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Case Manager Registered Nurse

Location:
Daytona Beach, FL
Posted:
December 09, 2022

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Resume:

Sabrina L. Metivier

BSN, RN, MS, MPH, EdS, LMHC

Telephone: 386-***-**** - Email: adtx5h@r.postjobfree.com

·Experienced and knowledgeable Licensed Registered Nurse and Licensed Mental Health professional with greater than 20 years of acute care, community health and long-term health care experience in; Primary and Behavioral Healthcare, Managed Care Case Management, Healthcare Leadership, Infection Prevention and Control, Disease Management, Public Health Education and training, Medical surgical nursing, FMLA and Workers Compensation.

·My personal successful accomplishments are in the areas of healthcare, mainly focusing on the continuum of care by creating partnerships with community leaders and resources for insured, uninsured, underinsured and indigent patient populations. Extensive knowledge of Infection Prevention and Control, Case Management, Utilization management and discharge planning.

·Knowledge and experience in InterQual medical decision support tool, HEDIS, Medication reconciliation and government sponsored managed care programs. Experienced in implementing process improvement strategies, coordinating memorandums of agreements and understandings between hospitals and local community resources for cost containment. Excellent computer skills including Microsoft Office programs.

·Excellent communication skills with extensive experience in working with diverse populations. Relative knowledge in advanced statistical methods and tools to describe data collection, calculated risk adjusted rates and establishing internal benchmarks. Ability to handle high levels of stress and work in fast paced work environment that present with altering priorities.

Education Status

EdS Leadership and Education Graduation: 12/2014

Barry University - Miami Shores, FL

M.S. Public Health Graduation: 10/2008

Barry University - Orlando, FL

M.S. Counseling Psychology Graduation: 08/2006

Concentration in Clinical Mental Health

Troy University - Winter Park, FL

B.S. Nursing (Minor in Biology) Graduation: 05/2003

Bethune Cookman University - Daytona Beach, FL

B.A. Liberal Studies (Business Admin) Graduation: 04/1994

Bethune Cookman University - Daytona Beach, FL

A.S. Degree in Nursing (RN) Graduation: 06/1993

Seminole State College - Sanford, FL

A.A. Degree Graduation: 08/1993 Seminole State College - Sanford, FL

Licensed Practical Nurse (LPN) Graduation: 05/1990

Orlando Vocational Technical College - Orlando, FL

Professional Licensure

State of Florida Licensed Registered Nurse License: RN 2735062

State of Florida Licensed Mental Health Clinician License: MH 11856

Training and Professional Associations

Trained and Certified Professional in Disability Management (CPDM) 2000

Local APIC Chapter Member of the Association of Professionals in 2008

Infections Control (APIC)

Infection Prevention Training and Education and Hospital Construction 2009

and Renovation Training by the Association of Professionals in Infection

Control (APIC)

Trained on Milliman Care Guidelines 2013

Trained on InterQual Guidelines for Medical Necessity 2017

Professional Clinical Experiences

Centene Healthcare 1/2022 – 9/2022

Travel Registered Nurse Assignment – Remote Clinical Case Management for Managed Care

Kindred At Home now CenterWell Home Health 6/2021 – 7/2022

Primary and Mental Health Registered Nurse Field Case Manager (PRN)

Daily activities of case management, admissions, recertifications and weekly skilled nursing visits for home health patients. Ongoing activities of developing and management and evaluation of the care plan and educating patient and family in accordance with physician orders.

AdventHealth Daytona Beach, FL 2/2017 – 8/2020

Registered Nurse – Hospital Acute Care Inpatient Complex Clinical Case Manager

Lead Complex Case Manager in all clinical areas including ER, Rehab and ICU and member of the Health Integrated Multidisciplinary Team. Daily responsibilities for discharge planning for insured, underinsured and indigents patients. Coordination of inpatient and outpatient health care needs focusing on cost containment and continuity of care accessing local and alternative funding resources of Single Patient Agreements, Memorandums of Agreements/Understandings to improve health outcomes.

