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RN Case Manager/Discharge Planner

Location:
Ellaville, MD, 20781
Salary:
100,00.00
Posted:
June 16, 2021

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Resume:

Christiana Uzoamaka Jackai

Email: adm6nk@r.postjobfree.com Cell: 703-***-****

Summary

Registered Nurse with over 30 years in clinical area; currently performing discharge planning to ensure appropriateness of patients’ services, while facilitating safe discharge to next level of care. Connect patients and families to community resources and assist in understanding the complexity of the healthcare system. Focusing on the premise that knowledge is power, and health is wealth; engage in advocating for service provision and safe discharge. Collaborate with patients, family, and other providers. Education/ Certification/ Training:

Train the Trainer for Nurse Aide Trainers by Virginia Board of Nursing. Certificate of Completion on HIPAA Training

Certificate of Completion in Medical Writing

Best in Class Case Management course

Certificate of Completion in Case Management Essentials Vickie Milazzo Institute, Certified Legal Nurse Consultant. New England College, Henniker, NH. - Master of Art in Public Policy (MAPP) University of Ibadan Ibadan Nigeria BSN

School of Midwifery, University of Benin Teaching Hospital Benin City Nigeria Midwifery RM School of Nursing University College Hospital Ibadan Nigeria Nursing RN Licensed in District of Columbia, Virginia, Maryland, and New Jersey Experience:

1.

Medstar Washington Hospital Center Feb 2017 - Present Case Manager/Discharge Planner:

• Assess patients on admission to determine discharge/transition need to the next level of care.

• Collaborate with other healthcare providers to coordinate care.

• Review records to abstract and analyze data for appropriate care and timely discharge to next level of care.

• Ensure proper and safe discharge of patients, utilizing the best possible means of transportation.

• Coordinate and work with community facilities for patients’ placement and continuation of care.

• Research and locate resources for patients and families, within their communities.

• Utilize different electronic health record system, specific to organization.

• Being cognizant of patient’s payer plan, provide care and resources that are at par with plan.

• Provide care in adherence to Federal and State regulations, to ensure compliance.

• Work with diverse patient population such as homeless, LVAD, hemodialysis, heart failure, and those requiring home infusion.

2

QANI/CIGNA Jul 2015-Feb 2017

Telephonic Case Manager/ Work at Home.

• Identified, outreach and engage high-risk members through a predetermined methodology, to assist them in navigating the healthcare system.

• Acted as the contact person between consumer, provider, and healthcare plan administrator.

• Ensured provision of care in the most appropriate and cost-effective manner.

• Assisted members with locating Primary Care Physicians; emphasize the importance of follow-ups.

• Conducted health education to members as a means of empowering them in taking charge of their health.

• Provided continuity of care after a hospital discharge.

• Researched and refer members to various resources available within their community.

• Provided health education on disease conditions, medications, and wellness to members.

• Conducted Utilization Reviews of cases using the Inter Qual Criteria. Aetna Better Health of New Jersey Mar 2015-Jun 2015 Telephonic Clinical Care Management (Contract)

• Participated in the initial start-up of the Aetna Medicaid program for the State of New Jersey.

• Adhered to both Medicaid and state regulations with services provision to members.

• Using a member-centered approach of Integrated Care Management, provided members with needed services to promote health, reduce effects of illness, cut down on emergency room visits and hospital admission.

• Utilized Motivational Interviewing technique to engage members in self-care during Triaging, Outreaching and CNA completion.

• Empowered members with health knowledge through collaboration with resources within their community, and direct them towards self-care.

Medix/QualCare: Jan-2015-Mar-2015

HEDIS RN-Case Manager (Contract)

• Complied with appropriate procedure scheduling, requesting, and reviewing records on-site at providers’ offices, hospitals, and facilities.

• Participated in medical record collection and inter-rated reliability process.

• Reviewed assigned medical records to abstract specific and required clinical data elements for HEDIS reporting.

• Reported findings from chart audits and ensured accurate data entry for CMS submission following appropriate policies and procedures.

Record Express (Part Time) Jul 2014-Present

Remote Medical Record Reviewer

• Responsible for remote database search of medical records of litigation complaint cases, utilizing electronic program such as MedForm.

• Review and extract data from Medical Records for relevancy to case at hand.

• Perform review in a timely manner for clientele.

• Detail-oriented to capture all necessary information in medical record.

• Work independently, as well as a team member.

