Case Manager Patient Coordinator

Courtney Andrada, RN BSN CCM

***** ******** ***** **, ******** MO 63011

Home: 314-***-**** - ***************@*****.***

PROFILE

Registered Nurse with a Bachelor of Science in Nursing

Over twelve years of experience in fields such as Psychiatry, Geriatrics and Home Health

Over five years of experience as an RN Case Manager

LICENSES & CERTIFICATIONS

Registered Nurse- 2015 to Present

Licensed Vocational/Practical Nurse – Grossmont Health Occupations Center, Santee, CA- 2007- 2015

Medicare & Retirement 1 & 2 certified via UnitedHealth Group

Certified Case Management - 8/30/21

PROFESSIONAL EXPERIENCE

St Louis Pain Consultants- Operations Manager

January 2022-Present

Responsible for management of revenue cycle

Responsible for running reports to monitor financials and clinic activity

Responsible to clinic functions and management of clinic staff

Managing the flow of patients from MD order through authorization and insurance approvals for surgical procedures

Managing a team of marketers who are responsible for driving patients through the door and maintaining physician relationships

Workers comp coordinator and new patient coordinator including management of liens, payments and scheduling

Optum/ UnitedHealthcare- RN Case Manager- SNP/Vivify Program

2020-present

Managed caseload of approximately 90-140 members with chronic diseases such as Congestive Heart Failure, Diabetes and Chronic Obstructive Pulmonary Disease

Completed and verified medication reviews

Consulted with providers on care plans required to meet members’ needs and maintain their quality of health

Cultural Ambassador

2021 Sages Award Nominee

Delmar Gardens Home Health- RN Case Manager

2018-2020

Managed caseload of 30-60 homebound, Medicare patients with various diseases and chronic conditions

Collaborated with providers, nurse practitioners, physical and occupational therapists to form interdisciplinary care teams

Precepted and trained new nurses and provided education on Medicare guidelines and policies

St Louis University Hospital- Trauma Unit RN

2017-2018

Managed a caseload of 4 to 8 patients per night post-accident or trauma

Passed medications timely and managed a team of nurse assistants with transfers and care

Collaborated with doctors and surgeons on care and treatment, pain management and would care

Centerpointe Hospital- Psychiatric Staff Nurse RN

2016

Managed care and medication pass for inpatient psychiatric patients ranging from childhood through adolescent and into adult hood

Cared for patients on the geriatric psych floor and chemical dependency units

Medstaff Home Health-Staff Nurse-RN Case Manager PRN

2015-2016

Managed a caseload of 30 homebound, Medicare patients with various diseases and chronic conditions

Collaborated with providers, nurse practitioners, physical and occupational therapists, and social workers to form interdisciplinary care teams

Precepted and trained new nurses and provided education on Medicare guidelines and policies

Merit Homecare-St Louis, MO- Home Health Nurse LPN/RN

2014-2016

Supervised a set of in-home chore workers

Managed a caseload of 15-20 patients with weekly medication set ups

Completed and submitted applications for in-home hours for chore services for a variety of homebound elderly and disabled

In-serviced CNAs on monthly basis on proper, safe care of patients

Healthline Homecare - Director of Marketing LPN

2013 to 2014

Managed and coordinated a team of marketers responsible for recruiting new patients for home care

Marketed physician’s offices, wound care clinics and hospitals to obtain new patients for home health services

Managed, coordinated, and presented reports to physicians and Medical Directors

Supported the Director of Nursing with scheduling and assigning cases to nurses

NHC Healthcare - Charge Nurse LPN

2011 to 2013

Managed a floor of elderly patients with diseases ranging from CHF to diabetes

Managed medications and wound care, as well as tube feedings, for 40 + patients

Managed a team of 4 CNAs

Mederi Home Health- LPN

2008-2011 Various positions including:

Intake Coordinator- managed running of Medicare benefits to make sure patient was eligible for homecare, coordinated obtaining MD orders and scheduling nurses for visits

Homecare Representative- obtained new patients for home care, coordinated with doctors to get their patients services, planned and executed marketing events to obtain more patients in need of home care

Homecare nurse- worked under an RN to see and care for a caseload of patients, perform wound care, medication set up and INR draws

Country Manor Healthcare - Charge Nurse-LPN

2007 to 2008

Managed a floor of 25 to 40 inpatient, long term psychiatric and geriatric patients including wound care, medication passes and dosing of monthly injections

Coordinated with Medical Director and other doctors to review lab results and patient care

EDUCATION & LICENSURE

Maryville University – graduated with Bachelor of Science in Nursing 2015

oNCLEX 2016

Grossmont Health Occupations Center- graduated with Licensed Vocational Nursing 2006

oNCLEX 2007

REFERENCES

Available upon request

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