Decypher Technologies – JB Andrews, MD 1/2015 – 09/2016

Travel Nurse Government Contractor as Regional Director of Infection Prevention and Disease Management for the United States Air Force Medical Operations Agency (AFMOA) under the Surgeon General of the United States Air Force. Responsible for oversight, improving compliance, and review of current IP standards. Monthly review and surveillance of CDC compliance, TJC mock surveillance activities and both Federal and State regulation guidelines compliance for 9 United States Air Force Medical Treatment Facilities (MTF) including the Pentagon. Approximately 50% of time spent traveling throughout the North, Eastern and Southern parts of the United States to assigned MTF’s. Directly reported to Base Commanders, Lt. Colonel, Stakeholder groups and the Office of the Surgeon General of the United States Air Force Medical Operations.

Orlando VA Medical Center 1/2013 – 10/2014

Mental Health Registered Nurse Case Manager

Lead Registered Nurse Case Manager assigned to the Primary Care Integration Health management team in the Clinical and Behavioral Health Department. Responsible for developing and implementing comprehensive plan of care based on assessment and evaluation for veterans across the care continuum. Provided effective utilization and collaboration with interdisciplinary healthcare team, patients and their families/caregivers to manage the Veterans care needs.

The Center for Drug Free Living 8/2010 – 12/2011

Public Health Internship Program - Director for Integrated Health Services

Primary and Mental Health Management. Responsible for influencing and persuading upper management and team members in high levels of negotiations via subcontract creation of MOUs and MOAs within the community to increase access to Primary healthcare and Mental Healthcare to reduce the spread of HIV/AIDS, Tuberculosis and Hep C within the local communities.

Orlando Health Hospital 8/2008 – 8/2010

Infection Prevention, Control and Disease Management Practitioner

Responsible for daily activities of disease management, data collection and surveillance, and infection prevention and control education, training and prevention strategies for all seven individual hospital campuses as well as the local outpatient clinics associated with the Orlando Health Hospital.

Valencia Community College - East Campus 3/2006 - 1/2010

Adjunct Professor

The Community Counseling Center of Central FL 1/2006 - 1/2007

Mental Health Field Case Manager. Registered Mental Health Counselor Intern (1000 Hour Internship for Master of Science Degree in Counseling and Psychology.

Maternity leave, stay at Home Mother and Full Time Grad Student 3/2004 - 1/2006

AmeriSys, Inc. 11/2003 - 2/2004

PRN - RN Telephonic Case Manager for Disease Management, Infection Control and Workers’ Compensation.

Daily activities of pre-certification, admission, concurrent review, rehab and hospital discharge review, retrospective reviews and appeals/denial reviews. Reviewed and coordinated the care for the exposed employees (Fireman, Police Officers, and City of Miami public workers) to physical and mental injuries, blood and body fluids exposures while on duty.

HDI Inc. /AIG - Orlando, FL 03/2003 - 9/2003 and 1/2013 – 7/2013

Contract Position - Registered Nurse Telephonic Disease Management and Workers Compensation Case Manager.

Coastal Care Center, Inc. - Daytona Beach, FL 2/2001 - 02/2003

Executive Director for Coastal Care Outpatient Clinic and Outreach Program

Wrote and received a Federal Grant to establish a Not for Profit Community Health Clinic and a Community Outreach program. Established and directed community-based programs to combat the spread of HIV/AIDS and Hep C through education, prevention and early intervention strategies.

QWEST/US WEST Health Services - Englewood, CO 9/1999 - 01/2001

Disease and Disability Management Manager for Family Medical Leave Act (FMLA)

Disease and Disability Management for employees of QWEST and their eligible family members for fourteen states, comprised of approximately 70,000 employees. Medical disability coordination, Disease Management, FMLA determination and certification using the interdisciplinary team approach which also included the legal department.

Zurich/Risk Enterprise Management - FL/CO 2/1998 - 06/1999

Travel Nurse for Remote Telephonic and Field Workers Comp/Disease Case Management

Performed daily UR and UM activities of injured workers under the state of Colorado and Florida Workers’ Compensation program.

Travelers Insurance Company - Orlando, FL 11/1995 - 12/1996

Registered Nurse – Telephonic Nurse Case Management for Workers Compensation

(Travelers was bought out by Aetna).

Transworld Nurses - Orlando, FL 8/1990 - 01/1998

Home Healthcare Registered Nurse - Full time and Part Time

Military Experience Active Duty Dates: 1984 – 1987

United States Marine Corps Veteran



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