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Case Manager Medical Assistant

Location:
Murphysboro, IL
Posted:
February 08, 2023

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Resume:

Lori Albers BSN, RN CM

SUMMARY

Proven Case Management traveler with 6+ years’ experience as an Acute Care Case Manager in various hospital settings including over 32 years healthcare experience

Areas of experience include ICU bedside nursing care along with discharge planning, high acuity/complex discharge planning, initial/direct admissions review, and continued stay reviews.

Guidance with patients and their loved ones thru end-of-life care such as Palliative care and Hospice care in a clinical setting.

Areas of expertise include Utilization Review & Discharge Planning for the following floors: ICU, ER/ED, Cardiac, Cardiothoracic, Ambulatory, Ortho, SICU, Telemetry, Observation, Palliative/Hospice, CCU, Step Down, General Floor/Med-Surg, Renal, MICU, Medical, & Neurology

ICD 10 experience as it relates to Case Management

LICENSURE AND CERTIFICATIONS

•Registered Nurse – State of Illinois, Florida, Oklahoma, Michigan, Missouri, Nevada, and California.

•Parish Nurse Certification

•BLS

•ACLS

SYSTEM EXPERIENCE

Milliman (MCG), McKesson/InterQual system, Cerner, Midas, Allscripts, Epic, Sunrise, Meditech (several versions), Navi, Curaspan, and Microsoft office programs (Word, Power point, Excel)

EXPERIENCE

Acute Care Travel RN Case Manager

Utilization Review & Discharge Planning focused role on various units including: Float

Patient status determination to ensure proper placement of patients within the Hospital setting

See all new patients, Initial, concurrent, observation reviews

Work effectively as a member of a multidisciplinary team to coordinate patient’s plan of care

Arrangement of various services such as home health, durable medical equipment, long term acute care, skilled nursing, inpatient rehab, and utilizing Palliative care team when warranted.

Return to Providence Health Care-So. California (240+) Remote UR Travel CM 08/2021—10/2021

Return to HCA- JFK Main Medical Center, Atlantis, Florida (500+ beds) CM 03/2021 – 07/2021

Providence Health Care – So. California (240+)– Remote UR-Travel CM 12/2020 – 03/2021

HCA – JFK Main Medical Center, Atlantis, FL (500+ beds) – Travel CM 08/2020 – 11/2020

Return to Sebastian River Medical Center, Sebastian, FL (121 beds)- Travel CM 06/2020 – 08/2020

HSHS St. Elizabeth (140+ beds) – Travel CM 01/2020 – 04/2020

Return to South Lake Hospital, Clermont, FL (170) – Travel CM 08/2019 – 12/2019

Metro South Medical Center, Blue Island, IL (314 beds) – Travel CM 05/2019 – 08/2019

Bayfront Health, St Petersburg, FL (319 beds) – Travel CM 03/2019 – 05/2019

Bayfront Health, Port Charlotte, FL (254 beds) – Travel CM 12/2018 – 03/2019

Sebastian River Medical Center, Sebastian, FL (121 beds) – Travel CM 08/2018 – 12/2018

Hillcrest Main, Tulsa, Ok (460 beds) – Travel CM 02/2018 – 07/2018

Professional Sabbatical …… 12/2017 – 02/2018

South Lake Hospital, Clermont, FL (170 beds) – Travel Case Manager 04/2017 – 12/2017

Average patient case load 25 – 35 /daily

Utilization Review & Discharge Planning focused role on various units including: Observation, ICU, Ortho, PCU, Med-Surg, Tele, ER and more.

Patient status determination to ensure proper placement of patients within the Hospital setting

See all new patients, Initial, concurrent, observation reviews

Work effectively as a member of a multidisciplinary team to coordinate patient’s plan of care

Arrangement of various services such as home health, durable medical equipment, long term acute care, skilled nursing, inpatient rehab, and utilizing Palliative care team when warranted.

Sensitive and Responsive to all patient and their families with strong commitment to ensuring cost-effective care while optimizing quality in patent care

Acting as a liaison between patient, families and various originations while expediting a safe discharge plan

Work closely with Physician Advisors to place patients in correct admission status

Used in float capacity as needed for unit coverage

4/2015-3/2017

Southern Illinois Healthcare, Carbondale, IL (154 beds)

RN Case Manager

Average patient case load 25 – 30/daily

Float RN UR/Case Manager to various units including Observation, Med-Surg, ICU, etc.

Discharge planning, SNF/LTACH/LTC transfers, Home Health, and DME preparations

New staff development and training, including new computer systems

Critical thinking, team building. Manage critically ill patients and transfers to a higher level of care

Participated as Member on Ethics Committee

Participated in Initiative on Palliative Care Program from Northwestern University

12/2008-4/2015

Staff Registered Nurse

Medical/Surgical/Cardiovascular Intensive Care Unit Previously as bedside ICU RN

Medical/Clinical procedures at patient bedside, working closely with Physicians and Mid-level practitioners in a critical care environment

Caring for various patients such as Neurological, Surgical and otherwise Non-Surgical infectious illnesses

Navigating and helping patients and families with difficult transitions from being on life support to end of life care such as Hospice to comfort care.

Worked closely with Palliative care team by being a patient advocate

2/2006 – 12/2008

Bridge Program from LPN to RN in ICU

Worked beside registered nurse as a LPN

1989-2006

Ward Clerk/Medical assistant

EDUCATION

American Sentinel University, Aurora, Co June 2014

Bachelor of Science

Shawnee Community College, Ullin, IL December 2008

Associate Degree of Nursing



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