Sylvia Crews

Certified Case Manager

Charlotte, NC

adqy09@r.postjobfree.com

469-***-****

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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