RN case Management BSN RN 27 years varied experience
Resume:
Susan Joanne Grove
Jasper, IN
************@*****.*** 931-***-**** www.linkedin.com/in/susan-grove
Experienced, Bachelor-Prepared Registered Nurse
Certified Case Manager
Patient-Oriented Energetic Compassionate Team Player
Work well independently and / or as part of a team. Collaborate with other professionals to coordinate care and develop plans for patients / families with appropriate interventions to manage care in more independent fashion. Successfully educate and assist patients in developing good health care rituals through motivational interviewing and building solid trust and rapport. Two areas of passion are post-acute / surgical care and education.
Experienced in:
-Telephonic Case Management
-Medical-Surgical
-Post-Surgical
-Home Health / Oasis
-Home Health / Case Management
-ICU / LTAC / Telemetry
-HEDIS / other Data Collection
-Women’s Health / Newborn Care
-ACLS and NRP Certified
-Long-Term Care
-Technology: EMR’s, Pyxis, Rosiland, hCAT, hCAR and GCP
Professional Experience
Sedgwick Claims Management Services, Telecommute-Jasper, IN
Case Management Specialist -TCM/Surgery Nurse, RN, BSN, CCM 11/ 2019- Present
Perform initial and ongoing clinical assessment and evaluate need for alternative treatment, negotiate and coordinate appropriate medical treatment and length of disability with providers and employers; and implement a case management plan with ongoing monitoring to ensure quality and appropriate service delivery of the case management process. A Sedgwick surgery nurse services help manage high cost surgical claims more effectively by proactively engaging injured employees. This unique solution provides dedicated nurse resources and technology to help injured employees take steps to prepare for surgery and improve the recovery.
United Healthcare (Optum Services, Inc), Telecommute-Jasper, IN
Telephonic Registered Nurse (RN) Case Manager, RN, BSN, CCM 2/2018- 11/2019
Assess Medicare members telephonically, evaluating needs and requirements to develop individual plan of interventions to achieve and / or maintain optimal wellness state. Guide patients and families and facilitate interaction with resources appropriate for care and wellbeing.
·Provide proactive telephonic outreach to eligible UHC/Oxford members, engaging participation in case management programs provided by their health policy.
·Comply with performance and reporting standards as defined by United Healthcare (Optum Services, Inc).
HUMANA, Telecommute-Clarksville, TN
Telephonic Registered Nurse (RN) Care Manager, HCM, RN 7/2017 – 2/2018
Assess Medicare members telephonically, evaluating needs and requirements to develop individual plan of interventions to achieve and / or maintain optimal wellness state. Guide patients and families and facilitate interaction with resources appropriate for care and wellbeing.
·Provide proactive telephonic outreach to eligible Humana members, engaging participation in Humana At Home care management programs.
·Comply with performance and reporting standards as defined by Humana Corporation.
PROFESSIONAL EDGE NURSING, Chesapeake, VA
Field RN Care Manager 4/2014 – 12/2016
Evaluated Medicare members visually in home to help create plans for care / intervention. Provided access to health resources and coached toward wellness goals.
·Worked in collaboration with multi-disciplinary care management team, employing variety of strategies, approaches and techniques to manage member’s physical, environmental and psychosocial health issues.
·Completed physical, psychological, emotional and environmental assessments, for purpose of providing appropriate, timely interventions that ensured provision of optimal care.
·Coordinated community care and services as deemed appropriate.
STRATEGIC TECHNOLOGIES INSTITUTE (STI), Chesapeake, VA
Consulting RN / Author 2009 – 2013
Filled telecommute position to assist with health promotion.
·Authored company health newsletter, promoting better health and wellness tips, recipes and resources to employees.
MEDICAL STAFFING SOLUTIONS, Evansville, IN
Staff / Charge RN 2002 – 2008
Worked at variety of facilities with staffing shortages.
·Adapted and learned quickly, meeting challenge of many positions requiring care of ventilator patients, neurological monitoring and intensive 1:1 bedside care, often serving as Charge RN for shift.
·Served on Code Blue Team and Stroke Team at 1 facility; recognized by team as asset for flexible and willing participation.
·Preformed and trained other staff, increasing knowledge in peritoneal dialysis.
DEACONESS / GATEWAY HOSPITAL, Newburgh, IN
Medical-Surgical ICU, Staff RN 2008
Provided bedside nursing care to patients on busy, high-skill ICU; with typical RN to patient ratio of 1:1 – 2. Patients presented with complex medical issues such as ESRD, RF with ventilatory support, COPD, CAD, DM, chronic pain, vascular disorders, CHF, cerebral hemorrhages with shunt placements, cerebral pressure monitoring etc.
·Worked side-by-side with multidisciplinary team including dialysis as wells as respiratory, physical and occupational therapies, assisting patients is achieving full recovery.
Additional Experience
CRESTVIEW NURSING HOME, Vincennes, IN
RN / Weekend Relief Supervisor / CNA, 2 years prior to graduating with ASN
GOOD SAMARITAN HOSPITAL, Vincennes, IN
Staff RN, Medical Surgical Unit
RIVERFRONT HOME HEALTH, Vincennes, IN
Visiting RN / Case Manager
Education
Bachelor of Science in Nursing (BSN), Chamberlain College of Nursing, Online, President’s Honor Roll
Associate of Science in Nursing (ASN), Vincennes University, Vincennes, IN, Graduated cum laude
Personal Development
Code Blue Team and Stroke Team participation
Home health aide class instruction
Plan to obtain CDE (Certified Diabetic Educator)
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