Case Manager Care
Resume:
SUSANNE IFILL
RN Case Manager Profile
951-***-**** • Mill Creek, WA, 98012
Qualifications
Summary
Highly compassionate and courteous professional with experience in managing medical / behavior health cases, providing nursing care, as well as planning and developing programs. Well-versed in creating personalized treatment and service plans and reviewing case progress to meet care goals while remaining aware of risk standards and health / safety practices. Expert in promoting well-being and self-sufficiency among population groups, reducing needs for services, and educating, counseling, and addressing mental and behavioral health issues. Robust communication and interpersonal skills; able to build great rapport between medical providers and patients.
Caseload Management Services
Patient Education and Counseling
Therapeutic Relationship Building
Population Health
24 Year of Experience
Patient Care and Support Services
New Program Development
Behavioral Evaluation / Therapy
Treatment Planning and Analysis
Utilization Review
Career
Experience
HealthNet, San Diego, CA 2013 to 2018
RN, CCM
Ensured the delivery of quality care to patients in line with prescribed treatment while serving as disease management case manager. Boosted patients’ adherence to medication and treatment by educating patients with chronic diseases, including congestive heart failure, diabetes, congestive heart failure, coronary artery, chronic obstructive pulmonary, and chronic kidney disease. Elicited patient motivation and addressed mental health issues by delivering guidance via motivational interviewing.
Educated and supported members, aimed at minimizing inpatient admissions.
Coordinated with patients in two different casement management software programs during transition of all members to new case management program, to make transition seamlessly.
North American Medical Management, Ontario, CA 2005 to 2013
Chronic Disease Case Manager
Enhanced case managers staff skills and knowledge regarding internet-based case management program by contributing efforts in staff training. Promoted patient safety and quality of care by managing high-profile and complicated cases, such as chronic disease and catastrophic cases for Medicare/ Medicaid population and commercial members. Worked closely with members of diversified state-funded and commercial health insurance companies. Ensured smooth running of processes by voluntarily performing all duties of director of chronic disease case. Administered management program with direct liaison between NAMM and new Healthnet case management Team while coaching new staff members.
Initiated a remote program and developed case management telecommuter program within two months of employment to facilitate staff in participating in home telecommuting.
Drove significant results; elevated caseloads up to 33% the first four years and 38% the past year (moved from a caseload of 50 to 400) resulting in surpassing company goal by 25%.
Additional experience as Utilization Review Nurse, Charge Nurse, and Intensive Care Manager within well-reputed organizations.
Educational Background
Certification in Case Management Commission for Case Management, San Diego, CA
Case Management Program Courses University of Phoenix, San Diego, CA
Associates Degree as Registered Nurse Licensure New York State University, New York, NY
Licensed Vocational Nursing Program Everett Community College, Everett, WA
Community Leadership
Volunteered at Rady’s Children’s Hospital and Worked weekly in the oncology/ hematology unit.
Professional Affiliations
Attended Geriatrics Symposium sponsored by Scan Health Plan Active member of Case Management Society of America Case Management Society of America Annual Conference Attended Medical Case Management Convention Case Management Conference, Naval Medical Center San Diego West Coast Child and Adolescent Psychiatry Conference
Licenses
Washington State RN License, 2021 California State RN License
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