Case Manager Registered Nurse
Resume:
Sylvia Crews
Certified Case Manager
Charlotte, NC
***********@****.***
Authorized to work in the US for any employer
Work Experience
Certified Case Manager
Community Care of North Carolina (CCNC) - Charlotte, NC April 2019 to Present
• Case Management with Medicaid/State Health Plan population
• Clinical management of complex disease processes/prevention of complication
• Manages monthly case load of 60-70 health plan members
• Identifies and addresses barriers that impede health outcomes
• Identifies behavioral, social, cultural, environmental strengths/challenges relating to diagnosis, treatment, and access to care
• Utilizes therapeutic skills to assist members to achieve healing, growth, and wellness
• Facilitate referrals to appropriate community based services/agencies
• Refer members to appropriate clinical team members for interventions outside Case Manager's scope of practice or expertise
• Engage and maintain collaborative relationships with community provider agencies to promote quality care and cost effective health care utilization
Certified Case Manager
Community Care of Southern Piedmont - Concord, NC
May 2018 to Present
• Case Management with Medicaid/State Health Plan population
• Clinical management of complex disease processes/prevention of complication
• Manages monthly case load of 60-70 health plan members
• Identifies and addresses barriers that impede health outcomes
• Identifies behavioral, social, cultural, environmental strengths/challenges relating to diagnosis, treatment, and access to care
• Utilizes therapeutic skills to assist members to achieve healing, growth, and wellness
• Facilitate referrals to appropriate community based services/agencies
• Refer members to appropriate clinical team members for interventions outside Case Manager's scope of practice or expertise
• Engage and maintain collaborative relationships with community provider agencies to promote quality care and cost effective health care utilization
Diabetic Clinical Outreach Specialist/Telehealth Nurse Matrix Medical Network
2016 to Present
• Case Management with Diabetes/Chronic Disease on behalf of multiple health plans
• Clinical management of disease process/prevention of complications
• Manages large daily volume of outreach calls to diabetic members
• Validates need for additional diabetic education with careful follow up and monitoring
• Educates members on diabetic self-management skills
• Initiates case management referrals to health plans Book Reviewer
Elsevier Publishing
April 2011 to Present
Reviews book prior to publication
• Review process to uphold quality/validity of text books
• Validates practice skills videos for quality/validity
• Assists in validating research for quality, completeness, and accuracy
• Provides feedback on book/research
• Provides recommendations to editor for changes to book Care Center Registered Nurse
Matrix Medical Network
2014 to 2016
• Case Management with Diabetic/Chronic Disease on behalf of multiple health plans
• Manages large daily volume of out/incoming member calls
• Collaborates with physicians and members with critical lab values
• Utilizing clinical judgment/assessment skills to identify potential risks to members
• Collaborates with health plan for case management referrals Transition of Care Coordinator Registered Nurse
Matrix Medical Network
2013 to 2014
• Developed guidelines/protocol for chronic care program
• Implemented clinical chronic care process
• Achieved 30% successful reduction in hospital readmissions with chronic care members
• Case management and follow up based on recommendations per NP visits post hospital admissions
• Collaborated with member's health care provider
• Coordinated with health plan case managers to coordinate care
• Evaluates impact of plan of care and ability of plan to meet member's health care goals Coordinator Basic Nursing Assistant Program/Nursing Faculty Glendale Community College
2007 to 2013
• Developed /revised course curriculum
• Utilized best practice to enhance learning environment
• Aligned and implemented course syllabi with program goals, learning outcomes
• Provided variety of learning modes for culturally diverse student population Registered Nurse Simulation Specialist
Banner Simulation Medical Center
2009 to 2011
• Developed and implemented scenarios
