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Intervention Specialist Care Manager

Location:
Miller Place, NY
Posted:
April 29, 2022

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Resume:

DENISE VIRGA

* ****** ******, **** ********* Station, NY 11776 • Cell: 631-***-****

adqw40@r.postjobfree.com

Professionally trained Registered Nurse with over 11 years of Hospital experience ensuring high standards of culturally competent care for wide variety of patients with diverse needs. Specialized in cardiac care for seven years and medical detox for four years. Provided critical evaluation of heart failure and medical detox patients and managed complex medication/treatment regimens. Nurse Care Manager with over 8 years of Solid clinical, utilization review and case management experience within a managed care environment.

EXPERIENCE

RN, 03/2011 to Current

St. Charles Hospital – Port Jefferson NY

*Closely monitored acute conditions.

*Contributed substantially to successful department JCAHO accreditation.

*Ensured HIPAA compliance.

*Develop and implement nursing care plans.

*Chronic patient care on med-surg and Detox units adeptly handling all aspects of treatment from medication to wound care.

*Treat and manage conditions that affect the complex cardiovascular system.

*Implements nursing care in accordance with program procedures established by the Medical Director

*Administering medications, treatments, inoculations, and tests as allowed by law

*Offers support and professional nursing care to patients undergoing the detoxification process.

*Actively and compassionately interacts with patients to encourage engagement in treatment after completion of detoxification.

*Charge nurse on Telemetry and Detox units.

RN Care Manager, 011/2019 to Current

INTEGRA Managed Care– Lake Success,NY

Work with members, their family and their health care providers to determine needed services and develop a care plan tailored to meet their specific needs. Serve as members primary contact with the agencies providing their services. Follow up with their physicians on any medical issues they may have and monitor medications. 2

Counsel and explain medical issues to both member and their family and provide education/coaching on how you they can help manage their care. Contact member monthly to check on their status and progress and update/maintain case records.

RN Care Manager, 02/2011 to 04/2017

Complex Care Solutions – New York, NY

Worked as an RNCM to improve individual health and reduce health issues in the communities we served. Focused on disease prevention, wellness, and regular and timely treatment of chronic conditions. Assessed and evaluated members needs through field work in members homes. Served as members advocate and supported them in need. Educated members on preventative care, medication management and home safety. Provided complex care management in reducing unnecessary hospitalizations and appropriately referring community supports.

EDUCATION

Associate of Science: Nursing, 2009

Suffolk Community College - Selden NY

SKILLS

Strong clinical judgment

Acute care expertise

Disease prevention and intervention specialist

Patient/family focused

Thorough physical assessments

Patient and family advocacy

Administered in-home Health Risk Assessments

High value assessment and care management

services for health plans to improve patient care

and reduce costs

Coordinate all aspects of care to ensure proper

utilization of services and resources

BLS certification

CPI certified

3



Contact this candidate