonic community care/coordination.
Worked with seven multi-disciplinary treatment teams.
Recognized for ability to defuse and de-escalate crisis situations, frequently called upon to intervene with suicidal and at- risk patients.
Coordinated and monitored medical and mental health interventions to ensure quality and cost effectiveness.
Provided cross-coverage for the Social Work Department including crisis triage intake assessments and reassessments to mental health services.
Utilized the nursing process in assessing, planning, implementing and evaluating patient care.
Taught patient and family health education classes based on identified needs.
Observed patients for medication side effects and contacted appropriate treatment team doctor.
Provided ongoing monitoring and evaluation of Veteran needs including timely follow up with involvement of various disciplines.
Education
Associate Degree Nursing with 20+ years medical and mental health experience.
Wytheville Community College - Wytheville, Virginia
Compact nursing license.
Certification in Case Management
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