• Supervision of new hire nurses/experienced
• Revision and implementation of new policies and procedures
• Development and updating new educational presentations
• Consults with other facilities to develop scenarios for staff development Registered Nurse Oncology and Bone Marrow Transplant Banner University Medical Center Banner Health
2005 to 2009
• Charge nurse/supervision
• Case management
• Discharge Planning
• Delegation of duties to nurses and nursing assistants
• Patient care to critically ill complex, diverse patient population Registered Nurse/Charge Nurse
Tucson Medical Center
2002 to 2005
• General, Urology, Vascular, Oncology Surgery
• Supervision of nurses/nursing assistants
• Case Management of patient population
• Discharge Planning
Cornerstone Rehab & Skilled Nursing
Registered Nurse
• Serves as staff nurse/charge nurse
• Assessment, management, and evaluation of acute/chronic care illnesses
• Monitors change of condition/treatment to decrease rehospitlization
• Serves as liaison with physician, SNF/LTC
• Promotes quality of life
• Provides evidence-based/best practice
• Practices patient centered care
Charge Nurse
Medical University
2001 to 2002
5 South Hematology/Oncology
• Management/supervision of nurses/nursing assistant
• Discharge planning
• Delegation of shift assignments/duties
• Established plan of care
Registered Nurse Surgical Oncology
Medical University
1997 to 2002
• Supervision of nurses/nursing assistants
• Established plan of care
• Discharge Planning
• Case Management
• Patient/staff education
• Coordination of weekly Clinical Counsel Meetings for case management/discharge planning
• Delegation of shift assignments/duties
• Patient care to critically ill complex surgical oncology patients Registered Nurse
Lincoln Medical Center
1993 to 1997
• Staff nurse with charge nurse/supervision on 4th Surgical
• Delegation of duties/education to nurses/nursing assistants
• Patient care to acutely ill complex, diverse patient population
• Discharge planning
• Patient/family education
Registered Nurse
Hospital Resources
1990 to 1993
• Various travel assignments on Med-Sur, Urology/Aids in several states
• Patient care of acutely and chronically ill patients
• Delegation/education for LPNs/nursing assistants
• Education to patient/families
Registered Nurse
Catawba Memorial Hospital
1990 to 1991
• Staff nurse on 3rd Surgical (General, Urology, GYN)
• Patient care of acutely ill patients
• Delegation/education for LPNs/nursing assistants
• Discharge Planning
• Education to pre/post-operative patients/families Dialysis Nurse Manager
Dialysis Care
1988 to 1990
• Managed chronic care dialysis center
• Delegation to techs, LPNs, RNs
• Responsible for scheduling/staff
• Education for new staff
• Implementation of policies/procedures
• Managed patient care meetings, admission of new patients, education for new patients Scotia Village Retirement/Skilled Nursing Center
Registered Nurse
• Supervisor on weekends for skilled nursing (21 bed unit)
• Delegation to LPNs, nursing assistants
• Supervision of all nursing care for patients with chronic, acute, or emergency needs
• Education/orientation as needed for patients/families/staff
• Maintained infection control/safety measures within the unit Education
Master's Degree in Nursing
Grand Canyon University - Phoenix, AZ
Nursing Licenses
RN
Expires: August 2021
State: NC
RN
Expires: August 2021
State: NC
Skills
• Excellent Computer Skills (10+ years)
• Detail Oriented (10+ years)
• Nurse Management
• Case Management
• Medication Administration
• Curriculum Development
• Dialysis Experience
• Nursing
• Hospice Care
• Epic
Certifications and Licenses
BLS/CPR
November 2019
Nurse's License: Class: RN, State: NC, Expires: December 2019 Nurse's License: Class: RN
Certified Case Manager
September 2020 to Present
Additional Information
• Telehealth Case Management Diabetes/Chronic Disease/Transitional Care
• Hematology/Oncology/Med-Surg/Post Partum/Dialysis/Urology/Bone Marrow Transplant/Surgical Oncology/General Surgery/Hospice/Skilled Nursing/Home Health
• Discharge Planning
• Faculty member with community colleges in Associate degree and Certified Nursing Assistants programs
• Coordinator for Certified Nursing Assistant Program
• RN Simulation Specialist
• Nurse Management
• Nursing Supervision
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