CHERYL VANLUVEN RN, BS, CCM

PO Box **, Block Island, RI 02807

adt6pg@r.postjobfree.com 860-***-****

PROFESSIONAL SUMMARY

Registered Nurse

Highly skilled career professional with more than 30 years’ experience in hospital, primary care, home health, hospice, home infusion and case management environments

Established Case Management patient support including assessment, counseling, education regarding medications and treatment, lab work, documentation with care plan for diagnosis, and administration of treatment procedures. Also arranged community services for members as needed.

Computer skilled, managing heavy daily patient volume including telephone triage, appointment scheduling, and patient referral. Proficient in all documentation/record maintenance/paperwork to ensure accuracy and patient confidentiality.

Understanding of different payer sources including Commercial Insurance, Medicare and Medicaid.

Coordination of all areas of health and wellness improvement in hospital or community.

CREDENTIALS

RN Board Examination

1984

RN License, State of CT

Current

Board Certified in Case Management (CCM)

Current

EXPERIENCE

Most Current Employment

RN Case Manager – Home Health

Hope Home Health Agency

Responsible for working with Medicare and T-19 patients as a Home Health RN Case Manager. Responsible for supervising LPNs and Home Health Nursing Assistants, I conduct Start of Care Assessment, Oasis also includes Resumption of Care, Recertification and Discharge. I work and collaborate with other disciplines such as PT, OT, ST and MSW. I work with MD to coordinate care. I work extensively with LPNs to see that the approved Plan of Care is followed and can show improvement in the patient’s general condition. I make regular home visits for treatment or reassessment of Plan of Care.

Prior Employment

Home Health Care RN

Patient Care/Almost Family

Responsible for working with Medicare patients as a Home Healthcare RN Case Manager. I am responsible for supervising LPNs and CNAs, I conduct Start of Care Assessment, Oasis also includes Recertification and Discharge. I work and collaborate with other disciplines such as CNA, PT, OT, ST and MSW. I work with LPNs to see that the approved Plan of Care is followed and can show improvement in the patient’s general condition. I make home visits for treatment or reassessment of Plan of Care.

(Auto accident during work hours caused injuries that required Physical Rehab.) (Other driver at fault.)

RN Clinical Manager

Amedisys Home Care and Hospice

Responsible for the supervision, management, coordination and provision of quality patient care while demonstrating fiscal responsibility and maintaining the highest standards of care. Ensures compliance with all policies, procedures and regulatory requirements. Coordinates communication of information relevant to the patient care process. May schedule patient care staff, receive referrals and physician orders and performs/supervises patient visits and all appropriate documentation regarding the management and provision of patient care. May fulfill role as Agency supervising nurse in the absence of the office Director.

Home Health RN

Family Care Visiting Nurses

Working with Medicare and Medicaid patients in the home setting. Duties include Case Management of 40 – 50 patients. Visits done with patients who require skilled nursing. Supervision of LPN and Home Health Aide. RN visits include complete physical assessment, treatments, teaching of patient and primary caregiver. Other duties include obtaining physician orders and collaboration with health care team, including doctor’s office, Physical and Occupational Therapy, Community Health Center, other nurses and members of the health care team. Familiar with Oasis and computer documentation.

July 24 2017

Current. Per Diem

Dec. 21 2015

Mar. 22 2016

Aug. 2015

Nov. 2015

Aug.2015

Nov. 2015

Nurse Case/Utilization Manager

2002-2015

Aetna Inc., Hartford, CT

Disability Case Manager – 2002 - 2004

Cases assigned to Case Manager for member on Disability. Outreach to member via telephone. Complete initial assessment including medical and social. Communicate with physician regarding reason and stage of disability.

Utilization Management – 2004 - 2006

Review clinical from Hospital. Approve appropriate care and services that meet professional Guidelines. Review with Medical Director for advice or exceptions.

Complex Case Manager – 2006 - 2014

Certified - Cases assigned to Case Manager for member’s complex needs. All of my cases were promptly addressed and resolved with positive outcomes.

Readmission Reduction CM – During same time as Complex Case Manager.

Review of patients who have had multiple ER visits or hospitalizations. Contact patient and assess needs. Follow patient's recovery for possibility of re-admission. Coordinate health needs and collaborate with primary physician office.

ACO Liaison – 2015 – Approximately 6 mos.

Worked with Hospital ACO to identify high risk patients and assign case manager if needed. Other duties were to produce Excel worksheets with patient info and outcomes for team to discuss.

Physician Collaboration Team – 2015 approximately 6 mos.

Aetna specialty program to visit MD offices to discuss patients.

Home Infusion/Acute Home Care

Apria Infusion Pharmacy, (Currently Coram) Cromwell, CT

Chartwell, Middletown, CT

Home Health Care

New England Home Care, Cromwell, CT

2000-2002

1998-2000

Worked as primary nurse for Home Care patients in their homes.

EDUCATION

BS in Health Sciences with additional certificate. (See Below)

Charter Oak State College

Associate Degree in Nursing

Northern VA Community College

LPN

Prince William Hospital School of Nursing

2014

1984

1972

CERTIFICATE / AFFILIATIONS

Connecticut Nurses’ Association

1998-Current

CCMC

2005-Current

CMSA

2005-Current

Certificate in HCA Leadership

Earned 2011

Current

Contact this candidate