3

Princeton Health Systems Jul 2014-Dec 2014

RN-ICU (3-month Travel Contract)

• Responsible for providing care to adult patients with life-threatening health conditions requiring complex assessment, highly intense therapies, and interventions, utilizing the nursing process.

• Manage and coordinate interactions with patients, family, physicians, and other caregivers, to achieve optimum patient outcome and satisfaction.

• Provide necessities for a healing and caring environment, while focusing on patients’ advocacy.

• Perform documentation using facility electronic health record program.

• Educate patient and family on various health issues on a preventive and health maintenance basis.

• Participate in daily rounding of patients with other caregivers to evaluate a discharge-planning program. Hoboken University Medical Center Apr2014-Jul 2014 RN-ICU (3-month Travel Contract)

• Provided direct care to patients and family. Acted as patient advocate. Provided health education to patients and family on various disease topics such as prevention and control of infection, diabetes management, and healthy wellness living. Promoted wellness awareness with patients and family.

• Participated in unit rounds and meetings to facilitate patients flow within the unit and facility as whole. Ensured safe and proper functioning of unit equipment and inventories. Actively collaborated with various physicians on patient care to achieve clinical goal.

• Maintained unit’s medication cart integrity and safety. Promoted general safe environment for patient care and healing. Adhered to facility’s policies in relation to patients’ confidentiality.

• Collaborated with outside agencies on palliative care issues of patient s and family as needed. Ethicon/Johnson and Johnson Somerville NJ Jan 2014-Mar 2014 Risk Management-Product Complaint Analyst (Contract)

• Managed product complaints utilizing and interfacing with electronic systems such as CHATS and SIEBEL.

• Managed the review and extraction of medical records from Adverse Event litigation complaints files and summons related to bio-surgery medical devices.

• Prompt completion and submission of initial and follow-up Med Watches to FDA in compliance with Federal Regulations

• Responsible for and performed database searches and inquiries of medical records of litigation complaint cases.

• Accountable for all product complaints from inception to closure, including corrective follow-ups.

• Supported Project Managers on various projects as required.

• Worked independently with minimal supervision, and as a team. 4

Bayada Pediatrics Lawrenceville NJ Nov 2013-Jan 2014 Registered Nurse Home Healthcare (Part Time)

• Provided individualized care to patients in the comfort of their homes. Coordinated care with other homecare givers and patients primary care provider.

• Monitored and assessed clients' conditions, utilizing the nursing care plan, and communicated changes to Clinical Manager or Client Services Manager.

• Followed up with physicians’ orders, including executing and properly documentation of orders.

• Performed client assessments, case management and coordination, as necessary. Eveready Home Care Dumfries VA July 2013-Sept 2013 Nursing Supervisor (Temporary)

• As a supervisor of a home health care agency, was responsible for the oversight of professional and ancillary staff in relation to providing patient care to clients, carried out marketing consultation with healthcare facilities, including fostering company’s public relations.

• Planned and carried out consultation with healthcare facilities and families concerning patient intake, individual family needs, proper and adequate staffing.

• Provided health education to the community utilizing nursing concept.

• Ensured adequate staffing coverage when necessary by providing direct patient care.

• Performed utilization review to ensure compliance with Medicare and Medicaid requirements, and that Virginia State healthcare regulations are met.

Novant Prince William Hospital, Manassas, VA May 2008 – June 2013 Registered Nurse/Float Pool

• Demonstrated high clinical skills with flexibility, pioneering supplemental staffing initiative to ensure adequate coverage in nursing units including Critical Care Unit, Emergency Room, Medical/Surgical, Oncology, Orthopedics, Progressive Care, CPAT (Center for Psychiatric and Addiction Therapy), Mother- Baby, Pediatrics.

• Possess sound knowledge of disease management; performed patients’ discharge planning in collaboration with physicians and Case Managers. Spearheaded the establishment of Critical Decision Unit (CDU), a 10- bed 23-hour unit, enhancing reimbursement.

• Championed float pool representation on hospital-wide Research and Evidenced-Based committee, bringing research to the bedside.

• Float pool representative for Palliative care committee, leveraging care management for non-hospice patients with chronic health issues. Presented clinical topics and current trends relevant to ICU patients. Trenton Area Soup Kitchen, NJ May 2015-Jun 2016

Junta Hispana –A Health Fair for the Spanish Community, NY July 24, 2016 Volunteered at the Anacostia MLK Health Event as part of the Medstar Community Health Outreach team. January 21, 2019.



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